ATI Fundamentals 2023
A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that their last physical
exam was in high school. Which of the following health screenings should the nurse expect the provider
to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen ANS: A. Testicular examination
The nurse should identify that starting at puberty, the client should have examinations for testicular
cancer, along with blood pressure and body mass index, and cholesterol measurements. Testicular
cancer is most common in males 15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.
A nurse at a provider's office is talking about routine screenings with a 45-year-old female client who
has no specific family history of cancer or diabetes mellitus. Which of the following client statements
indicates that the client understands how to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another one."
D. "I had my blood glucose test last year, so I won't need it again for 4 years." ANS: B. "For now, I should
continue to have a clinical breast exam each year."
The female client who is between the ages of 40 and 49 should have a clinical breast exam annually, and
they should consult with their provider about the frequency of mammograms.
The nurse should identify that the female client who has no specific family or personal history of
colorectal cancer should have a colonoscopy every 10 years beginning at age 45.
The female client who is between the ages of 30 and 65, with no family or personal history of cervical
cancer, should have either a Pap smear and human papilloma virus test every 5 years, or a Pap test
every 3 years.
,The client who is age 45 should have a blood glucose test at least every 3 years. Unless there is a specific
family or personal history of diabetes mellitus, annual blood glucose determinations are not necessary.
A nurse is caring for a young adult at a college health clinic. Which of the following actions should the
nurse take first?
A. Give the client information about immunization against meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations. ANS: C. Determine the client's health risks.
The first action that should be taken using the nursing process is assessment. Talk with the client first to
determine what risk factors the client might have before initiating the health promotion and disease
prevention measures.
A. The nurse should plan to give the client information on the meningococcal vaccine as part of the
primary disease prevention; however, there is another action the nurse should take first.
B. The nurse should recommend TB screening depending on the client's occupation and exposure to TB
as part of secondary disease prevention; however, there is another action the nurse should take first.
D. The nurse should instruct the client about exercise and activity recommendations as part of health
promotion; however, there is another action the nurse should take first.
A nurse at a health department is planning strategies related to heart disease. Which of the following
activities should the nurse include as part of primary prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs ANS: B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent illness or injury. This level of prevention
includes health information about nutrition, exercise, stress management, and protection from injuries
and illness.
Cholesterol screening is an example of secondary prevention.
,Taking medication to lower blood pressure is part of secondary prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has
multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse
include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
D. Devise and set goals for the client.
E. Teach stress management strategies. ANS: A, B, C, & E are correct
Help the client see the benefits of their actions.
The nurse should plan to assist the client to recognize the benefits of their health-promoting actions
while also overcoming barriers to implementing actions.
Identify the client's support systems.
The nurse should plan to collect information about who can help the client change unhealthy behaviors,
and then suggest steps to have friends and family to become involved and supportive.
Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available community or online resources that
can help the client progress toward meeting set goals.
Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor to cardiovascular disease, as well as
many other specific and systemic disorders.
, Devise and set goals for the client.
The nurse and the client should work together to devise and set mutually agreeable goals that are also
realistic and achievable.
The ostomy nurse is providing preoperative education for the client who is scheduled for a sigmoid
colostomy. The nurse should identify that which of the following client statements is an indication that
the client is ready to learn?
A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery." ANS: C. "Can you tell me about how
long the surgery will take?"
When recognizing cues, the ostomy nurse should identify that asking a concrete question about the
procedure indicates that the client is ready to learn about the surgery.
The ostomy nurse is preparing to educate the client about caring for the new colostomy. Place the
following actions the ostomy nurse should take in the correct order.
1. Demonstrate how to care for the colostomy.
2. Select instructional materials about colostomy care to give to the client.
3. Ask the client to explain how to care for their colostomy.
4. Determine what the client knows about colostomies. ANS: 4, 2, 1, 3
When taking action, the ostomy nurse uses the nursing process to educate the client about caring for
the colostomy. The first action the nurse should take is to determine what the client knows about
colostomies. The ostomy nurse can base the education for the client on preexisting knowledge. The
second action the ostomy nurse should take using the nursing process is to plan to use instructional
materials to educate the client about colostomy care. The third action the ostomy nurse should take
using the nursing process is implementation. The ostomy nurse demonstrates how to care for the
colostomy. The fourth action the ostomy nurse should take using the nursing process is evaluation. The
A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that their last physical
exam was in high school. Which of the following health screenings should the nurse expect the provider
to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen ANS: A. Testicular examination
The nurse should identify that starting at puberty, the client should have examinations for testicular
cancer, along with blood pressure and body mass index, and cholesterol measurements. Testicular
cancer is most common in males 15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.
