Exam 1 ATI Practice Questions *Q&A* (100% Correct) 2025/2026 |VERIFIED|

Exam 1 ATI Practice Questions *Q&A* (100% Correct) 2025/2026 |VERIFIED| A nurse is preparing to administer a liquid medication from a bottle to a client. Which action should the nurse take? A. Pour the medication with the label facing away from the palm. B. Shake the bottle vigorously before pouring. C. Hold the medication bottle with the label against the palm of the hand when pouring. D. Pour the medication directly into the client’s mouth.4 A client who is nonambulatory notifies the nurse that his trash can is on fire. After confirming the presence of fire, what should the nurse do next? A. Call the fire department. B. Attempt to extinguish the fire. C. Close all doors to contain the fire. D. Evaluate the client.4 A nurse is planning care for a client with a single-lumen nasogastric (NG) tube for gastric decompression. Which action should be included in the plan? A. Set the suction machine at 120 mmHg. B. Provide oral hygiene frequently. C. Apply petroleum jelly to the client’s nares. D. Place the client in a supine position at all times.4 1 A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client’s partner wants the transfusion given. What should the nurse do? A. Administer the blood transfusion. B. Notify the healthcare provider. C. Attempt to persuade the client. D. Withhold the blood transfusion.4 A nurse is assessing a client with a total calcium level of 12.7 mg/dL. Which finding should the nurse expect? A. Hyperactive deep-tendon reflexes. B. Depressed deep-tendon reflexes. C. Tetany. D. Muscle spasms.4 A nurse is teaching a client with lower extremity weakness how to use a 4-point crutch gait. Which instruction should be included? A. Move both crutches forward at the same time. B. Move the weaker leg first with both crutches. C. Move both legs together, then the crutches. D. Bear weight on both of your legs.4 A nurse is caring for a client who has acute renal failure. Which assessment provides the most accurate measure of the client’s fluid status? A. Blood pressure measurement. B. Intake and output records. 2 C. Skin turgor assessment. D. Daily weight.4 A nurse is planning to insert an NG tube for a client who refuses the procedure, saying, “You are not putting that hose down my throat.” What is the best response? A. “You have no choice; this is necessary.” B. “The doctor ordered this, so it must be done.” C. “It will only take a few minutes.” D. “I can see that this is upsetting you.”4 A nurse is providing teaching to a client regarding protein intake. Which food should be included as an example of an incomplete protein? A. Chicken. B. Eggs. C. Lentils. D. Milk.4 A nurse is caring for a client who has fecal impaction. Before digital removal, which type of enema should the nurse plan to administer to soften the feces? A. Tap water enema. B. Soap suds enema. C. Oil retention enema. D. Hypertonic saline enema. 3 A nurse is caring for a client who states "I have to check with my wife and see if she thinks I am ready to go home" The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. pacing B. reflecting C. paraphrasing D. restating B which of the following actions should the nurse take when using the communication technique of active listening (select all that apply) A. open posture B. write down what client says to avoid forgetting details C. establish and maintain eye contact D. nod in agreement with the client throughout conversation E. respond positively when giving feedback A C E 4 a nurse if caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse use (select all that apply) A. you will do great. you just have to get used to it. B. what are you worried about going home C. your daily routines will be different when you go home D. tell me about your support system youll have after you leave the hospital E. let me tell you about a friend of mine with a colostomy who also enjoys swimming D E C which of the following strategies should a nurse use to establish a helping relationship with a client A. make sure the communication is equally reciprocal between the nurse and client B. encourage client to communicate his thoughts and feelings C. give nurse-client communication no time limits D. allow communication to occur spontaneously throughout nurse-client relationship a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take B 5 A. touch childs arm B. sit at eye level C. stand facing child D. stand with relaxed posture B A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation D A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing 6 D. Restating D A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information A A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on: A. discussing in-depth topics with which the client feels comfortable. B. using silence to avoid unpleasant or difficult topics. C. attending to verbal and nonverbal behaviors. D. requiring the client and family to ask for feedback. C When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response? A. "I think your son is getting better. What have you noticed?" 