ATI RN Content Mastery Series 2025/2026
Edition by ATI Nursing Education -
Comprehensive Study Guide & Exam
Questions with Detailed Rationales to Ensure
First Attempt Success and Avoid Resits
Document client's advance directive status Ensure
advance directives reflects clients current decision Inform
all members of the healthcare team of the client's
advanced directives Culture (client who speaks a different
language) - ANSWER//Use an interpreter always; try to
get someone around same age and gender as client
Delegation to UAP - ANSWER//Stable/chronic clients;
post-mortem care; they cannot teach, assessed, or
evaluate Ethical (client need for information about
treatment) - ANSWER//Provide client with truthful
information so they can make an informed decision about
their own health and well-being Discharge planning -
ANSWER//Determine ability to afford insulin and supplies
Make sure he has transportation to follow up
appointments Informed consent - ANSWER//Nurses role is
to witness the client signature and ensure that the provider
has obtained the informed consent responsibly Greater
than 18 years of age or if the mother or father is a teenage
parent they have the right to sign the consent form Client
inquiry about surgery - ANSWER//Consult health care
provider/surgeon for procedures/informed consent
questions Telephone prescriptions are - ANSWER//Must
write the order down before reading it back to the provider
Identify Improper documentation -
ANSWER//Documenting should be factual Subjective data
documentation - ANSWER//Quotes with quotation marks-
what the client states to the nurse Objective data
documentation - ANSWER//What the nurses, smells,
osculates do not use derogatory words, judgment, or
opinions Intentional tort - ANSWER//Doing harm (The act
must be intentional, not merely reckless or careless)
,Assault, battery, false imprisonment, invasion of privacy,
slander Interprofessional team member consult -
ANSWER//PT- consulted for mobility issues OT- assist
clients to regain ADL skills ST- Deals with speech and
language disorders Coordinated client care among
healthcare team - ANSWER//Social worker- Coordinates
care and community resources Demonstrating client
advocacy - ANSWER//Nurses role is to provide support of
the clients health, wellness, safety, and personal rights,
including privacy Nursing role- client observation -
ANSWER//Share appropriate information among team
members Prioritizing client care - ANSWER//Follow ABC's
(airway, breathing, circulation) Unstable are seen before
stable clients Acute clients are seen before chronic clients
Ethical dilemma - ANSWER//Follow autonomy,
beneficence, Fidelity, justice, nonmaleficence, and
veracity principles Disposition of valuables
(Admit/transfer/DC) - ANSWER//Personal items include
clothing, jewelry, money, credit cards, hearing aides,
eyeglasses, dentures, etc Discourage the client from
keeping valuables at bedside Document communication
with the client related to items left within the room
Valuables should be locked in the facilities safe Identify
negligence - ANSWER//Failure to provide care as defined
by a standard Breach of duty Foreseeability of harm
Caused harm Latex allergy - ANSWER//Schedule first on
the morning operating list (OR must be free from
powdered latex gloves for at least 3 hours prior to surgery)
Synthetic gloves must be used Furniture in operating room
equipment must be washed down using synthetic gloves
only Anything containing latex must be removed from the
OR Seizure precautions - ANSWER//Remember to
maintain the airway and keep the client safe from harm
Oral airway and oral suction equipment Oxygen supplies
Padding for side rails IV access Client identifiers -
ANSWER//Name, date of birth, medical record number,
photograph Home safety- teaching - ANSWER//Nonskid
,footwear Adequate lighting Remove clutter/environmental
hazards Keep devices nearby (walker, eyeglasses) Place
cords next to walls or behind furniture Preparing sterile
field - ANSWER//Only touch 1 in border Only touch sterile
field with sterile gloves Keep sterile field above the waist
Do not reach across sterile field Do not turn your back to
the sterile field Hold items to add to a sterile field and a
minimum of 6 inches above the field When pouring sterile
solution whole bottle with the label in the palm of the hand
so the solution does not run down the label Multidrug
resistant infections - ANSWER//Private room Precautions
positive airflow room with 12 or more exchanges per hour
Mask for client went outside the room Culture prior to
administering antibiotics Monitor antibiotic levels and
ensure they are therapeutic Teach clients a complete full
course of antibiotics Allogenic stem cell transplant
teaching - ANSWER//Place in a private room Use
protective equipment Positive pressure room with 12 or
more airflow changes per hour Caring for a client requiring
a restraint - ANSWER//Least restrictive Remove every 3 to
4 hours Secure with a quick release knot such as a
slipknot Tie to bedframe (not bed rail) Assess client every
2 hours or per facility protocol for toileting/nutritional needs
and skin assessment Regularly determine the need for
continuing the restraints Remove as soon as client no
