ATI Fundamentals 5 Practice Test

These questions are part of the practice quiz. Start practicing

• When explaining how a TENS unit relieves pain, which statement is most accurate?
• Monitoring intake and output helps assess which aspects of patient status?
• Before administering a dose calculated from stock medication, what should you verify?
• First action if a medication error is suspected
• What is described as the first priority in a medical emergency?
• What is the Braden Scale used to assess?
• When administering enteral formula, the solution should be at what temperature?
• A dietary assistant asks what precautions are necessary for entering the room of a patient with MRSA. Which instruction is correct?
• A client has hypokalemia. Which assessment finding would indicate an increased risk for cardiac arrhythmias?
• Which finding is most consistent with fluid volume excess?
• What should you verify before giving a medication?
• Which items on a breakfast tray contribute to the patient's daily fluid intake?
• What is a common complication to monitor during oxygen therapy?
• What is the normal temperature range in Celsius?
• A nurse identifies rhonchi over the trachea and bronchi. Which action should the nurse take?
• Which sequence of hand hygiene steps is correct?
• SBAR is an acronym for which of the following?
• When a patient expresses fear about a procedure, which approach reflects therapeutic communication?
• Reposition bedridden patients at least every how many hours?
• How do acute care goals differ from long-term care goals?
• A nurse notes a loss of height from the previous year. This is most likely a manifestation of which musculoskeletal disorder?
• Which action directly begins therapy to improve ventilation and oxygenation?
• What is the primary goal of medical asepsis?
• Which symptom is most characteristic of hypoglycemia?
• Which statement about standard precautions is true?
• Which food is a complete protein source?
• What are the five steps of the nursing process (ADPIE) in the correct order?
• Which action directly improves tissue oxygen delivery in a patient with respiratory distress?
• Which fall-prevention measure should you implement for a hospitalized patient?
• Which action is appropriate when a patient refuses treatment?
• An RN caring for a client with an NG tube for intermittent enteral feedings. Which action should the nurse take?
• During wound irrigation, which protocol minimizes contamination?
• What dietary modifications are recommended for a patient with congestive heart failure?
• During an emergency code, when should documentation of events be performed?
• What is the correct sequence for performing a dressing change using sterile technique?
• After discovering that a postoperative client9s wound has eviscerated, which action should be performed first?
• What is the Teach-Back method used for?
• Which action demonstrates proper surgical hand washing technique?
• If a client receives the wrong medication, which action should the nurse take first?
• Which vitals are considered normal for an average adult?
• Which statement about delegation to UAPs is accurate?
• What should you do before giving a medication if the patient has known allergies?
• Which statement accurately differentiates acute from chronic pain?
• Which practice most supports safe enteral feeding via NG tube?
• Which finding is another clinical manifestation of fluid volume excess in a client with heart failure?
• What is the typical sterile field border size to maintain during sterile technique?
• How should you respond when a patient refuses a recommended treatment?
• Which item is not typically included in a patient education plan?
• Which ethical principle involves respecting a patient’s right to make their own decisions?
• How do you assess for peripheral edema?
• Which macronutrient provides the body with the most energy per gram?
• A nurse caring for a client with MRSA should implement which precaution?
• Which patient history element is most relevant for hypokalemia?
• Which statement accurately reflects the delegation guidelines between RNs and CNAs in patient care?
• What is the normal range for serum sodium?
• When should standard precautions be used?
• Which action best aligns with policy after noticing a medication administration error?
• A nurse is caring for a client with hypokalemia. Which finding is most likely?
• In a patient with hypokalemia, which ECG change is expected?
• Which lab value confirms hypokalemia?
• When should isolation precautions be used, and what are the main types?
• Who is typically responsible for delegating tasks to UAPs?
• How do verbal and nonverbal communication differ?
• What is a priority nursing action for a dehydrated patient?
• Which statement about IV solutions is correct?
• A postoperative knee arthroplasty patient asks which muscle group moves the knee joint. Which term describes this group?
• For a client with MRSA, which personal protective equipment is indicated for contact precautions?
