ATI FUNDAMENTALS OF NURSING (RN)
COMPREHENSIVE EXAM ACTUAL QUESTIONS AND
ANSWERS - LATEST AND COMPLETE UPDATE WITH
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1. A nurse is prioritizing care for four clients on a medical-surgical unit. Which
client should the nurse assess first?
A. A client with chronic pain requesting scheduled analgesics
B. A client with a respiratory rate of 8/min following opioid
administration
C. A client with a blood glucose level of 68 mg/dL who is alert
D. A client with a low-grade fever of 37.9°C (100.2°F)
Rationale: Airway and breathing take priority. A respiratory rate of 8/min
indicates respiratory depression, a life-threatening complication of opioids
requiring immediate assessment and intervention.
2. A nurse is using the nursing process when developing a plan of care. Which
action represents the planning phase?
A. Reviewing laboratory results
B. Establishing measurable client outcomes
C. Administering prescribed medications
D. Evaluating the client’s response to treatment
Rationale: The planning phase involves setting goals and expected
outcomes based on nursing diagnoses.
3. A nurse enters a client’s room and notes a fire in a wastebasket. Which
action should the nurse take first according to RACE?
A. Activate the fire alarm
B. Extinguish the fire
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C. Close the door
D. Remove the client from the room
Rationale: RACE prioritizes Rescue first—removing clients from
immediate danger.
4. A nurse is performing hand hygiene with alcohol-based sanitizer. Which
action indicates correct technique?
A. Using sanitizer after contact with visible soil
B. Applying sanitizer for 5 seconds
C. Rubbing hands until completely dry
D. Drying hands with a paper towel
Rationale: Alcohol-based sanitizer must be rubbed until dry to be effective;
it is not used when hands are visibly soiled.
5. A nurse is assisting a client with ambulation using a gait belt. Which action
promotes safety?
A. Holding the belt from the back
B. Allowing the client to look at the floor
C. Standing slightly behind and to the side of the client
D. Instructing the client to move quickly
Rationale: Standing slightly behind and to the side provides balance
support and prevents falls.
6. A nurse identifies redness over a client’s sacrum that does not blanch. How
should this finding be documented?
A. Stage 2 pressure injury
B. Stage 3 pressure injury
C. Deep tissue injury
D. Stage 1 pressure injury
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Rationale: Nonblanchable erythema of intact skin is characteristic of a
Stage 1 pressure injury.
7. A nurse is teaching a client about preventing constipation. Which statement
indicates understanding?
A. “I will limit my fluid intake.”
B. “I will ignore the urge to defecate.”
C. “I will increase fiber in my diet.”
D. “I will take laxatives daily.”
Rationale: Adequate dietary fiber promotes bowel regularity and prevents
constipation.
8. A nurse is caring for a client receiving oxygen via nasal cannula at 4 L/min.
Which finding requires intervention?
A. Dry nasal mucosa
B. Oxygen saturation of 86%
C. Respiratory rate of 18/min
D. Mild abdominal distention
Rationale: An oxygen saturation of 86% indicates inadequate oxygenation
and requires prompt intervention.
9. A nurse is using therapeutic communication with a client who is anxious.
Which response is appropriate?
A. “Everything will be fine.”
B. “Why are you so worried?”
C. “Tell me more about what concerns you.”
D. “You shouldn’t feel this way.”
Rationale: Open-ended statements encourage expression and demonstrate
empathy.
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10.A nurse is preparing to administer medication. Which action follows the
rights of medication administration?
A. Administering medication prepared by another nurse
B. Comparing the medication label with the MAR three times
C. Asking the client to state the medication name
D. Documenting administration before giving the medication
Rationale: Verifying the medication against the MAR three times is a core
safety principle.
11.A nurse is teaching a client about advance directives. Which statement is
correct?
A. They are required for all hospitalized clients
B. They allow nurses to make decisions for clients
C. They document a client’s wishes regarding care
D. They are only used for terminal illness
Rationale: Advance directives outline a client’s preferences for future
healthcare decisions.
12.A nurse is assessing pain using a numeric scale. Which finding requires
further assessment?
A. Client rates pain as 2/10 after medication
B. Client smiles while rating pain as 8/10
C. Client rates pain as 9/10 with rigid abdomen
D. Client reports chronic back pain
Rationale: Severe pain with abdominal rigidity may indicate a serious
underlying condition.
13.A nurse is performing a sterile dressing change. Which action breaks sterile
technique?
A. Holding sterile gloves above waist level