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ATI Fundamentals Practice Questions with
correct answers latest update
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) Home health care Rehabilitation facilities Diagnostic centers Skilled nursing facilities Oncology centers - Correct answer A, B, D A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? (Select all that apply.) Preferred provider organization (PPO) A. Medicare Long-term care insurance Exclusive provider organization (EPO) Medicaid - Correct answer B, E A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? Collaborating with providers to perform obesity screenings during routine office visits Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity Providing specialized intraoperative training regarding surgical treatments for obesity
Educating acute care nurses on postoperative complications related to obesity - Correct answer A A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? Monitoring evidence-based practice for clients who have a specific diagnosis Ensuring that health care providers comply with regulations Setting quality standards for accreditation of health care facilities Determining if medications are safe for administration to clients - Correct answer B A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.) Intensive care unit Oncology treatment center Burn center Cardiac rehabilitation Home health care - Correct answer A, B, C Chapter 2 - Correct answer Interprofessional team A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.) A client who has terminal cancer requests hospice care in her home. A client asks about community resources available for older adults. A client states that she wants her child baptized before surgery. A client requests an electric wheelchair for use after discharge. A client states that he does not understand how to use a nebulizer. - Correct answer A, B, D
D. Bathing E. Ambulating F. Toileting Determining pain level Measuring vital signs - Correct answer A, B, C, E Chapter 3 - Correct answer Ethical responsibilities A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? G. Fidelity H. Autonomy I. Justice Nonmaleficence - Correct answer B A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? J. Fidelity K. Autonomy L. Justice Beneficence - Correct answer D A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles? M. Fidelity N. Autonomy O. Justice Nonmaleficence - Correct answer C A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?
P. Fidelity Q. Autonomy R. Justice Nonmaleficence - Correct answer D A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma? A nurse on a medical-surgical unit demonstrates signs of chemical impairment. B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints. C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill. D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form. - Correct answer C Chapter 4 - Correct answer Legal responsibilities A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? S. Assault T. Battery False imprisonment Invasion of privacy - Correct answer A A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer a PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit? U. Assault False imprisonment
Chapter 5 - Correct answer Information technology A nurse is preparing information for change-of-shift report. Which of the following information should the nurse include in the report? Input and output for the shift Blood pressure from the previous day Bone scan scheduled for today Medication routine from the medication administration record - Correct answer C A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the following information should the nurse include? (Select all that apply.) A single electronic records password is provided for nurses on the same unit. Family members should provide a code prior to receiving client health information. Communication of client information can occur at the nurses' station. A client can request a copy of her medical record. A nurse may photocopy a client's medical record for transfer to another facility. - Correct answer B, C, D A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.) Cover errors with correction fluid, and write in the correct information. Put the date and time on all entries. Document objective data, leaving out opinions. Use as many abbreviations as possible. Wait until the end of the shift to document. - Correct answer B, C
A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply). Medication error W. Needlesticks Conflict with provider and nursing staff Omission of prescription Complaint from a client's family member - Correct answer A, B, D A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.) Repeat the details of the prescription back to the provider. Have another nurse listen to the telephone prescription. Obtain the provider's signature on the prescription within 24 hr. Decline the verbal prescription because it is not an emergency situation. Tell the charge nurse that the provider has prescribed morphine by telephone. - Correct answer A, B, C Chapter 6 - Correct answer Delegation and supervision A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following client's needs should the nurse assign to an assistive personnel (AP)? Feeding a client who was admitted 24 hr ago with aspiration pneumonia Reinforcing teaching with a client who is learning to walk using a quad cane Reapplying a condom catheter for a client who has urinary incontinence Applying a sterile dressing to a pressure ulcer - Correct answer C A nurse manager of a medical-surgical unit is assigning
Right client Right supervision and evaluation Right direction and communication Right time Right circumstances - Correct answer B, C, E Chapter 7 - Correct answer Nursing processes By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? Reassess the client to determine the reasons for inadequate pain relief. Wait to see whether the pain lessens during the next 24 hr. Change the plan of care to provide different pain relief interventions. Teach the client about the plan of care for managing his pain. - Correct answer A A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process? Y. Assessment Z. Planning AA. Intervention Evaluation - Correct answer A A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply.)
