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ATI Fundamentals Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is assessing a client's respiratory rate. What should the nurse do first?
- ✔✔Observe the chest rise and fall discreetly
- Ask the client to breathe deeply
- Count the pulse and multiply by two
- Inform the client to take deep breaths continuously
During a head-to-toe assessment, a nurse notes that the client's pupils are unequal. What is the appropriate next step?
- Record as a normal finding
- ✔✔Notify the provider immediately
- Reassess in 8 hours
- Ask the client to close their eyes
A nurse is assessing the hydration status of a client. Which finding indicates dehydration?
- Warm skin temperature 1 / 3
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- ✔✔Dry mucous membranes
- Moist tongue
- Clear urine output
A nurse is assessing a client’s skin turgor. Which action is appropriate?
- ✔✔Pinch the skin on the forearm or sternum
- Tap the back of the hand
- Press on the nail beds
- Look at the palms of the hands
Which of the following is the best method to assess a client’s pain level?
- Observe facial expressions
- Palpate the site of discomfort
- ✔✔Ask the client to rate pain on a scale
- Look at the vital signs
A nurse is collecting data on a client’s bowel sounds. What is the correct technique?
- Use the bell of the stethoscope 2 / 3
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- ✔✔Listen in all four quadrants
- Palpate before auscultating
- Start at the lower left quadrant
A nurse is assessing a client’s capillary refill. What is the normal expected finding?
- Less than 5 seconds
- ✔✔Less than 2 seconds
- Greater than 3 seconds
- No color change at all
A nurse is conducting a general survey. Which observation is included in this initial assessment?
- ✔✔Client’s posture and appearance
- Bowel movement frequency
- Lung sounds
- Abdominal girth
When auscultating lung sounds, which position is best for a full posterior assessment?
- ✔✔Sitting upright
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