ATI RN Fundamentals Proctored Test Bank Latest Update
2026 | Comprehensive Prep
1. A patient who has just had a transurethral resection of the prostate asks his
nurse to explain why he has to have the bladder irrigation because it seems to
increase his pain. Which of the following explanations by the nurse is best?
The bladder irrigation is needed to stop the bleeding in the bladder.
Normal production of urine is maintained with the irrigations until
healing can occur.
The irrigation is needed to keep the catheter from becoming
occluded by blood clots
Antibiotics are being administered into the bladder to prevent
infection.
2. Normal potassium levels for an adult are
135 to 145 mEq/L.
3.5 to 5.0 mEq/L.
2.5 to 4.0 mEq/L.
120 to 135 mEq/L.
3. What is the defining feature of commitment critical thinking in nursing?
Evaluating options based on emotional responses.
Following established protocols without question.
Making choices independently and fully assuming responsibility for
those choices.
Relying on others for decision-making support.
,4. A patient experiencing fluid volume deficit has symptoms of tachycardia,
pale cool skin, and decreased urine output. The nurse realizes that these
findings are most likely a direct result of which of the following?
Cardiac failure
The body's natural compensatory mechanisms
Effects of a fluid challenge
Pharmacological effects of a diuretic
5. Interpret a Snellen eye test result of 20/40 in your own words.
It indicates perfect vision.
It means the person can see at 40 feet what a person with normal
vision sees at 20 feet.
It means that the person sees at 20 feet what a person with normal
vision sees at 40 feet.
It shows that the person has no vision impairment.
6. All are symptoms of dehydration EXCEPT:
Cottony mouth
Oliguria (decreased urine output)
Increased skin turgor
Hypertension (high BP)
7. Describe how wearing sunglasses outdoors can help manage anticholinergic
effects.
Wearing sunglasses outdoors helps protect the eyes from light
sensitivity caused by anticholinergic effects.
, Wearing sunglasses reduces the need for medication.
Wearing sunglasses prevents dry mouth associated with medications.
Wearing sunglasses improves overall vision in patients.
8. A patient on opioid medication presents with bradypnea and orthostatic
hypotension. What should be your immediate nursing intervention?
Increase the opioid dosage to manage pain.
Document the findings and continue monitoring without intervention.
Encourage the patient to ambulate to improve circulation.
Assess the patient's respiratory status and consider administering
naloxone if necessary.
9. If a patient is diagnosed with tuberculosis, what precautions should be taken
to prevent the spread of the disease in a healthcare setting?
Encourage the patient to wear a surgical mask while in public areas.
Use standard precautions and allow the patient to share a room with
others.
Implement airborne precautions, including the use of N95
respirators and isolation rooms.
Provide the patient with oral antibiotics and monitor them in a general
ward.
10. Describe the significance of detecting a bruit during a physical examination.
Detecting a bruit suggests normal blood flow and healthy arteries.
Detecting a bruit indicates a possible infection in the blood vessels.
Detecting a bruit may indicate the presence of narrowed arteries,
which can lead to cardiovascular issues.
, Detecting a bruit is unrelated to cardiovascular health.
11. If a nurse discovers a discrepancy between the inventory count and the
actual number of controlled substances available, what should be the
immediate course of action?
Report the discrepancy to the appropriate supervisor or authority.
Conduct a patient assessment to determine if any medications were
misused.
Adjust the inventory records to match the available medications.
Ignore the discrepancy if it is minor.
12. A patient presents with a surgical wound that has increased pain and redness
around the edges. What should be your immediate nursing action?
Administer pain medication and document the findings.
Apply a new dressing and monitor the patient for 24 hours.
Ignore the symptoms as they are common post-surgery.
Assess the wound for additional signs of infection and notify the
healthcare provider.
13. Describe how antidiuretic hormone contributes to homeostasis in the body.
Antidiuretic hormone primarily affects the digestive system and
nutrient absorption.
Antidiuretic hormone regulates metabolic rates and energy
expenditure.
Antidiuretic hormone helps maintain homeostasis by regulating
blood pressure, blood volume, and tissue water content.
