1
ATI PN Fundamentals 2025 – Actual
Exam Test Bank with Verified Answers
and Detailed Explanations | Retake
Study Guide Bundle
Exam Questions
1. A nurse is assisting a client with ambulation. Which action ensures client safety?
a. Allowing the client to walk barefoot
b. Using a cane on the weaker side
c. Ensuring the client wears non-slip footwear
d. Walking behind the client without support
Correct Answer: c. Ensuring the client wears non-slip footwear
Rationale: Non-slip footwear prevents falls by providing traction, a key safety measure
during ambulation per ATI fundamentals.
2. A client is on contact precautions for MRSA. What should the nurse wear when entering
the room?
a. Mask and gloves only
b. Gown and gloves
c. Gown, gloves, and mask
d. Gloves only
Correct Answer: b. Gown and gloves
Rationale: Contact precautions for MRSA require a gown and gloves to prevent
transmission of the pathogen, per ATI infection control guidelines.
3. A nurse is measuring a client’s oral temperature. Where should the thermometer be
placed?
a. Under the armpit
b. In the rectum
c. Under the tongue
d. On the forehead
Correct Answer: c. Under the tongue
Rationale: Oral temperature is measured by placing the thermometer under the tongue in
the sublingual pocket for accurate readings, per ATI fundamentals.
4. A client with dysphagia is at risk for which complication?
a. Aspiration
b. Constipation
c. Pressure ulcers
d. Urinary retention
Correct Answer: a. Aspiration
Rationale: Dysphagia increases the risk of aspiration due to difficulty swallowing,
leading to potential airway obstruction or pneumonia, per ATI guidelines.
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5. A nurse is preparing to administer a medication via intramuscular injection. Which site is
most appropriate for an adult?
a. Deltoid
b. Vastus lateralis
c. Rectus femoris
d. Dorsogluteal
Correct Answer: b. Vastus lateralis
Rationale: The vastus lateralis is preferred for IM injections in adults due to its large
muscle mass and lower risk of nerve injury, per ATI fundamentals.
6. A client is on a low-sodium diet. Which food should the nurse recommend?
a. Canned soup
b. Fresh apples
c. Processed cheese
d. Pickles
Correct Answer: b. Fresh apples
Rationale: Fresh apples are naturally low in sodium, unlike canned or processed foods,
aligning with a low-sodium diet per ATI nutrition guidelines.
7. A nurse is performing hand hygiene. What is the minimum duration for effective
handwashing?
a. 10 seconds
b. 20 seconds
c. 30 seconds
d. 60 seconds
Correct Answer: b. 20 seconds
Rationale: ATI infection control guidelines recommend washing hands for at least 20
seconds to effectively remove pathogens.
8. A client is receiving oxygen via nasal cannula. What should the nurse monitor to prevent
complications?
a. Skin integrity behind the ears
b. Blood pressure
c. Urine output
d. Bowel sounds
Correct Answer: a. Skin integrity behind the ears
Rationale: Nasal cannulas can cause skin breakdown behind the ears due to pressure,
requiring regular inspection per ATI fundamentals.
9. A nurse is assisting a client with a bedpan. Which position is most appropriate?
a. Prone
b. Supine with head elevated
c. Trendelenburg
d. Sims’ position
Correct Answer: b. Supine with head elevated
Rationale: Supine with the head elevated promotes comfort and proper alignment for
bedpan use, per ATI fundamentals.
10. A client reports pain at an IV site. What should the nurse assess first?
a. Fluid infusion rate
b. Site for redness and swelling
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c. Client’s pain scale rating
d. IV catheter size
Correct Answer: b. Site for redness and swelling
Rationale: Redness and swelling at an IV site may indicate phlebitis or infiltration,
requiring immediate assessment per ATI guidelines.
11. A nurse is teaching a client about deep breathing exercises. What is the purpose of this
intervention?
a. Reduce blood pressure
b. Promote lung expansion
c. Decrease heart rate
d. Improve digestion
Correct Answer: b. Promote lung expansion
Rationale: Deep breathing exercises prevent atelectasis and promote lung expansion,
especially post-surgery, per ATI fundamentals.
12. A client is prescribed a 2-gram sodium diet. Which food should the nurse discourage?
a. Fresh vegetables
b. Canned tuna
c. Unsalted nuts
d. Whole grains
Correct Answer: b. Canned tuna
Rationale: Canned tuna is high in sodium, unsuitable for a 2-gram sodium diet, per ATI
nutrition guidelines.
13. A nurse is applying restraints to a confused client. What is a priority action?
a. Secure restraints tightly to prevent movement
b. Check circulation every 2 hours
c. Obtain a provider’s order
d. Remove restraints every 4 hours
Correct Answer: c. Obtain a provider’s order
Rationale: A provider’s order is required for restraints to ensure legal and ethical use,
per ATI safety guidelines.