• Which finding would most strongly suggest delirium rather than dementia in a long-term care client?
• To continuously track the patient’s condition during respiratory distress, which action should you perform?
• What is a proper precaution when applying heat or cold therapy?
• Which statement about HIPAA is correct?
• Which core ethical principle involves respecting a patient’s right to make their own decisions?
• Which statement best differentiates subjective data from objective data?
• A nurse is calculating a client's intake for a 12-hour shift. The client had D5NS 125 mL/hr, gentamicin 150 mg in 100 mL at 1400, ranitidine 50 mg in 50 mL at 1000 and 1600, and 250 mL every 2 hours. What is the total intake in milliliters for this 12-hour period?
• During respiratory distress, which action is essential for ongoing assessment of the patient’s status?
• A wound drainage that is clear, watery, and pale yellow is described as which type?
• What is the purpose of a pressure-relieving device?
• Which action would disrupt therapeutic communication with a patient?
• What is the purpose of informed consent in procedures?
• Which principle reflects patient autonomy in health care decisions?
• Which statement best describes handling chemical hazards?
• What is the difference between medical asepsis and surgical asepsis?
• For an IM injection in a young client, which site is safest?
• Which action should you perform first when respiratory distress begins to ensure accurate assessment?
• Which EKG finding is commonly associated with hypokalemia?
• Which practice accurately describes measuring intake and output?
• What is the correct sequence of wound healing stages?
• A client with vitamin D deficiency should include which food in the diet?
• How should you perform hand hygiene to maximize effectiveness?
• Which statement describes the appropriate administration of potassium in hypokalemia?
• What are the seven rights of medication administration?
• How should you identify a patient before medication administration?
• Which action should the nurse take to reduce fall risk for a client who had a stroke?
• Which of the following is a common sign of infection?
• Which approach best supports teaching a patient with a hearing impairment?
• What is the purpose of monitoring intake and output?
• A client with terminal cancer is planning to build a new home. This behavior most commonly indicates which stage of grief?
• To promote wound healing in a postoperative patient with inadequate intake, which protein intake per kilogram is recommended?
• Which task is within the scope of practice for a CNA?
• For contact precautions, which PPE combination is required?
• What is an appropriate nursing action when a patient reports chest pain after starting a new med?
• Which electrolyte value is outside the normal range?
• Which statement is correct regarding the use of restraints?
• Which action best helps you determine the patient’s immediate status during respiratory distress?
• Standard precautions are designed to be applied to which patients?
• Which of the following is commonly listed as a sixth 'right' to accompany the five rights of medication administration?
• For a sterile wound dressing change, which type of gloves should be worn?
• Which step is part of standard hand hygiene technique?
• What is a key intervention to prevent pressure ulcers in bedridden patients?
• A client with terminal cancer is crying. Which action by the nurse demonstrates supportive care?
• A nurse reviewing lab data for a client with fever and watery diarrhea should report which result to the provider?
• To calculate a prescribed dose using a stock medication, which sequence of steps is correct?
• Height loss can indicate which spinal deformity?
• A wound drainage that is bright red and consists of blood is described as which type of exudate?
• Which order correctly lists the components of a SOAP note?
• If the patient’s oxygenation and vitals remain unstable despite initial measures, what is the next recommended step?
• Which action demonstrates therapeutic communication?
• How often should a patient be reassessed when restraints are in use?
• To obtain the temperature for a 2-year-old with diarrhea and possible an ear infection, which route should be used?
• Which item belongs in discharge teaching for a patient going home?
• What is the recommended approach to daily catheter care to minimize infection?
• What is therapeutic communication?
• What is a best practice for hand hygiene technique?
• Name two types of transmission-based precautions and when they are used.
• Which of the following is a nonpharmacologic method to reduce pain?
• What is the correct sequence for performing a sterile wound dressing change?
• Which of the following is NOT a fall-prevention measure for a high-risk patient?
• A parent tells the nurse that their preschool-aged child has suddenly become disinterested in certain foods. Which statement should the nurse make?
• What does HIPAA protect?
