ATI RN Fundamentals Practice Tests A & B
2024/2025
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility -
ANSWER- Compare prescriptions with medications the client received while at the
facility
A nurse is caring for a client who requires an informed consent for a surgical procedure.
Which of the following actions is the nurse's responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
Tell the client which team members will assist with the procedure - ANSWER- Witness
the client's signature on the consent form
A nurse is planning an educational program for a group of older adults at a senior living
center. Which of the following recommendations should the nurse include?
"You should have an eye examination every 2 years"
"You should receive a tetanus booster every 5 years"
"You should receive a shingles vaccine when you are 70 years old"
"You should receive a pneumococcal vaccine when you are 65 years old" - ANSWER-
"You should receive a pneumococcal vaccine when you are 65 years old"
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The client's partner wants the client to have the blood transfusion. Which of the
following actions should the nurse take?
Ask the client to consider a direct donation
Withhold the blood transfusion
Request a consultation with the ethics committee
Ask the client's family to intervene - ANSWER- Withhold the blood transfusion
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate?
,droplet
airborne
contact
protective environment - ANSWER- droplet
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 - ANSWER- Measure urine output
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" - ANSWER- "People in middle adulthood often find satisfaction in nurturing and
guiding young people"
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse provide
to the client and his family? (select all that apply)
Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Consider purchasing a generator for power backup
Observe for signs of hypoxia
Select synthetic clothing and bedding - ANSWER- Check the cord routinely for frays or
tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Observe for signs of hypoxia
A nurse is reviewing protocol in preparation for suctioning secretions from a client who
has a new tracheostomy. Which of the following actions should the nurse plan to take?
Use a resuscitation bag with 80% oxygen prior to the procedure
Select a suction catheter that is half the size of the lumen
Place the end of the suction catheter in water soluble lubricant
Adjust the wall suction apparatus to a pressure of 170 mmHg - ANSWER- Select a
suction catheter that is half the size of the lumen
, A nurse is caring for a client who is receiving pain medication through a patient
controlled analgesia (PCA) pump. Which of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
Inform the client that because she is on PCA, vital signs will be taken every 8 hours
Teach the client to avoid pushing the button until the pain is above 7 on a scale of 0 to
10
Increase the basal rate and shorten the lock out interval time if the client's pain level is
too high - ANSWER- Instruct the family to refrain from pushing the button for the client
while she is asleep
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
Have a tongue depressor at the client's bedside - ANSWER- Wrap blankets around all 4
sides of the bed
A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manage intervene due to a violation of HIPPAA guidelines?
A nurse who is caring for a client reviews the client's medical chart with a nursing
student who is working with the nurse
A nurse asks a nurse from another unit to assist with documentation for a client
A nurse who is caring for a client returns a call to the person appointed in the health
care proxy to discuss the client's care
A nurse discusses a client's status with the physical therapist who is caring for the client
- ANSWER- A nurse asks a nurse from another unit to assist with documentation for a
client
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 - ANSWER- Have family
members wear a gown and gloves when visiting
2024/2025
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility -
ANSWER- Compare prescriptions with medications the client received while at the
facility
A nurse is caring for a client who requires an informed consent for a surgical procedure.
Which of the following actions is the nurse's responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
Tell the client which team members will assist with the procedure - ANSWER- Witness
the client's signature on the consent form
A nurse is planning an educational program for a group of older adults at a senior living
center. Which of the following recommendations should the nurse include?
"You should have an eye examination every 2 years"
"You should receive a tetanus booster every 5 years"
"You should receive a shingles vaccine when you are 70 years old"
"You should receive a pneumococcal vaccine when you are 65 years old" - ANSWER-
"You should receive a pneumococcal vaccine when you are 65 years old"
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The client's partner wants the client to have the blood transfusion. Which of the
following actions should the nurse take?
Ask the client to consider a direct donation
Withhold the blood transfusion
Request a consultation with the ethics committee
Ask the client's family to intervene - ANSWER- Withhold the blood transfusion
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate?
,droplet
airborne
contact
protective environment - ANSWER- droplet
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 - ANSWER- Measure urine output
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" - ANSWER- "People in middle adulthood often find satisfaction in nurturing and
guiding young people"
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse provide
to the client and his family? (select all that apply)
Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Consider purchasing a generator for power backup
Observe for signs of hypoxia
Select synthetic clothing and bedding - ANSWER- Check the cord routinely for frays or
tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Observe for signs of hypoxia
A nurse is reviewing protocol in preparation for suctioning secretions from a client who
has a new tracheostomy. Which of the following actions should the nurse plan to take?
Use a resuscitation bag with 80% oxygen prior to the procedure
Select a suction catheter that is half the size of the lumen
Place the end of the suction catheter in water soluble lubricant
Adjust the wall suction apparatus to a pressure of 170 mmHg - ANSWER- Select a
suction catheter that is half the size of the lumen
, A nurse is caring for a client who is receiving pain medication through a patient
controlled analgesia (PCA) pump. Which of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
Inform the client that because she is on PCA, vital signs will be taken every 8 hours
Teach the client to avoid pushing the button until the pain is above 7 on a scale of 0 to
10
Increase the basal rate and shorten the lock out interval time if the client's pain level is
too high - ANSWER- Instruct the family to refrain from pushing the button for the client
while she is asleep
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
Have a tongue depressor at the client's bedside - ANSWER- Wrap blankets around all 4
sides of the bed
A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manage intervene due to a violation of HIPPAA guidelines?
A nurse who is caring for a client reviews the client's medical chart with a nursing
student who is working with the nurse
A nurse asks a nurse from another unit to assist with documentation for a client
A nurse who is caring for a client returns a call to the person appointed in the health
care proxy to discuss the client's care
A nurse discusses a client's status with the physical therapist who is caring for the client
- ANSWER- A nurse asks a nurse from another unit to assist with documentation for a
client
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 - ANSWER- Have family
members wear a gown and gloves when visiting
