ATI CMS FUNDAMENTAL FINAL PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉ (#2): A nurse is teaching a client about medications at discharge.
Which of the following statements should the nurse identify as an
indication that the client understands the instructions?
A. "I can open the time-release capsule with the beads in it and
sprinkle them on my oatmeal."
B. "If I am having difficulty swallowing, I will add the liquid
medication to prepared package of pudding."
C. "I can crush the enteric coated pill, if needed."
D. "I will eat two crackers with the pain pills.". Answer: D.
Rationale: Pt should take analgesics with small amounts of food to
help prevent N/V.
◉ Ch 46 (#3): A nurse is teaching a client how to administer
medication through a jejunostomy tube. Which of the following
instructions should the nurse include?
A. "Flush the tube before and after each medication."
B. "Mix your medications with your enteral feeding."
,C. "Push tablets through the tube slowly."
D. "Mix all the crushed medications prior to dissolving them in
water.". Answer: A.
Rationale: Pt should flush tubing before and after each medication
with 15-30 mL of water to prevent clogging of the tube.
◉ Ch. 52: A nurse is reviewing the medical record of a client who has
a blood glucose of 260 mg/dL and no documented history of
diabetes mellitus. Which of the following types of medications can
cause hyperglycemia as an adverse effect? (Select all that apply.)
A. Diuretics
B. Corticosteroids
C. Oral anticoagulants
D. Opioid analgesics
E. Antipsychotics. Answer: A, B, E
◉ Ch. 52: A nurse teaching a client how to check blood glucose
levels. The nurse should include which of the following instructions
about transferring blood onto the reagent portion of the test strip?
A. Smear the blood onto the strip
B. Squeeze the blood onto the strip
,C. Touch the puncture to stimulate bleeding
D. Hold the test strip next to the blood on the fingertip. Answer: D
◉ Ch. 52: A nurse attempting to collect a capillary blood specimen
via finger stick for blood glucose monitoring is unable to obtain an
adequate drop of blood for the reagent strip. Which of the following
actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen
B. Test the urine with a urine reagent strip
C. Wrap the hand in a warm, moist cloth
D. Perform a venipuncture to obtain a venous sample. Answer: C
◉ Ch. 52: A nurse is teaching self-monitoring of blood glucose
(SMBG) to a client who has diabetes mellitus. Which of the following
instructions should the nurse include? (Select all that apply.)
A. Perform SMBG once daily at bedtime
B. Wipe the hand with an alcohol swab
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample. Answer:
C, D, E
, ◉ Ch. 53: A nurse is assessing a client who has an acute respiratory
infection, increasing the risk for hypoxemia. Which of the following
findings are early indications that should alert the nurse that the
client is developing hypoxia? (Select all that apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension. Answer: A, B, D, E
◉ Ch. 53: A provider is discharging a client who has a prescription
for home oxygen therapy via nasal cannula. Client and family
teaching by the nurse should include which of the following
instructions?
(Select all that apply.)
A. Apply petroleum jelly around and inside the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula frequently
D. Report any nausea or difficulty breathing
E. Post "No Smoking" signs in prominent locations. Answer: C, D, E
COMPLETE QUESTIONS AND SOLUTIONS
◉ (#2): A nurse is teaching a client about medications at discharge.
Which of the following statements should the nurse identify as an
indication that the client understands the instructions?
A. "I can open the time-release capsule with the beads in it and
sprinkle them on my oatmeal."
B. "If I am having difficulty swallowing, I will add the liquid
medication to prepared package of pudding."
C. "I can crush the enteric coated pill, if needed."
D. "I will eat two crackers with the pain pills.". Answer: D.
Rationale: Pt should take analgesics with small amounts of food to
help prevent N/V.
◉ Ch 46 (#3): A nurse is teaching a client how to administer
medication through a jejunostomy tube. Which of the following
instructions should the nurse include?
A. "Flush the tube before and after each medication."
B. "Mix your medications with your enteral feeding."
,C. "Push tablets through the tube slowly."
D. "Mix all the crushed medications prior to dissolving them in
water.". Answer: A.
Rationale: Pt should flush tubing before and after each medication
with 15-30 mL of water to prevent clogging of the tube.
◉ Ch. 52: A nurse is reviewing the medical record of a client who has
a blood glucose of 260 mg/dL and no documented history of
diabetes mellitus. Which of the following types of medications can
cause hyperglycemia as an adverse effect? (Select all that apply.)
A. Diuretics
B. Corticosteroids
C. Oral anticoagulants
D. Opioid analgesics
E. Antipsychotics. Answer: A, B, E
◉ Ch. 52: A nurse teaching a client how to check blood glucose
levels. The nurse should include which of the following instructions
about transferring blood onto the reagent portion of the test strip?
A. Smear the blood onto the strip
B. Squeeze the blood onto the strip
,C. Touch the puncture to stimulate bleeding
D. Hold the test strip next to the blood on the fingertip. Answer: D
◉ Ch. 52: A nurse attempting to collect a capillary blood specimen
via finger stick for blood glucose monitoring is unable to obtain an
adequate drop of blood for the reagent strip. Which of the following
actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen
B. Test the urine with a urine reagent strip
C. Wrap the hand in a warm, moist cloth
D. Perform a venipuncture to obtain a venous sample. Answer: C
◉ Ch. 52: A nurse is teaching self-monitoring of blood glucose
(SMBG) to a client who has diabetes mellitus. Which of the following
instructions should the nurse include? (Select all that apply.)
A. Perform SMBG once daily at bedtime
B. Wipe the hand with an alcohol swab
C. Hold the hand in a dependent position prior to the puncture
D. Place the puncturing device perpendicular to the site
E. Prick the outer edge of the fingertip for the blood sample. Answer:
C, D, E
, ◉ Ch. 53: A nurse is assessing a client who has an acute respiratory
infection, increasing the risk for hypoxemia. Which of the following
findings are early indications that should alert the nurse that the
client is developing hypoxia? (Select all that apply.)
A. Restlessness
B. Tachypnea
C. Bradycardia
D. Confusion
E. Hypertension. Answer: A, B, D, E
◉ Ch. 53: A provider is discharging a client who has a prescription
for home oxygen therapy via nasal cannula. Client and family
teaching by the nurse should include which of the following
instructions?
(Select all that apply.)
A. Apply petroleum jelly around and inside the nares
B. Remove the nasal cannula during mealtimes
C. Check the position of the cannula frequently
D. Report any nausea or difficulty breathing
E. Post "No Smoking" signs in prominent locations. Answer: C, D, E