• For breakfast, a client consumed fluids: 8 oz of milk, 10 oz of water, and 4 oz of flavored gelatin. How many milliliters should be recorded as the client's fluid intake?
• During a physical examination, suspected strabismus; which test should be used to gather additional data?
• When selecting an IV site, which guideline helps minimize complications by avoiding previous puncture sites?
• During wound cleansing, in what direction should you cleanse?
• Which is a key safety step when delivering oxygen therapy?
• What are essential steps for safe oral medication administration?
• To help a client commit to lifestyle changes, which strategy should the nurse use first?
• During MAR verification for an unconscious client, which procedure ensures correct patient identification?
• Which isolation precaution requires both gloves and gown?
• When a patient asks about the risks of a recommended treatment, what is appropriate to do?
• To perform adduction of the wrist during ROM, which instruction should the nurse include?
• Which action is least appropriate when instilling eye drops?
• Which statement describes why precise documentation of medication changes is important?
• Which statement about side rails is correct?
• Hypokalemia can cause which neuromuscular symptom?
• Which precautions are indicated for a patient with active tuberculosis?
• Which describes subjective data?
• Which action should you perform to verify the patient is receiving the prescribed oxygen therapy?
• Which vital sign value is outside the expected reference range?
• What is the proper technique for maintaining a sterile field?
• Which of the following is an incomplete protein?
• Which sign indicates anaphylaxis requiring immediate action?
• Which laboratory finding most clearly indicates an infection?
• Which step is essential to maintain wound sterility during a dressing change?
• Which option best describes the use of SBAR in clinical handoffs?
• Which data should be included in the "Progress" component of patient documentation?
• When using a portable ultrasound bladder scanner to measure post-void residual volume, which action is correct?
• Which behavior might indicate a patient is experiencing acute pain?
• Which action conveys empathy when using active listening in establishing a therapeutic relationship?
• While initiating oxygen, which action should you perform to confirm oxygen delivery effectiveness?
• What is essential in urinary catheter care to prevent infection?
• What is the proper response if a patient experiences a seizure?
• Which sequence correctly describes key steps in performing a clean wound care procedure?
• Name a nonpharmacologic method to reduce pain.
• Three days postoperatively after a cholecystectomy, yellow thick drainage is observed on the dressing. This type of drainage is called which?
• Which action is a therapeutic intervention to support oxygenation in respiratory distress?
• To confirm NG tube placement in the stomach, the nurse checks gastric fluid pH. Which value indicates gastric contents?
• Which of the following is a potential cause of hypokalemia?
• Which finding would indicate a dangerous complication in a client with hypokalemia?
• Which documentation format is commonly used for patient encounters, and what elements should be included?
• Which IV solution is hypertonic?
• Which items are considered Protected Health Information (PHI)?
• Which sign is commonly associated with acute pain?
• Which step is essential to maintain sterile technique during a wound dressing change?
• Which description best characterizes vesicular breath sounds?
• To encourage discussion with a client who has sudden severe back pain of unknown origin, which question should the nurse ask?
• For a patient with hypokalemia, what acid-base disturbance is commonly observed?
• What is the correct order of the five steps of the nursing process?
• Which statement best describes the contents of the "Plan" component of SOAP/PIE documentation?
• For a postoperative client with poor nutritional intake, which action should be included in the plan to promote wound healing?
• A new resident provider asks for an access code to review a client's online records while not oriented. Which action should the nurse take?
• During which wound healing stage does proliferation occur?
• In a long-term care setting, which finding should alert the nurse to the possibility that the client developed delirium?
• SBAR stands for which communication framework?
• What is the purpose of a nurse's documentation note?
• A client is receiving dextrose 5% in water IV at 150 mL/hr and has ingested 4 oz of water and 1/2 pint of milk. What is the total 8-hour fluid intake in milliliters?
• After a seizure, which action is recommended?
• When delivering enteral feedings via an NG tube, which position supports safety and reduces aspiration risk?
• When selecting a site for a peripheral IV insertion, which site should be chosen?
• Which nursing action is appropriate for a client with hypokalemia?