7 B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically." D A nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? a. Measure vital signs. b. Encourage HIV screening. c. Determine risk factors. d. Instruct the client to use condoms. C 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? (SATA) a. Help the client see the benefits of her 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. A 8 B C E A nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since 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 A A nurse is talking with a client who recently attended a cholesterol screening event and a heart healthy nutrition presentation at a neighborhood center. The client's total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? a. Cholesterol screening b. Nutrition presentation 9 c. Medication therapy d. Cardiac rehabilitation B 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. "So I don't need the colon cancer procedure for another 2 or 3 years." b. "For now, I should continue to have a mammogram each year." c. "Because the doctor just did a Pap smear, I'll come back the next year for another one." d. "I had my blood glucose test last year, so I won't need it again till next year." B A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? a. The client is able to discuss the appropriate technique. b. The client is able to demonstrate the appropriate technique. c. The client states that he understands. d. The client is able to write the steps on a piece of paper. B A nurse in a provider's office is collecting data from the mother of a 12-month-old infant. The client states that her son is old enough for toilet training. Following an educational session with 10 the nurse, the client now states that he will postpone toilet training until her son is older. Learning has occurred in which of the following domains? a. Cognitive b. Affective c. Psychomotor d. Kinesthetic B A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn? a. "I don't want my spouse to see my incision." b. "Will you give me pain medicine after the surgery?" c. "Can you tell me about how long the surgery will take?" d. "My roommate listens to everything I say." C A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client? a. Encourage the client to participate actively in learning. 11 b. Select instructional materials appropriate for the older adult. c. Identify goals the nurse and the client agree are reasonable. d. Determine what the client knows about stress incontinence. D A nurse is evaluating how well a client learned the information he presented in an instructional session about following a heart healthy diet. The client states that she understands what to do now. Which of the following actions should the nurse take to evaluate the client's learning? a. Encourage the client to ask questions. b. Ask the client to explain how to select or prepare meals. c. Encourage the client to fill out an evaluation form. d. Ask the client if she has resources for further instruction on this topic. B By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should the nurse do next according to the nursing process? a. reassess the client to determine the reasons for inadequate pain relief b. wait to see whether the pain lessens during the next 24 hours c. change the plan of care to provide different pain relief interventions d. teach the client about the plan of care for managing his pain A 12 A nursing instructor is reviewing the steps of the nursing process with a group of nursing students. The students should identify which of the following data as objective (Select all that apply) A. Respiratory rate of 22/min with even, unlabored respirations. B. "I can only walk three blocks before my legs start to hurt." C. Pain level 3 on a scale of 0-10 D. Skin pink, warm, and dry E. Urine output of 300mL/8 hr F. Dressing clean, dry, and intact. D E F A A nursing student is reporting to the clinical instructor about the care she gave to a client. She states: " The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hr ago. The prescription reads every 4 hr PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it I checked with the client 40 min later and he said his pain is going away." The instructor should inform the student she left out which of the following steps of the nursing process? 13 A. Assessment B. Planning C. Intervention D. Evaluation A A nursing instructor is reviewing which actions nurses can initiate without a provider's prescription with a group of nursing students. The students should identify which of the following interventions as nurse-initiated? (Select all that apply) A. Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain. B. Insert an NG tube to relieve a client's gastric distention. C. Show a client how to use progressive muscle relaxation. D. Perform a daily bath after the evening meal. E. Reposition a client every 2 hr to reduce pressure ulcer risk. D E C During an evaluation, the nurse must gather information about the client to... A. Identify whether the client outcomes have been met. B. Organize resources to proceed with implementing interventions 14 C. Establish client-centered outcomes that are measurable and realistic. D. determine the priority of care and appropriate interventions. A a nurse is caring for a client who fell at a nursing home. the client is oriented to person, place, and time and can follow directions. which of the following actions should the nurse take to decrease the risk of another fall (select all that apply) A. place belt restraint on the client when he is sitting on the bedside commode B. keep bed in lowest position with all side rails up C. make sure clients call light is within reach D. proved nonskid footwear E. complete fall-risk assessment D E C a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. which of the following statements by a nurse requires further instruction? A. I will place the client on his side B. I will go to the nurses station for assistance C. I will administer his meds D. i will prepare to insert an airway B 15 a nurse observes smoke coming from under the door of the staffs lounge. which of the following actions is the nurses priority? A. extinguish the fire B. activate the alarm C. move the clients who are nearby D. close all open doors on the unit C a nurse is caring for a client who has a history of falls. which of the following actions is the nurses priority? A. complete fall-risk assessment B. educate client and family about fall risks C. eliminate safety hazards from clients environment D. make sure the client uses assistive devices A a charge nurse is assigning rooms for the clients to be admitted to the unit. to prevent falls, which of the following clients should be assigned to rooms closest to the nursing station? A. a middle adult who is postop following a laparoscopic cholecystectomy B. a middle adult who requires telemetry for a possible myocardial infarction 16 C. young adult who is postop following an open reduction internal fixation of the ankle D. an older adult who is postop following a below-the-knee amputation D a nurse is caring for a client who has been sitting in a chair for 1 hr. which of the following complications is the greatest risk to the client? A. decreased subQ fat B. muscle atrophy C. pressure ulcer D. fecal impaction C a nurse is caring for a client who is postop. which of the following interventions should the nurse take to reduce the risk of thrombus development (select all that apply) A. instruct client not to perform Valsalva maneuver B. apply elastic stockings C. review laboratory values for total protein level D. place pillows under clients knees and lower extremities E. assist client to change position often E B 17 a nurse is planning care for a client who is on bed rest. which of the following interventions should the nurse plan to implement? A. encourage client to perform antiembolic exercises q2 B. instruct client to cough and deep breathe q4 C. restrict clients fluid intake D. reposition q4 A a nurse is evaluating teaching on a client who has a new rx for a sequential compression device. which of the following client statements should indicate the client understands? A. this device will keep me from getting sores on my skin B. this thing will keep the blood pumping through my leg C. with this thing my leg muscles wont get weak D. this device is going to keep my joints in good shape B a nurse is instructing a client who has an injury to the left lower extremity about the use of a cane. which of the following instructions should the nurse include? (select all that apply) A. hold cane to right side B. keep 2 points of support on floor C. place cane 38 cm(15in) in front of feet before advancing 18 D. after advancing care, more weaker leg forward E. advance stronger leg so that it aligns with the cane B D A A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.) a. Rolls from back to front b. Bears weight on legs c. Walks holding onto furniture d. Sits unsupported e. Sits down from a standing position B D A A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? a. "My baby loved to play with his crib gym, but I took it away from him." b. "I just bought a soft mattress so my baby will sleep better." 19 c. "My baby really likes sleeping on the fluffy pillow we just got for him." d. "I just bought a child-safety gate that folds like an accordion." A A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When reviewing car seat use, which of the following instructions should the nurse include? a. Use a car seat that has a three-point harness system. b. Postion the car seat so that the infant is rear-facing. c. Secure the car seat in the front passenger seat of the vehicle. d. Put soft padding in the car seat behind the infant's back and neck. B The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses by the nurse are appropriate? (Select all that apply.) a. "It might be good to add bananas, as they can help with loose stools." b. "Let's make a list of the foods he is eating so we can spot any problems." c. "Did the changes begin after you started one particular food?" d. Has he been vomiting