ATI Questions and Answers for Review
2021/2022
A nurse is assisting with the informed consent process for a client who is scheduled for a below
the-knee amputation. The client asks the nurse, "Why are they making me have this surgery
today? I don't understand why they are doing this." Which of the following actions should the
nurse take?
A. Complete an incident report.
B. Administer an antianxiety medication.
C. Notify the provider of the client's comments.
D. Answer the client's questions and verify understanding Correct Answer: C. Notify the
provider of the client's comments.
A nurse is caring for a 1-year-old infant who has chronic otitis media. The nurse should identify
that which of the following areas is at risk of a delay in development?
A. Fine motor skills
B. Visual acuity
C. Speech patterns
D. Hand-to-eye coordination Correct Answer: C. Speech patterns
A nurse is teaching a group of older adults. Which of the following behaviors should the nurse
identify as relating to Erikson's expected developmental task for this age group?
A. Beginning to plan care for aging parents
B. Discussing weekend plans for a date
C. Initiating plans to purchase a rest home
D. Accepting the possibility of the need for long-term care Correct Answer: D. Accepting the
possibility of the need for long-term care
A nurse is assessing the pH of a client's gastric fluid to confirm the placement of an NG tube in
the stomach. Which of the following pH values should the nurse expect?
A. 6
B. 2
C. 10
D. 8 Correct Answer: B. 2
A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the
following manifestations should the nurse include? (Select all that apply.)
A. Bradycardia
,B. Diaphoresis
C. Deep, rapid respirations
D. Palpitations
E. Shakiness Correct Answer: B. Diaphoresis
D. Palpitations
E. Shakiness
A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should
identify which of the following findings as a manifestation of autonomic dysreflexia?
A. Flushing of the lower extremities
B. Hypotension
C. Tachycardia
D. Report of a headache Correct Answer: D. Report of a headache
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
A. Pitting peripheral edema
B. Crackles in the lung bases
C. Jugular vein distention
D. Hepatomegaly Correct Answer: B. Crackles in the lung bases
A nurse is caring for a client who is in labor and is reporting intense pain during contractions.
The client has no previous knowledge of nonpharmacological comfort measures. Which of the
following nursing interventions should the nurse implement?
A. Self-hypnosis
B. Biofeedback
C. Acupuncture
D. Slow-paced breathing Correct Answer: D. Slow-paced breathing
A nurse is reviewing the medical record for a client who has a migraine and a prescription for
sumatriptan. Which of the following factors in the client's medical history should the nurse
identify as a contraindication to receiving sumatriptan?
A. Renal impairment
B. Ischemic heart disease
C. Severe osteoporosis
D. Cirrhosis Correct Answer: B. Ischemic heart disease
A charge nurse is discussing ethics with a newly licensed nurse. Which of the following actions
should the charge nurse include as an example of beneficence?
A. Taking a continuing education course about recognizing risk factors of suicide
B. Spending extra time reorienting a client who is experiencing command hallucinations
,C. Acknowledging and accepting a client's refusal of a psychotropic medication
D. Describing the purpose, action, and side effects of a psychotropic medication Correct Answer:
B. Spending extra time reorienting a client who is experiencing command hallucinations
A nurse is preparing to administer a client's anticoagulant medication. The client states, "I don't
like to take this medication. I always have to get my blood checked." Which of the following
responses should the nurse make?
A. "You can refuse the medication. I will notify your provider."
B. "This medication is given all the time to clients, and they don't have a problem."
C. "I will come back later to give you the medication."
D. "You need to take this medication in order to feel better." Correct Answer: A. "You can
refuse the medication. I will notify your provider."
A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse
identifies that which of the following hormones plays a key role in preventing miscarriage?
A. Oxytocin
B. Prolactin
C. Progesterone
D. Estrogen Correct Answer: C. Progesterone
During a neurological assessment, a nurse asks the client to name all of his children, their ages,
and their birth dates. Which of the following types of memory is the nurse testing?
A. Remote
B. Sensory
C. Immediate
D. Recall Correct Answer: A. Remote
A nurse at a long-term care facility notes that a client with dementia is having problems with
orientation. Which of the following actions should the nurse take to improve the client's level of
orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the client's wrist Correct Answer: C. Post a large
calendar on the bulletin board
A nurse is providing discharge teaching to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of daily living.
