ESTUDYR
ATI NUR 101 MOST TESTED QUESTIONS AND ANSWERS
GRADED A+ WITH RATIONALES
Pertussis (whooping cough) is best described as:
A. A viral lower-respiratory infection producing productive cough
B. A contagious bacterial infection of the upper respiratory tract with paroxysmal cough and
noisy inspiration.
C. A chronic obstructive lung disease associated with smoking
D. An allergic reaction causing bronchospasm
Rationale: Pertussis is bacterial, causes recurrent paroxysms of coughing followed by the
characteristic inspiratory “whoop.”
Which is the correct sequence of the Stages of Health Behavior Change (TTM)?
A. Action → Maintenance → Precontemplation → Contemplation → Preparation
B. Preparation → Precontemplation → Contemplation → Action → Maintenance
C. Precontemplation → Contemplation → Preparation → Action → Maintenance
D. Contemplation → Action → Preparation → Maintenance → Precontemplation
Rationale: The Transtheoretical Model progresses from not considering change to sustained
maintenance.
A full, bounding pulse is typically:
A. Weak and thready, difficult to palpate
B. Easily palpable, forceful — seen in hyperkinetic states, anemia, hyperthyroidism
C. Normal for older adults only
D. Indicative of dehydration always
Rationale: Bounding pulses occur with increased stroke volume or hyperdynamic circulation.
Decreased skin turgor is an assessment sign of:
A. Fluid overload with edema
B. Dehydration / fluid deficit
C. Normal aging without clinical significance
D. Overhydration with hyponatremia
Rationale: Loss of skin elasticity (poor turgor) indicates decreased interstitial fluid.
Moist crackles (rales) on lung auscultation most often indicate:
A. Airway obstruction by bronchospasm only
B. Pleural friction rub
C. Fluid in the alveoli or interstitial space (fluid volume excess / pulmonary edema)
D. Normal breath sounds in elderly patients
Rationale: Moist crackles result from air moving through fluid-filled small airways.
Orthostatic hypotension and flat neck veins on assessment suggest:
A. Fluid volume excess due to heart failure
B. Fluid volume deficit (hypovolemia)
C. Elevated central venous pressure
D. Hypervolemia from renal failure
Rationale: Low vascular volume causes postural BP drop and flat jugular veins.
, ESTUDYR
Which client statement shows correct crutch use teaching understanding?
A. "I will hold a crutch in each hand when sitting down."
B. "I will place my weight on my underarms while walking."
C. "I will be sure to keep the crutch tips dry."
D. "I will lead with my right leg when going up stairs."
Rationale: Dry tips prevent slipping. Weight should be on hands/arms (not axilla) and stair
technique depends on whether bearing weight allowed.
For a client in severe respiratory distress from heart failure, which oxygen device delivers the
highest O₂ concentration?
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Nonrebreather mask
Rationale: A nonrebreather with reservoir can deliver near-100% FiO₂ when fitted properly.
Before applying a topical medication, the nurse should:
A. Show the AP where to apply it and leave
B. Identify the client by room number only
C. Ask the client whether they feel the previous dose was effective
D. Compare the medication label with the MAR and the 6 rights
Rationale: Always verify label against MAR and patient identifiers before administration.
A nurse discovers a small trash can fire in a visitors’ restroom. The correct sequence is:
A. Pull alarm → Evacuate → Use extinguisher → Close doors
B. Evacuate clients → Pull fire alarm → Close fire doors → Use extinguisher
C. Use extinguisher → Pull alarm → Evacuate → Close doors
D. Call family → Take photos → Pull alarm → Evacuate
Rationale: Remove people first, then alert, contain fire (close doors), then extinguish if safe.
A client with new insulin orders expresses anger. The best nurse response is:
A. "Why are you angry about taking insulin?"
B. "Don't worry, diabetes runs in my family."
C. "I see that you are angry. Let's sit down and talk."
D. "You should take insulin; it reduces complications."
Rationale: Acknowledging feelings and offering to listen is therapeutic and patient-centered.
The most reliable bedside method to verify NG tube gastric placement prior to feeding is:
A. Check pH of gastric aspirate (and compare to expected gastric pH)
B. Add blue dye to the formula and observe color in aspirate
C. Auscultate epigastrium while injecting air ("whoosh" test)
D. Measure external tube length only
Rationale: pH testing of aspirate is recommended; auscultation and blue dye are unreliable or
unsafe.
Which wound is healing by secondary intention?
