ATI Nursing Fundamentals Test Bank
Midterm Exam And Actual Answers 2024.
Safety & Infection Control
1. A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of
the following types of precautions should the nurse implement?
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Protective environment
Answer: c. Airborne precautions
2. A nurse is preparing to insert an indwelling urinary catheter. Which of the
following techniques should the nurse use to maintain surgical asepsis?
a. Clean gloves and sterile drape
b. Sterile gloves, sterile drapes, and sterile solution
c. Clean gloves and clean technique
d. Sterile gloves and clean drapes
Answer: b. Sterile gloves, sterile drapes, and sterile solution
3. A nurse is caring for a client who has a Clostridium difficile infection. Which of the
following hand hygiene methods is most appropriate?
a. Alcohol-based hand rub
b. Soap and water
c. Hand sanitizer with aloe
d. Chlorhexidine wipes
Answer: b. Soap and water
4. A nurse is applying restraints to a client who is agitated. Which of the following
actions should the nurse take first?
a. Tie the restraints to the side rail
b. Assess the client's circulation after applying
c. Attempt alternative methods to calm the client
d. Document the reason for restraint use
Answer: c. Attempt alternative methods to calm the client
5. A nurse is preparing to administer a liquid medication to a client. Which of the
following actions is correct?
a. Shake the bottle and pour the liquid into a medicine cup at eye level
b. Pour the liquid directly into the client's mouth from the bottle
c. Mix the liquid with a full glass of juice
, d. Pour the liquid until it reaches the top of the meniscus
Answer: a. Shake the bottle and pour the liquid into a medicine cup at eye
level
6. A nurse is caring for a client on contact precautions. Which of the following
personal protective equipment (PPE) should the nurse wear when entering the
room?
a. Mask and gown
b. Gown and gloves
c. Gloves and mask
d. Gown and eye protection
Answer: b. Gown and gloves
7. A nurse is educating a client about a living will. Which of the following statements
indicates the client understands the purpose?
a. "It designates a person to make financial decisions for me."
b. "It outlines my wishes for medical treatment if I am unable to speak."
c. "It is the same as a durable power of attorney for health care."
d. "It allows my family to override my medical decisions."
Answer: b. "It outlines my wishes for medical treatment if I am unable to
speak."
8. A nurse is caring for a client who is at risk for falls. Which of the following actions
should the nurse take?
a. Keep the bed in the highest position
b. Place all personal belongings out of reach
c. Encourage the client to wear nonskid footwear
d. Keep the room dark to promote rest
Answer: c. Encourage the client to wear nonskid footwear
9. A nurse discovers a small fire in a client's trash can. After moving the client to
safety, which of the following is the next action?
a. Pull the fire alarm
b. Use a fire extinguisher
c. Close the doors to the unit
d. Call for help
Answer: b. Use a fire extinguisher
10. A nurse is preparing to administer a tuberculin skin test. Which of the following
routes should the nurse use?
a. Subcutaneous
b. Intramuscular
c. Intradermal
d. Intravenous
Answer: c. Intradermal
,11. A nurse is caring for a client who requires wrist restraints. How often should the
nurse remove the restraints to assess the client?
a. Every 2 hours
b. Every 4 hours
c. Every 8 hours
d. Once per shift
Answer: a. Every 2 hours
12. A nurse is preparing to don sterile gloves. Which of the following actions
indicates proper technique?
a. The cuffs of the gloves are turned up 1 inch
b. The first glove is picked up by the folded cuff
c. The sterile glove is touched with bare hands only on the outside
d. The gloves are donned before the sterile gown
Answer: b. The first glove is picked up by the folded cuff
13. A nurse is administering a blood transfusion. Which of the following actions is
most important to prevent a transfusion reaction?
a. Verify the client's identity with two nurses
b. Infuse the blood over 2 hours
c. Assess the client's vital signs every hour
d. Prime the tubing with dextrose in water
Answer: a. Verify the client's identity with two nurses
14. A nurse is removing a client's surgical dressing. Which of the following actions
should the nurse take to maintain sterility?
a. Use clean gloves to remove the old dressing
b. Remove the dressing toward the wound
c. Apply sterile gloves before removing the old dressing
d. Clean the wound with tap water
Answer: a. Use clean gloves to remove the old dressing
15. A nurse is caring for a client who is immunocompromised. Which of the following
precautions should the nurse take?
a. Wear an N95 respirator at all times
b. Place the client in a positive-pressure room
c. Place the client in a negative-pressure room
d. Limit visitors to family only
Answer: b. Place the client in a positive-pressure room
16. A nurse is providing discharge teaching to a client about medical device home
safety. Which of the following statements indicates understanding?
a. "I will use a multi-outlet strip for my oxygen concentrator."
b. "I will check my oxygen level with my pulse oximeter."
c. "I can smoke in the kitchen if my oxygen is off."
