ATI Fundamentals Practice A, B, & Final, ATI
Fundamentals Exam 2020
1. A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should the nurse
question?: The dose
2. A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?:
Observe the rate, depth, and character of the client's respirations.
3. A nurse is caring for a client who, while sitting in a chair, starts to experi- ence a seizure.
Which of the following actions should the nurse take?: Lower the client to the floor and place a
pad under the client's head.
4. A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention?: Educating clients about the recommended immunization
schedule for adults
5. A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in which
portion of the report?: Assessment
6. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The
nurse should identify that which of the following findings is an indication of infiltration?:
Edema at the infusion site
7. A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
,living. Which of the following activities should the nurse recommend to the client?: Washing
dishes
8. A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status?: Daily weight
9. A nurse is planning to assess the abdomen of a client who reports feeling bloated for
several weeks. Which of the following methods of assessment should the nurse use first?:
Inspection
10. A nurse is explaining the use of written consent forms to a newly-licensed nurse.The nurse
should ensure that a written consent form has been signed by which of the following clients?:
A client who has a prescription for a transfu- sion of packed red blood cells
11. A nurse in a long-term care facility is admitting a client who is incontinent and smells
strongly of urine. His partner, who has been caring for him at home, is embarrassed and
apologizes for the smell. Which of the following responses should the nurse make?: "It must
be difficult to care for someone who is confined to bed."
12. A nurse in a provider's office is assessing a client who has heart fail- ure. The client has
gained weight since her last visit and her ankles are edematous. Which of the following
findings by the nurse is another clinical manifestation of fluid volume excess?: Bounding
pulse
13. A nurse is caring for a client who is postoperative following abdominal surgery. Which
of the following actions should the nurse take first after discovering that the client's wound
has eviscerated?: Cover the incision with a moist sterile dressing.
14. A nurse is teaching a client who has lower extremity weakness how to use a four-point
crutch gait. Which of the following instructions should the nurse include in the teaching?:
"Bear weight on both of your legs."
,15. A nurse in a provider's office is collecting information from an older adult client who
reports that he has been taking acetaminophen 500 mg/day for severe joint pain. The nurse
should instruct the client that large doses of acetaminophen could cause which of the
following adverse effects?: Liver Damage
16. A nurse is planning to document care provided for a client. Which of the following
abbreviations should the nurse use?: PC for after meals
17. A nurse is responding to a parent's question about his infant's expected physical
development during the first year of life. Which of the following information should the
nurse include?: A 10-month-old infant can pull up to a standing position.
18. An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates a need for
further teaching?: The AP hangs the collection bag at the level of the bladder.
19. A newly licensed nurse is preparing to administer medications to a client. The nurse notes
that the provider has prescribed a medication that is unfa- miliar to her. Which of the
following actions should the nurse take?: Consult the medication reference book available on the
unit.
20. A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?: Place the client in a lateral position with the head turned to the
side before beginning the procedure.
21. A nurse is planning to perform passive range-of-motion exercises for a client. Which of
the following actions should the nurse take?: Repeat each joint motion five times during each
session.
, 22. A nurse is teaching a client who is postoperative how to use a flow-ori- ented incentive
spirometer. Which of the following instructions should the nurse include?: Cough deeply after
each use.
23. A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understand- ing of the process within the
pyschomotor domain of learning?: Have the client demonstrates the procedure.
24. A nurse is providing teaching about food choices to a client who has a prescription for a
clear liquid diet. Which of the following selections by the client indicates an understanding of
the teaching?: Gelatin
25. A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance?: Romberg test
26. A nurse in a provider's office is reviewing the laboratory findings of a client who reports
chills and aching joints.The nurse should identify which of the following findings as an
indication that the client has an infection?: WBC
15,000 mm3
27. A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following injection sites is the safest for this client?: Ventrogluteal
28. A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of
the following actions should the nurse take?: Fill the bag
two-thirds full with ice.
29. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection.
