ATI PN Fundamentals
1. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
findings should the nurse identify as a safety hazard?
A. An assistive personnel places a weight-sensitive sensor mat on the mattress beneath a client’s
buttocks.
B. A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing sensation
at the application site.
C. A client who has bilateral wrist restraints has a capillary refill of less than 2 seconds.
D. An assistive personnel raises all four side rails of a client’s bed before leaving the room.
Answer: An assistive personnel raises all four side rails of a client’s bed before leaving the
room
2. A nurse is caring for a client who has a prescription for a bed bath. Which action by the nurse
demonstrates proper infection control?
A. Using a clean portion of the washcloth for each area of the body
B. Immersing the entire washcloth in the basin of water
C. Reusing the same towel to dry multiple areas
D. Placing soiled linens on the floor while bathing the client
Answer: Using a clean portion of the washcloth for each area of the body
3. A nurse is preparing to administer a subcutaneous injection. Which action is appropriate to
ensure safe administration?
A. Injecting the medication at a 45-degree angle into the abdomen
B. Aspirating before injecting
C. Massaging the injection site after administration
D. Administering in the ventrogluteal site
Answer: Injecting the medication at a 45-degree angle into the abdomen
4. A nurse is teaching a client who is prescribed oxygen therapy at home. Which statement by
the client indicates understanding?
A. “I can use petroleum jelly to relieve dry nostrils while using oxygen.”
B. “I should keep flammable materials away from the oxygen source.”
C. “I can smoke while using my portable oxygen tank if I am outside.”
D. “I should store my oxygen tank near heat sources for safety.”
Answer: I should keep flammable materials away from the oxygen source
,5. A nurse is caring for a client who has a nasogastric tube. Which action should the nurse take to
verify placement before feeding?
A. Aspirate stomach contents and check the pH
B. Inject air into the tube while listening at the epigastrium
C. Administer the feeding without verification if the tube has been used before
D. Rely on the tube length measurement at insertion
Answer: Aspirate stomach contents and check the pH
6. A nurse is caring for a client who is at risk for falls. Which action should the nurse implement
first to promote safety?
A. Keep the client’s bed in the lowest position
B. Place a fall-risk sign on the client’s door
C. Remind the client to call for assistance before getting up
D. Remove all clutter from the client’s room
Answer: Keep the client’s bed in the lowest position
7. A nurse is providing teaching to a client who has a new prescription for a metered-dose
inhaler. Which instruction should the nurse include?
A. Shake the inhaler before each use
B. Exhale after activating the inhaler
C. Hold the inhaler horizontally while spraying
D. Take rapid consecutive puffs without waiting
Answer: Shake the inhaler before each use
8. A nurse is assessing a client who reports dizziness and weakness. Which finding indicates a
potential fall risk?
A. Blood pressure 148/86 mmHg while sitting
B. The client wears nonskid slippers
C. The client uses a walker for ambulation
D. Gait is unsteady and client requires assistance to walk
Answer: Gait is unsteady and client requires assistance to walk
9. A nurse is caring for a client who has a prescription for sequential compression devices
(SCDs). Which action demonstrates proper use?
A. Remove devices every 8 hours to allow for skin assessment
B. Apply the sleeves over clothing
C. Place the device only on one leg at a time
, D. Inflate devices continuously without turning off
Answer: Remove devices every 8 hours to allow for skin assessment
10. A nurse is caring for a client who is on contact precautions for Clostridioides difficile
infection. Which action should the nurse take?
A. Wear gloves and gown when entering the client’s room
B. Wash hands with soap and water after removing gloves
C. Remove gloves and perform hand hygiene before leaving the room
D. Wear a surgical mask and eye protection
Answer: Wear gloves and gown when entering the client’s room
11. A nurse is caring for a client who is scheduled for surgery and has an indwelling urinary
catheter. Which action demonstrates proper infection prevention?
A. Securing the catheter tubing to the client’s thigh
B. Placing the collection bag on the floor for convenience
C. Disconnecting the catheter from the drainage bag to obtain a urine sample
D. Irrigating the catheter daily with sterile saline
Answer: Securing the catheter tubing to the client’s thigh
12. A nurse is caring for a client who has a prescription for enoxaparin for deep vein thrombosis
prophylaxis. Which action should the nurse take?
A. Administer the injection in the upper arm
B. Inject at a 90-degree angle into the abdomen
C. Massage the injection site after administration
D. Aspirate before injecting the medication
Answer: Inject at a 90-degree angle into the abdomen
13. A nurse is teaching a client about fall prevention at home. Which statement by the client
indicates understanding?
A. “I will keep throw rugs in high-traffic areas.”
B. “I will ensure pathways are well-lit and clear of clutter.”
C. “I can use a step stool with one hand holding a towel.”
D. “I will wear socks without grip soles inside the house.”
Answer: I will ensure pathways are well-lit and clear of clutter
14. A nurse is caring for a client who has a prescription for a wound dressing change. Which
action demonstrates proper sterile technique?
