VN 101 Fundamentals of Nursing Exam 1 for LVN 2025/2026 |
ATI-Style Questions
VN 101 Fundamentals of Nursing Exam 1 for LVN – ATI Style
Key Concepts: Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation),
Patient Safety, Standard Precautions, Vital Signs, Fundamental Nursing Procedures, Medication
Administration Principles, Dosage Calculations, Metric Conversions, Patient Documentation,
Anatomy, Physiology, and Pharmacology Basics | ATI-Style NCLEX-PN Q&A | Course &
Exam-Ready
Introduction
This 2025/2026 VN 101 Fundamentals of Nursing Exam 1 resource for LVN provides 150
ATI-style multiple-choice questions with verified answers, designed to prepare students for the
NCLEX-PN and vocational nursing. Content covers the nursing process, patient safety, standard
precautions, vital signs, fundamental nursing procedures, medication administration, dosage
calculations, metric conversions, patient documentation, and foundational anatomy, physiology,
and pharmacology. All answers are graded A+ with detailed rationales to enhance clinical
reasoning.
Answer Format
Correct answers are highlighted in bold and green, with rationales explaining fundamental
nursing principles and ATI’s focus on safe, effective care.
1. A nurse is preparing to perform an initial assessment on a newly
admitted client. Which action should the nurse take first?
a) Develop a care plan
b) Collect subjective and objective data
c) Administer prescribed medications
d) Evaluate the client’s response to interventions
b) Collect subjective and objective data
Rationale: The first step in the nursing process is assessment, which involves collecting
subjective (client-reported) and objective (observed) data to identify health needs, per ATI’s
emphasis on systematic data collection.
2. A nurse is applying standard precautions while caring for a client. Which
action is most appropriate?
a) Reusing gloves between clients
b) Performing hand hygiene before and after client contact
c) Leaving sharps uncapped on the tray
,d) Ignoring small blood spills
b) Performing hand hygiene before and after client contact
Rationale: Hand hygiene before and after client contact is a cornerstone of standard precautions
to prevent infection transmission, aligning with ATI’s focus on infection control.
3. A nurse is measuring an adult client’s oral temperature. What is the
expected normal range?
a) 96.0–97.5°F
b) 97.6–99.6°F
c) 99.7–101.0°F
d) 101.1–103.0°F
b) 97.6–99.6°F
Rationale: The normal oral temperature range for adults is 97.6–99.6°F (36.4–37.6°C), as per
ATI’s vital signs standards.
4. A nurse is formulating a nursing diagnosis for a client with limited
mobility. What is the primary purpose of this step?
a) Collect additional client data
b) Identify actual or potential health problems
c) Implement mobility interventions
d) Evaluate the client’s response to care
b) Identify actual or potential health problems
Rationale: The nursing diagnosis step interprets assessment data to identify health problems,
guiding care planning, per ATI’s nursing process framework.
5. A nurse is preparing to measure a client’s blood pressure. Which action
ensures an accurate reading?
a) Use a cuff that is too small for the client’s arm
b) Position the client’s arm at heart level
c) Measure over clothing
d) Take the reading during client movement
b) Position the client’s arm at heart level
Rationale: Positioning the arm at heart level ensures accurate blood pressure measurement, as
emphasized in ATI’s vital signs guidelines.
6. A nurse is calculating a client’s body mass index (BMI). What is the
correct formula?
a) Weight (kg) ÷ Height (m)
b) Weight (kg) ÷ Height (m²)
c) Weight (lb) ÷ Height (in)
d) Weight (lb) ÷ Height (ft²)
b) Weight (kg) ÷ Height (m²)
Rationale: BMI is calculated as weight in kilograms divided by height in meters squared, per
ATI’s nutritional assessment standards.
,7. A nurse is documenting a client’s care in the medical record. What is the
primary purpose of accurate documentation?
a) To schedule staff assignments
b) To ensure continuity of care
c) To bill insurance providers
d) To train new nursing staff
b) To ensure continuity of care
Rationale: Accurate documentation communicates critical information to ensure consistent and
safe client care, a key ATI principle.
8. A nurse is performing a metric conversion. How many milliliters are in 1
liter?
a) 100 mL
b) 500 mL
c) 1000 mL
d) 1500 mL
c) 1000 mL
Rationale: 1 liter equals 1000 milliliters in the metric system, as required for dosage
calculations in ATI materials.
9. A nurse is developing a care plan for a client with impaired skin integrity.
Which action is part of the planning step?
a) Collecting wound assessment data
b) Setting goals for wound healing
c) Applying a sterile dressing
d) Evaluating wound improvement
b) Setting goals for wound healing
Rationale: The planning step involves setting measurable, client-centered goals based on the
nursing diagnosis, per ATI’s nursing process.