since he started these new foods?" e. "Most babies react with a little indigestion when you start new foods." C D B 20 A nurse is assessing from a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? (Select all that apply) a. sleeps 14-16 hours a day b. posterior fontanel closed c. pincer grasp present d. hands remain in closed position e. current weight same as birth weight D E A A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.) a. Keep toxic agents in locked cabinets. b. Keep toilet seats up. c. Turn pot handles toward the back of the stoves. d. Place safety gates across stairways. e. Make sure balloons are fully inflated. C A 21 D A nurse is planning diversionary activities for children on an inpatient unit. Which of the following should the nurse incorporate as appropriate play activities for a toddler? (Select all that apply.) a. Building simple models b. Working with clay c. Filling and emptying containers d. Playing with blocks e. Looking at books D E C A nurse is talking with the parents of a toddler. Which of the following should the nurse suggest regarding discipline? a. Establish consistent boundaries. b. Place him in a room with the door closed. c. Have him learn by trial and error. d. Use favorite snacks as rewards. A 22 A mother tells the nurse that her 2-year-old child has temper tantrums. The child says "no" every time the mother tries to help her get dressed. The nurse explains that, developmentally, the toddler is... a. trying to increase her independence. b. developing a sense of trust. c. manifesting an anger management problem. d. attempting to finish a project she started. A A nurse is reviewing nutritional guidelines with the parents of a 2-year-old toddler. Which of the following parents' statements should indicate to the nurse that they understand the feeding guidelines for this age group? a. "I should keep feeding my son whole milk until he is 3 years old." b. "It's okay for me to give my son a cup of apple juice with each meal." c. "I'll give my son about 2 tablespoons of each food at mealtimes." d. "My son loves popcorn, and I know it is better for him than sweets." C A nurse is talking with the parents of a 4-year-old child who states that his child is waking up at night with nightmares. Which of the following interventions should the nurse suggest? a. Offer the child a snack of her favorite treat right before bedtime. 23 b. Allow the child to watch an extra 30 min of TV in the evening. c. have the child take an afternoon nap d. increase physical activity before bedtime C A nurse is planning diversionary activities for children on an inpatient pediatric unit. Which of the following should the nurse incorporate as appropriate play activities for preschoolers? (Select all that apply.) a. Assembling puzzles b. Pulling wheeled toys c. Using musical toys d. Using finger paints e. Coloring with crayons C D E A A nurse is talking with parents of a preschooler who describe several issues that concern them. Which of the following problems the parents verbalized should the nurse identify as the priority for further assessment and intervention? 24 a. "Our son will only eat a few things, like burgers and bananas, and pretty much refuses everything else." b. "Our son has these temper tantrums every time we tell him to do something he doesn't want to do." c. "We think our son truly believes that his toys have personalities and talk to him, especially at night." d. We feel bad when we see our son trying so hard to button his shirt. We just tell him this is something he'll just have to learn to do." B A nurse is reviewing the Centers for Disease Control and Prevention's (CDC's) immunization recommendations with the parents of two preschoolers. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) a. Haemophilus influenzae type b b. Varicella c. Polio d. Hepatits A e. Seasonal influenza C E B 25 A nurse is caring for a 5-year-old client whose parents report that she fears painful procedures, such as injections. Which of the following strategies should the nurse use to try to help ease the child's fear? (Select all that apply.) a. Invite the child to assist with mealtime activities. b. Cluster invasive procedures whenever possible. c. Assign caregivers which whom the child is familiar. d. Have the parents bring in a favorite toy from home. e. Engage the child in pre tent play with a toy medical kit. D E A A nurse is talking with parents of a 12 year old child who describe several issues that concern them. Which of the following problems the parents verbalized should the nurse identify as the priority for further assessment and intervention? a. "We just don't understand why our son can't keep up with the other kids in simple activities like running and jumping." b. "Our son keeps trying to find ways around our household rules. He always wants to make deals with us." c. "We think our son is trying too hard to excel in math just to get the top grades in his class." 