A. An abdominal surgical wound with intact staples
B. A puncture wound that is sutured
C. A stage III pressure ulcer with unapproximated edges
D. A contaminated wound immediately closed after 72 hours
ATI NUR 101 MOST TESTED QUESTIONS AND ANSWERS
GRADED A+ WITH RATIONALES
Pertussis (whooping cough) is best described as:
A. A viral lower-respiratory infection producing productive cough
B. A contagious bacterial infection of the upper respiratory tract with paroxysmal cough and
noisy inspiration.
C. A chronic obstructive lung disease associated with smoking
D. An allergic reaction causing bronchospasm
Rationale: Pertussis is bacterial, causes recurrent paroxysms of coughing followed by the
characteristic inspiratory “whoop.”
Which is the correct sequence of the Stages of Health Behavior Change (TTM)?
A. Action → Maintenance → Precontemplation → Contemplation → Preparation
B. Preparation → Precontemplation → Contemplation → Action → Maintenance
C. Precontemplation → Contemplation → Preparation → Action → Maintenance
D. Contemplation → Action → Preparation → Maintenance → Precontemplation
Rationale: The Transtheoretical Model progresses from not considering change to sustained
maintenance.
A full, bounding pulse is typically:
A. Weak and thready, difficult to palpate
B. Easily palpable, forceful — seen in hyperkinetic states, anemia, hyperthyroidism
C. Normal for older adults only
D. Indicative of dehydration always
Rationale: Bounding pulses occur with increased stroke volume or hyperdynamic circulation.
Decreased skin turgor is an assessment sign of:
A. Fluid overload with edema
B. Dehydration / fluid deficit
C. Normal aging without clinical significance
D. Overhydration with hyponatremia
Rationale: Loss of skin elasticity (poor turgor) indicates decreased interstitial fluid.
Moist crackles (rales) on lung auscultation most often indicate:
A. Airway obstruction by bronchospasm only
B. Pleural friction rub
C. Fluid in the alveoli or interstitial space (fluid volume excess / pulmonary edema)
D. Normal breath sounds in elderly patients
Rationale: Moist crackles result from air moving through fluid-filled small airways.
Orthostatic hypotension and flat neck veins on assessment suggest:
A. Fluid volume excess due to heart failure
B. Fluid volume deficit (hypovolemia)
C. Elevated central venous pressure
D. Hypervolemia from renal failure
Rationale: Low vascular volume causes postural BP drop and flat jugular veins.
, ESTUDYR
Which client statement shows correct crutch use teaching understanding?
A. "I will hold a crutch in each hand when sitting down."
B. "I will place my weight on my underarms while walking."
C. "I will be sure to keep the crutch tips dry."
D. "I will lead with my right leg when going up stairs."
Rationale: Dry tips prevent slipping. Weight should be on hands/arms (not axilla) and stair
technique depends on whether bearing weight allowed.
For a client in severe respiratory distress from heart failure, which oxygen device delivers the
highest O₂ concentration?
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Nonrebreather mask
Rationale: A nonrebreather with reservoir can deliver near-100% FiO₂ when fitted properly.
Before applying a topical medication, the nurse should:
A. Show the AP where to apply it and leave
B. Identify the client by room number only
C. Ask the client whether they feel the previous dose was effective
D. Compare the medication label with the MAR and the 6 rights
Rationale: Always verify label against MAR and patient identifiers before administration.
A nurse discovers a small trash can fire in a visitors’ restroom. The correct sequence is:
A. Pull alarm → Evacuate → Use extinguisher → Close doors
B. Evacuate clients → Pull fire alarm → Close fire doors → Use extinguisher
C. Use extinguisher → Pull alarm → Evacuate → Close doors
D. Call family → Take photos → Pull alarm → Evacuate
Rationale: Remove people first, then alert, contain fire (close doors), then extinguish if safe.
A client with new insulin orders expresses anger. The best nurse response is:
A. "Why are you angry about taking insulin?"
B. "Don't worry, diabetes runs in my family."
C. "I see that you are angry. Let's sit down and talk."
D. "You should take insulin; it reduces complications."
Rationale: Acknowledging feelings and offering to listen is therapeutic and patient-centered.
The most reliable bedside method to verify NG tube gastric placement prior to feeding is:
A. Check pH of gastric aspirate (and compare to expected gastric pH)
B. Add blue dye to the formula and observe color in aspirate
C. Auscultate epigastrium while injecting air ("whoosh" test)
D. Measure external tube length only
Rationale: pH testing of aspirate is recommended; auscultation and blue dye are unreliable or
unsafe.
Which wound is healing by secondary intention?
A. An abdominal surgical wound with intact staples
B. A puncture wound that is sutured
C. A stage III pressure ulcer with unapproximated edges
D. A contaminated wound immediately closed after 72 hours