longer requires being restrained If using a wrist restraints
allow for two fingers to fit between skin and restraint
Isolation precautions - ANSWER//Private room Always
remove gloves first when removing PPE If contact
precautions positive airflow room with 12 or more
exchanges per hour (shingles, wound infections, multi
drug resistant organisms) Handling defective equipment -
ANSWER//Unplug and remove from clients room first Tag
for repair Webers test - ANSWER//Place a vibrating tuning
fork on top of the clients head. Ask the client whether they
can hear the sound best in the right or left ear, or both
ears equally If the client hears the sound in both ears
, equally that this is a negative Weber test Common
Abbreviations - ANSWER//Okay to use: BRP- bathroom
privileges NPO- nothing by mouth See page 280 in ATI
fundamentals book For abbreviations not to use Priority
action following missed provider order - ANSWER//Ensure
client is safe and without complications from missing order
Notify supervisor and start an incident report Disposing
biohazard waste - ANSWER//Protect self and avoid
contact with biohazardous waste Identify hazardous
material Follow MSDS guidelines for disposal Wear PPE If
skin is exposed to biohazard waste wash skin with
copious amounts of water and antibacterial soap Remove
any contaminated clothing Place all contaminated
materials into a large plastic bag and seal them Situation
requiring incident report - ANSWER//Any incident that
caused harm or can cause potential harm to a client;
administering meds without order, giving incorrect
medication, if using too much IV fluid, fall, treatment to
incorrect client Caring for a client who is
immunocompromised - ANSWER//Use frequent hand
hygiene before and after care Use aseptic technique and
proper PPE Properly clean all equipment for client care
Goal is to prevent infection Precautions for client with
influenza - ANSWER//Droplet precautions Private room
Masks for providers and visitors TB precautions -
ANSWER//Airborne N-95 masks Negative pressure airflow
At least 6-12 exchanges per hour Teaching home care
oxygen use - ANSWER//Place "no smoking" signs near
front door and clients bedroom Inform client/caregivers of
dangers of smoking when oxygen is in use Ensure
electrical equipment is in good repair and well grounded
Replace bedding that can cause static electricity Keep
flammable materials away from oxygen use Keep fire
extinguisher readily available Make sure smoke/fire alarms
are operational and batteries changes Delirium
manifestations - ANSWER//An acute, temporary condition
that can be caused from a physiological source (infection,
Edition by ATI Nursing Education -
Comprehensive Study Guide & Exam
Questions with Detailed Rationales to Ensure
First Attempt Success and Avoid Resits
Document client's advance directive status Ensure
advance directives reflects clients current decision Inform
all members of the healthcare team of the client's
advanced directives Culture (client who speaks a different
language) - ANSWER//Use an interpreter always; try to
get someone around same age and gender as client
Delegation to UAP - ANSWER//Stable/chronic clients;
post-mortem care; they cannot teach, assessed, or
evaluate Ethical (client need for information about
treatment) - ANSWER//Provide client with truthful
information so they can make an informed decision about
their own health and well-being Discharge planning -
ANSWER//Determine ability to afford insulin and supplies
Make sure he has transportation to follow up
appointments Informed consent - ANSWER//Nurses role is
to witness the client signature and ensure that the provider
has obtained the informed consent responsibly Greater
than 18 years of age or if the mother or father is a teenage
parent they have the right to sign the consent form Client
inquiry about surgery - ANSWER//Consult health care
provider/surgeon for procedures/informed consent
questions Telephone prescriptions are - ANSWER//Must
write the order down before reading it back to the provider
Identify Improper documentation -
ANSWER//Documenting should be factual Subjective data
documentation - ANSWER//Quotes with quotation marks-
what the client states to the nurse Objective data
documentation - ANSWER//What the nurses, smells,
osculates do not use derogatory words, judgment, or
opinions Intentional tort - ANSWER//Doing harm (The act
must be intentional, not merely reckless or careless)
,Assault, battery, false imprisonment, invasion of privacy,
slander Interprofessional team member consult -
ANSWER//PT- consulted for mobility issues OT- assist
clients to regain ADL skills ST- Deals with speech and
language disorders Coordinated client care among
healthcare team - ANSWER//Social worker- Coordinates
care and community resources Demonstrating client
advocacy - ANSWER//Nurses role is to provide support of
the clients health, wellness, safety, and personal rights,
including privacy Nursing role- client observation -
ANSWER//Share appropriate information among team
members Prioritizing client care - ANSWER//Follow ABC's
(airway, breathing, circulation) Unstable are seen before
stable clients Acute clients are seen before chronic clients
Ethical dilemma - ANSWER//Follow autonomy,
