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ATI NCLEX Fundamentals Assessment
- Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which action should the nurse take first?
- Open the sterile kit
- Inflate the catheter balloon
- Don sterile gloves
✔✔B. Perform hand hygiene
A nurse is caring for a client who is experiencing shortness of breath. Which position should the nurse place the client in to promote optimal breathing?
- Supine
- Side-lying
- Trendelenburg
✔✔B. High Fowler’s
A nurse is assisting a client with right-sided weakness to walk with a cane. Which technique is appropriate? 1 / 4
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- Hold the cane on the weak side and move it with the weak leg
- Hold the cane on the weak side and move it with the strong leg
- Hold the cane on the strong side and move it with the strong leg
✔✔B. Hold the cane on the strong side and move it with the weak leg
A nurse is preparing to administer medication through a nasogastric (NG) tube. Which action should the nurse take?
- Mix all medications together in a single syringe
- Position the client flat
- Administer the medication without checking placement
✔✔B. Flush the tube with water before and after each medication
A nurse is caring for a client who reports pain at a level of 8 on a scale of 0 to 10. What is the nurse's priority action?✔✔A. Administer prescribed analgesic
- Reposition the client
- Distract the client with conversation
- Document the pain level 2 / 4
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A nurse is teaching a newly licensed nurse about standard precautions. Which statement indicates understanding?
- “I’ll wear a mask when entering any client’s room.”
- “I’ll use gown and gloves for every client contact.”
- “I only use hand hygiene after contact with blood.”
✔✔B. “I’ll wear gloves when touching body fluids or nonintact skin.”
A nurse is preparing to lift a heavy object from the floor. Which body mechanics principle should the nurse use?
- Bend at the waist
- Keep feet close together
- Twist the torso while lifting
✔✔B. Bend at the knees and keep the back straight
A nurse is caring for a client who has a hearing impairment. Which action should the nurse take to promote communication?
- Speak loudly and quickly
✔✔B. Face the client when speaking 3 / 4
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- Cover mouth to reduce distractions
- Turn off all lights in the room
A nurse is assessing an older adult client for orthostatic hypotension. Which finding should the nurse recognize as significant?
- Heart rate increases by 10 bpm
- Temperature increases by 0.5°C
- Respirations increase to 18/min
✔✔B. Blood pressure drops 20 mm Hg systolic
A nurse is providing oral care to an unconscious client. What is the most important safety measure?
- Use a firm toothbrush
- Use a straw for suctioning
- Elevate the bed to high Fowler’s
✔✔B. Turn the client’s head to the side
A nurse is planning care for a client on seizure precautions. What equipment should be at the bedside?
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