ATI RN FUNDAMENTALS OF NURSING EXAM
NEWEST 2024 EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is admitting a client who is at risk for falls to a medical-surgical
unit. Which of the following actions should the nurse take?
A. Elevate full-length side rails on both sides of the client's bed.
B. Place the bedside table 0.9 m (3 feet) away from the bed.
C. Provide the client with a night light.
D. Keep the client's room temperature at 18° C (64.4" F). - ANSWER-
C. Provide the client with a night light.
A nurse is teaching a client how to self-administer daily low-dose
heparin injections. Which of the following factors is most likely to
increase the client's motivation to learn?
A. The nurse explaining the need for education to the client.
B. The client's belief that his needs will be met through education.
C. The nurse's empathy about the client having to self-inject.
D. The client seeking family approval by agreeing to a teaching plan. -
ANSWER- B. The client's belief that his needs will be met through
education.
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A home health nurse is teaching a client about home safety. Which of
the following statements by the client indicates an understanding of the
teaching? (Select all that apply.)
A. "I will use the grab bars when getting in and out of the bathtub."
B. "I need to have a fire escape plan with my family."
C. "I need to check my medication expiration dates."
D. "I need to set my hot water heater to 140 degrees Fahrenheit."
E. "I will apply tape over frayed areas of electrical cords." - ANSWER-
A. "I will use the grab bars when getting in and out of the bathtub."
B. "I need to have a fire escape plan with my family."
C. "I need to check my medication expiration dates."
A nurse in a mental health clinic is caring for an older adult client who
has depression and has stopped taking their medication. The client tells
the nurse, "I want to die now that my partner is gone." Which of the
following responses should the nurse make?
A. "You should discuss these feelings with your provider."
B. "Have you thought about harming yourself?"
C. "Why did you stop taking your medication?"
D. "Tell me more about your partner." - ANSWER- B. "Have you
thought about harming yourself?"
A nurse is providing teaching to a client about reducing the adverse
effects of immobility.
Which of the following statements by the client indicates an
understanding of the teaching?
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A. "I will perform ankle and knee exercises every hour."
B. "I will have my partner help me change positions every 4 hours."
C. "I will remove my antiembolic stockings while I am in bed."
D. "I will hold my breath when rising from a sitting position." -
ANSWER- A. "I will perform ankle and knee exercises every hour."
A nurse is teaching a group of newly licensed nurses about the Braden
scale. Which of the following responses by a newly licensed nurse
indicates an understanding of the teaching?
A. "The scale measures six elements."
B. "The client's age is part of the measurement."
C. "The higher the score, the higher the pressure injury risk."
D. "Each element has a range from one to five points." - ANSWER- A.
"The scale measures six elements.
A nurse is preparing to administer medications to a client. At which of
the following times should the nurse compare the medication
administration record and the medication label? (Select all that apply.)
A. At the end of the shift
B. When removing the medication from the medication drawer
C. Directly before administering the medication
D. When reconciling counts of controlled substances
E. When preparing the medication dosage - ANSWER- B. When
removing the medication from the medication drawer
C. Directly before administering the medication
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D. When reconciling counts of controlled substances
A nurse is caring for a client who has a colostomy. Which of the
following actions should the nurse take?
A. Rub the peristomal skin dry after cleaning.
B. Change the pouch once every 24 hr.
C. Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma.
D. Apply the pouch while the skin barrier is still damp. - ANSWER- C.
Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma.
A nurse enters the room of a client who has a seizure disorder. The client
is sitting in a chair and begins to experience a seizure. Which of the
following actions should the nurse take first?
A. Turn the client onto their side.
B. Help the client lie on the floor.
C. Loosen the client's clothing.
D. Move items in the room away from the client. - ANSWER- B. Help
the client lie on the floor.
A nurse is teaching a client how to self-administer heparin. Which of the
following instructions should the nurse include in the teaching?
A. Use an 18-gauge, 1-inch needle to administer the medication.
B. Massage the injection site after withdrawing the needle.
C. Inject 5.1 cm (2 in) away from the umbilicus.