ATI LEARNING SYSTEM RN
FUNDAMENTALS ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Blood flow through heart.
Answer: Right Side Mission - To get blood to lungs (pulmonary)1. Blood
enters superior and inferior vena cava. This blood is unoxygenated because
it is coming from the body. It needs oxygen.2. Goes to the R. atrium.3. The
tricuspid valve (Tri before you bi) opens for blood to shoot through to the R.
Ventricle.4. Blood then in R. ventricle goes to pulmonary valve and shoots
out pulmonary artery.Left Side Mission - To get blood to body bc it needs
oxygenated blood.5. Blood enters through pulmonary vein.6. Blood is now
in left atrium (A. always on top)7. Blood crosses through the bicuspid valve
8. Blood now in L. ventricle.9. L. ventricle contracts and shoots through
aortic valve to body.
◍ S3 Heart Sound.
Answer: - Apex- Early sign of heart failure
◍ State Laws.
Answer: Each state has enacted statutes that define the parameters of nursing
practice and give the authority to regulate the practice of nursing to its state
board of nursing. Boards have the right to ...- Adopt rules and regulations
that assist nursing practice.- Issue and revoke nursing license.- Set standards
for nursing programs and further delineate the scope of practice for, RNs,
PNs, and advanced practice nurses.
◍ Scoliosis.
Answer: Exaggerated lateral curvature
,◍ Actual loss.
Answer: - Loss of a item or status, such as a job.- It can be recognized by
other.
◍ Supine.
Answer: Ventral/front faces up
◍ Ostomies.
Answer: - Used for bowel diversion - Surgically created opening (stoma) in
the abdominal wall to allow fecal matter to pass- Can be temporary or
permanent 1. Colostomies - Created at the end in the colon- More formed 2.
Ileostomies - End in the ileum - Runny
◍ Medicare.
Answer: For patients older than 65 or those with permanent disabilities.
◍ Nursing Responsibilities for patients in restraints.
Answer: - Explain the need for restraints to pt. and family. They are for
safety and are temporary.- Ask pt. or guardian to sign consent form.- Assess
skin integrity and provide skin care according to hospital protocol, usually
Q2.- Offer fluid and food.- Provide means for hygiene and elimination.-
Monitor Vitals- Offer range of motion exercises of extremities.- Pad bony
prominences to prevent skin breakdown.- Use quick release knot to tie the
restraints to the bed frame where they will not tighten when raising or
lowering the bed. - Fit 2 fingers b/w restraints and patient.- Remove or
replace restraints frequently to ensure good circulation to the area and allow
for full range of motion to the limbs. - Never leave pt. alone without
restraints.
◍ Low sodium level =.
Answer: abdominal cramping
◍ Advance Directives.
Answer: Communicates a patient's wishes regarding end-of-life care should
the patient be unable to do so. 3 Types1. Living Will - legal document that
expresses the patients wishes regarding medical treatment in the even that
, the patient can't make those decisions.2. Durable Power of Attorney for
Health care - A document patients sign to have a proxy make the decisions
for them if they are unable to.3. Provider's Orders - Pt. gets CPR unless
DNR or AND.
◍ For POC testing, place a couple of drops of developer on the opposite side
of the care. A _________ color indicates the stool is positive for blood.
Answer: Blue
◍ Flow charts.
Answer: Show trends in vital signs, blood glucose levels, pain level, and
other frequent assessments.
◍ Bladder Retraining Program.
Answer: - Schedule times to urinate- Hold urine until scheduled time
◍ Sequence of events when a patient dies.
Answer: 1. Obtain the pronouncement of death from the provider.2. Remove
tubes and indwelling lines.3. Wash the client's body.4. Ask the client's
family members if they wish to view the body.5. Place the name tag on the
body before transfer.
◍ Nursing Actions for PE.
Answer: - Prep to give thrombolytics or anticoagulants. - Put pt. in high
fowlers position- Obtain pulse ox.- Give oxygen- Prepare to get ABG's -
Vital signs frequently
◍ Nursing actions when DVT is suspected.
