ATI FUNDAMENTALS ACTUAL EXAM TEST A 2025 | 180 QUESTIONS
WITH VERIFIED CORRECT ANSWERS
1. Why is it important for a nurse to assess the use of nail polish remover in a
client receiving supplemental oxygen?
Acetone can be flammable and poses a risk in the presence of
oxygen.
Nail polish remover does not affect oxygen therapy.
Nonacetone removers are always safe for oxygen users.
All nail polish removers are safe for use with supplemental oxygen.
2. In a scenario where a terminally ill patient is experiencing increased
secretions and difficulty breathing, what additional intervention might the
nurse consider alongside turning the patient every 2 hours?
Administering a pain medication
Suctioning the airway to clear secretions
Encouraging the patient to speak more frequently
Increasing the patient's oral intake
3. A nurse is assisting with the plan of care for four clients. Which of the
following tasks should the nurse assign to an assistive personnel?
ensure a client can use crutches before discharge
assist a client to get out of bed after a breathing treatment
obtain a client's pain rating prior to physical therapy
check a client's ability to swallow following a stroke
4. A nurse is preparing to perform nasotracheal suctioning on a patient with
excessive secretions. What should the nurse do to ensure the procedure
is effective and safe?
, Use clean technique and suction for as long as needed.
Suction continuously while inserting the catheter.
Perform the procedure without pre-oxygenation.
Suction only if the patient shows signs of distress.
Use sterile technique and apply intermittent suction while
withdrawing the catheter.
5. Why is it important for a nurse to have another nurse observe medication
wastage?
To speed up the medication administration process
To reduce the amount of medication wasted
To comply with patient education requirements
To ensure accountability and adherence to safety protocols
6. Why might inadequate cleaning of the feeding bag lead to diarrhea in a
patient with a gastrostomy tube?
Inadequate cleaning results in a lack of necessary vitamins,
causing diarrhea.
Inadequate cleaning causes the feeding to be too cold, leading to
diarrhea.
Inadequate cleaning prevents nutrient absorption, leading to
diarrhea.
Inadequate cleaning can lead to bacterial growth, which may
cause gastrointestinal upset.
7. If the client expresses anxiety about retirement after the nurse's response,
what would be an appropriate follow-up action for the nurse?
Advise the client to seek financial counseling immediately.
, Provide support and explore the client's concerns about
retirement further.
Encourage the client to retire as soon as possible.
Tell the client that retirement is not a big deal.
8. A client who is dying cannot swallow and is accumulating audible mucus
in the upper airway (death rattles). These noises are upsetting to family
members. What nursing action is appropriate?
Use a Yankauer suction tip to remove secretions from the client's
upper airway.
Place the client in a side-lying position so secretions can drain.
Position the client in a high-Fowler position to minimize secretions.
Assist the family in leaving the room so that they can compose
themselves.
9. Why is it important to use the complete name of medications like
magnesium sulfate in nursing documentation?
It is a requirement of the hospital policy to use abbreviations.
It is only necessary for medications that are commonly used.
Using the complete name of medications like magnesium sulfate
helps prevent medication errors and ensures clear
communication among healthcare providers.
It makes the documentation process faster and easier for nurses.
10. A nurse cares for a client newly diagnosed with colon cancer who has
become withdrawn from family members. Which action should the nurse
take?
Encourage the client to verbalize feelings about the diagnosis.
Ask family and friends to visit the client and provide emotional
support.
, Contact the provider and recommend a psychiatric consult for
the client.
Provide education about new treatment options with successful
outcomes.
11. What is the purpose of ensuring that two fingers can fit under the sleeves
of a thigh-length sequential compression device?
To allow for easier application
To prevent the device from falling off
To ensure proper fit and circulation
To indicate the device is too tight
12. The nurse must insert a NG tube into a patient with a bowel obstruction.
before inserting the tube. the nurse must explain the procedure to the
patient. which explanation by the nurse is best, assuming that all provide
the correct information
lie still, please. I need to elevate the head of the bed and insert
this tube
im going to insert an NG tube through your nares to suction your
secretions and prevent emesis
I'm going to insert a NG tube and connect it to low gomco to
keep your stomach empty
I'm going to insert a tube through your nose into your stomach
to prevent you from vomiting
13. A nurse needs to lift a box in a supply room. Which of the following
actions should the nurse take to prevent aninjury due to lifting?
Stand with his feet close together when lifting.