A. Washing hands and donning sterile gloves before touching the wound
1. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
findings should the nurse identify as a safety hazard?
A. An assistive personnel places a weight-sensitive sensor mat on the mattress beneath a client’s
buttocks.
B. A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing sensation
at the application site.
C. A client who has bilateral wrist restraints has a capillary refill of less than 2 seconds.
D. An assistive personnel raises all four side rails of a client’s bed before leaving the room.
Answer: An assistive personnel raises all four side rails of a client’s bed before leaving the
room
2. A nurse is caring for a client who has a prescription for a bed bath. Which action by the nurse
demonstrates proper infection control?
A. Using a clean portion of the washcloth for each area of the body
B. Immersing the entire washcloth in the basin of water
C. Reusing the same towel to dry multiple areas
D. Placing soiled linens on the floor while bathing the client
Answer: Using a clean portion of the washcloth for each area of the body
3. A nurse is preparing to administer a subcutaneous injection. Which action is appropriate to
ensure safe administration?
A. Injecting the medication at a 45-degree angle into the abdomen
B. Aspirating before injecting
C. Massaging the injection site after administration
D. Administering in the ventrogluteal site
Answer: Injecting the medication at a 45-degree angle into the abdomen
4. A nurse is teaching a client who is prescribed oxygen therapy at home. Which statement by
the client indicates understanding?
A. “I can use petroleum jelly to relieve dry nostrils while using oxygen.”
B. “I should keep flammable materials away from the oxygen source.”
C. “I can smoke while using my portable oxygen tank if I am outside.”
D. “I should store my oxygen tank near heat sources for safety.”
Answer: I should keep flammable materials away from the oxygen source
,5. A nurse is caring for a client who has a nasogastric tube. Which action should the nurse take to
verify placement before feeding?
A. Aspirate stomach contents and check the pH
B. Inject air into the tube while listening at the epigastrium
C. Administer the feeding without verification if the tube has been used before
D. Rely on the tube length measurement at insertion
Answer: Aspirate stomach contents and check the pH
6. A nurse is caring for a client who is at risk for falls. Which action should the nurse implement
first to promote safety?
A. Keep the client’s bed in the lowest position
B. Place a fall-risk sign on the client’s door
C. Remind the client to call for assistance before getting up
D. Remove all clutter from the client’s room
Answer: Keep the client’s bed in the lowest position
7. A nurse is providing teaching to a client who has a new prescription for a metered-dose
inhaler. Which instruction should the nurse include?
A. Shake the inhaler before each use
B. Exhale after activating the inhaler
C. Hold the inhaler horizontally while spraying
D. Take rapid consecutive puffs without waiting
Answer: Shake the inhaler before each use
8. A nurse is assessing a client who reports dizziness and weakness. Which finding indicates a
potential fall risk?
A. Blood pressure 148/86 mmHg while sitting
B. The client wears nonskid slippers
C. The client uses a walker for ambulation
D. Gait is unsteady and client requires assistance to walk
Answer: Gait is unsteady and client requires assistance to walk
9. A nurse is caring for a client who has a prescription for sequential compression devices
(SCDs). Which action demonstrates proper use?
A. Remove devices every 8 hours to allow for skin assessment
B. Apply the sleeves over clothing
C. Place the device only on one leg at a time
, D. Inflate devices continuously without turning off
Answer: Remove devices every 8 hours to allow for skin assessment
10. A nurse is caring for a client who is on contact precautions for Clostridioides difficile
infection. Which action should the nurse take?
A. Wear gloves and gown when entering the client’s room
B. Wash hands with soap and water after removing gloves
C. Remove gloves and perform hand hygiene before leaving the room
D. Wear a surgical mask and eye protection
Answer: Wear gloves and gown when entering the client’s room
11. A nurse is caring for a client who is scheduled for surgery and has an indwelling urinary
catheter. Which action demonstrates proper infection prevention?
A. Securing the catheter tubing to the client’s thigh
B. Placing the collection bag on the floor for convenience
C. Disconnecting the catheter from the drainage bag to obtain a urine sample
D. Irrigating the catheter daily with sterile saline
Answer: Securing the catheter tubing to the client’s thigh
12. A nurse is caring for a client who has a prescription for enoxaparin for deep vein thrombosis
prophylaxis. Which action should the nurse take?
A. Administer the injection in the upper arm
B. Inject at a 90-degree angle into the abdomen
C. Massage the injection site after administration
D. Aspirate before injecting the medication
Answer: Inject at a 90-degree angle into the abdomen
13. A nurse is teaching a client about fall prevention at home. Which statement by the client
indicates understanding?
A. “I will keep throw rugs in high-traffic areas.”
B. “I will ensure pathways are well-lit and clear of clutter.”
C. “I can use a step stool with one hand holding a towel.”
D. “I will wear socks without grip soles inside the house.”
Answer: I will ensure pathways are well-lit and clear of clutter
14. A nurse is caring for a client who has a prescription for a wound dressing change. Which
action demonstrates proper sterile technique?
A. Washing hands and donning sterile gloves before touching the wound
