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ATI NUR 170 FUNDAMENTALS OF NURSING
ORIGINAL PRACTICE QUESTIONS WITH
CLINICAL JUDGMENT ITEMS | GRADED A+ |
HIGH YIELD SOLUTIONS | PASS FIRST
TABLE OF CONTENTS
| Section | Topic | Question Range |
|---------|-------|----------------|
| I | Nursing Foundations & the Nursing Process (ADPIE) | Q1–Q35 |
| II | Safety & Infection Control | Q36–Q70 |
| III | Health Promotion & Maintenance | Q71–Q100 |
| IV | Psychosocial Integrity | Q101–Q125 |
| V | Basic Care & Comfort | Q126–Q160 |
| VI | Pharmacological & Parenteral Therapies | Q161–Q195 |
| VII | Reduction of Risk Potential | Q196–Q225 |
| VIII | Physiological Adaptation | Q226–Q250 |
| IX | Clinical Judgment Measurement Model (CJMM) Application | Q251–Q260 |
---
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SECTION I: NURSING FOUNDATIONS & THE NURSING PROCESS (ADPIE)
### Questions 1–35
**Q1.** A nurse is caring for a client who reports chest pain rated 8/10. The nurse immediately
obtains vital signs, auscultates heart sounds, and asks the client to describe the pain. Which phase
of the nursing process does this represent?
A. Diagnosis
B. Planning
C. Assessment
D. Evaluation
**Correct Answer: C**
**Rationale:** Assessment is the first step of the nursing process (ADPIE) and involves
gathering subjective and objective data about the client. The nurse is collecting data through vital
signs, auscultation, and pain description—all assessment activities. Diagnosis involves analyzing
the data to identify the problem, Planning involves setting goals and outcomes, and Evaluation
involves determining whether goals were met.
---
**Q2.** A nurse is developing a care plan for a client with impaired mobility. Which of the
following is the most appropriate nursing diagnosis statement?
A. "Impaired mobility related to decreased muscle strength as evidenced by inability to ambulate
without assistance."
B. "The client has impaired mobility."
C. "Impaired mobility related to the nurse's schedule."
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D. "The client will ambulate independently by discharge."
**Correct Answer: A**
**Rationale:** A properly formatted nursing diagnosis includes the problem (impaired
mobility), the related factor/etiology (decreased muscle strength), and the defining
characteristics/evidence (inability to ambulate without assistance). Option B lacks the "related
to" and "as evidenced by" components. Option C blames the nurse, which is not a client-centered
etiology. Option D is a goal statement, not a diagnosis.
---
**Q3.** A nurse is prioritizing care for four clients. Using Maslow's hierarchy of needs, which
client should the nurse assess first?
A. A client who is anxious about an upcoming surgery
B. A client who is experiencing shortness of breath
C. A client who needs assistance with feeding
D. A client who is requesting pain medication for a headache
**Correct Answer: B**
**Rationale:** According to Maslow's hierarchy, physiological needs (especially
oxygenation) take priority over all other needs. A client experiencing shortness of breath has an
immediate airway/breathing concern that could become life-threatening. Anxiety (A), feeding
assistance (C), and mild pain (D) are important but are lower priorities than airway and
breathing.
---
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**Q4.** A nurse is evaluating a client's response to a nursing intervention. Which statement best
describes the evaluation phase of the nursing process?
A. "The nurse collects data about the client's condition."
B. "The nurse determines whether the client's goals have been met."
C. "The nurse identifies the client's health problems."
D. "The nurse establishes expected outcomes."
**Correct Answer: B**
**Rationale:** Evaluation is the fifth and final phase of the nursing process. It involves
determining whether the client's goals and expected outcomes have been achieved. Option A
describes assessment, Option C describes diagnosis, and Option D describes planning.
---
**Q5.** A nurse is using critical thinking to make a clinical decision. Which of the following
best describes the nurse's use of clinical judgment?