Bend at the waist to pick up the box.Rationale:
WITH VERIFIED CORRECT ANSWERS
1. Why is it important for a nurse to assess the use of nail polish remover in a
client receiving supplemental oxygen?
Acetone can be flammable and poses a risk in the presence of
oxygen.
Nail polish remover does not affect oxygen therapy.
Nonacetone removers are always safe for oxygen users.
All nail polish removers are safe for use with supplemental oxygen.
2. In a scenario where a terminally ill patient is experiencing increased
secretions and difficulty breathing, what additional intervention might the
nurse consider alongside turning the patient every 2 hours?
Administering a pain medication
Suctioning the airway to clear secretions
Encouraging the patient to speak more frequently
Increasing the patient's oral intake
3. A nurse is assisting with the plan of care for four clients. Which of the
following tasks should the nurse assign to an assistive personnel?
ensure a client can use crutches before discharge
assist a client to get out of bed after a breathing treatment
obtain a client's pain rating prior to physical therapy
check a client's ability to swallow following a stroke
4. A nurse is preparing to perform nasotracheal suctioning on a patient with
excessive secretions. What should the nurse do to ensure the procedure
is effective and safe?
, Use clean technique and suction for as long as needed.
Suction continuously while inserting the catheter.
Perform the procedure without pre-oxygenation.
Suction only if the patient shows signs of distress.
Use sterile technique and apply intermittent suction while
withdrawing the catheter.
5. Why is it important for a nurse to have another nurse observe medication
wastage?
To speed up the medication administration process
To reduce the amount of medication wasted
To comply with patient education requirements
To ensure accountability and adherence to safety protocols
6. Why might inadequate cleaning of the feeding bag lead to diarrhea in a
patient with a gastrostomy tube?
Inadequate cleaning results in a lack of necessary vitamins,
causing diarrhea.
Inadequate cleaning causes the feeding to be too cold, leading to
diarrhea.
Inadequate cleaning prevents nutrient absorption, leading to
diarrhea.
Inadequate cleaning can lead to bacterial growth, which may
cause gastrointestinal upset.
7. If the client expresses anxiety about retirement after the nurse's response,
what would be an appropriate follow-up action for the nurse?
Advise the client to seek financial counseling immediately.
, Provide support and explore the client's concerns about
retirement further.
Encourage the client to retire as soon as possible.
Tell the client that retirement is not a big deal.
8. A client who is dying cannot swallow and is accumulating audible mucus
in the upper airway (death rattles). These noises are upsetting to family
members. What nursing action is appropriate?
Use a Yankauer suction tip to remove secretions from the client's
upper airway.
Place the client in a side-lying position so secretions can drain.
Position the client in a high-Fowler position to minimize secretions.
Assist the family in leaving the room so that they can compose
themselves.
9. Why is it important to use the complete name of medications like
magnesium sulfate in nursing documentation?
It is a requirement of the hospital policy to use abbreviations.
It is only necessary for medications that are commonly used.
Using the complete name of medications like magnesium sulfate
helps prevent medication errors and ensures clear
communication among healthcare providers.
It makes the documentation process faster and easier for nurses.
10. A nurse cares for a client newly diagnosed with colon cancer who has
become withdrawn from family members. Which action should the nurse
take?
Encourage the client to verbalize feelings about the diagnosis.
Ask family and friends to visit the client and provide emotional
support.
, Contact the provider and recommend a psychiatric consult for
the client.
Provide education about new treatment options with successful
outcomes.
11. What is the purpose of ensuring that two fingers can fit under the sleeves
of a thigh-length sequential compression device?
To allow for easier application
To prevent the device from falling off
To ensure proper fit and circulation
To indicate the device is too tight
12. The nurse must insert a NG tube into a patient with a bowel obstruction.
before inserting the tube. the nurse must explain the procedure to the
patient. which explanation by the nurse is best, assuming that all provide
the correct information
lie still, please. I need to elevate the head of the bed and insert
this tube
im going to insert an NG tube through your nares to suction your
secretions and prevent emesis
I'm going to insert a NG tube and connect it to low gomco to
keep your stomach empty
I'm going to insert a tube through your nose into your stomach
to prevent you from vomiting
13. A nurse needs to lift a box in a supply room. Which of the following
actions should the nurse take to prevent aninjury due to lifting?
Stand with his feet close together when lifting.
Bend at the waist to pick up the box.Rationale:
