ATI RN Fundamentals Practice Tests A & B
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficle infection. Which of the following information should the nurse include
in the teaching?
Assign the client to a room with a negative airflow system
Use alcohol based hand sanitizer when leaving the client's room
Clean contaminated surfaces in the client's room with a phenol solution
Have family members wear a gown and gloves when visiting - ansHave family members
wear a gown and gloves when visiting
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the
field
The new licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring
The sterile field is positioned at the level of the newly licensed nurse's waist - ansThe
newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile
field
A client in non ambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take
next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - ansEvacuate the client
A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. Which of
the following statements should the nurse identify as an indication that the client
understands the preoperative teaching she received about pain management?
"I think I should take my pain medication more often, since its not controlling my pain"
"Breathing faster will help me keep my mind off of the pain"
"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ans"It might help me listen to
music while lying in bed"
A community health nurse is checking blood pressures for a group of clients at
community health screening. Which of the following clients is at an increased risk for
hypertension?
A client who is 52 years old
,A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ansA client who smokes 1 pack
of cigarettes a day
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as a potential indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
The caregiver insists on remaining in the room - ansThe caregiver insists on remaining
in the room
A home health nurse is performing a follow up visit for a client who as a gastrostomy
tube through which they receive intermittent feedings and medications. The client has
recently developed diarrhea. Which of the following findings should the nurse identify as
a possible cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24
hours
The client's caregiver flushes the tubing with water before and after administering
medications - ansThe client's caregiver washes out the feedings bag with warm water
once every 24 hours
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young
people" - ans"People in middle adulthood often find satisfaction in nurturing and guiding
young people"
A new is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? (select all that
apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjuctivae
Visual fields
Visual acuity - ansPupil clarity
Visual fields
Visual acuity
,A nurse enters a client's room and finds her on the floor. The client's roommate reports
that the client was trying to get out of bed and fell over the side rail onto the floor. Which
of the following statements should the nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - ans"Client found lying on the floor"
A nurse has accepted a verbal prescription for "thee tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - ans0.3 mg
A nurse has just inserted an NG tube for a client. Which of the following findings should
the nurse expect to confirm correct tube placement?
The tube aspirate has a pH of 7
An x ray shows the end of the tube above the pylorus
Bowel sounds are present on auscultation
The client reports relief of nausea - ansAn x ray shows the end of the tube above the
pylorus
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 a routine screening. What
does that involve?" Which of the following responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test"
"Beginning at age 60, you should have a colonoscopy"
"You should have a fecal occult blood test every year"
"The recommendation is to have a sigmoidoscopy every 10 years" - ans"You should
have a fecal occult blood test every year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ans1. Obtain the pronouncement of death from the
provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the client's family members if they would like to view the body
5. Place a name tag on the body
, A nurse in a surgical suite notes documentation on a client's medical record that he has
a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
Ensure sterilization of nondisposable items with ethylene oxide
Wrap monitoring cords with stockinette and tape them in place
Cleanse latex ports on IV tubing with chlorhexidine before injecting medication
Wear hypoallergenic latex gloves that contain powder - ansWrap monitoring cords with
stockinette and tape them in place
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative
and has fluid volume deficit. Which of the following changes should the nurse identify as
an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time - ansDecrease in heart rate
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the inner
ear?
Press gently on the tragus of the client's ear
Pack a small piece of cotton deep into the client's ear canal
Move the client's auricle down and back toward her head
Tilt the client's head backward for 5 minutes - ansPress gently on the tragus of the
client's ear
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which
of the following assessments should the nurse identify as the priority?
Auscultate lung sounds
Measure urine output
Monitor blood pressure readings
Monitor electrolyte levels - ansMeasure urine output
A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transmission precautions should the
nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - ansContact precautions
A nurse is admitting a client who has been having frequent tonic clonic seizures. Which
of the following actions should the nurse add to the client's plan of care?
