ATI FUNDAMENTALS PRACTICE
QUESTIONS AND ANSWERS
A55nurse55is55talking55with55the55partner55of55a55client55who55has55dementia.55The55clien
t's55partner55expresses55frustration55about55finding55time55to55manage55household55resp
onsibilities55while55caring55for55their55partner.55The55nurse55should55identify55that55the55
partner55is55experiencing55which55of55the55following55types55of55role-
performance55stress?
A.55Role55ambiguity
B.55Sick55role
C.55Role55overload
D.55Role55conflict55-55ans--✔✔C.55Role55overload
Rationale:55The55partner's55expression55of55frustration55is55an55example55of55role55overl
oad,55which55refers55to55having55more55responsibilities55within55a55role55than55one55pers
on55can55manage
A55nurse55is55performing55a55skin55assessment55for55a55client55who55expresses55cancer
55about55skin55cancer.55Which55of55the55following55findings55should55the55nurse55identify
55as55a55potential55indication55of55a55skin55malignancy?
A.55A55lesion55with55uniform55pigmentation
B.55New55appearance55of55petechiae
C.55A55mole55with55an55asymmetrical55appearance
D.55The55presence55of55a55papule55-55ans--
✔✔C.55A55mole55with55an55asymmetrical55appearance
Rationale:55An55uneven55or55asymmetrical55shape55is55a55potential55indication55of55a55s
kin55malignancy.55This55is55manifested55when55part55of55a55lesion55or55mole55looks55diff
erent55from55the55other55part.
A55nurse55is55assessing55a55client55who55reports55increased55pain55following55physical55
therapy.55Which55of55the55following55questions55should55the55nurse55ask55when55assess
ing55the55quality55of55the55client's55pain?55
A.55"Is55your55pain55constant55or55intermittent?"
B.55"What55would55you55rate55your55pain55on55a55scale55of55055to5510?"
C.55"Does55the55pain55radiate?"
D.55"Is55your55pain55sharp55or55dull?"55-55ans--✔✔D.55"Is55your55pain55sharp55or55dull?"
,Rationale:55Asking55the55client55whether55the55pain55is55sharp,55dull,55crushing,55throbbi
ng,55aching,55burning,55electric-
like,55or55shooting55helps55determine55the55quality55of55the55pain.
A55nurse55is55admitting55a55new55client.55which55of55the55following55actions55should55the
55nurse55take55while55performing55medication55reconcillation?55
A.55Verify55the55client's55name55on55their55identification55bracelet55with55the55medication
55administration55record.
B.55Call55the55pharmacy55to55determine55whether55the55client's55medications55are55avail
able.55
C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions.
D.55Place55the55client's55home55medication55bottles55in55a55secure55location.55-55ans--
✔✔C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions
.
Rationale:55The55nurse55should55compare55the55client's55home55medications55with55the5
5provider's55prescriptions55when55performing55medication55reconciliation.
A55nurse55is55auscultating55the55anterior55chest55of55a55client55who55was55newly55admitt
ed55to55a55medical-
surgical55unit.55Listen55to55the55audio55clip55of55what55the55nurse55auscultates55through5
5the55stethoscope55and55identify55the55type55of55breath55sounds.
A.55Crackles
B.55Rhonchi
C.55Friction55rub
D.55Normal55breath55sounds55-55ans--
✔✔C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions
.
Rationale:55These55are55normal55bronchovesicular55breath55sounds,55characteristically5
5of55moderate55intensity55and55sounding55like55blowing55as55air55moves55through55the55l
arger55airways55on55inspiration55and55expiration.
A55nurse55is55preparing55to55administer55enoxaparin55subcutaneously55to55a55client.55W
hich55of55the55following55actions55should55the55nurse55take?55
A.55Administer55the55medication55with55the55needle55at55a554555degree55angle.
B.55Administer55the55medication55into55the55client's55nondominant55arm.
C.55Pull55the55client's55skin55laterally55or55downward55prior55to55administration.
D.55Massage55the55injection55site55after55administration.55-55ans--
✔✔A.55Administer55the55medication55with55the55needle55at55a554555degree55angle.
Rationale:55The55nurse55should55insert55the55needle55at55a554555degree55to559055degree
55angle55for55a55subcutaneous55injection.
A55nurse55is55using55an55open55irrigation55technique55to55irrigate55a55client's55indwelling5
5urinary55catheter.55Which55of55the55following55actions55should55the55nurse55take?55
, A.55Place55the55client55in55a55side-lying55position
B.55Instill5515mL55of55irrigation55fluid55into55the55catheter55with55each55flush
C.55Subtract55the55amount55of55irrigant55used55from55the55client's55urine55output.