, d. "I will store my oxygen tanks in a closet."
Answer: b. "I will check my oxygen level with my pulse oximeter."
17. A nurse is preparing to irrigate a wound. Which of the following solutions is
commonly used?
a. Hydrogen peroxide
b. Povidone-iodine
c. Normal saline
d. Alcohol
Answer: c. Normal saline
18. A client asks the nurse what a "Do Not Resuscitate" (DNR) order means. Which
of the following responses is appropriate?
a. "The client will not receive any medical treatment."
b. "The client will not receive cardiopulmonary resuscitation if the heart stops."
c. "The client will not be allowed to leave the hospital."
d. "The client will not receive pain medication."
Answer: b. "The client will not receive cardiopulmonary resuscitation if the
heart stops."
19. A nurse is preparing to administer a medication that is a Schedule II controlled
substance. Which of the following actions is required?
a. Keep the medication in a locked cart
b. Have a second nurse witness the waste of any unused portion
c. Count the medication at the end of each week
d. Document administration in the client's chart only
Answer: b. Have a second nurse witness the waste of any unused portion
20. A nurse is caring for a client who has a latex allergy. Which of the following items
should be avoided?
a. Silk tape
b. Paper tape
c. Cloth tape
d. Elastic bandage
Answer: d. Elastic bandage
Mobility & Immobility
21. A nurse is assessing a client who has required bed rest for the past month.
Which of the following findings should the nurse identify as an indication that the
client has developed thrombophlebitis?
a. Bladder distention
b. Decreased blood pressure
c. Calf swelling
Midterm Exam And Actual Answers 2024.
Safety & Infection Control
1. A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of
the following types of precautions should the nurse implement?
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Protective environment
Answer: c. Airborne precautions
2. A nurse is preparing to insert an indwelling urinary catheter. Which of the
following techniques should the nurse use to maintain surgical asepsis?
a. Clean gloves and sterile drape
b. Sterile gloves, sterile drapes, and sterile solution
c. Clean gloves and clean technique
d. Sterile gloves and clean drapes
Answer: b. Sterile gloves, sterile drapes, and sterile solution
3. A nurse is caring for a client who has a Clostridium difficile infection. Which of the
following hand hygiene methods is most appropriate?
a. Alcohol-based hand rub
b. Soap and water
c. Hand sanitizer with aloe
d. Chlorhexidine wipes
Answer: b. Soap and water
4. A nurse is applying restraints to a client who is agitated. Which of the following
actions should the nurse take first?
a. Tie the restraints to the side rail
b. Assess the client's circulation after applying
c. Attempt alternative methods to calm the client
d. Document the reason for restraint use
Answer: c. Attempt alternative methods to calm the client
5. A nurse is preparing to administer a liquid medication to a client. Which of the
following actions is correct?
a. Shake the bottle and pour the liquid into a medicine cup at eye level
b. Pour the liquid directly into the client's mouth from the bottle
c. Mix the liquid with a full glass of juice
, d. Pour the liquid until it reaches the top of the meniscus
Answer: a. Shake the bottle and pour the liquid into a medicine cup at eye
level
6. A nurse is caring for a client on contact precautions. Which of the following
personal protective equipment (PPE) should the nurse wear when entering the
room?
a. Mask and gown
b. Gown and gloves
c. Gloves and mask
d. Gown and eye protection
Answer: b. Gown and gloves
7. A nurse is educating a client about a living will. Which of the following statements
indicates the client understands the purpose?
a. "It designates a person to make financial decisions for me."
b. "It outlines my wishes for medical treatment if I am unable to speak."
c. "It is the same as a durable power of attorney for health care."
d. "It allows my family to override my medical decisions."
