ATI Fundamentals Assessment
A charge nurse is teaching a newly hired RN about the facility's computerized documentation
system. Which of the following actions should the RN take?
A: Direct the newly hired RN to wait until the end of the shift to document client care.
B: Instruct the newly hired RN to use direct quotes when recording client statements.
C: Perform documentation for the newly hired nurse until the orientation period is complete. -
ANS-B
Rationale: The newly hired RN should include both subjective data (what the client says), and
objective data (what the RN observes) when entering computer documentation. It's important to
directly quote what the client says rather than summarizing to provide factual information.
A charge RN is delegating tasks for 4 clients. Which of the following tasks should the RN
delegate to the assistive personnel (AP)?
A: Prepare the room for a client who requires seizure precautions.
B: Check a client's deep tendon reflexes.
C: Develop a plan of care for a client who is at risk for falling.
D: Obtain a wound culture on a client who has a small pressure injury. - ANS-A
Rationale: AN AP can set up a room with the equipment a client requires for seizure precautions
because the necessary equipment is the same for each client.
A home health RN is visiting an older adult client who has anemia. Which of the following foods
should the RN recommend to increase the client's iron intake?
A: Greek yogurt
B: Bran muffin
C: Peanut butter sandwich
D: Dried fruit - ANS-D
Rationale: The RN should recommend the client eat more dried fruit to increase iron in the diet.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (SATA)
A: Home health care
B: Rehabilitation facilities
C: Diagnostic centers
D: Skilled nursing facilities - ANS-Answer: A, B, D
C
Rationale: Secondary health care includes the diagnosis and treatment of acute injury or illness.
Diagnostic centers are a type of secondary health care.
, A RN is conducting an admission interview with a client. Which of the following pieces of
assessment information should the RN collect during the introductory phase of the interview?
A: A client's level of comfort and ability to participate in the interview.
B: Previous illnesses and surgeries.
C: Events surrounding the client's recent illness.
D: Sociocultural history. - ANS-A
Rationale: The RN should assess the client's level of comfort and establish a rapport during the
introductory or orientation phase. The RN should engage in active listening and present a
relaxed attitude to place the client at ease and encourage client participation. This will assist the
RN in gaining the necessary data to formulate appropriate nursing diagnosis and outcomes.
An RN in a provider's office is reviewing the laboratory reports for a client who is at risk for heart
disease. Which of the following results should the RN report to the provider?
A: LDL 170mg/dL
B: HDL 60 mg/dL
C: Triglycerides 60 mg/dL
D: Total cholesterol 197 mg/dL - ANS-A
Rationale: AN LDL level of 170 mg/dL is above the expected reference range and places the
client at increase risk for heart disease; therefore, the RN should report this result to PCP.
(>160mg/dL is HIGH)
An RN is admitting a client to an acute care facility. Which of the following actions by the RN
promotes client self-determination?
A: Reviewing the policy on safeguarding personal valuables with the client.
B: Informing the client's family about the regulations for visiting hours.
C: Providing the client with information about end-of-life decision-making.
D: Comparing the client's home medications to the admission prescriptions. - ANS-C
Rationale: By promoting the client's autonomy, the RN ensures the client's ability to
self-determine care. Under the Patient Self-Determination Act, facilities must ensure a client is
aware of their rights to make choices about their care, including completing advance directives
to predetermine end-of-life tx options.
An RN is assessing a client. which of the following findings should the RN identify as an
indication of protein-calorie malnourishment? (SATA)
A: Gingivitis
B: Dry, brittle hair
C: Edema
D: Spoon-shaped nails
E: Poor wound healing - ANS-B, C, E
An RN is assessing a client's thyroid gland. Which of the following instructions should the RN
give the client before inspecting and palpating this gland?
A: "Tilt your head slightly forward."
B: "Keep your head straight and look ahead of you."
A charge nurse is teaching a newly hired RN about the facility's computerized documentation
system. Which of the following actions should the RN take?
A: Direct the newly hired RN to wait until the end of the shift to document client care.
B: Instruct the newly hired RN to use direct quotes when recording client statements.
C: Perform documentation for the newly hired nurse until the orientation period is complete. -
ANS-B
Rationale: The newly hired RN should include both subjective data (what the client says), and
objective data (what the RN observes) when entering computer documentation. It's important to
directly quote what the client says rather than summarizing to provide factual information.
A charge RN is delegating tasks for 4 clients. Which of the following tasks should the RN
delegate to the assistive personnel (AP)?
A: Prepare the room for a client who requires seizure precautions.
B: Check a client's deep tendon reflexes.
C: Develop a plan of care for a client who is at risk for falling.
D: Obtain a wound culture on a client who has a small pressure injury. - ANS-A
Rationale: AN AP can set up a room with the equipment a client requires for seizure precautions
because the necessary equipment is the same for each client.
A home health RN is visiting an older adult client who has anemia. Which of the following foods
should the RN recommend to increase the client's iron intake?
A: Greek yogurt
B: Bran muffin
C: Peanut butter sandwich
D: Dried fruit - ANS-D
Rationale: The RN should recommend the client eat more dried fruit to increase iron in the diet.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (SATA)
A: Home health care
B: Rehabilitation facilities
C: Diagnostic centers
D: Skilled nursing facilities - ANS-Answer: A, B, D
C
Rationale: Secondary health care includes the diagnosis and treatment of acute injury or illness.
Diagnostic centers are a type of secondary health care.
, A RN is conducting an admission interview with a client. Which of the following pieces of
assessment information should the RN collect during the introductory phase of the interview?
A: A client's level of comfort and ability to participate in the interview.
B: Previous illnesses and surgeries.
C: Events surrounding the client's recent illness.
D: Sociocultural history. - ANS-A
Rationale: The RN should assess the client's level of comfort and establish a rapport during the
introductory or orientation phase. The RN should engage in active listening and present a
relaxed attitude to place the client at ease and encourage client participation. This will assist the
RN in gaining the necessary data to formulate appropriate nursing diagnosis and outcomes.
An RN in a provider's office is reviewing the laboratory reports for a client who is at risk for heart
disease. Which of the following results should the RN report to the provider?
A: LDL 170mg/dL
B: HDL 60 mg/dL
C: Triglycerides 60 mg/dL
D: Total cholesterol 197 mg/dL - ANS-A
Rationale: AN LDL level of 170 mg/dL is above the expected reference range and places the
client at increase risk for heart disease; therefore, the RN should report this result to PCP.
(>160mg/dL is HIGH)
An RN is admitting a client to an acute care facility. Which of the following actions by the RN
promotes client self-determination?
A: Reviewing the policy on safeguarding personal valuables with the client.
B: Informing the client's family about the regulations for visiting hours.
C: Providing the client with information about end-of-life decision-making.
D: Comparing the client's home medications to the admission prescriptions. - ANS-C
Rationale: By promoting the client's autonomy, the RN ensures the client's ability to
self-determine care. Under the Patient Self-Determination Act, facilities must ensure a client is
aware of their rights to make choices about their care, including completing advance directives
to predetermine end-of-life tx options.
An RN is assessing a client. which of the following findings should the RN identify as an
indication of protein-calorie malnourishment? (SATA)
A: Gingivitis
B: Dry, brittle hair
C: Edema
D: Spoon-shaped nails
E: Poor wound healing - ANS-B, C, E
An RN is assessing a client's thyroid gland. Which of the following instructions should the RN
give the client before inspecting and palpating this gland?
A: "Tilt your head slightly forward."
B: "Keep your head straight and look ahead of you."