The client reports gas pains in the periumbilical area. The nurse should plan care based on
which of the following factors contributing to this postoperative complication?: Impaired
peristalsis of the intestines
Fundamentals Exam 2020
1. A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should the nurse
question?: The dose
2. A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?:
Observe the rate, depth, and character of the client's respirations.
3. A nurse is caring for a client who, while sitting in a chair, starts to experi- ence a seizure.
Which of the following actions should the nurse take?: Lower the client to the floor and place a
pad under the client's head.
4. A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention?: Educating clients about the recommended immunization
schedule for adults
5. A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in which
portion of the report?: Assessment
6. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The
nurse should identify that which of the following findings is an indication of infiltration?:
Edema at the infusion site
7. A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
,living. Which of the following activities should the nurse recommend to the client?: Washing
dishes
8. A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status?: Daily weight
9. A nurse is planning to assess the abdomen of a client who reports feeling bloated for
several weeks. Which of the following methods of assessment should the nurse use first?:
Inspection
10. A nurse is explaining the use of written consent forms to a newly-licensed nurse.The nurse
should ensure that a written consent form has been signed by which of the following clients?:
A client who has a prescription for a transfu- sion of packed red blood cells
11. A nurse in a long-term care facility is admitting a client who is incontinent and smells
strongly of urine. His partner, who has been caring for him at home, is embarrassed and
apologizes for the smell. Which of the following responses should the nurse make?: "It must
be difficult to care for someone who is confined to bed."
12. A nurse in a provider's office is assessing a client who has heart fail- ure. The client has
gained weight since her last visit and her ankles are edematous. Which of the following
findings by the nurse is another clinical manifestation of fluid volume excess?: Bounding
pulse
13. A nurse is caring for a client who is postoperative following abdominal surgery. Which
of the following actions should the nurse take first after discovering that the client's wound
has eviscerated?: Cover the incision with a moist sterile dressing.
14. A nurse is teaching a client who has lower extremity weakness how to use a four-point
crutch gait. Which of the following instructions should the nurse include in the teaching?:
"Bear weight on both of your legs."
,15. A nurse in a provider's office is collecting information from an older adult client who
reports that he has been taking acetaminophen 500 mg/day for severe joint pain. The nurse
should instruct the client that large doses of acetaminophen could cause which of the
following adverse effects?: Liver Damage
16. A nurse is planning to document care provided for a client. Which of the following
abbreviations should the nurse use?: PC for after meals
17. A nurse is responding to a parent's question about his infant's expected physical
development during the first year of life. Which of the following information should the
nurse include?: A 10-month-old infant can pull up to a standing position.
18. An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates a need for
further teaching?: The AP hangs the collection bag at the level of the bladder.
19. A newly licensed nurse is preparing to administer medications to a client. The nurse notes
that the provider has prescribed a medication that is unfa- miliar to her. Which of the
following actions should the nurse take?: Consult the medication reference book available on the
unit.
20. A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?: Place the client in a lateral position with the head turned to the
side before beginning the procedure.
21. A nurse is planning to perform passive range-of-motion exercises for a client. Which of
the following actions should the nurse take?: Repeat each joint motion five times during each
session.
, 22. A nurse is teaching a client who is postoperative how to use a flow-ori- ented incentive
spirometer. Which of the following instructions should the nurse include?: Cough deeply after
each use.
23. A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understand- ing of the process within the
pyschomotor domain of learning?: Have the client demonstrates the procedure.
24. A nurse is providing teaching about food choices to a client who has a prescription for a
clear liquid diet. Which of the following selections by the client indicates an understanding of
the teaching?: Gelatin
25. A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance?: Romberg test
26. A nurse in a provider's office is reviewing the laboratory findings of a client who reports
chills and aching joints.The nurse should identify which of the following findings as an
indication that the client has an infection?: WBC
15,000 mm3
27. A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following injection sites is the safest for this client?: Ventrogluteal
28. A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of
the following actions should the nurse take?: Fill the bag
two-thirds full with ice.
29. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection.
The client reports gas pains in the periumbilical area. The nurse should plan care based on
which of the following factors contributing to this postoperative complication?: Impaired
peristalsis of the intestines