A nurse at a provider's office is talking about routine screenings with a 45-year-old female client who
has no specific family history of cancer or diabetes mellitus. Which of the following client statements
indicates that the client understands how to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another one."
D. "I had my blood glucose test last year, so I won't need it again for 4 years." ANS: B. "For now, I should
continue to have a clinical breast exam each year."
The female client who is between the ages of 40 and 49 should have a clinical breast exam annually, and
they should consult with their provider about the frequency of mammograms.
The nurse should identify that the female client who has no specific family or personal history of
colorectal cancer should have a colonoscopy every 10 years beginning at age 45.
The female client who is between the ages of 30 and 65, with no family or personal history of cervical
cancer, should have either a Pap smear and human papilloma virus test every 5 years, or a Pap test
every 3 years.
,The client who is age 45 should have a blood glucose test at least every 3 years. Unless there is a specific
family or personal history of diabetes mellitus, annual blood glucose determinations are not necessary.
A nurse is caring for a young adult at a college health clinic. Which of the following actions should the
nurse take first?
A. Give the client information about immunization against meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations. ANS: C. Determine the client's health risks.
The first action that should be taken using the nursing process is assessment. Talk with the client first to
determine what risk factors the client might have before initiating the health promotion and disease
prevention measures.
A. The nurse should plan to give the client information on the meningococcal vaccine as part of the
primary disease prevention; however, there is another action the nurse should take first.
B. The nurse should recommend TB screening depending on the client's occupation and exposure to TB
as part of secondary disease prevention; however, there is another action the nurse should take first.
D. The nurse should instruct the client about exercise and activity recommendations as part of health
promotion; however, there is another action the nurse should take first.
A nurse at a health department is planning strategies related to heart disease. Which of the following
activities should the nurse include as part of primary prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs ANS: B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent illness or injury. This level of prevention
includes health information about nutrition, exercise, stress management, and protection from injuries
and illness.
Cholesterol screening is an example of secondary prevention.
,Taking medication to lower blood pressure is part of secondary prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has
multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse
include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
D. Devise and set goals for the client.
E. Teach stress management strategies. ANS: A, B, C, & E are correct
Help the client see the benefits of their actions.
The nurse should plan to assist the client to recognize the benefits of their health-promoting actions
while also overcoming barriers to implementing actions.
Identify the client's support systems.
The nurse should plan to collect information about who can help the client change unhealthy behaviors,
and then suggest steps to have friends and family to become involved and supportive.
Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available community or online resources that
can help the client progress toward meeting set goals.
Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor to cardiovascular disease, as well as
many other specific and systemic disorders.
, Devise and set goals for the client.
The nurse and the client should work together to devise and set mutually agreeable goals that are also
realistic and achievable.
The ostomy nurse is providing preoperative education for the client who is scheduled for a sigmoid
colostomy. The nurse should identify that which of the following client statements is an indication that
the client is ready to learn?
A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery." ANS: C. "Can you tell me about how
long the surgery will take?"
When recognizing cues, the ostomy nurse should identify that asking a concrete question about the
procedure indicates that the client is ready to learn about the surgery.
The ostomy nurse is preparing to educate the client about caring for the new colostomy. Place the
following actions the ostomy nurse should take in the correct order.
1. Demonstrate how to care for the colostomy.
2. Select instructional materials about colostomy care to give to the client.
3. Ask the client to explain how to care for their colostomy.
4. Determine what the client knows about colostomies. ANS: 4, 2, 1, 3
When taking action, the ostomy nurse uses the nursing process to educate the client about caring for
the colostomy. The first action the nurse should take is to determine what the client knows about
colostomies. The ostomy nurse can base the education for the client on preexisting knowledge. The
second action the ostomy nurse should take using the nursing process is to plan to use instructional
materials to educate the client about colostomy care. The third action the ostomy nurse should take
using the nursing process is implementation. The ostomy nurse demonstrates how to care for the
colostomy. The fourth action the ostomy nurse should take using the nursing process is evaluation. The