2026 | Comprehensive Prep
1. A patient who has just had a transurethral resection of the prostate asks his
nurse to explain why he has to have the bladder irrigation because it seems to
increase his pain. Which of the following explanations by the nurse is best?
The bladder irrigation is needed to stop the bleeding in the bladder.
Normal production of urine is maintained with the irrigations until
healing can occur.
The irrigation is needed to keep the catheter from becoming
occluded by blood clots
Antibiotics are being administered into the bladder to prevent
infection.
2. Normal potassium levels for an adult are
135 to 145 mEq/L.
3.5 to 5.0 mEq/L.
2.5 to 4.0 mEq/L.
120 to 135 mEq/L.
3. What is the defining feature of commitment critical thinking in nursing?
Evaluating options based on emotional responses.
Following established protocols without question.
Making choices independently and fully assuming responsibility for
those choices.
Relying on others for decision-making support.
,4. A patient experiencing fluid volume deficit has symptoms of tachycardia,
pale cool skin, and decreased urine output. The nurse realizes that these
findings are most likely a direct result of which of the following?
Cardiac failure
The body's natural compensatory mechanisms
Effects of a fluid challenge
Pharmacological effects of a diuretic
5. Interpret a Snellen eye test result of 20/40 in your own words.
It indicates perfect vision.
It means the person can see at 40 feet what a person with normal
vision sees at 20 feet.
It means that the person sees at 20 feet what a person with normal
vision sees at 40 feet.
It shows that the person has no vision impairment.
6. All are symptoms of dehydration EXCEPT:
Cottony mouth
Oliguria (decreased urine output)
Increased skin turgor
Hypertension (high BP)
7. Describe how wearing sunglasses outdoors can help manage anticholinergic
effects.
Wearing sunglasses outdoors helps protect the eyes from light
sensitivity caused by anticholinergic effects.
, Wearing sunglasses reduces the need for medication.
Wearing sunglasses prevents dry mouth associated with medications.
Wearing sunglasses improves overall vision in patients.
8. A patient on opioid medication presents with bradypnea and orthostatic
hypotension. What should be your immediate nursing intervention?
Increase the opioid dosage to manage pain.
Document the findings and continue monitoring without intervention.
Encourage the patient to ambulate to improve circulation.
Assess the patient's respiratory status and consider administering
naloxone if necessary.
9. If a patient is diagnosed with tuberculosis, what precautions should be taken
to prevent the spread of the disease in a healthcare setting?
Encourage the patient to wear a surgical mask while in public areas.
Use standard precautions and allow the patient to share a room with
others.
Implement airborne precautions, including the use of N95
respirators and isolation rooms.
Provide the patient with oral antibiotics and monitor them in a general
ward.
10. Describe the significance of detecting a bruit during a physical examination.
Detecting a bruit suggests normal blood flow and healthy arteries.
Detecting a bruit indicates a possible infection in the blood vessels.
Detecting a bruit may indicate the presence of narrowed arteries,
which can lead to cardiovascular issues.
, Detecting a bruit is unrelated to cardiovascular health.
11. If a nurse discovers a discrepancy between the inventory count and the
actual number of controlled substances available, what should be the
immediate course of action?
Report the discrepancy to the appropriate supervisor or authority.
Conduct a patient assessment to determine if any medications were
misused.
Adjust the inventory records to match the available medications.
Ignore the discrepancy if it is minor.
12. A patient presents with a surgical wound that has increased pain and redness
around the edges. What should be your immediate nursing action?
Administer pain medication and document the findings.
Apply a new dressing and monitor the patient for 24 hours.
Ignore the symptoms as they are common post-surgery.
Assess the wound for additional signs of infection and notify the
healthcare provider.
13. Describe how antidiuretic hormone contributes to homeostasis in the body.
Antidiuretic hormone primarily affects the digestive system and
nutrient absorption.
Antidiuretic hormone regulates metabolic rates and energy
expenditure.
Antidiuretic hormone helps maintain homeostasis by regulating
blood pressure, blood volume, and tissue water content.