14. A client with a pressure ulcer is on a turning schedule. How often should the nurse
reposition the client?
a. Every 4 hours
b. Every 2 hours
c. Every 6 hours
d. Once per shift
Correct Answer: b. Every 2 hours
Rationale: Repositioning every 2 hours prevents further skin breakdown in clients with
pressure ulcers, per ATI fundamentals.
15. A nurse is performing a sterile dressing change. What action maintains sterility?
a. Touching the dressing with clean gloves
b. Using sterile gloves and sterile field
c. Opening the sterile kit near an open window
d. Reusing sterile supplies for the same client
Correct Answer: b. Using sterile gloves and sterile field
, 4
Rationale: Sterile gloves and a sterile field maintain asepsis during a dressing change,
per ATI infection control guidelines.
16. A client is receiving enteral feeding via a nasogastric tube. What should the nurse check
before feeding?
a. Tube placement
b. Blood pressure
c. Bowel sounds
d. Respiratory rate
Correct Answer: a. Tube placement
Rationale: Verifying tube placement prevents aspiration by ensuring the tube is in the
stomach, per ATI fundamentals.
17. A nurse is assisting a client with a walker. Where should the nurse stand?
a. Behind the client
b. In front of the client
c. On the client’s stronger side
d. On the client’s weaker side
Correct Answer: a. Behind the client
Rationale: Standing behind the client provides support and prevents falls while using a
walker, per ATI mobility guidelines.
18. A client is on droplet precautions. What should the nurse wear when within 3 feet of the
client?
a. Gown only
b. Mask only
c. Gown and gloves
d. Mask and eye protection
Correct Answer: d. Mask and eye protection
Rationale: Droplet precautions require a mask and eye protection within 3 feet to prevent
pathogen transmission, per ATI infection control.
19. A nurse is measuring a client’s blood pressure. What should the client avoid before the
measurement?
a. Drinking water
b. Eating a meal
c. Smoking
d. Sitting quietly
Correct Answer: c. Smoking
Rationale: Smoking can elevate blood pressure temporarily, leading to inaccurate
readings, per ATI fundamentals.
20. A client with heart failure is on a fluid restriction. What should the nurse monitor?
a. Daily weight
b. Blood glucose
c. Bowel movements
d. Skin turgor
Correct Answer: a. Daily weight
Rationale: Daily weight monitoring detects fluid retention in heart failure clients, per
ATI fundamentals.
ATI PN Fundamentals 2025 – Actual
Exam Test Bank with Verified Answers
and Detailed Explanations | Retake
Study Guide Bundle
Exam Questions
1. A nurse is assisting a client with ambulation. Which action ensures client safety?
a. Allowing the client to walk barefoot
b. Using a cane on the weaker side
c. Ensuring the client wears non-slip footwear
d. Walking behind the client without support
Correct Answer: c. Ensuring the client wears non-slip footwear
Rationale: Non-slip footwear prevents falls by providing traction, a key safety measure
during ambulation per ATI fundamentals.
2. A client is on contact precautions for MRSA. What should the nurse wear when entering
the room?
a. Mask and gloves only
b. Gown and gloves
c. Gown, gloves, and mask
d. Gloves only
Correct Answer: b. Gown and gloves
Rationale: Contact precautions for MRSA require a gown and gloves to prevent
transmission of the pathogen, per ATI infection control guidelines.
3. A nurse is measuring a client’s oral temperature. Where should the thermometer be
placed?
a. Under the armpit
b. In the rectum
c. Under the tongue
d. On the forehead
Correct Answer: c. Under the tongue
Rationale: Oral temperature is measured by placing the thermometer under the tongue in
the sublingual pocket for accurate readings, per ATI fundamentals.
4. A client with dysphagia is at risk for which complication?
a. Aspiration
b. Constipation
c. Pressure ulcers
d. Urinary retention
Correct Answer: a. Aspiration
Rationale: Dysphagia increases the risk of aspiration due to difficulty swallowing,
leading to potential airway obstruction or pneumonia, per ATI guidelines.
, 2
5. A nurse is preparing to administer a medication via intramuscular injection. Which site is
most appropriate for an adult?
a. Deltoid
b. Vastus lateralis
c. Rectus femoris
d. Dorsogluteal
Correct Answer: b. Vastus lateralis
Rationale: The vastus lateralis is preferred for IM injections in adults due to its large
muscle mass and lower risk of nerve injury, per ATI fundamentals.
6. A client is on a low-sodium diet. Which food should the nurse recommend?
a. Canned soup
b. Fresh apples
c. Processed cheese
d. Pickles
Correct Answer: b. Fresh apples
Rationale: Fresh apples are naturally low in sodium, unlike canned or processed foods,
aligning with a low-sodium diet per ATI nutrition guidelines.
