ATI CMS Fundamentals Practice 2025/26
EXAM
A nurse is giving chance-of shift report about a client they admitted earlier that day who has
pneumonia. Which of
the following pieces of information is the priority for the nurse to provide?
a) Admitting diagnosis.
b) Breath sounds.
c) Body temperature.
d) Diagnostic results. - ANSWER Correct answer: B.
Breath sounds - When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority information to provide is the current status of the client's
breath sounds.
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
an open system.
Which of the following actions should the nurse take first?
a) Rinse the feeding bag with water between feedings.
b) Tell the client to keep the head of the bed elevated at least 30°.
c) Make sure the enteral formula is at room temperature.
,d) Wipe the top of the formula can with alcohol. - ANSWER Correct answer: B. - The
first action the nurse should take when using the airway, breathing, circulation approach to
client care is to prevent aspiration of the enteral formula; therefore, the priority intervention is
to keep the head of the
bed elevated at least 30° to prevent reflux of the formula into the esophagus
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take?
a) Place the client in a room with negative-pressure airflow
b) Wear gloves when assisting the client with oral care.
c) Limit each visitor to 2-hr increments.
d) Wear a surgical mask when providing client care.
e) Use antimicrobial sanitizer for hand hygiene - ANSWER Correct answer: A, B, E. -
Place the client in a room with negative-pressure airflow is correct. The nurse should place the
client in a room with negative-pressure airflow to meet the requirements of airborne
precautions. Wear gloves when
assisting the client with oral care is correct. The nurse should wear gloves when assisting the
client with oral care to meet
the requirements of standard precautions, which the nurse must adhere to for all clients
regardless of their diagnosis.
The nurse should wear gloves whenever their hands might come in contact with a client's bodily
fluids, such as saliva,
and the mucous membranes in the mouth. Limit each visitor to 2-hr increments is incorrect. The
nurse does not need to
limit the client's visitors. However, the nurse should limit the client's presence outside the room
and the client should
wear a surgical mask when outside of the room. Wear a surgical mask when providing client
care is incorrect. The nurse
,should wear an N95 respirator during client care to meet the requirements of airborne
precautions. Use antimicrobial
sanitizer for hand hygiene is correct. The nurse should use antimicrobial sanitizer for routine
hand hygiene when caring
for a client who has tuberculosis. Nurses should also wash their hands with soap and water
when their hands are visibly
soiled.
A nurse is performing a Romberg test during a physical assessment of a client. Which of the
following techniques
should the nurse use?
a) Touch the face with a cotton ball.
b) Apply a vibrating tuning fork to the client's forehead.
c) Have the client stand with their arms at their sides and their feet together.
d) Perform direct percussion over the area of the kidneys. - ANSWER Correct answer: C
- A Romberg test helps identify alterations in balance. The nurse should have the client stand
with
their arms at their sides and their feet together to observe for swaying and a loss of balance.
To obtain an accurate blood pressure measurement, - ANSWER the nurse should inflate
the cuff 30 mm Hg
beyond the point at which the nurse was last able to palpate the pulse. If the nurse last
palpated the pulse at 92 mm Hg,
then this would be the correct pressure to which the nurse should inflate the cuff.
, The nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV
stat" for a client
who has myxedema coma. How should the nuse transcribe the dosage of this medication in the
medical record?
a) .3 mg
b) 0.3 mg
c) 0.30 mg
d) 3/10 mg - ANSWER Correct answer: B - The use and placement of a decimal point
can potentially cause a medication error if documented
incorrectly. A zero should precede a decimal point, as in 0.3 mg, but should not follow a decimal
point unless a whole
number follows the zero, as in 2.05 mg
A nurse is discussing the use of herbal supplements for health promotion with a client. Which of
the following client
statements indicates an understanding of herbal supplement use?
a) "I can take echinacea to improve my immune system."
b) "I can take feverfew to reduce my level of anxiety."
c) "I can take ginger to improve my memory."
d) "I can take ginkgo biloba to relieve nausea." - ANSWER Correct answer: A.- Echinacea
is taken to promote immunity and reduce the risk of infection. Feverfew is taken to
promote wound healing and decrease inflammation associated with arthritis. Valerian and
chamomile can be taken to
reduce anxiety. Ginger is taken to relieve nausea and vomiting and aid in digestion. Ginkgo
biloba can be taken to
improve memory and reduce stress. Ginkgo biloba is taken to improve memory and reduce
stress. Ginger can be taken to
EXAM
A nurse is giving chance-of shift report about a client they admitted earlier that day who has
pneumonia. Which of
the following pieces of information is the priority for the nurse to provide?
a) Admitting diagnosis.
b) Breath sounds.
c) Body temperature.
d) Diagnostic results. - ANSWER Correct answer: B.