Answer: - Notify provider - Elevate pt. legs- Avoid pressure at site of
inflammation - Anticipate giving anticoagulants
◍ Anticonvulsants Agents.
Answer: - Carbamazepine- Gabapentin
◍ When does discharge planning start?.
Answer: Upon patient admission
◍ Affective learning.
, Answer: Involves feelings, beliefs and values. Hearing the instructors words,
responding verbally and nonverbally ect. Ex. Patient learns about the life
changes necessary for managing DM and then discusses their feelings about
having diabetes.
◍ What lab test assess renal function?.
Answer: Serum creatinine and BUN- Elevated with renal dysfunction
◍ Anticipatory loss.
Answer: Experienced before the loss happens.
◍ Nursing Interventions when feeding a patient with aspiration precautions.
Answer: - Fowler's position or in chair- Support upper back, neck, head-
Have pt. tuck their chin when swallowing to help propel food down
esophagus. - Don't use a straw- Watch for pocketing of food in mouth -
Keep pt. in semi-fowlers for at least 1 hour after meal
◍ Types of incontinence.
Answer: 1. StressLoss of small amounts of urine from increased abdominal
pressure without bladder muscle contraction with laughing, sneezing, or
lifting.2. Urge Inability to stop urine flow long enough to reach the
bathroom due to an overactive detrusor muscle with increased bladder
pressure,3. OverflowUrinary retention from bladder over-distention and
frequent loss of small amounts of urine due to obstruction of the urinary
outlet or an impaired detrusor muscle.4. ReflexInvoluntary loss of a
moderate amount of urine usually without warning due to hyperrflexia, of
the detrusor muscle, usually from spinal cord dysfunction. 5. Functional
Loss of urine due to factors that interfere with responding to the need to
urinate such as cognitive, mobility, and environmental barriers. 6.
TotalUnpredictable, involuntary loss of urine that generally does not
respond to treatment,
◍ Abdomen Assessment.
Answer: - Have patient urinate before - Have patient lie supine with arms at
side and knees slightly bent
FUNDAMENTALS ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Blood flow through heart.
Answer: Right Side Mission - To get blood to lungs (pulmonary)1. Blood
enters superior and inferior vena cava. This blood is unoxygenated because
it is coming from the body. It needs oxygen.2. Goes to the R. atrium.3. The
tricuspid valve (Tri before you bi) opens for blood to shoot through to the R.
Ventricle.4. Blood then in R. ventricle goes to pulmonary valve and shoots
out pulmonary artery.Left Side Mission - To get blood to body bc it needs
oxygenated blood.5. Blood enters through pulmonary vein.6. Blood is now
in left atrium (A. always on top)7. Blood crosses through the bicuspid valve
8. Blood now in L. ventricle.9. L. ventricle contracts and shoots through
aortic valve to body.
◍ S3 Heart Sound.
Answer: - Apex- Early sign of heart failure
◍ State Laws.
Answer: Each state has enacted statutes that define the parameters of nursing
practice and give the authority to regulate the practice of nursing to its state
board of nursing. Boards have the right to ...- Adopt rules and regulations
that assist nursing practice.- Issue and revoke nursing license.- Set standards
for nursing programs and further delineate the scope of practice for, RNs,
PNs, and advanced practice nurses.
◍ Scoliosis.
Answer: Exaggerated lateral curvature
,◍ Actual loss.
Answer: - Loss of a item or status, such as a job.- It can be recognized by
other.
◍ Supine.
Answer: Ventral/front faces up
◍ Ostomies.
Answer: - Used for bowel diversion - Surgically created opening (stoma) in
the abdominal wall to allow fecal matter to pass- Can be temporary or
permanent 1. Colostomies - Created at the end in the colon- More formed 2.
Ileostomies - End in the ileum - Runny
◍ Medicare.
Answer: For patients older than 65 or those with permanent disabilities.
◍ Nursing Responsibilities for patients in restraints.
