ATI Fundamentals CMS Final 2026 | 141 Q&A Pack |
Complete Prep | 100% Guaranteed Pass
1. What is the first action a nurse should take before providing tracheostomy
care?
Open all sterile supplies and solutions.
Don sterile gloves.
Perform hand hygiene.
Stabilize the tracheostomy tube.
2. If an older adult client continues to experience constipation despite
following the recommended actions, what should the nurse suggest next?
Consult with a healthcare provider for further evaluation.
Increase the intake of refined-fiber foods immediately.
Continue the same regimen without changes.
Start taking a stronger laxative daily.
3. Why is it important for a nurse to provide physical comfort, such as holding a
client's hand, when the client is experiencing emotional distress?
Physical comfort is unnecessary in terminal care.
It allows the nurse to avoid discussing difficult emotions.
It distracts the client from their pain.
Providing physical comfort helps to establish a supportive
connection and can alleviate feelings of isolation.
4. Interpret the significance of nightmares in a client undergoing cancer
treatment. What might they indicate about the client's mental state?
, Nightmares are unrelated to the client's emotional state.
Nightmares may indicate that the client is experiencing anxiety or
fear related to her treatment and upcoming surgery.
Nightmares suggest that the client is coping well with her situation.
Nightmares are a normal reaction to medication and do not indicate
distress.
5. Describe the significance of auscultating the aortic valve in a patient with a
history of aortic valve stenosis.
Auscultating the aortic valve helps detect abnormal heart sounds
associated with aortic valve stenosis, which can indicate the severity
of the condition.
Auscultating the aortic valve is only necessary for patients without
heart conditions.
Auscultating the aortic valve is irrelevant in assessing heart murmurs.
Auscultating the aortic valve is primarily for checking blood pressure.
6. A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a
group of newly licensed nurses. What action should the charge nurse teach
as the first response in CPR?
Confirm unresponsiveness.
Give rescue breaths.
Begin chest compressions
Call for assistance
7. What is the first action a nurse should take before transporting a client for a
chest x-ray?
, Explain the x-ray procedure to the client.
Ask if the client has any questions.
Identify the client using two identifiers.
Help the client into a wheelchair before the transporter arrives.
8. Why is it beneficial for an older adult client to sit on the toilet 30 minutes after
eating?
This practice ensures that the client is hydrated before attempting to
have a bowel movement.
This practice can help stimulate the gastrocolic reflex, promoting
bowel movements.
This practice is recommended to prevent urinary incontinence.
This practice allows the client to relax and read while waiting.
9. A client is contemplating joint replacement surgery but expresses fear of
needing a transfusion post-operatively. Which of the following statements
would be appropriate when educating the client?
"Your chances of needing a transfusion are minimal. You should not
worry."
"You should begin taking iron supplements as soon as possible."
"The risks of acquiring a bloodborne disease are extremely low."
"You should ask your doctor about autologous blood donation."
10. Following an education session on proper hand hygiene, the nurse educator
observes a nurse washing hands before entering a client's room. Which
observation would alert the nurse educator to the need for further
education?
, The nurse dries from finger tips down toward elbows.
The nurse uses at least 3 to 5 mL of liquid soap.
The nurse dries from forearms up toward fingers.
The nurse keeps hands lower than elbows while washing.
11. Nurse preparing to perform mouth care for an unresponsive client. Which of
following actions should nurse plan to take?
raise the level of the bed
use suctioning for the excess water in mouth
sit down next to client at lowest level to ensure they don't fall.
wait and come back when the client is responsive
12. A nurse is checking the apical pulse of a client who is taking several
cardiovascular medications. Which of the following actions should the nurse
take?
Count the apical pulsations for a full minute.
Press the stethoscope firmly against the client's skin.
Use the diaphragm of the stethoscope to listen to the apical
pulsations.
Check the apical pulse with a Doppler device.
13. What is the recommended action for a nurse when an electronic blood
pressure machine provides inconsistent readings?
Record only the highest reading from the machine.
