ATI FUNDAMENTALS PROCTORED FINAL
2024: 200+ NGN-STYLE PRACTICE Q&A |
PASS ON YOUR FIRST TRY
ATI Fundamentals Final 2024 Practice Exam
1. A nurse is caring for a client who is at risk for falls.
Which of the following actions should the nurse take
first?
A. Place a fall-risk hidden sign on the door.
B. Move the client to a room closer to the nurses' station.
C. Remind the client to use the call light before getting up.
D. Complete a fall-risk assessment using a standardized scale.
Rationale: Assessment is the first step of the nursing process.
Before implementing interventions, the nurse must determine
the client's specific level of risk.
Answer: D
2. A nurse is preparing to administer an intramuscular
injection to an adult client. Which of the following
needle lengths is most appropriate for the
ventrogluteal site?
A. 5/8 inch
B. 1 inch
C. 1 1/2 inches
D. 2 inches
Rationale: For an average-sized adult, a 1.5-inch needle is
required to ensure the medication reaches the deep muscle
tissue of the ventrogluteal site.
Answer: C
,3. A nurse is caring for a client who has a prescription
for 0.9% sodium chloride IV at 125 mL/hr. The nurse
should monitor the client for which of the following
signs of fluid volume overload?
A. Flattened neck veins
B. Bounding peripheral pulses
C. Decreased blood pressure
D. Dry mucous membranes
Rationale: Excess fluid volume increases vascular volume,
leading to hypertension, bounding pulses, and distended neck
veins.
Answer: B
4. A nurse is performing a sterile dressing change.
Which of the following actions by the nurse breaks
sterile technique?
A. Opening the top flap of the sterile pack away from the body.
B. Placing the sterile field on a waist-high table.
C. Reaching over the sterile field to pick up a gauze pad.
D. Keeping sterile gloved hands above the waist.
Rationale: Reaching over a sterile field contaminates it
because microorganisms can fall from the nurse's non-sterile
clothing or arms onto the field.
Answer: C
5. A nurse is assessing a client’s radial pulse and notes
that the rhythm is irregular. Which of the following
actions should the nurse take?
A. Assess the pulse for a full minute.
B. Check the pedal pulses bilaterally.
C. Document the finding as bradycardia.
D. Notify the rapid response team immediately.
Rationale: If a pulse is irregular, the nurse must count for a
full 60 seconds to ensure an accurate heart rate and
,assessment of the rhythm.
Answer: A
6. A nurse is teaching a client about using a cane.
Which of the following instructions should the nurse
include?
A. Hold the cane on the weaker side of the body.
B. Advance the cane and the strong leg at the same time.
C. Keep two points of support on the floor at all times.
D. Move the cane forward 6 to 10 inches with each step.
Rationale: A cane should be moved forward roughly 6-10
inches while maintaining stability; the cane is held on the
unaffected (strong) side.
Answer: D
7. A nurse is reviewing a client’s laboratory results.
Which of the following potassium levels should the
nurse report to the provider immediately?
A. 3.2 mEq/L
B. 3.8 mEq/L
C. 4.5 mEq/L
D. 5.0 mEq/L
Rationale: The normal range for potassium is 3.5 to 5.0
mEq/L. A level of 3.2 indicates hypokalemia, which can lead to
life-threatening cardiac dysrhythmias.
Answer: A
8. Which of the following is the priority nursing action
when a fire is discovered in a client's room?
A. Extinguish the fire using a fire extinguisher.
B. Close the door to the client's room.
C. Pull the fire alarm.
D. Rescue the client from the room.
Rationale: Following the R.A.C.E. mnemonic (Rescue, Alarm,
Confine, Extinguish), the absolute priority is the safety of the
, client in immediate danger.
Answer: D
9. A nurse is caring for a client who is postoperative
and has a Jackson-Pratt (JP) drain. Which of the
following actions should the nurse take to ensure the
drain functions correctly?
A. Keep the drain higher than the insertion site.
B. Fully inflate the bulb after emptying it.
C. Compress the bulb to establish negative pressure.
D. Tape the tubing to the bed linens.
Rationale: A JP drain works by suction created when the bulb
is compressed; if it is not compressed, it will not pull fluid from
the wound.
Answer: C
10. A nurse is preparing to perform tracheostomy
care. Which of the following actions should the nurse
take first?
A. Remove the inner cannula.
B. Clean the stoma with hydrogen peroxide.
C. Suction the tracheostomy tube.
D. Replace the tracheostomy ties.
Rationale: Suctioning clears the airway of secretions before
the nurse begins the cleaning process, ensuring the client is
oxygenated and the field remains cleaner.
Answer: C
11. A nurse is assessing a client for orthostatic
hypotension. Which of the following findings indicates
the client is experiencing this condition?