10. A nurse is measuring a client’s radial pulse. Which technique ensures
accuracy?
a) Use the thumb to palpate the pulse
b) Count the pulse for 60 seconds using fingers
c) Count for 15 seconds and multiply by 4
d) Measure during client activity
b) Count the pulse for 60 seconds using fingers
Rationale: Using fingers to count for 60 seconds provides the most accurate radial pulse
measurement, as per ATI’s vital signs protocol.
11. A nurse is preparing to administer a medication. Which action is the
first step in safe administration?
a) Document the medication administration
b) Verify the client’s identity
c) Prepare the medication dose
, d) Administer the medication
b) Verify the client’s identity
Rationale: Verifying the client’s identity using two identifiers is the first step to prevent
medication errors, aligning with ATI’s six rights of medication administration.
12. A nurse is administering 500 mg of a medication. The available dose is
250 mg per tablet. How many tablets should the nurse give?
a) 1 tablet
b) 2 tablets
c) 3 tablets
d) 4 tablets
b) 2 tablets
Rationale: 500 mg ÷ 250 mg/tablet = 2 tablets, per ATI’s dosage calculation guidelines.
13. A nurse is reviewing anatomy with a client. Which organ is primarily
responsible for filtering blood and producing urine?
a) Liver
b) Kidney
c) Pancreas
d) Spleen
b) Kidney
Rationale: The kidneys filter blood and produce urine to excrete waste, a key concept in ATI’s
physiology content.
14. A nurse is cleaning a blood spill in a client’s room. Which action adheres
to standard precautions?
a) Wipe the spill with a dry cloth
b) Use a 1:10 bleach solution to disinfect
c) Leave the spill to dry
d) Use soap and water only
b) Use a 1:10 bleach solution to disinfect
Rationale: A 1:10 bleach solution effectively disinfects blood spills, adhering to ATI’s infection
control standards.
15. A nurse is assessing an adult client’s pulse rate. What is the expected
normal range?
a) 40–60 beats per minute
b) 60–100 beats per minute
c) 100–120 beats per minute
d) 120–140 beats per minute
b) 60–100 beats per minute
Rationale: The normal adult pulse rate at rest is 60–100 beats per minute, per ATI’s vital signs
reference.
16. A nurse is implementing a care plan for a client with pain. Which action
is part of the implementation step?
ATI-Style Questions
VN 101 Fundamentals of Nursing Exam 1 for LVN – ATI Style
Key Concepts: Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation),
Patient Safety, Standard Precautions, Vital Signs, Fundamental Nursing Procedures, Medication
Administration Principles, Dosage Calculations, Metric Conversions, Patient Documentation,
Anatomy, Physiology, and Pharmacology Basics | ATI-Style NCLEX-PN Q&A | Course &
Exam-Ready
Introduction
This 2025/2026 VN 101 Fundamentals of Nursing Exam 1 resource for LVN provides 150
ATI-style multiple-choice questions with verified answers, designed to prepare students for the
NCLEX-PN and vocational nursing. Content covers the nursing process, patient safety, standard
precautions, vital signs, fundamental nursing procedures, medication administration, dosage
calculations, metric conversions, patient documentation, and foundational anatomy, physiology,
and pharmacology. All answers are graded A+ with detailed rationales to enhance clinical
reasoning.
Answer Format
Correct answers are highlighted in bold and green, with rationales explaining fundamental
nursing principles and ATI’s focus on safe, effective care.
1. A nurse is preparing to perform an initial assessment on a newly
admitted client. Which action should the nurse take first?
a) Develop a care plan
b) Collect subjective and objective data
c) Administer prescribed medications
d) Evaluate the client’s response to interventions
b) Collect subjective and objective data
Rationale: The first step in the nursing process is assessment, which involves collecting
subjective (client-reported) and objective (observed) data to identify health needs, per ATI’s
emphasis on systematic data collection.
2. A nurse is applying standard precautions while caring for a client. Which
action is most appropriate?
a) Reusing gloves between clients
b) Performing hand hygiene before and after client contact
c) Leaving sharps uncapped on the tray
,d) Ignoring small blood spills
b) Performing hand hygiene before and after client contact
Rationale: Hand hygiene before and after client contact is a cornerstone of standard precautions
to prevent infection transmission, aligning with ATI’s focus on infection control.
3. A nurse is measuring an adult client’s oral temperature. What is the
expected normal range?
a) 96.0–97.5°F
b) 97.6–99.6°F
c) 99.7–101.0°F
d) 101.1–103.0°F
b) 97.6–99.6°F
Rationale: The normal oral temperature range for adults is 97.6–99.6°F (36.4–37.6°C), as per
ATI’s vital signs standards.