D.55Perform55the55irrigation55using55a5520-mL55syringe55-55ans--
✔✔C.55Subtract55the55amount55of55irrigant55used55from55the55client's55urine55output.
Rationale:55The55nurse55should55calculate55the55fluid55used55for55irrigation55and55subtra
ct55it55from55the55client's55total55urinary55output.
A55nurse55is55preparing55to55apply55a55dressing55for55a55client55who55has55a55stage55255
pressure55injury.55Which55of55the55following55types55of55dressing55should55the55nurse55u
se?
A.55Alginate
B.55Gauze
C.55Transparent
D.55Hydrocolloid55-55ans--✔✔D.55Hydrocolloid
Rationale:55Hyrocolloid55dressings55promote55healing55in55stage55255pressure55injuries55
by55creating55a55moist55would55bed.
A55nurse55is55providing55discharge55teaching55to55a55client55about55self-
administering55heparin.55Which55of55the55following55instructions55should55the55nurse55in
clude55in55the55teaching?
A.55Insert55the55needle55at55a551555degree55angle
B.55Aspirate55for55blood55return55prior55to55administration
C.55Administer55the55medication55into55the55abdomen
D.55Massage55the55site55following55the55injection.55-55ans--
✔✔C.55Administer55the55medication55into55the55abdomen
Rationale:55The55nurse55should55instruct55the55client55to55administer55the55medication55i
nto55the55abdomen55at55least555.0855cm55(255in)55from55the55umbilicus.55The55client55sh
ould55pinch55or55spread55the55skin55at55the55injection55site55to55administer55the55medicat
ion55into55the55subcutaneous55tissue.
A55nurse55on55a55medical-
surgical55unit55is55caring55for55a55client55who55has55a55new55prescription55for55wrist55rest
raints.55Which55of55the55following55actions55should55the55nurse55take?
A.55Pad55the55client's55wrist55before55applying55the55restraints.
B.55Evaluate55the55client's55circulation55every55855hr55after55application.
C.55Remove55the55restraints55every55455hr55to55evaluate55the55client's55status.
D.55Secure55the55restraint55ties55to55the55bed's55side55rails.55-55ans--
✔✔A.55Pad55the55client's55wrist55before55applying55the55restraints.
Rationale:55The55use55of55restraints55without55padding55can55abrade55the55client's55skin,
55resulting55in55client55injury.
QUESTIONS AND ANSWERS
A55nurse55is55talking55with55the55partner55of55a55client55who55has55dementia.55The55clien
t's55partner55expresses55frustration55about55finding55time55to55manage55household55resp
onsibilities55while55caring55for55their55partner.55The55nurse55should55identify55that55the55
partner55is55experiencing55which55of55the55following55types55of55role-
performance55stress?
A.55Role55ambiguity
B.55Sick55role
C.55Role55overload
D.55Role55conflict55-55ans--✔✔C.55Role55overload
Rationale:55The55partner's55expression55of55frustration55is55an55example55of55role55overl
oad,55which55refers55to55having55more55responsibilities55within55a55role55than55one55pers
on55can55manage
A55nurse55is55performing55a55skin55assessment55for55a55client55who55expresses55cancer
55about55skin55cancer.55Which55of55the55following55findings55should55the55nurse55identify
55as55a55potential55indication55of55a55skin55malignancy?
A.55A55lesion55with55uniform55pigmentation
B.55New55appearance55of55petechiae
C.55A55mole55with55an55asymmetrical55appearance
D.55The55presence55of55a55papule55-55ans--
✔✔C.55A55mole55with55an55asymmetrical55appearance
Rationale:55An55uneven55or55asymmetrical55shape55is55a55potential55indication55of55a55s
kin55malignancy.55This55is55manifested55when55part55of55a55lesion55or55mole55looks55diff
erent55from55the55other55part.
A55nurse55is55assessing55a55client55who55reports55increased55pain55following55physical55
therapy.55Which55of55the55following55questions55should55the55nurse55ask55when55assess
ing55the55quality55of55the55client's55pain?55
A.55"Is55your55pain55constant55or55intermittent?"
B.55"What55would55you55rate55your55pain55on55a55scale55of55055to5510?"
C.55"Does55the55pain55radiate?"
D.55"Is55your55pain55sharp55or55dull?"55-55ans--✔✔D.55"Is55your55pain55sharp55or55dull?"
,Rationale:55Asking55the55client55whether55the55pain55is55sharp,55dull,55crushing,55throbbi
ng,55aching,55burning,55electric-
like,55or55shooting55helps55determine55the55quality55of55the55pain.
A55nurse55is55admitting55a55new55client.55which55of55the55following55actions55should55the
55nurse55take55while55performing55medication55reconcillation?55
A.55Verify55the55client's55name55on55their55identification55bracelet55with55the55medication
55administration55record.