A. An increase in heart rate of 5 bpm when standing.
B. A decrease in systolic BP of 20 mm Hg when standing.
C. An increase in diastolic BP of 10 mm Hg when sitting.
D. A decrease in respiratory rate when lying down.
2024: 200+ NGN-STYLE PRACTICE Q&A |
PASS ON YOUR FIRST TRY
ATI Fundamentals Final 2024 Practice Exam
1. A nurse is caring for a client who is at risk for falls.
Which of the following actions should the nurse take
first?
A. Place a fall-risk hidden sign on the door.
B. Move the client to a room closer to the nurses' station.
C. Remind the client to use the call light before getting up.
D. Complete a fall-risk assessment using a standardized scale.
Rationale: Assessment is the first step of the nursing process.
Before implementing interventions, the nurse must determine
the client's specific level of risk.
Answer: D
2. A nurse is preparing to administer an intramuscular
injection to an adult client. Which of the following
needle lengths is most appropriate for the
ventrogluteal site?
A. 5/8 inch
B. 1 inch
C. 1 1/2 inches
D. 2 inches
Rationale: For an average-sized adult, a 1.5-inch needle is
required to ensure the medication reaches the deep muscle
tissue of the ventrogluteal site.
Answer: C
,3. A nurse is caring for a client who has a prescription
for 0.9% sodium chloride IV at 125 mL/hr. The nurse
should monitor the client for which of the following
signs of fluid volume overload?
A. Flattened neck veins
B. Bounding peripheral pulses
C. Decreased blood pressure
D. Dry mucous membranes
Rationale: Excess fluid volume increases vascular volume,
leading to hypertension, bounding pulses, and distended neck
veins.
Answer: B
4. A nurse is performing a sterile dressing change.
Which of the following actions by the nurse breaks
sterile technique?
A. Opening the top flap of the sterile pack away from the body.
B. Placing the sterile field on a waist-high table.
C. Reaching over the sterile field to pick up a gauze pad.
D. Keeping sterile gloved hands above the waist.
Rationale: Reaching over a sterile field contaminates it
because microorganisms can fall from the nurse's non-sterile
clothing or arms onto the field.
Answer: C
5. A nurse is assessing a client’s radial pulse and notes
that the rhythm is irregular. Which of the following
actions should the nurse take?
A. Assess the pulse for a full minute.
B. Check the pedal pulses bilaterally.
C. Document the finding as bradycardia.
D. Notify the rapid response team immediately.
Rationale: If a pulse is irregular, the nurse must count for a
full 60 seconds to ensure an accurate heart rate and
,assessment of the rhythm.
Answer: A
6. A nurse is teaching a client about using a cane.
Which of the following instructions should the nurse
include?
A. Hold the cane on the weaker side of the body.
B. Advance the cane and the strong leg at the same time.
C. Keep two points of support on the floor at all times.
D. Move the cane forward 6 to 10 inches with each step.
Rationale: A cane should be moved forward roughly 6-10
inches while maintaining stability; the cane is held on the
unaffected (strong) side.
Answer: D
7. A nurse is reviewing a client’s laboratory results.
Which of the following potassium levels should the
nurse report to the provider immediately?
A. 3.2 mEq/L
B. 3.8 mEq/L
C. 4.5 mEq/L
D. 5.0 mEq/L
Rationale: The normal range for potassium is 3.5 to 5.0
mEq/L. A level of 3.2 indicates hypokalemia, which can lead to
life-threatening cardiac dysrhythmias.
Answer: A
8. Which of the following is the priority nursing action
when a fire is discovered in a client's room?
A. Extinguish the fire using a fire extinguisher.
B. Close the door to the client's room.
C. Pull the fire alarm.
D. Rescue the client from the room.
Rationale: Following the R.A.C.E. mnemonic (Rescue, Alarm,
Confine, Extinguish), the absolute priority is the safety of the
, client in immediate danger.
Answer: D
9. A nurse is caring for a client who is postoperative
and has a Jackson-Pratt (JP) drain. Which of the
following actions should the nurse take to ensure the
drain functions correctly?
A. Keep the drain higher than the insertion site.
B. Fully inflate the bulb after emptying it.
C. Compress the bulb to establish negative pressure.
D. Tape the tubing to the bed linens.
Rationale: A JP drain works by suction created when the bulb
is compressed; if it is not compressed, it will not pull fluid from
the wound.
Answer: C
10. A nurse is preparing to perform tracheostomy
care. Which of the following actions should the nurse
take first?
A. Remove the inner cannula.
B. Clean the stoma with hydrogen peroxide.
C. Suction the tracheostomy tube.
D. Replace the tracheostomy ties.
Rationale: Suctioning clears the airway of secretions before
the nurse begins the cleaning process, ensuring the client is
oxygenated and the field remains cleaner.
Answer: C
11. A nurse is assessing a client for orthostatic
hypotension. Which of the following findings indicates
the client is experiencing this condition?
A. An increase in heart rate of 5 bpm when standing.
B. A decrease in systolic BP of 20 mm Hg when standing.
C. An increase in diastolic BP of 10 mm Hg when sitting.
D. A decrease in respiratory rate when lying down.
