Test Bank for Fundamentals for Nursing
Edition 12.0 ATI Review Model Content
Mastery Series
SECTION I: Foundations of Nursing Practice
Question 1
A nurse is discussing restorative health care with a newly licensed nurse. Which of
the following examples should the nurse include in the teaching? (Select all that
apply.)
A. Home health care
B. Rehabilitation facility
C. Skilled nursing facility
D. Oncology center
E. Diagnostic center
Correct Answer: A, B, C
Rationale: Restorative health care involves intermediate follow-up care
for restoring health and promoting self-care. Examples include home health care,
rehabilitation facilities, and skilled nursing facilities. Oncology and diagnostic
centers provide specialized acute or diagnostic care, not restorative care.
Question 2
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following levels of care should the nurse identify as
tertiary care?
A. A provider's office
B. A community health center
C. An intensive care unit
D. A rehabilitation center
Correct Answer: C
, Rationale: Tertiary care involves specialized, highly technical care, such as
intensive care, oncology treatment, or burn centers. Primary care is provided in
providers' offices and community health centers. Rehabilitation is considered
restorative or continuing care.
Question 3
A nurse is caring for a client who is terminally ill and hesitates to name their
partner on the medical record. The client states, "We aren't legally married, so I
don't think it matters." Which ethical principle is the nurse demonstrating when
advocating for the client's partner to be recognized?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: C
Rationale: Justice refers to fairness in care delivery and the equitable
distribution of resources. Advocating for the client's partner to be recognized
despite legal marital status reflects the principle of justice. Autonomy is the right
to make one's own decisions. Beneficence is doing good. Fidelity is keeping
promises.
Question 4
A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to comply with the client's right to self-
determination?
A. Administer the medication as prescribed without discussion
B. Inform the client of the medication's purpose and obtain consent
C. Withhold the medication if the client refuses
D. Document the client's refusal in the medical record
Correct Answer: B
, Rationale: The right to self-determination (autonomy) requires that
clients receive sufficient information to make informed decisions about their care,
including the right to accept or refuse treatment. Simply administering
medication without discussion violates this right. Withholding medication without
exploring the refusal is also inappropriate.
Question 5
A nurse is reviewing the medical record of a client who has a do-not-resuscitate
(DNR) order. Which of the following actions should the nurse take?
A. Initiate CPR if the client experiences cardiac arrest
B. Verify the DNR order is documented in the medical record
C. Ask the family to confirm the DNR status during an emergency
D. Transfer the client to the intensive care unit
Correct Answer: B
Rationale: The nurse must verify that the DNR order is properly
documented in the medical record and that all members of the health care team
are aware of it. Initiating CPR on a client with a valid DNR order violates the
client's rights.
Question 6
A nurse is discussing the nursing process with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding
of the assessment phase?
A. "I will determine the client's health problems during this phase."
B. "I will collect subjective and objective data during this phase."
C. "I will establish client goals and outcomes during this phase."
D. "I will determine the effectiveness of interventions during this phase."
Correct Answer: B
Rationale: The assessment phase involves the systematic collection of
subjective and objective data. Determining health problems occurs during analysis
, (diagnosis). Establishing goals occurs during planning. Evaluating effectiveness
occurs during evaluation.
Question 7
A nurse is caring for a client who has a new prescription for a medication that the
nurse is unfamiliar with. Which of the following actions should the nurse take
first?
A. Administer the medication as prescribed
B. Consult a drug reference guide
C. Ask another nurse to administer the medication
D. Notify the provider that the medication is unfamiliar
Correct Answer: B
Rationale: The nurse should consult a drug reference guide or pharmacist
before administering any unfamiliar medication to ensure safe administration.
This action takes priority over asking another nurse or notifying the provider, as
the nurse must first understand the medication's purpose, side effects, and
administration guidelines.
Question 8
A nurse is documenting in a client's medical record. Which of the following entries
should the nurse recognize as objective data?
A. "Client reports feeling anxious about discharge."
B. "Client states, 'I have a headache.'"
C. "Client's blood pressure is 150/90 mm Hg."
D. "Client describes pain as 8 on a scale of 0 to 10."
Correct Answer: C
Rationale: Objective data are observable and measurable findings, such
as vital signs. Subjective data include client reports of symptoms, feelings, and
perceptions.
