ATI Final Exam Study Set Rated A Latest 2025

1. A nurse is caring for a client who was admitted to a long term care facility for rehab after a hip replacement. At which of the following times should a nurse begin discharge planning? A. One week prior to discharge B. Upon the client's admission to the care facility C. Once the discharge date is identified D. When the client addresses the topic with the nurse - B. Upon the client's admission to the care facility 2. A nurse is caring for a client who is receiving mechanical ventilation via a tracheotomy tube and has a gastrostomy tube for enteral feedings. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? A. Room temp. B. New prescriptions C. Number of visitors D. ABG results E. Tracheal secretion characteristics - B. New prescriptions D. ABG results E. Tracheal secretion characteristics 3. A client who reports SOB requests the nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? A. Encourage the client to take deep breaths B. Observe the rate, depth, and character of the client's respirations C. Prepare to administer oxygen D. Give the client a back rub to promote relaxation - B. Observe the rate, depth, and character of the client's respirations 4. A nurse is reviewing measures to prevent back injuries with UAP. Which of the following instructions should the nurse include? A. Stand 3 ft from the client when assisting with lifting B. Lock your knees when standing for long periods C. Lift up to 22.6 kg (50 lbs) without the use of assistive devices D. When lifting an object, spread your feet apart top provide a wide base of support - D. When lifting an object, spread your feet apart top provide a wide base of support 5. A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? A. Wash the gloved hands and then throw away gloves B. Prepare an incident report to document the event C. Carefully remove the gloves and proceed with hand hygiene D. Ask the provider to order a blood culture to determine the risk of infection - C. Carefully remove the gloves and proceed with hand hygiene 6. A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? A. Sit with your back supported B. Keep your knees at hip level C. Use an ergonomically designed computer keyboard D. Keep your elbows away from your body E. Adjust the monitor screen so that you have to tilt your head slightly to look at it - A. Sit with your back supported B. Keep your knees at hip level C. Use an ergonomically designed computer keyboard 7. A nurse is conducting an admission interview with a client. Which of the following pieces of assessment info should the nurse collect during the introductory phase of the interview? A. Client's level of comfort and ability to participate in the interview B. Previous illnesses and surgeries C. Events surrounds the client's recent illness D. Sociocultural history - A. Client's level of comfort and ability to participate in the interview 8. A nurse is assessing a client who is undergoing a physical exam. Following the inspection, which of the following techniques should the nurse use when assessing the client's abdomen? A. Auscultation B. Light Palpation C. Percussion D. Deep palpation - A. Auscultation 9. A nurse is employing a thorough, systematic method while obtaining objective data about a client. Through which of the following methods should the nurse collect this info? A. Health History B. Physical Exam C. Review of Systems D. Interview - B. Physical Exam 10. A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which of the following strategies should the nurse use to first help the client make a commitment to these lifestyle changes? A. Identify the risks of nonadherence B. Schedule learning sessions to demonstrate the psychomotor skills the client will need C. Provide clearly written and easy-to-understand materials D. Help the client identify ways that these changes will result in positive personal outcomes - D. Help the client identify ways that these changes will result in positive personal outcomes 11. A nurse is teaching a middle-aged female client about disease prevention and health maintenance. Which of the following diagnostic tests should the nurse recommend as part of this client's routine health screening? A. Annual Papanicolaou (Pap) testing B. Mammogram every 2 years C. Eye exam every 2 years D. Annual colonoscopy - C. Eye exam every 2 years 12. A nurse is providing teaching to a client with heart failure about reducing his daily intake of sodium. Which of the following factors is the most important in determining the client's ability to learn new dietary habits? A. The involvement of the client in planning the change B. The emphasis the provider places on dietary changes C. The learning theory the nurse uses to teach the dietary changes D. The extent of the dietary changes planned for the client - A. The involvement of the client in planning the change 13. A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Which of the following actions should the nurse take to assess the client's skin turgor? A. Push on a fingernail bed until it blanches, release it, and observe how long it takes the skin to become pink