Answer: - Explain the need for restraints to pt. and family. They are for
safety and are temporary.- Ask pt. or guardian to sign consent form.- Assess
skin integrity and provide skin care according to hospital protocol, usually
Q2.- Offer fluid and food.- Provide means for hygiene and elimination.-
Monitor Vitals- Offer range of motion exercises of extremities.- Pad bony
prominences to prevent skin breakdown.- Use quick release knot to tie the
restraints to the bed frame where they will not tighten when raising or
lowering the bed. - Fit 2 fingers b/w restraints and patient.- Remove or
replace restraints frequently to ensure good circulation to the area and allow
for full range of motion to the limbs. - Never leave pt. alone without
restraints.
◍ Low sodium level =.
Answer: abdominal cramping
◍ Advance Directives.
Answer: Communicates a patient's wishes regarding end-of-life care should
the patient be unable to do so. 3 Types1. Living Will - legal document that
expresses the patients wishes regarding medical treatment in the even that
, the patient can't make those decisions.2. Durable Power of Attorney for
Health care - A document patients sign to have a proxy make the decisions
for them if they are unable to.3. Provider's Orders - Pt. gets CPR unless
DNR or AND.
◍ For POC testing, place a couple of drops of developer on the opposite side
of the care. A _________ color indicates the stool is positive for blood.
Answer: Blue
◍ Flow charts.
Answer: Show trends in vital signs, blood glucose levels, pain level, and
other frequent assessments.
◍ Bladder Retraining Program.
Answer: - Schedule times to urinate- Hold urine until scheduled time
◍ Sequence of events when a patient dies.
Answer: 1. Obtain the pronouncement of death from the provider.2. Remove
tubes and indwelling lines.3. Wash the client's body.4. Ask the client's
family members if they wish to view the body.5. Place the name tag on the
body before transfer.
◍ Nursing Actions for PE.
Answer: - Prep to give thrombolytics or anticoagulants. - Put pt. in high
fowlers position- Obtain pulse ox.- Give oxygen- Prepare to get ABG's -
Vital signs frequently
◍ Nursing actions when DVT is suspected.
Answer: - Notify provider - Elevate pt. legs- Avoid pressure at site of
inflammation - Anticipate giving anticoagulants
◍ Anticonvulsants Agents.
Answer: - Carbamazepine- Gabapentin
◍ When does discharge planning start?.
Answer: Upon patient admission
◍ Affective learning.
, Answer: Involves feelings, beliefs and values. Hearing the instructors words,
responding verbally and nonverbally ect. Ex. Patient learns about the life
changes necessary for managing DM and then discusses their feelings about
having diabetes.
◍ What lab test assess renal function?.
Answer: Serum creatinine and BUN- Elevated with renal dysfunction
◍ Anticipatory loss.
Answer: Experienced before the loss happens.
◍ Nursing Interventions when feeding a patient with aspiration precautions.
Answer: - Fowler's position or in chair- Support upper back, neck, head-
Have pt. tuck their chin when swallowing to help propel food down
esophagus. - Don't use a straw- Watch for pocketing of food in mouth -
Keep pt. in semi-fowlers for at least 1 hour after meal
◍ Types of incontinence.
Answer: 1. StressLoss of small amounts of urine from increased abdominal
pressure without bladder muscle contraction with laughing, sneezing, or
lifting.2. Urge Inability to stop urine flow long enough to reach the
bathroom due to an overactive detrusor muscle with increased bladder
pressure,3. OverflowUrinary retention from bladder over-distention and
frequent loss of small amounts of urine due to obstruction of the urinary
outlet or an impaired detrusor muscle.4. ReflexInvoluntary loss of a
moderate amount of urine usually without warning due to hyperrflexia, of
the detrusor muscle, usually from spinal cord dysfunction. 5. Functional
Loss of urine due to factors that interfere with responding to the need to
urinate such as cognitive, mobility, and environmental barriers. 6.
TotalUnpredictable, involuntary loss of urine that generally does not
respond to treatment,
◍ Abdomen Assessment.
Answer: - Have patient urinate before - Have patient lie supine with arms at
side and knees slightly bent