Breath sounds - When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority information to provide is the current status of the client's
breath sounds.
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
an open system.
Which of the following actions should the nurse take first?
a) Rinse the feeding bag with water between feedings.
b) Tell the client to keep the head of the bed elevated at least 30°.
c) Make sure the enteral formula is at room temperature.
,d) Wipe the top of the formula can with alcohol. - ANSWER Correct answer: B. - The
first action the nurse should take when using the airway, breathing, circulation approach to
client care is to prevent aspiration of the enteral formula; therefore, the priority intervention is
to keep the head of the
bed elevated at least 30° to prevent reflux of the formula into the esophagus
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take?
a) Place the client in a room with negative-pressure airflow
b) Wear gloves when assisting the client with oral care.
c) Limit each visitor to 2-hr increments.
d) Wear a surgical mask when providing client care.
e) Use antimicrobial sanitizer for hand hygiene - ANSWER Correct answer: A, B, E. -
Place the client in a room with negative-pressure airflow is correct. The nurse should place the
client in a room with negative-pressure airflow to meet the requirements of airborne
precautions. Wear gloves when
assisting the client with oral care is correct. The nurse should wear gloves when assisting the
client with oral care to meet
the requirements of standard precautions, which the nurse must adhere to for all clients
regardless of their diagnosis.
The nurse should wear gloves whenever their hands might come in contact with a client's bodily
fluids, such as saliva,
and the mucous membranes in the mouth. Limit each visitor to 2-hr increments is incorrect. The
nurse does not need to
limit the client's visitors. However, the nurse should limit the client's presence outside the room
and the client should
wear a surgical mask when outside of the room. Wear a surgical mask when providing client
care is incorrect. The nurse
,should wear an N95 respirator during client care to meet the requirements of airborne
precautions. Use antimicrobial
sanitizer for hand hygiene is correct. The nurse should use antimicrobial sanitizer for routine
hand hygiene when caring
for a client who has tuberculosis. Nurses should also wash their hands with soap and water
when their hands are visibly
soiled.
A nurse is performing a Romberg test during a physical assessment of a client. Which of the
following techniques
should the nurse use?
a) Touch the face with a cotton ball.
b) Apply a vibrating tuning fork to the client's forehead.
c) Have the client stand with their arms at their sides and their feet together.
d) Perform direct percussion over the area of the kidneys. - ANSWER Correct answer: C
- A Romberg test helps identify alterations in balance. The nurse should have the client stand
with
their arms at their sides and their feet together to observe for swaying and a loss of balance.
To obtain an accurate blood pressure measurement, - ANSWER the nurse should inflate
the cuff 30 mm Hg
beyond the point at which the nurse was last able to palpate the pulse. If the nurse last
palpated the pulse at 92 mm Hg,
then this would be the correct pressure to which the nurse should inflate the cuff.
, The nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV
stat" for a client
who has myxedema coma. How should the nuse transcribe the dosage of this medication in the
medical record?
a) .3 mg
b) 0.3 mg
c) 0.30 mg
d) 3/10 mg - ANSWER Correct answer: B - The use and placement of a decimal point
can potentially cause a medication error if documented
incorrectly. A zero should precede a decimal point, as in 0.3 mg, but should not follow a decimal
point unless a whole
number follows the zero, as in 2.05 mg
A nurse is discussing the use of herbal supplements for health promotion with a client. Which of
the following client
statements indicates an understanding of herbal supplement use?
a) "I can take echinacea to improve my immune system."
b) "I can take feverfew to reduce my level of anxiety."
c) "I can take ginger to improve my memory."
d) "I can take ginkgo biloba to relieve nausea." - ANSWER Correct answer: A.- Echinacea
is taken to promote immunity and reduce the risk of infection. Feverfew is taken to
promote wound healing and decrease inflammation associated with arthritis. Valerian and
chamomile can be taken to
reduce anxiety. Ginger is taken to relieve nausea and vomiting and aid in digestion. Ginkgo
biloba can be taken to
improve memory and reduce stress. Ginkgo biloba is taken to improve memory and reduce
stress. Ginger can be taken to
