Nursing Fundamentals Study Guide, Practice Questions,
Verified Answers & Rationales | ATI CMS Fundamentals,
Content Mastery Series & NCLEX-RN Prep Bundle
THIS EXAM CONTAINS:
• ATI Fundamentals comprehensive review
• Practice questions with verified answers
• Detailed answer rationales
• Nursing process (ADPIE)
• Safety and infection control
• Delegation and prioritization
• Therapeutic communication
• Documentation and informatics
,Fundamentals of Nursing
1. A nurse is assisting with conducting a home hazard assessment for a
client who has dementia. Which of the following findings indicates an
understanding of home safety?
• A. An extension cord is secured under a rug
• B. A toaster is plugged in when not in use
• C. The water heater is set to 55°C (131°F)
• D. The edges of stairs are marked with brightly colored tape
Correct Answer: D. The edges of stairs are marked with brightly colored
tape
Rationale: The nurse should instruct the client to mark edges of stairs with
brightly colored tape to alert the client of the steps and reduce the risk of
fall.
2. A nurse is caring for a client who is experiencing a seizure. Which of
the following actions should the nurse take?
• A. Record the time and length of the seizure
• B. Restrain the client's extremities
• C. Place the client in the prone position
• D. Monitor the client's hemoglobin level
Correct Answer: A. Record the time and length of the seizure
Rationale: The nurse should monitor the length of time of the seizure to
evaluate the type of seizure and determine treatment required.
,3. A nurse is caring for a client who is at risk for suicide. Which of the
following actions should the nurse take? (Select all that apply)
• A. Place the client on round-the-clock surveillance
• B. Remove objects from the room that the client could use to harm
themselves
• C. Search items brought into the client's room by visitors
• D. Refrain from asking the client if they intend to harm themselves
• E. Screen the client for suicidal ideations
Correct Answers: A, B, C
Rationale: The nurse should place the client on round-the-clock
surveillance, remove objects that could be used for self-harm, and search
visitor items. Screening for suicidal ideations and asking directly about
intent are also appropriate, not refraining.
4. A nurse is caring for a client who has an indwelling urinary catheter
in place. Which of the following actions is the priority for the nurse to
take to reduce the client's risk of developing a healthcare-associated
infection?
• A. Wipe down the client's bedside table with an antiseptic wipe
• B. Conduct informal audits of medical records
• C. Perform hand hygiene
• D. Instruct the client on ways to reduce the risk for infection
Correct Answer: C. Perform hand hygiene
, Rationale: According to evidence-based practice, hand hygiene among
medical professionals, clients, and visitors is the priority intervention to
reduce the risk of a healthcare-associated infection.
5. A nurse is checking a client's allergy bracelet before administering a
medication and finds the client is allergic to that medication. The
nurse does not administer the medication to the client. This is an
example of which of the following unexpected events?
• A. Near miss event
• B. Client safety event
• C. Adverse event
• D. Sentinel event
Correct Answer: A. Near miss event
Rationale: A near-miss event is an error that could have harmed the client
which almost occurs but was caught and avoided. The nurse noted the
allergy prior to administering, avoiding harm.
6. A nurse is preparing a poster about fire safety for a community
health fair. The nurse should include on the poster that which of the
following components contains needed elements for fire to occur?
(Select all that apply)
• A. Carbon dioxide
• B. Nitrogen
• C. Cooking oil