Answer: b. "It outlines my wishes for medical treatment if I am unable to
speak."
8. A nurse is caring for a client who is at risk for falls. Which of the following actions
should the nurse take?
a. Keep the bed in the highest position
b. Place all personal belongings out of reach
c. Encourage the client to wear nonskid footwear
d. Keep the room dark to promote rest
Answer: c. Encourage the client to wear nonskid footwear
9. A nurse discovers a small fire in a client's trash can. After moving the client to
safety, which of the following is the next action?
a. Pull the fire alarm
b. Use a fire extinguisher
c. Close the doors to the unit
d. Call for help
Answer: b. Use a fire extinguisher
10. A nurse is preparing to administer a tuberculin skin test. Which of the following
routes should the nurse use?
a. Subcutaneous
b. Intramuscular
c. Intradermal
d. Intravenous
Answer: c. Intradermal
,11. A nurse is caring for a client who requires wrist restraints. How often should the
nurse remove the restraints to assess the client?
a. Every 2 hours
b. Every 4 hours
c. Every 8 hours
d. Once per shift
Answer: a. Every 2 hours
12. A nurse is preparing to don sterile gloves. Which of the following actions
indicates proper technique?
a. The cuffs of the gloves are turned up 1 inch
b. The first glove is picked up by the folded cuff
c. The sterile glove is touched with bare hands only on the outside
d. The gloves are donned before the sterile gown
Answer: b. The first glove is picked up by the folded cuff
13. A nurse is administering a blood transfusion. Which of the following actions is
most important to prevent a transfusion reaction?
a. Verify the client's identity with two nurses
b. Infuse the blood over 2 hours
c. Assess the client's vital signs every hour
d. Prime the tubing with dextrose in water
Answer: a. Verify the client's identity with two nurses
14. A nurse is removing a client's surgical dressing. Which of the following actions
should the nurse take to maintain sterility?
a. Use clean gloves to remove the old dressing
b. Remove the dressing toward the wound
c. Apply sterile gloves before removing the old dressing
d. Clean the wound with tap water
Answer: a. Use clean gloves to remove the old dressing
15. A nurse is caring for a client who is immunocompromised. Which of the following
precautions should the nurse take?
a. Wear an N95 respirator at all times
b. Place the client in a positive-pressure room
c. Place the client in a negative-pressure room
d. Limit visitors to family only
Answer: b. Place the client in a positive-pressure room
16. A nurse is providing discharge teaching to a client about medical device home
safety. Which of the following statements indicates understanding?
a. "I will use a multi-outlet strip for my oxygen concentrator."
b. "I will check my oxygen level with my pulse oximeter."
c. "I can smoke in the kitchen if my oxygen is off."
, d. "I will store my oxygen tanks in a closet."
Answer: b. "I will check my oxygen level with my pulse oximeter."
17. A nurse is preparing to irrigate a wound. Which of the following solutions is
commonly used?
a. Hydrogen peroxide
b. Povidone-iodine
c. Normal saline
d. Alcohol
Answer: c. Normal saline
18. A client asks the nurse what a "Do Not Resuscitate" (DNR) order means. Which
of the following responses is appropriate?
a. "The client will not receive any medical treatment."
b. "The client will not receive cardiopulmonary resuscitation if the heart stops."
c. "The client will not be allowed to leave the hospital."
d. "The client will not receive pain medication."
Answer: b. "The client will not receive cardiopulmonary resuscitation if the
heart stops."
19. A nurse is preparing to administer a medication that is a Schedule II controlled
substance. Which of the following actions is required?
a. Keep the medication in a locked cart
b. Have a second nurse witness the waste of any unused portion
c. Count the medication at the end of each week
d. Document administration in the client's chart only
Answer: b. Have a second nurse witness the waste of any unused portion
20. A nurse is caring for a client who has a latex allergy. Which of the following items
should be avoided?
a. Silk tape
b. Paper tape
c. Cloth tape
d. Elastic bandage
Answer: d. Elastic bandage
Mobility & Immobility
21. A nurse is assessing a client who has required bed rest for the past month.
Which of the following findings should the nurse identify as an indication that the
client has developed thrombophlebitis?
a. Bladder distention
b. Decreased blood pressure
c. Calf swelling