26 d. "Our son is always afraid the kids in school will laugh at him because he likes to sing and write little poems." A A nurse is planning diversionary activities for school-aged children on an inpatient pediatric unit. Which of the following activities should the nurse include? select all that apply A. building models B. playing video games C. reading books D. using toy carpentry tools E. playing board games B C A A nurse is evaluating teaching about nutrition with the parents of al 11-year old child. Which of the following statements should indicate to the nurse an understanding of the teaching? a. "She wants to eat as much as we do, but we're afraid she'll soon be overweight." b. "She skips lunch sometimes, but we figure it's okay as long as she has a healthy breakfast and dinner." c. "We limit fast-food restaurant meals to three times a week now." 27 d. "We reward her school achievements with a point system instead of a pizza or ice cream." D A nurse is talking with the parent of a 10-year-old child who express concern that their son is suddenly becoming secretive, for example, closing the door when he showers, dresses, and does his homework in his room. Which of the following responses by the nurse is appropriate? a. "Perhaps you should try to found out what is is doing behind those closed doors." b. "Suggest that he leave the door ajar for his own safety." c. "At this age, children tend to become more modest and value their privacy." d. "Tell him it's okay to close the door when he is undressed, but he has to do his homework where you can see him." C A nurse is planning a health promotion and primary prevention class for the parents of school aged children. Which of the following topics are appropriate to include for the parents of school-age children? (Select all that apply.) a. Childhood obesity b. Substance us disorders c. Scoliosis screening d. Front-seat seatbelt use e. Stranger awareness A 28 B C E A nurse is talking with the father of a 12-year-old boy who is concerned that he hasn't observed any indications that his son is approaching puberty. The nurse should explain that the first sign of sexual maturation in boys is... A. the appearance of downy hair on the upper lip. B. hair growth in the axillae. C. enlargement of the testes and the scrotum. D. deepening of the voice. C A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply.) A. Suggest that his parents room in with him. B. Provide a television and DVDs for him to watch. C. Limit visitors to immediate family. D. involve the adolescent in treatment decisions when possible E. Allow him to perform his own morning care. B A 29 D E A nurse is talking with an adolescent who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment and intervention? A. "I kind of like this boy in my class but he doesn't like me back" B. "I want to hangout with the kids in the science club, but the jocks pick on them" C. "I am so fat, I skip meals to try to lose weight" D. "My dad wants me to be a lawyer like him, but I just want to dance." C A nurse is reviewing the Centers for Disease Control and Prevention's (CDC's) immunization recommendations with the parents of an adolescent. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) A. Rotavirus B. Varicella C. Herpes zoster D. Human papilloma virus E. Seasonal influenza D B 30 E A nurse is preparing a wellness presentation for families at a community center. When discussing health screenings for adolescents, which of the following information about scoliosis should the nurse include? (Select all that apply.) A. obtain a periodic mental status evaluation B. discuss prevention of sexually transmitted infections C. regularly screen for TB D. provide education about drug and alcohol use E. teach monthly breast examinations for girls B C D A A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? (Select all that apply.) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. 31 D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home. C E B A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include in her counseling? A. Carbon monoxide has a distinct odor. B. Water heaters should be inspected every 5 years. C. The lungs are damaged from carbon monoxide inhalation. D. Carbon monoxide binds with hemoglobin in the body. D A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea A 32 A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse including in her counseling? (Select all that apply.) A. Most food poisoning is caused by a virus. B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high risk should eat or drink only pasteurized dairy products. D. Healthy individuals usually recover from the illness in a few weeks. E. Handling raw and fresh food separately to avoid cross contamination may prevent food poisoning. D E B A nurse educator is conducting a parenting class for new parents of infants. Which of the following statements made by a participant indicates understanding of the instructions? A. "I will set my water heater at 130F" B. "Once my baby can sit up, he should be safe in the bathtub." C. "I will place my baby on his stomach to sleep" D. "Once my infant starts to push up, I will remove the mobile from over the bed." D 33