4. A nurse is formulating a nursing diagnosis for a client with limited
mobility. What is the primary purpose of this step?
a) Collect additional client data
b) Identify actual or potential health problems
c) Implement mobility interventions
d) Evaluate the client’s response to care
b) Identify actual or potential health problems
Rationale: The nursing diagnosis step interprets assessment data to identify health problems,
guiding care planning, per ATI’s nursing process framework.
5. A nurse is preparing to measure a client’s blood pressure. Which action
ensures an accurate reading?
a) Use a cuff that is too small for the client’s arm
b) Position the client’s arm at heart level
c) Measure over clothing
d) Take the reading during client movement
b) Position the client’s arm at heart level
Rationale: Positioning the arm at heart level ensures accurate blood pressure measurement, as
emphasized in ATI’s vital signs guidelines.
6. A nurse is calculating a client’s body mass index (BMI). What is the
correct formula?
a) Weight (kg) ÷ Height (m)
b) Weight (kg) ÷ Height (m²)
c) Weight (lb) ÷ Height (in)
d) Weight (lb) ÷ Height (ft²)
b) Weight (kg) ÷ Height (m²)
Rationale: BMI is calculated as weight in kilograms divided by height in meters squared, per
ATI’s nutritional assessment standards.
,7. A nurse is documenting a client’s care in the medical record. What is the
primary purpose of accurate documentation?
a) To schedule staff assignments
b) To ensure continuity of care
c) To bill insurance providers
d) To train new nursing staff
b) To ensure continuity of care
Rationale: Accurate documentation communicates critical information to ensure consistent and
safe client care, a key ATI principle.
8. A nurse is performing a metric conversion. How many milliliters are in 1
liter?
a) 100 mL
b) 500 mL
c) 1000 mL
d) 1500 mL
c) 1000 mL
Rationale: 1 liter equals 1000 milliliters in the metric system, as required for dosage
calculations in ATI materials.
9. A nurse is developing a care plan for a client with impaired skin integrity.
Which action is part of the planning step?
a) Collecting wound assessment data
b) Setting goals for wound healing
c) Applying a sterile dressing
d) Evaluating wound improvement
b) Setting goals for wound healing
Rationale: The planning step involves setting measurable, client-centered goals based on the
nursing diagnosis, per ATI’s nursing process.
10. A nurse is measuring a client’s radial pulse. Which technique ensures
accuracy?
a) Use the thumb to palpate the pulse
b) Count the pulse for 60 seconds using fingers
c) Count for 15 seconds and multiply by 4
d) Measure during client activity
b) Count the pulse for 60 seconds using fingers
Rationale: Using fingers to count for 60 seconds provides the most accurate radial pulse
measurement, as per ATI’s vital signs protocol.
11. A nurse is preparing to administer a medication. Which action is the
first step in safe administration?
a) Document the medication administration
b) Verify the client’s identity
c) Prepare the medication dose
, d) Administer the medication
b) Verify the client’s identity
Rationale: Verifying the client’s identity using two identifiers is the first step to prevent
medication errors, aligning with ATI’s six rights of medication administration.
12. A nurse is administering 500 mg of a medication. The available dose is
250 mg per tablet. How many tablets should the nurse give?
a) 1 tablet
b) 2 tablets
c) 3 tablets
d) 4 tablets
b) 2 tablets
Rationale: 500 mg ÷ 250 mg/tablet = 2 tablets, per ATI’s dosage calculation guidelines.
13. A nurse is reviewing anatomy with a client. Which organ is primarily
responsible for filtering blood and producing urine?
a) Liver
b) Kidney
c) Pancreas
d) Spleen
b) Kidney
Rationale: The kidneys filter blood and produce urine to excrete waste, a key concept in ATI’s
physiology content.
14. A nurse is cleaning a blood spill in a client’s room. Which action adheres
to standard precautions?
a) Wipe the spill with a dry cloth
b) Use a 1:10 bleach solution to disinfect
c) Leave the spill to dry
d) Use soap and water only
b) Use a 1:10 bleach solution to disinfect
Rationale: A 1:10 bleach solution effectively disinfects blood spills, adhering to ATI’s infection
control standards.
15. A nurse is assessing an adult client’s pulse rate. What is the expected
normal range?
a) 40–60 beats per minute
b) 60–100 beats per minute
c) 100–120 beats per minute
d) 120–140 beats per minute
b) 60–100 beats per minute
Rationale: The normal adult pulse rate at rest is 60–100 beats per minute, per ATI’s vital signs
reference.
16. A nurse is implementing a care plan for a client with pain. Which action
is part of the implementation step?
