ATI Fundamentals Exam Prep./Review
(Answered) 2022/2023 Updated
A nurse is caring for a client who requires a 24-hr urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is assessing a client who has been on bed rest for the past month. Which
of the following findings should the nurse identify as an indication that the client
has developed thrombophlebitis?
Calf Swelling
A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA guidelines?
A nurse asks a nurse from another unit to assist with her documentation.
A nurse is caring for a client who requires bed rest and has a prescription for
antiembolic stockings. Which of the following actions should the nurse take?
Remove the stockings at least once per shift.
A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects?
Auscultate Lung Sounds
A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types of
activity should the nurse recommend?
Walking Briskly
A nurse is assessing an adult client who has been immobile for the past 3 weeks.
The nurse should identify that which of the following findings requires further
intervention?
Erythema on pressure points
A nurse is responding to a call light and finds a client lying on the bathroom floor.
Which of the following actions should the nurse take first?
Check the client for injuries
A nurse in a clinic is caring for a middle adult client who states, "The doctor says
that, since I am at an average risk for colon cancer, I should have routine
screening. What does that involve?" Which of the following responses should the
nurse make?
"You should have a fecal occult blood test every year."
A nurse manager is preparing to review medication documentation with a group
of newly licensed nurses. Which of the following statements should the nurse
manager plan to include in the teaching?
"Use the complete name of the medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the following actions
should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
, A nurse is caring for a client who has a prescription for 5 units of regular insulin
and 10 units of NPH insulin to mix together and administer subcutaneously.
Determine the correct order of steps for this procedure.
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed nurses.
Which of the following interventions should the nurse include that is within the
RN scope of practice?
Initiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube?
Have the client take sips of water to promote insertion of the NG tube into the
esophagus.
A nurse is assessing an older client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs?
Pupil Clarity
Visual Fields
Visual Acuity
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
The client holds the cane on the stronger side of her body.
A nurse is performing a peripheral vascular assessment for a client. When
placing the bell of the stethoscope on the client's neck, she hears the following
sound. This sound indicates which of the following?
Narrowed Arterial Lumen
A nurse is admitting a client who has varicella. Which of the following types of
transmission precautions should the nurse initiate?
Airborne
A nurse is preparing to administer multiple medications to a client who has an
enteral feeding tube. Which of the following actions should the nurse plan to
take?
Flush the tube with 15 mL of sterile water.
A nurse is caring for a client who has a prescription for wound irrigation. Which
of the following actions should the nurse take?
Cleanse the wound from the center outward.
A nurse is providing care to four clients. Which of the following situations
requires the nurse the complete an incident report?
A client who has an IV infusion pump receives an additional 250 mL of IV fluid.
A nurse is caring for a client receiving fluid through a peripheral IV catheter.
Which of the following findings at the IV site should the nurse identify as
infiltration?
Skin Blanching
(Answered) 2022/2023 Updated
A nurse is caring for a client who requires a 24-hr urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is assessing a client who has been on bed rest for the past month. Which
of the following findings should the nurse identify as an indication that the client
has developed thrombophlebitis?
Calf Swelling
A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA guidelines?
A nurse asks a nurse from another unit to assist with her documentation.
A nurse is caring for a client who requires bed rest and has a prescription for
antiembolic stockings. Which of the following actions should the nurse take?
Remove the stockings at least once per shift.
A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects?
Auscultate Lung Sounds
A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types of
activity should the nurse recommend?
Walking Briskly
A nurse is assessing an adult client who has been immobile for the past 3 weeks.
The nurse should identify that which of the following findings requires further
intervention?
Erythema on pressure points
A nurse is responding to a call light and finds a client lying on the bathroom floor.
Which of the following actions should the nurse take first?
Check the client for injuries
A nurse in a clinic is caring for a middle adult client who states, "The doctor says
that, since I am at an average risk for colon cancer, I should have routine
screening. What does that involve?" Which of the following responses should the
nurse make?
"You should have a fecal occult blood test every year."
A nurse manager is preparing to review medication documentation with a group
of newly licensed nurses. Which of the following statements should the nurse
manager plan to include in the teaching?
"Use the complete name of the medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the following actions
should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
, A nurse is caring for a client who has a prescription for 5 units of regular insulin
and 10 units of NPH insulin to mix together and administer subcutaneously.
Determine the correct order of steps for this procedure.
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed nurses.
Which of the following interventions should the nurse include that is within the
RN scope of practice?
Initiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube?
Have the client take sips of water to promote insertion of the NG tube into the
esophagus.
A nurse is assessing an older client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs?
Pupil Clarity
Visual Fields
Visual Acuity
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
The client holds the cane on the stronger side of her body.
A nurse is performing a peripheral vascular assessment for a client. When
placing the bell of the stethoscope on the client's neck, she hears the following
sound. This sound indicates which of the following?
Narrowed Arterial Lumen
A nurse is admitting a client who has varicella. Which of the following types of
transmission precautions should the nurse initiate?
Airborne
A nurse is preparing to administer multiple medications to a client who has an
enteral feeding tube. Which of the following actions should the nurse plan to
take?
Flush the tube with 15 mL of sterile water.
A nurse is caring for a client who has a prescription for wound irrigation. Which
of the following actions should the nurse take?
Cleanse the wound from the center outward.
A nurse is providing care to four clients. Which of the following situations
requires the nurse the complete an incident report?
A client who has an IV infusion pump receives an additional 250 mL of IV fluid.
A nurse is caring for a client receiving fluid through a peripheral IV catheter.
Which of the following findings at the IV site should the nurse identify as
infiltration?
Skin Blanching