beneficence, Fidelity, justice, nonmaleficence, and
veracity principles Disposition of valuables
(Admit/transfer/DC) - ANSWER//Personal items include
clothing, jewelry, money, credit cards, hearing aides,
eyeglasses, dentures, etc Discourage the client from
keeping valuables at bedside Document communication
with the client related to items left within the room
Valuables should be locked in the facilities safe Identify
negligence - ANSWER//Failure to provide care as defined
by a standard Breach of duty Foreseeability of harm
Caused harm Latex allergy - ANSWER//Schedule first on
the morning operating list (OR must be free from
powdered latex gloves for at least 3 hours prior to surgery)
Synthetic gloves must be used Furniture in operating room
equipment must be washed down using synthetic gloves
only Anything containing latex must be removed from the
OR Seizure precautions - ANSWER//Remember to
maintain the airway and keep the client safe from harm
Oral airway and oral suction equipment Oxygen supplies
Padding for side rails IV access Client identifiers -
ANSWER//Name, date of birth, medical record number,
photograph Home safety- teaching - ANSWER//Nonskid
,footwear Adequate lighting Remove clutter/environmental
hazards Keep devices nearby (walker, eyeglasses) Place
cords next to walls or behind furniture Preparing sterile
field - ANSWER//Only touch 1 in border Only touch sterile
field with sterile gloves Keep sterile field above the waist
Do not reach across sterile field Do not turn your back to
the sterile field Hold items to add to a sterile field and a
minimum of 6 inches above the field When pouring sterile
solution whole bottle with the label in the palm of the hand
so the solution does not run down the label Multidrug
resistant infections - ANSWER//Private room Precautions
positive airflow room with 12 or more exchanges per hour
Mask for client went outside the room Culture prior to
administering antibiotics Monitor antibiotic levels and
ensure they are therapeutic Teach clients a complete full
course of antibiotics Allogenic stem cell transplant
teaching - ANSWER//Place in a private room Use
protective equipment Positive pressure room with 12 or
more airflow changes per hour Caring for a client requiring
a restraint - ANSWER//Least restrictive Remove every 3 to
4 hours Secure with a quick release knot such as a
slipknot Tie to bedframe (not bed rail) Assess client every
2 hours or per facility protocol for toileting/nutritional needs
and skin assessment Regularly determine the need for
continuing the restraints Remove as soon as client no
longer requires being restrained If using a wrist restraints
allow for two fingers to fit between skin and restraint
Isolation precautions - ANSWER//Private room Always
remove gloves first when removing PPE If contact
precautions positive airflow room with 12 or more
exchanges per hour (shingles, wound infections, multi
drug resistant organisms) Handling defective equipment -
ANSWER//Unplug and remove from clients room first Tag
for repair Webers test - ANSWER//Place a vibrating tuning
fork on top of the clients head. Ask the client whether they
can hear the sound best in the right or left ear, or both
ears equally If the client hears the sound in both ears
, equally that this is a negative Weber test Common
Abbreviations - ANSWER//Okay to use: BRP- bathroom
privileges NPO- nothing by mouth See page 280 in ATI
fundamentals book For abbreviations not to use Priority
action following missed provider order - ANSWER//Ensure
client is safe and without complications from missing order
Notify supervisor and start an incident report Disposing
biohazard waste - ANSWER//Protect self and avoid
contact with biohazardous waste Identify hazardous
material Follow MSDS guidelines for disposal Wear PPE If
skin is exposed to biohazard waste wash skin with
copious amounts of water and antibacterial soap Remove
any contaminated clothing Place all contaminated
materials into a large plastic bag and seal them Situation
requiring incident report - ANSWER//Any incident that
caused harm or can cause potential harm to a client;
administering meds without order, giving incorrect
medication, if using too much IV fluid, fall, treatment to
incorrect client Caring for a client who is
immunocompromised - ANSWER//Use frequent hand
hygiene before and after care Use aseptic technique and
proper PPE Properly clean all equipment for client care
Goal is to prevent infection Precautions for client with
influenza - ANSWER//Droplet precautions Private room
Masks for providers and visitors TB precautions -
ANSWER//Airborne N-95 masks Negative pressure airflow
At least 6-12 exchanges per hour Teaching home care
oxygen use - ANSWER//Place "no smoking" signs near
front door and clients bedroom Inform client/caregivers of
dangers of smoking when oxygen is in use Ensure
electrical equipment is in good repair and well grounded
Replace bedding that can cause static electricity Keep
flammable materials away from oxygen use Keep fire
extinguisher readily available Make sure smoke/fire alarms
are operational and batteries changes Delirium
manifestations - ANSWER//An acute, temporary condition
that can be caused from a physiological source (infection,
