ATI PN Custom Fundamentals
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse performing a right eye irrigation will position the patient:
Answer Choices:
🧼 When irrigating the right eye, the nurse should position the client supine or sitting with the head tilted toward the right side.
🧼 This positioning allows the irrigation fluid to flow from the inner canthus to the outer canthus of the affected eye, preventing contamination of the unaffected eye.
🧼 Tilting the head toward the opposite eye risks spreading contaminants.
🧼 Hyperextension is unnecessary and can be uncomfortable or unsafe, especially in older adults.
Q2: While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?
Answer Choices:
🩸 The Jackson-Pratt (JP) drain functions by applying suction to draw out wound drainage.
🩸 When the reservoir is expanded and half full, the suction is no longer effective.
🩸 Emptying and recompressing the reservoir restores negative pressure and ensures continued drainage. This is a routine part of nursing care.
🩸 Leaving it until the end of the shift delays necessary drainage management.
🩸 Removing the drain requires a provider's order and is not appropriate at this time.
🩸 Notifying the surgeon is only necessary if the drainage is excessive, purulent, or otherwise concerning—not simply because the bulb is half full.
Q3: The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:
Answer Choices:
💧 When a wet-to-dry dressing sticks to the wound bed, the most beneficial intervention is to moisten it with normal saline.
💧This helps to loosen the dressing and reduce trauma to the wound tissue during removal, especially if debridement is not the immediate goal.
💧 Povidone iodine can be cytotoxic to healthy tissues and is not appropriate here.
💧 Pulling the dressing off dry can cause tissue damage and pain.
💧 Covering the old dressing with a new one does not address the problem of the stuck dressing and could increase infection risk.
Q4: The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:
Answer Choices:
🔄 When performing a dry sterile dressing change, the correct technique is to clean in a circular motion starting from the center of the wound and moving outward.
🔄 This method helps prevent introducing microorganisms from less clean to more clean areas, thereby reducing the risk of infection.
🔄 Cleaning from left to right or outer to inner can bring contaminants into the wound.
🔄 Cleaning directly over the wound without spiraling outward doesn’t follow aseptic principles and risks spreading bacteria.
Q5: A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?
Answer Choices:
🔴 A stage 1 pressure injury is characterized by intact skin with non-blanchable redness (erythema) over a localized area, usually over a bony prominence.
🔴 The area may be painful, firm, soft, or warmer or cooler compared to adjacent tissue.
🔴 Full-thickness skin loss with adipose tissue describes stage 3.
🔴 Exposure of bone describes a stage 4 pressure injury.
🔴 Partial-thickness skin loss with red tissue is consistent with stage 2.