A. Following a physician's order without question
B. Applying the nursing process while integrating evidence-based practice
C. Relying on intuition alone
D. Performing tasks in the order they were assigned
**Correct Answer: B**
ATI NUR 170 FUNDAMENTALS OF NURSING
ORIGINAL PRACTICE QUESTIONS WITH
CLINICAL JUDGMENT ITEMS | GRADED A+ |
HIGH YIELD SOLUTIONS | PASS FIRST
TABLE OF CONTENTS
| Section | Topic | Question Range |
|---------|-------|----------------|
| I | Nursing Foundations & the Nursing Process (ADPIE) | Q1–Q35 |
| II | Safety & Infection Control | Q36–Q70 |
| III | Health Promotion & Maintenance | Q71–Q100 |
| IV | Psychosocial Integrity | Q101–Q125 |
| V | Basic Care & Comfort | Q126–Q160 |
| VI | Pharmacological & Parenteral Therapies | Q161–Q195 |
| VII | Reduction of Risk Potential | Q196–Q225 |
| VIII | Physiological Adaptation | Q226–Q250 |
| IX | Clinical Judgment Measurement Model (CJMM) Application | Q251–Q260 |
---
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SECTION I: NURSING FOUNDATIONS & THE NURSING PROCESS (ADPIE)
### Questions 1–35
**Q1.** A nurse is caring for a client who reports chest pain rated 8/10. The nurse immediately
obtains vital signs, auscultates heart sounds, and asks the client to describe the pain. Which phase
of the nursing process does this represent?
A. Diagnosis
B. Planning
C. Assessment
D. Evaluation
**Correct Answer: C**
**Rationale:** Assessment is the first step of the nursing process (ADPIE) and involves
gathering subjective and objective data about the client. The nurse is collecting data through vital
signs, auscultation, and pain description—all assessment activities. Diagnosis involves analyzing
the data to identify the problem, Planning involves setting goals and outcomes, and Evaluation
involves determining whether goals were met.
---
**Q2.** A nurse is developing a care plan for a client with impaired mobility. Which of the
following is the most appropriate nursing diagnosis statement?
A. "Impaired mobility related to decreased muscle strength as evidenced by inability to ambulate
without assistance."
B. "The client has impaired mobility."
C. "Impaired mobility related to the nurse's schedule."
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D. "The client will ambulate independently by discharge."
**Correct Answer: A**
**Rationale:** A properly formatted nursing diagnosis includes the problem (impaired
mobility), the related factor/etiology (decreased muscle strength), and the defining
characteristics/evidence (inability to ambulate without assistance). Option B lacks the "related
to" and "as evidenced by" components. Option C blames the nurse, which is not a client-centered
etiology. Option D is a goal statement, not a diagnosis.
---
**Q3.** A nurse is prioritizing care for four clients. Using Maslow's hierarchy of needs, which
client should the nurse assess first?
A. A client who is anxious about an upcoming surgery
B. A client who is experiencing shortness of breath
C. A client who needs assistance with feeding
D. A client who is requesting pain medication for a headache
**Correct Answer: B**
**Rationale:** According to Maslow's hierarchy, physiological needs (especially
oxygenation) take priority over all other needs. A client experiencing shortness of breath has an
immediate airway/breathing concern that could become life-threatening. Anxiety (A), feeding
assistance (C), and mild pain (D) are important but are lower priorities than airway and
breathing.
---
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**Q4.** A nurse is evaluating a client's response to a nursing intervention. Which statement best
describes the evaluation phase of the nursing process?
A. "The nurse collects data about the client's condition."
B. "The nurse determines whether the client's goals have been met."
C. "The nurse identifies the client's health problems."
D. "The nurse establishes expected outcomes."
**Correct Answer: B**
**Rationale:** Evaluation is the fifth and final phase of the nursing process. It involves
determining whether the client's goals and expected outcomes have been achieved. Option A
describes assessment, Option C describes diagnosis, and Option D describes planning.
---
**Q5.** A nurse is using critical thinking to make a clinical decision. Which of the following
best describes the nurse's use of clinical judgment?
A. Following a physician's order without question
B. Applying the nursing process while integrating evidence-based practice
C. Relying on intuition alone
D. Performing tasks in the order they were assigned
**Correct Answer: B**