B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back C. Press on the skin above the ankle for 5 seconds, release it, and note the depth of the impression D. Measure the skinfold thickness on the upper arm using a pair of calibrated skinfold calipers - B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back 14. A nurse is caring for client who has type 1 diabetes mellitus and is resistant to learning how to self-inject insulin. Which of the following statements should the nurse make? A. Tell me what I can do to help you overcome your fear of giving yourself injections B. Your provider will not be pleased that you refuse to give yourself insulin injections C. It's okay. I'm sure your partner will be able to learn how to give you the insulin injections D. You won't be able to go home unless you learn to give yourself insulin injections - A. Tell me what I can do to help you overcome your fear of giving yourself injections 15. A nurse is calculating a client's intake for a 12 hour shift. The client has dextrose 5% in 0.45% sodium chloride infusing at 125 mL/hr, gentamicin 150 mg in 100 mL at 1400, ranitidine 50 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hours, and a nasogastric flush of 30 mL every 2 hours. What is the total intake in mL that the nurse should document for the client for this 12 hour period? - 2130 mL 16. A nurse is providing teaching about crutches to a client who has a fracture of the right foot. Which of the following instructions should the nurse include? A. When you go up a flight of stairs, place your right foot on the step first B. Keep the rubber crutch tips securely in place C. When standing, keep the crutches 12 inches in front of you and 12 inches to the side. D. Place your weight on the crutch pads at your armpits - B. Keep the rubber crutch tips securely in place 17. A nurse is preparing to administer eye drops to a client following surgery. Which of the following actions should the nurse take when instilling the eye drops? A. Drop the eye medication into the lower conjunctival sac B. Apply gentle pressure to the outer opening of the eye for 2 minutes C. Hold the eye dropper 0.5 cm (0.2 in) from the cornea D. Instruct the client to close the eyes tightly after administration - A. Drop the eye medication into the lower conjunctival sac 18. A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a long-term care facility. Using this scale, which of the following parameters should the nurse evaluate? A. Incontinence B. Mental State C. Nutrition D. General physical condition - C. Nutrition Nutrition, sensory perception, moisture, activity, mobility, and friction 19. A nurse is providing teaching to a client who has a chronic cough and is scheduled for a brochoscopy. Which of the following client statements indicates an understanding of the teaching? A. I can keep my dentures in during the procedure B. I am allowed only clear liquids prior to the procedure C. A tissue sample might be obtained during the procedure D. A signed consent form is not required for this procedure - C. A tissue sample might be obtained during the procedure 20. A nurse is assisting a client who has dysphagia at mealtimes. Which of the following actions should the nurse take? A. Assist the client into a semi-sitting position B. Have the client lean back slightly C. Advise the client to tuck his chin downward D. Instruct the client to tilt his head slightly backward - C. Advise the client to tuck his chin downward 21. A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? A. Auscultate bowel sounds after each feeding B. Ensure the formula is cold before administering C. Elevate the head of the client's bed to 45 degrees before the feeding D. Flush the tubing with 15 mL of water after the enteral feeding - C. Elevate the head of the client's bed to 45 degrees before the feeding 22. A client is being discharged home with oxygen therapy delivered through a nasal cannula. Which of the following instructions should the nurse provide to the client and family members? A. Use battery-operated equipment for personal care B. Apply mineral oil to protect the facial skin from irritation C. Remove the television set from the client's bedroom D. Wear cotton clothing to avoid static electricity - D. Wear cotton clothing to avoid static electricity 23. A nurse is caring for a client with a prescription for a vest restraint. Which of the following actions should the nurse take? A. Fasten the ties on the restraint to the side rails of the bed B. Tie the restraint with a quick -release knot C. Allow a fingerbreadth between the restraint and the client's chest D. Place the restraint under the client's clothing - B. Tie the restraint with a quick -release knot 24. A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any further treatment. The nurse should provide care that facilitates which of the following outcomes? A. Allows minimal treatment B. Benefits the client's family C. Offers hope for a cure D. Supports self-determination - D. Supports self-determination 25. A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following lab values should the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5 seconds C. Hct 55%