Disconnect the machine, and measure the blood pressure manually
every 15 min.
Complete Prep | 100% Guaranteed Pass
1. What is the first action a nurse should take before providing tracheostomy
care?
Open all sterile supplies and solutions.
Don sterile gloves.
Perform hand hygiene.
Stabilize the tracheostomy tube.
2. If an older adult client continues to experience constipation despite
following the recommended actions, what should the nurse suggest next?
Consult with a healthcare provider for further evaluation.
Increase the intake of refined-fiber foods immediately.
Continue the same regimen without changes.
Start taking a stronger laxative daily.
3. Why is it important for a nurse to provide physical comfort, such as holding a
client's hand, when the client is experiencing emotional distress?
Physical comfort is unnecessary in terminal care.
It allows the nurse to avoid discussing difficult emotions.
It distracts the client from their pain.
Providing physical comfort helps to establish a supportive
connection and can alleviate feelings of isolation.
4. Interpret the significance of nightmares in a client undergoing cancer
treatment. What might they indicate about the client's mental state?
, Nightmares are unrelated to the client's emotional state.
Nightmares may indicate that the client is experiencing anxiety or
fear related to her treatment and upcoming surgery.
Nightmares suggest that the client is coping well with her situation.
Nightmares are a normal reaction to medication and do not indicate
distress.
5. Describe the significance of auscultating the aortic valve in a patient with a
history of aortic valve stenosis.
Auscultating the aortic valve helps detect abnormal heart sounds
associated with aortic valve stenosis, which can indicate the severity
of the condition.
Auscultating the aortic valve is only necessary for patients without
heart conditions.
Auscultating the aortic valve is irrelevant in assessing heart murmurs.
Auscultating the aortic valve is primarily for checking blood pressure.
6. A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a
group of newly licensed nurses. What action should the charge nurse teach
as the first response in CPR?
Confirm unresponsiveness.
Give rescue breaths.
Begin chest compressions
Call for assistance
7. What is the first action a nurse should take before transporting a client for a
chest x-ray?
, Explain the x-ray procedure to the client.
Ask if the client has any questions.
Identify the client using two identifiers.
Help the client into a wheelchair before the transporter arrives.
8. Why is it beneficial for an older adult client to sit on the toilet 30 minutes after
eating?
This practice ensures that the client is hydrated before attempting to
have a bowel movement.
This practice can help stimulate the gastrocolic reflex, promoting
bowel movements.
This practice is recommended to prevent urinary incontinence.
This practice allows the client to relax and read while waiting.
9. A client is contemplating joint replacement surgery but expresses fear of
needing a transfusion post-operatively. Which of the following statements
would be appropriate when educating the client?
"Your chances of needing a transfusion are minimal. You should not
worry."
"You should begin taking iron supplements as soon as possible."
"The risks of acquiring a bloodborne disease are extremely low."
"You should ask your doctor about autologous blood donation."
10. Following an education session on proper hand hygiene, the nurse educator
observes a nurse washing hands before entering a client's room. Which
observation would alert the nurse educator to the need for further
education?
, The nurse dries from finger tips down toward elbows.
The nurse uses at least 3 to 5 mL of liquid soap.
The nurse dries from forearms up toward fingers.
The nurse keeps hands lower than elbows while washing.
11. Nurse preparing to perform mouth care for an unresponsive client. Which of
following actions should nurse plan to take?
raise the level of the bed
use suctioning for the excess water in mouth
sit down next to client at lowest level to ensure they don't fall.
wait and come back when the client is responsive
12. A nurse is checking the apical pulse of a client who is taking several
cardiovascular medications. Which of the following actions should the nurse
take?
Count the apical pulsations for a full minute.
Press the stethoscope firmly against the client's skin.
Use the diaphragm of the stethoscope to listen to the apical
pulsations.
Check the apical pulse with a Doppler device.
13. What is the recommended action for a nurse when an electronic blood
pressure machine provides inconsistent readings?
Record only the highest reading from the machine.
Disconnect the machine, and measure the blood pressure manually
every 15 min.
