Fundamentals Exam 4 ATI Questions
with Correct Answers
A nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain.
The nurse asks the client if there has been any accompanying nausea and vomiting. Which of the
following pain characteristics is the nurse attempting to determine? - ANSWER✔✔-Presence of
associated manifestations
A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the
following actions should the nurse take to determine the intensity of the client's pain? -
ANSWER✔✔-Offer the client a pain scale to measure their pain
A nurse is discussing the care of a group of clients with a newly licensed nurse. Which of the
following clients should the newly licensed nurse identify as experiencing chronic pain? -
ANSWER✔✔-A client who has episodic back pain following a fall 2 years ago
A nurse is monitoring a client for adverse effects following the administration of an opioid. Which
of the following effects should the nurse identify as an adverse effect of opioids? (Select all that
apply) - ANSWER✔✔-Bradypnea, Orthostatic hypotension, & Nausea
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA)
infusion device after abdominal surgery. Which of the following statements indicates that the client
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, knows how to use the device? - ANSWER✔✔-"I should tell the nurse if the pain doesn't stop while
I am using this device."
A nurse is caring for a client who is 2 days postoperative following an appendectomy and has type 1
diabetes mellitus. Their Hgb is 12g/dL and BMI is 17.1. The incision is approximated and free of
redness, with scant serous drainage on the dressing. The nurse should recognize that the client has
which of the following risk factors for impaired wound healing? Select all that apply. -
ANSWER✔✔-Chronic illness, Low hemoglobin, & Malnutrition
A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery.
The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the
nurse to initiate after collecting wound and blood specimens for culture and sensitivity. Which of the
following findings should the nurse expect. Select all that apply. - ANSWER✔✔---Increase in
incisional pain
--fever & chills
--reddened wound edges.
A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary
intention? Select all that apply. - ANSWER✔✔-Stage 3 pressure injury & open burn area
A client who had abdominal surgery 24hr ago suddenly reports a pulling sensation and pain in their
surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding.
Which of the following actions should the nurse take? Select all that apply. - ANSWER✔✔---Cover
the area with saline-soaked sterile dressings.
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with Correct Answers
A nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain.
The nurse asks the client if there has been any accompanying nausea and vomiting. Which of the
following pain characteristics is the nurse attempting to determine? - ANSWER✔✔-Presence of
associated manifestations
A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the
following actions should the nurse take to determine the intensity of the client's pain? -
ANSWER✔✔-Offer the client a pain scale to measure their pain
A nurse is discussing the care of a group of clients with a newly licensed nurse. Which of the
following clients should the newly licensed nurse identify as experiencing chronic pain? -
ANSWER✔✔-A client who has episodic back pain following a fall 2 years ago
A nurse is monitoring a client for adverse effects following the administration of an opioid. Which
of the following effects should the nurse identify as an adverse effect of opioids? (Select all that
apply) - ANSWER✔✔-Bradypnea, Orthostatic hypotension, & Nausea
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA)
infusion device after abdominal surgery. Which of the following statements indicates that the client
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, knows how to use the device? - ANSWER✔✔-"I should tell the nurse if the pain doesn't stop while
I am using this device."
A nurse is caring for a client who is 2 days postoperative following an appendectomy and has type 1
diabetes mellitus. Their Hgb is 12g/dL and BMI is 17.1. The incision is approximated and free of
redness, with scant serous drainage on the dressing. The nurse should recognize that the client has
which of the following risk factors for impaired wound healing? Select all that apply. -
ANSWER✔✔-Chronic illness, Low hemoglobin, & Malnutrition
A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery.
The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the
nurse to initiate after collecting wound and blood specimens for culture and sensitivity. Which of the
following findings should the nurse expect. Select all that apply. - ANSWER✔✔---Increase in
incisional pain
--fever & chills
--reddened wound edges.
A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary
intention? Select all that apply. - ANSWER✔✔-Stage 3 pressure injury & open burn area
A client who had abdominal surgery 24hr ago suddenly reports a pulling sensation and pain in their
surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding.
Which of the following actions should the nurse take? Select all that apply. - ANSWER✔✔---Cover
the area with saline-soaked sterile dressings.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