Wrap blankets around all 4 sides of the bed
Apply restraints during seizure activity
Place the client in a supine position during seizure activity
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficle infection. Which of the following information should the nurse include
in the teaching?
Assign the client to a room with a negative airflow system
Use alcohol based hand sanitizer when leaving the client's room
Clean contaminated surfaces in the client's room with a phenol solution
Have family members wear a gown and gloves when visiting - ansHave family members
wear a gown and gloves when visiting
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the
field
The new licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring
The sterile field is positioned at the level of the newly licensed nurse's waist - ansThe
newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile
field
A client in non ambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take
next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - ansEvacuate the client
A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. Which of
the following statements should the nurse identify as an indication that the client
understands the preoperative teaching she received about pain management?
"I think I should take my pain medication more often, since its not controlling my pain"
"Breathing faster will help me keep my mind off of the pain"
"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ans"It might help me listen to
music while lying in bed"
A community health nurse is checking blood pressures for a group of clients at
community health screening. Which of the following clients is at an increased risk for
hypertension?
A client who is 52 years old
,A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ansA client who smokes 1 pack
of cigarettes a day
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as a potential indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
The caregiver insists on remaining in the room - ansThe caregiver insists on remaining
in the room
A home health nurse is performing a follow up visit for a client who as a gastrostomy
tube through which they receive intermittent feedings and medications. The client has
recently developed diarrhea. Which of the following findings should the nurse identify as
a possible cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24
hours
The client's caregiver flushes the tubing with water before and after administering
medications - ansThe client's caregiver washes out the feedings bag with warm water
once every 24 hours
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young
people" - ans"People in middle adulthood often find satisfaction in nurturing and guiding
young people"
A new is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? (select all that
apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjuctivae
Visual fields
Visual acuity - ansPupil clarity
Visual fields
Visual acuity
,A nurse enters a client's room and finds her on the floor. The client's roommate reports
that the client was trying to get out of bed and fell over the side rail onto the floor. Which
of the following statements should the nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - ans"Client found lying on the floor"
A nurse has accepted a verbal prescription for "thee tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - ans0.3 mg
A nurse has just inserted an NG tube for a client. Which of the following findings should
the nurse expect to confirm correct tube placement?
The tube aspirate has a pH of 7
An x ray shows the end of the tube above the pylorus
Bowel sounds are present on auscultation
The client reports relief of nausea - ansAn x ray shows the end of the tube above the
pylorus
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 a routine screening. What
does that involve?" Which of the following responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test"
"Beginning at age 60, you should have a colonoscopy"
"You should have a fecal occult blood test every year"
"The recommendation is to have a sigmoidoscopy every 10 years" - ans"You should
have a fecal occult blood test every year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ans1. Obtain the pronouncement of death from the
provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the client's family members if they would like to view the body
5. Place a name tag on the body
, A nurse in a surgical suite notes documentation on a client's medical record that he has
a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
Ensure sterilization of nondisposable items with ethylene oxide
Wrap monitoring cords with stockinette and tape them in place
Cleanse latex ports on IV tubing with chlorhexidine before injecting medication
Wear hypoallergenic latex gloves that contain powder - ansWrap monitoring cords with
stockinette and tape them in place
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative
and has fluid volume deficit. Which of the following changes should the nurse identify as
an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time - ansDecrease in heart rate
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the inner
ear?
Press gently on the tragus of the client's ear
Pack a small piece of cotton deep into the client's ear canal
Move the client's auricle down and back toward her head
Tilt the client's head backward for 5 minutes - ansPress gently on the tragus of the
client's ear
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which
of the following assessments should the nurse identify as the priority?
Auscultate lung sounds
Measure urine output
Monitor blood pressure readings
Monitor electrolyte levels - ansMeasure urine output
A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transmission precautions should the
nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - ansContact precautions
A nurse is admitting a client who has been having frequent tonic clonic seizures. Which
of the following actions should the nurse add to the client's plan of care?
Wrap blankets around all 4 sides of the bed
Apply restraints during seizure activity
Place the client in a supine position during seizure activity