Respiratory rate is 22/min with even, unlabored respirations. The client's partner states, "He said he hurts after walking about 10 minutes." Pain rating is 3 on a scale of 0 to 10 Skin is pink, warm, and dry. The assistive personnel reports the client walked with a limp. - Correct answer A, D, E A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.) Writing a prescription for morphine sulfate as needed for pain. Inserting a nasogastric (NG) tube to relieve gastric distention. Showing a client how to use progressive muscle relaxation. Performing a daily bath after the evening meal. Repositioning a client every 2 hr to reduce pressure ulcer risk. - Correct answer C, D, E A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process? "I will determine the most important client problems that we should address." B. "I will review the past medical history on the client's record to get more information." C. "I will go carry out the new prescriptions from the provider." D. "I will ask the client if his nausea has resolved." - Correct answer A Chapter 8 - Correct answer Critical thinking and clinical judgment A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
Competence - Correct answer A A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate? JJ. Confidence KK. Perseverance LL. Integrity Discipline - Correct answer D Chapter 9 - Correct answer Admissions, transfers, and discharge A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? Orient the client to his room. Conduct a client care conference. Review medical prescriptions. Develop a plan of care. - Correct answer A A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the following actions are essential steps of the admission procedure? (Select all that apply.) Explain the roles of other care delivery staff. Begin discharge planning. Provide information about advance directives. Document the client's wishes about organ donation. Introduce the client to his roommate. - Correct answer A, B, C, E A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (Select all that apply.)
Ensure that the client has possession of his valuables. Confirm that the rehabilitation center has a room available at the time of transfer. Assess how the client tolerates the transfer. Give a verbal transfer report via telephone. Complete a transfer form for the receiving facility. - Correct answer A, B, D, E A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (Select all that apply.) Advance directives status Follow-up care Instructions for diet and medications Most recent vital sign data Contact information for the home health care agency - Correct answer B, C, E As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client's family? Body mass index Usual times for meals and snacks Favorite foods Any difficulty swallowing - Correct answer D Chapter 10 - Correct answer Medical and surgical asepsis When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? Keep the sterile field at least 6 ft away from
Rinse the hands with hot water. Use a clean paper towel to turn off hand faucets. Allow the hands to air dry after washing. - Correct answer B, D A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.) The provider drops a sterile instrument onto the near side of the sterile field. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. The procedure is delayed 1 hr because the provider receives an emergency call. The nurse turns to speak to someone who enters through the door behind the nurse. The client's hand brushes against the outer edge of the sterile field. - Correct answer B, C, D Chapter 11 - Correct answer Infection control A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply.) Planning and evaluating control and prevention strategies Determining public health priorities Ensuring proper medical treatment Identifying endemic disease Monitoring for common-source outbreaks - Correct answer A, B, C, E A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crustings. The nurse should identify the client has manifestations of which of the following conditions?
Allergic reaction MM. Ringworm Systemic lupus erythematosus Herpes zoster - Correct answer D A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? NN. Prodromal OO. Incubation PP. Convalescence Illness - Correct answer C A nurse educator is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. The nurse indicates understanding when she states that which of the following are manifestations of a systemic infection? (Select all that apply.) QQ. Fever RR. Malaise SS. Edema Pain or tenderness Increase in pulse and respiratory rate - Correct answer A, B A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) Place the client in a room that has negative air pressure of at least six exchanges per hour. Wear a mask when providing care within 3 ft of the client. Place a surgical mask on the client if transportation to another department is unavoidable. D. Use sterile gloves when handling soiled linens.
Which of the following actions is the nurse's priority? Complete a fall-risk assessment. Educate the client and family about fall risks. Eliminate safety hazards from the client's environment. Make sure the client uses assistive aids in his possession. - Correct answer A A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assign to the room closest to the nurses' station? A middle adult who is postoperative following a laparoscopic cholecystectomy A middle adult who requires telemetry for a possible myocardial infarction A young adult who is postoperative following an open reduction internal fixation of the ankle An older adult who is postoperative following a below-the-knee amputation - Correct answer D Chapter 13 - Correct answer Home safety A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include about home oxygen safety? (Select all that apply.) Family members who smoke must be at least 10 ft from the client when oxygen is in use. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home. - Correct answer B, C, E
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? TT.Hypotension UU. Bradycardia Clammy skin Bradypnea - Correct answer A A nurse educator is conducting a parenting class for new parents of infants. Which of the following statements made by a participant indicates understanding of the instructions? "I will set my water heater at 130° F." "Once my baby can sit up, he should be safe in the bathtub." "I will place my baby on his stomach to sleep." "Once my infant starts to push up, I will remove the mobile from over the crib." - Correct answer D A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include in her counseling? Carbon monoxide has a distinct odor. Water heaters should be inspected every 5 years. The lungs are damaged from carbon monoxide inhalation. Carbon monoxide binds with hemoglobin in the body. - Correct answer D A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse including in her counseling? (Select all that apply.) Most food poisoning is caused by a virus. Immunocompromised individuals are at risk for complications from food poisoning