• How should confidential patient information be handled in notes and conversations?
• What is the most effective method to prevent the spread of infection in a healthcare setting?
• Which IV solution is isotonic?
• What should be included when documenting a patient's refusal of treatment?
• Why are two patient identifiers essential before procedures or medication administration?
• If the patient’s condition deteriorates despite initial responses, what is the recommended course of action?
• Which PPE is essential for contact precautions?
• Prolonged immobility can lead to which cardiovascular changes?
• Which statement about maintaining a closed catheter drainage system is correct?
• What is the approximate normal body temperature range for adults in Celsius?
• During a nutrition in-service, which statement should the nurse include?
• Which of the following foods is an incomplete protein?
• A nurse is preparing to administer a unit of packed RBCs when the IV line is not patent. The IV team says a new line will be ready in 30 minutes. What should the nurse do with the blood product?
• Which GI symptom is associated with hypokalemia due to decreased motility?
• After instilling an ophthalmic drop, how long should punctal pressure be maintained to minimize systemic absorption?
• For bladder scanner post-void residual assessment, which action is correct?
• In hypokalemia, which gastrointestinal finding is most likely?
• The RACE protocol addresses which area of safety?
• How should you document a patient’s pain assessment using a numeric scale?
• In an adult choking emergency where the patient cannot breathe, what is the recommended action?
• Which item is least likely to be included in a patient education plan?
• To insert an NG tube for a client who has a bowel obstruction, what should the nurse do first?
• What is the content of a SOAP note?
• During eye irrigation for a client exposed to smoke and ash, which action is appropriate?
• Rhonchi heard in the large airways are most commonly due to what?
• When instilling an ophthalmic drop, where should the drop be placed?
• In responding to a patient with respiratory distress, which action is the first priority?
• Which item is not a step in the ADPIE nursing process?
• Before suctioning a patient with a tracheostomy, what should the nurse do?
• How do you safely perform passive range-of-motion exercises?
• In initial response to respiratory distress, which action directly initiates therapy?
• Which sequence correctly describes the order for donning PPE for contact precautions?
• What is the purpose of using SBAR in clinical communication?
• What is essential to provide culturally competent care?
• How do you convert Fahrenheit to Celsius?
• Which finding may be observed in severe hyperglycemia (diabetic ketoacidosis)?
• Which replacement method requires cardiac monitoring during administration?
• Which food provides a complete protein source?
• When administering ophthalmic drops to a client with glaucoma, which action should the nurse perform after instilling the medication?
• Which action is NOT aligned with culturally competent care?
• Which IV solution is hypotonic?
• Which statement best describes active transport?
• Which intervention best supports nonpharmacologic pain relief for a client?
• Which food is a complete protein?
• In a handoff, which statement best reflects SBAR usage?
• Which macronutrient is primarily associated with tissue repair and growth?
• What should you do if the patient shows signs of deterioration despite initial interventions?
• What is a key safety measure to prevent aspiration during meals?
• What is the role of a nursing diagnosis?
• Which finding indicates infiltration of IV therapy?
• What equipment is essential for airborne precautions?
• Which action best indicates the patient’s physiologic response to oxygen in real time?
• During eye irrigation, how far from the eye should the irrigator be held to ensure safe administration?
• Which of the following is a sign of potential infection at a wound site?
• During a sterile wound dressing change, cleansing should be performed in which direction?
• To monitor a client with fluid volume excess, which action helps ensure accurate weight tracking?
• Which statement best describes the difference between standard precautions and transmission-based precautions?
• Which of the following is a sign of dehydration in elderly patients?
• Which items should be included in patient education planning?
• During wound irrigation, which flushing direction is correct?
• A pH reading of 6 for aspirate indicates placement in which anatomical location?
• In a clinical emergency, what is the nurse's first action?
• How does a nursing diagnosis differ from a medical diagnosis?
• During routine safety checks on medical equipment, which item should be verified?
• Which practice is not recommended when adapting education for a patient with a hearing impairment?
• Which item is not part of the five rights of medication administration?