B.55Call55the55pharmacy55to55determine55whether55the55client's55medications55are55avail
able.55
C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions.
D.55Place55the55client's55home55medication55bottles55in55a55secure55location.55-55ans--
✔✔C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions
.
Rationale:55The55nurse55should55compare55the55client's55home55medications55with55the5
5provider's55prescriptions55when55performing55medication55reconciliation.
A55nurse55is55auscultating55the55anterior55chest55of55a55client55who55was55newly55admitt
ed55to55a55medical-
surgical55unit.55Listen55to55the55audio55clip55of55what55the55nurse55auscultates55through5
5the55stethoscope55and55identify55the55type55of55breath55sounds.
A.55Crackles
B.55Rhonchi
C.55Friction55rub
D.55Normal55breath55sounds55-55ans--
✔✔C.55Compare55the55client's55home55medications55with55the55provider's55prescriptions
.
Rationale:55These55are55normal55bronchovesicular55breath55sounds,55characteristically5
5of55moderate55intensity55and55sounding55like55blowing55as55air55moves55through55the55l
arger55airways55on55inspiration55and55expiration.
A55nurse55is55preparing55to55administer55enoxaparin55subcutaneously55to55a55client.55W
hich55of55the55following55actions55should55the55nurse55take?55
A.55Administer55the55medication55with55the55needle55at55a554555degree55angle.
B.55Administer55the55medication55into55the55client's55nondominant55arm.
C.55Pull55the55client's55skin55laterally55or55downward55prior55to55administration.
D.55Massage55the55injection55site55after55administration.55-55ans--
✔✔A.55Administer55the55medication55with55the55needle55at55a554555degree55angle.
Rationale:55The55nurse55should55insert55the55needle55at55a554555degree55to559055degree
55angle55for55a55subcutaneous55injection.
A55nurse55is55using55an55open55irrigation55technique55to55irrigate55a55client's55indwelling5
5urinary55catheter.55Which55of55the55following55actions55should55the55nurse55take?55
, A.55Place55the55client55in55a55side-lying55position
B.55Instill5515mL55of55irrigation55fluid55into55the55catheter55with55each55flush
C.55Subtract55the55amount55of55irrigant55used55from55the55client's55urine55output.
D.55Perform55the55irrigation55using55a5520-mL55syringe55-55ans--
✔✔C.55Subtract55the55amount55of55irrigant55used55from55the55client's55urine55output.
Rationale:55The55nurse55should55calculate55the55fluid55used55for55irrigation55and55subtra
ct55it55from55the55client's55total55urinary55output.
A55nurse55is55preparing55to55apply55a55dressing55for55a55client55who55has55a55stage55255
pressure55injury.55Which55of55the55following55types55of55dressing55should55the55nurse55u
se?
A.55Alginate
B.55Gauze
C.55Transparent
D.55Hydrocolloid55-55ans--✔✔D.55Hydrocolloid
Rationale:55Hyrocolloid55dressings55promote55healing55in55stage55255pressure55injuries55
by55creating55a55moist55would55bed.
A55nurse55is55providing55discharge55teaching55to55a55client55about55self-
administering55heparin.55Which55of55the55following55instructions55should55the55nurse55in
clude55in55the55teaching?
A.55Insert55the55needle55at55a551555degree55angle
B.55Aspirate55for55blood55return55prior55to55administration
C.55Administer55the55medication55into55the55abdomen
D.55Massage55the55site55following55the55injection.55-55ans--
✔✔C.55Administer55the55medication55into55the55abdomen
Rationale:55The55nurse55should55instruct55the55client55to55administer55the55medication55i
nto55the55abdomen55at55least555.0855cm55(255in)55from55the55umbilicus.55The55client55sh
ould55pinch55or55spread55the55skin55at55the55injection55site55to55administer55the55medicat
ion55into55the55subcutaneous55tissue.
A55nurse55on55a55medical-
surgical55unit55is55caring55for55a55client55who55has55a55new55prescription55for55wrist55rest
raints.55Which55of55the55following55actions55should55the55nurse55take?
A.55Pad55the55client's55wrist55before55applying55the55restraints.
B.55Evaluate55the55client's55circulation55every55855hr55after55application.
C.55Remove55the55restraints55every55455hr55to55evaluate55the55client's55status.
D.55Secure55the55restraint55ties55to55the55bed's55side55rails.55-55ans--
✔✔A.55Pad55the55client's55wrist55before55applying55the55restraints.
Rationale:55The55use55of55restraints55without55padding55can55abrade55the55client's55skin,
55resulting55in55client55injury.
