ATI Skills Modules 4.0 Assessment Test 2026 | Latest
Update 2026 | 100% Correct Answers | Actual Exam Prep
1. Describe the rationale behind performing inspection as the first step in a
physical examination.
Inspection allows the nurse to gather initial visual information about
the patient's condition before proceeding with other techniques.
Inspection is performed last to confirm findings from other techniques.
Inspection is the only technique used for assessing internal organs.
Inspection is used to measure vital signs before any physical contact.
2. When taking a patient's blood pressure which action is MOST appropriate for
the nurse to do?
Cuff is placed 3 inches above the antecubital
Cuff is wrapped loosely around the arm
Width is at least 50% of arm circumference
Width is at least 40% of arm circumference
3. The New Ballard scoring can assess the gestational age of extremely
premature infants as early as weeks.
22
18
20
24
4. A nurse is caring for a client who is in occipitoposterior presentation. The
client reports having lower back contractions. Which of the following pain
, management techniques is most likely to be effective in reliving lower back
pain caused by this fetal position?
Breathing techniques
Effleurage
Therapeutic touch
Counterpressure
5. A nurse uses the New Ballard Scale to assess gestational age of a newborn.
The assessment score total is very high. What is a reasonable interpretation of
this result?
The baby experienced distress during labor
The baby is large for gestational age
The baby is premature
The baby is post-term
6. A mom complains of lower back pain during labor. The nurse suggests this is
due to occiput posterior fetal position. What nonpharmacological nursing
intervention can be done?
Abdominal effleurage
Sacral counterpressure
Back rub and massage
Showering
7. Why is making good eye contact considered a significant aspect of the
general survey in adolescents?
It shows the adolescent is relaxed and comfortable.
, It reflects the adolescent's fashion sense.
It indicates engagement and confidence in communication.
It suggests the adolescent is introverted.
8. A nurse is assessing a 10-year-old child and finds that the blood pressure cuff
used was too small. What potential impact could this have on the
assessment?
The blood pressure reading may be falsely elevated.
The blood pressure reading may be falsely low.
The blood pressure reading will be accurate.
The child will not be affected by the cuff size.
9. What is an important non-verbal cue that a nurse should observe during a
general survey of an adolescent?
Cheerful demeanor
Casual clothing
Sitting quietly
Good eye contact
10. A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following findings will require the nurse to collect additional
information?
All of the above are issues of concern.
The infant's shirt is wet from drooling.
The infant has gained less than predicted (growth charts) since her
2-month visit.
, The infant grasps objects with two hands instead of one.
11. Describe the significance of auscultating the apical pulse at the fourth
intercostal space in preschoolers.
The apical pulse can be assessed anywhere on the chest in
preschoolers.
Auscultating at the fourth intercostal space provides an accurate
assessment of the heart rate and rhythm in preschoolers.
Auscultating at the second intercostal space is more effective for
older children.
Auscultating the apical pulse is not necessary in preschoolers.
12. Describe the significance of recognizing unexpected findings during an
infant's developmental assessment.
Unexpected findings are only relevant if they occur after the first year.
All findings during an assessment are expected and do not need
follow-up.
Unexpected findings are often normal and do not require further
action.
Recognizing unexpected findings is crucial as it may indicate
developmental delays or health issues.
13. If a nurse observes that a 2-day-old newborn has developed a yellowish tint
to the skin and eyes, what should be the nurse's immediate action?
Report the finding to the healthcare provider.
Administer vitamin K as a precaution.
Document the finding and continue monitoring.
Update 2026 | 100% Correct Answers | Actual Exam Prep
1. Describe the rationale behind performing inspection as the first step in a
physical examination.
Inspection allows the nurse to gather initial visual information about
the patient's condition before proceeding with other techniques.
Inspection is performed last to confirm findings from other techniques.
Inspection is the only technique used for assessing internal organs.
Inspection is used to measure vital signs before any physical contact.
2. When taking a patient's blood pressure which action is MOST appropriate for
the nurse to do?
Cuff is placed 3 inches above the antecubital
Cuff is wrapped loosely around the arm
Width is at least 50% of arm circumference
Width is at least 40% of arm circumference
3. The New Ballard scoring can assess the gestational age of extremely
premature infants as early as weeks.
22
18
20
24
4. A nurse is caring for a client who is in occipitoposterior presentation. The
client reports having lower back contractions. Which of the following pain
, management techniques is most likely to be effective in reliving lower back
pain caused by this fetal position?
Breathing techniques
Effleurage
Therapeutic touch
Counterpressure
5. A nurse uses the New Ballard Scale to assess gestational age of a newborn.
The assessment score total is very high. What is a reasonable interpretation of
this result?
The baby experienced distress during labor
The baby is large for gestational age
The baby is premature
The baby is post-term
6. A mom complains of lower back pain during labor. The nurse suggests this is
due to occiput posterior fetal position. What nonpharmacological nursing
intervention can be done?
Abdominal effleurage
Sacral counterpressure
Back rub and massage
Showering
7. Why is making good eye contact considered a significant aspect of the
general survey in adolescents?
It shows the adolescent is relaxed and comfortable.
, It reflects the adolescent's fashion sense.
It indicates engagement and confidence in communication.
It suggests the adolescent is introverted.
8. A nurse is assessing a 10-year-old child and finds that the blood pressure cuff
used was too small. What potential impact could this have on the
assessment?
The blood pressure reading may be falsely elevated.
The blood pressure reading may be falsely low.
The blood pressure reading will be accurate.
The child will not be affected by the cuff size.
9. What is an important non-verbal cue that a nurse should observe during a
general survey of an adolescent?
Cheerful demeanor
Casual clothing
Sitting quietly
Good eye contact
10. A nurse is assessing a 4-month-old infant during a well-child visit. Which of
the following findings will require the nurse to collect additional
information?
All of the above are issues of concern.
The infant's shirt is wet from drooling.
The infant has gained less than predicted (growth charts) since her
2-month visit.
, The infant grasps objects with two hands instead of one.
11. Describe the significance of auscultating the apical pulse at the fourth
intercostal space in preschoolers.
The apical pulse can be assessed anywhere on the chest in
preschoolers.
Auscultating at the fourth intercostal space provides an accurate
assessment of the heart rate and rhythm in preschoolers.
Auscultating at the second intercostal space is more effective for
older children.
Auscultating the apical pulse is not necessary in preschoolers.
12. Describe the significance of recognizing unexpected findings during an
infant's developmental assessment.
Unexpected findings are only relevant if they occur after the first year.
All findings during an assessment are expected and do not need
follow-up.
Unexpected findings are often normal and do not require further
action.
Recognizing unexpected findings is crucial as it may indicate
developmental delays or health issues.
13. If a nurse observes that a 2-day-old newborn has developed a yellowish tint
to the skin and eyes, what should be the nurse's immediate action?
Report the finding to the healthcare provider.
Administer vitamin K as a precaution.
Document the finding and continue monitoring.