7. A nurse is performing hand hygiene. What is the minimum duration for effective
handwashing?
a. 10 seconds
b. 20 seconds
c. 30 seconds
d. 60 seconds
Correct Answer: b. 20 seconds
Rationale: ATI infection control guidelines recommend washing hands for at least 20
seconds to effectively remove pathogens.
8. A client is receiving oxygen via nasal cannula. What should the nurse monitor to prevent
complications?
a. Skin integrity behind the ears
b. Blood pressure
c. Urine output
d. Bowel sounds
Correct Answer: a. Skin integrity behind the ears
Rationale: Nasal cannulas can cause skin breakdown behind the ears due to pressure,
requiring regular inspection per ATI fundamentals.
9. A nurse is assisting a client with a bedpan. Which position is most appropriate?
a. Prone
b. Supine with head elevated
c. Trendelenburg
d. Sims’ position
Correct Answer: b. Supine with head elevated
Rationale: Supine with the head elevated promotes comfort and proper alignment for
bedpan use, per ATI fundamentals.
10. A client reports pain at an IV site. What should the nurse assess first?
a. Fluid infusion rate
b. Site for redness and swelling
, 3
c. Client’s pain scale rating
d. IV catheter size
Correct Answer: b. Site for redness and swelling
Rationale: Redness and swelling at an IV site may indicate phlebitis or infiltration,
requiring immediate assessment per ATI guidelines.
11. A nurse is teaching a client about deep breathing exercises. What is the purpose of this
intervention?
a. Reduce blood pressure
b. Promote lung expansion
c. Decrease heart rate
d. Improve digestion
Correct Answer: b. Promote lung expansion
Rationale: Deep breathing exercises prevent atelectasis and promote lung expansion,
especially post-surgery, per ATI fundamentals.
12. A client is prescribed a 2-gram sodium diet. Which food should the nurse discourage?
a. Fresh vegetables
b. Canned tuna
c. Unsalted nuts
d. Whole grains
Correct Answer: b. Canned tuna
Rationale: Canned tuna is high in sodium, unsuitable for a 2-gram sodium diet, per ATI
nutrition guidelines.
13. A nurse is applying restraints to a confused client. What is a priority action?
a. Secure restraints tightly to prevent movement
b. Check circulation every 2 hours
c. Obtain a provider’s order
d. Remove restraints every 4 hours
Correct Answer: c. Obtain a provider’s order
Rationale: A provider’s order is required for restraints to ensure legal and ethical use,
per ATI safety guidelines.
14. A client with a pressure ulcer is on a turning schedule. How often should the nurse
reposition the client?
a. Every 4 hours
b. Every 2 hours
c. Every 6 hours
d. Once per shift
Correct Answer: b. Every 2 hours
Rationale: Repositioning every 2 hours prevents further skin breakdown in clients with
pressure ulcers, per ATI fundamentals.
15. A nurse is performing a sterile dressing change. What action maintains sterility?
a. Touching the dressing with clean gloves
b. Using sterile gloves and sterile field
c. Opening the sterile kit near an open window
d. Reusing sterile supplies for the same client
Correct Answer: b. Using sterile gloves and sterile field
, 4
Rationale: Sterile gloves and a sterile field maintain asepsis during a dressing change,
per ATI infection control guidelines.
16. A client is receiving enteral feeding via a nasogastric tube. What should the nurse check
before feeding?
a. Tube placement
b. Blood pressure
c. Bowel sounds
d. Respiratory rate
Correct Answer: a. Tube placement
Rationale: Verifying tube placement prevents aspiration by ensuring the tube is in the
stomach, per ATI fundamentals.
17. A nurse is assisting a client with a walker. Where should the nurse stand?
a. Behind the client
b. In front of the client
c. On the client’s stronger side
d. On the client’s weaker side
Correct Answer: a. Behind the client
Rationale: Standing behind the client provides support and prevents falls while using a
walker, per ATI mobility guidelines.
18. A client is on droplet precautions. What should the nurse wear when within 3 feet of the
client?
a. Gown only
b. Mask only
c. Gown and gloves
d. Mask and eye protection
Correct Answer: d. Mask and eye protection
Rationale: Droplet precautions require a mask and eye protection within 3 feet to prevent
pathogen transmission, per ATI infection control.
19. A nurse is measuring a client’s blood pressure. What should the client avoid before the
measurement?
a. Drinking water
b. Eating a meal
c. Smoking
d. Sitting quietly
Correct Answer: c. Smoking
Rationale: Smoking can elevate blood pressure temporarily, leading to inaccurate
readings, per ATI fundamentals.
20. A client with heart failure is on a fluid restriction. What should the nurse monitor?
a. Daily weight
b. Blood glucose
c. Bowel movements
d. Skin turgor
Correct Answer: a. Daily weight
Rationale: Daily weight monitoring detects fluid retention in heart failure clients, per
ATI fundamentals.