Edition 12.0 ATI Review Model Content
Mastery Series
SECTION I: Foundations of Nursing Practice
Question 1
A nurse is discussing restorative health care with a newly licensed nurse. Which of
the following examples should the nurse include in the teaching? (Select all that
apply.)
A. Home health care
B. Rehabilitation facility
C. Skilled nursing facility
D. Oncology center
E. Diagnostic center
Correct Answer: A, B, C
Rationale: Restorative health care involves intermediate follow-up care
for restoring health and promoting self-care. Examples include home health care,
rehabilitation facilities, and skilled nursing facilities. Oncology and diagnostic
centers provide specialized acute or diagnostic care, not restorative care.
Question 2
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following levels of care should the nurse identify as
tertiary care?
A. A provider's office
B. A community health center
C. An intensive care unit
D. A rehabilitation center
Correct Answer: C
, Rationale: Tertiary care involves specialized, highly technical care, such as
intensive care, oncology treatment, or burn centers. Primary care is provided in
providers' offices and community health centers. Rehabilitation is considered
restorative or continuing care.
Question 3
A nurse is caring for a client who is terminally ill and hesitates to name their
partner on the medical record. The client states, "We aren't legally married, so I
don't think it matters." Which ethical principle is the nurse demonstrating when
advocating for the client's partner to be recognized?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: C
Rationale: Justice refers to fairness in care delivery and the equitable
distribution of resources. Advocating for the client's partner to be recognized
despite legal marital status reflects the principle of justice. Autonomy is the right
to make one's own decisions. Beneficence is doing good. Fidelity is keeping
promises.
Question 4
A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to comply with the client's right to self-
determination?
A. Administer the medication as prescribed without discussion
B. Inform the client of the medication's purpose and obtain consent
C. Withhold the medication if the client refuses
D. Document the client's refusal in the medical record
Correct Answer: B
, Rationale: The right to self-determination (autonomy) requires that
clients receive sufficient information to make informed decisions about their care,
including the right to accept or refuse treatment. Simply administering
medication without discussion violates this right. Withholding medication without
exploring the refusal is also inappropriate.
Question 5
A nurse is reviewing the medical record of a client who has a do-not-resuscitate
(DNR) order. Which of the following actions should the nurse take?
A. Initiate CPR if the client experiences cardiac arrest
B. Verify the DNR order is documented in the medical record
C. Ask the family to confirm the DNR status during an emergency
D. Transfer the client to the intensive care unit
Correct Answer: B
Rationale: The nurse must verify that the DNR order is properly
documented in the medical record and that all members of the health care team
are aware of it. Initiating CPR on a client with a valid DNR order violates the
client's rights.
Question 6
A nurse is discussing the nursing process with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding
of the assessment phase?
A. "I will determine the client's health problems during this phase."
B. "I will collect subjective and objective data during this phase."
C. "I will establish client goals and outcomes during this phase."
D. "I will determine the effectiveness of interventions during this phase."
Correct Answer: B
Rationale: The assessment phase involves the systematic collection of
subjective and objective data. Determining health problems occurs during analysis
, (diagnosis). Establishing goals occurs during planning. Evaluating effectiveness
occurs during evaluation.
Question 7
A nurse is caring for a client who has a new prescription for a medication that the
nurse is unfamiliar with. Which of the following actions should the nurse take
first?
A. Administer the medication as prescribed
B. Consult a drug reference guide
C. Ask another nurse to administer the medication
D. Notify the provider that the medication is unfamiliar
Correct Answer: B
Rationale: The nurse should consult a drug reference guide or pharmacist
before administering any unfamiliar medication to ensure safe administration.
This action takes priority over asking another nurse or notifying the provider, as
the nurse must first understand the medication's purpose, side effects, and
administration guidelines.
Question 8
A nurse is documenting in a client's medical record. Which of the following entries
should the nurse recognize as objective data?
A. "Client reports feeling anxious about discharge."
B. "Client states, 'I have a headache.'"
C. "Client's blood pressure is 150/90 mm Hg."
D. "Client describes pain as 8 on a scale of 0 to 10."
Correct Answer: C
Rationale: Objective data are observable and measurable findings, such
as vital signs. Subjective data include client reports of symptoms, feelings, and
perceptions.