Which of the following activities should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
, C. Cleaning windows
D. Washing dishes Correct Answer: D. Washing dishes
A nurse is rewarming a client following coronary artery bypass graft (CABG) surgery. For which
of the following complications of the rewarming process should the nurse monitor the client?
A. Acidosis
B. Infection
C. Hypertension
D. Cardiac tamponade Correct Answer: A. Acidosis
A nurse is assessing a client who sustained a recent head injury. Which of the following findings
should the nurse recognize as a manifestation of increased intracranial pressure?
A. Widened pulse pressure
B. Tachycardia
C. Periorbital edema
D. Decrease in urine output Correct Answer: A. Widened pulse pressure
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings
should the nurse expect?
A. Diastolic murmur
B. Murmur at the left sternal border
C. Cyanosis that increases with crying
D. Widened pulse pressure Correct Answer: B. Murmur at the left sternal border
A nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones.
Which of the following client statements indicates an understanding of the teaching?
A. "Treatment should last for a couple of months."
B. "Liver function tests are required while taking this medication."
C. "I should contact my provider if I experience diarrhea."
D. "I can continue to take this medication if I become pregnant." Correct Answer: B. "Liver
function tests are required while taking this medication."
A nurse is caring for a child who has a diagnosis of terminal brain cancer. The mother states, "I
feel numb and can't believe this is happening to us." Which of the following interventions by the
nurse is the first priority?
A. Explore effective ways of family coping
B. Encourage the family's expression of their feelings
C. Discuss the disease and its manifestations with family members
D. Instruct the family about anticipatory grieving Correct Answer: B. Encourage the family's
expression of their feelings
2021/2022
A nurse is assisting with the informed consent process for a client who is scheduled for a below
the-knee amputation. The client asks the nurse, "Why are they making me have this surgery
today? I don't understand why they are doing this." Which of the following actions should the
nurse take?
A. Complete an incident report.
B. Administer an antianxiety medication.
C. Notify the provider of the client's comments.
D. Answer the client's questions and verify understanding Correct Answer: C. Notify the
provider of the client's comments.
A nurse is caring for a 1-year-old infant who has chronic otitis media. The nurse should identify
that which of the following areas is at risk of a delay in development?
A. Fine motor skills
B. Visual acuity
C. Speech patterns
D. Hand-to-eye coordination Correct Answer: C. Speech patterns
A nurse is teaching a group of older adults. Which of the following behaviors should the nurse
identify as relating to Erikson's expected developmental task for this age group?
A. Beginning to plan care for aging parents
B. Discussing weekend plans for a date
C. Initiating plans to purchase a rest home
D. Accepting the possibility of the need for long-term care Correct Answer: D. Accepting the
possibility of the need for long-term care
A nurse is assessing the pH of a client's gastric fluid to confirm the placement of an NG tube in
the stomach. Which of the following pH values should the nurse expect?
A. 6
B. 2
C. 10
D. 8 Correct Answer: B. 2
A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the
following manifestations should the nurse include? (Select all that apply.)
A. Bradycardia
,B. Diaphoresis
C. Deep, rapid respirations
D. Palpitations
E. Shakiness Correct Answer: B. Diaphoresis
D. Palpitations
E. Shakiness
A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should
identify which of the following findings as a manifestation of autonomic dysreflexia?
A. Flushing of the lower extremities
B. Hypotension
C. Tachycardia
D. Report of a headache Correct Answer: D. Report of a headache
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
A. Pitting peripheral edema
B. Crackles in the lung bases
C. Jugular vein distention
D. Hepatomegaly Correct Answer: B. Crackles in the lung bases
A nurse is caring for a client who is in labor and is reporting intense pain during contractions.
The client has no previous knowledge of nonpharmacological comfort measures. Which of the
following nursing interventions should the nurse implement?
A. Self-hypnosis
B. Biofeedback
C. Acupuncture
D. Slow-paced breathing Correct Answer: D. Slow-paced breathing
A nurse is reviewing the medical record for a client who has a migraine and a prescription for
sumatriptan. Which of the following factors in the client's medical history should the nurse
identify as a contraindication to receiving sumatriptan?
A. Renal impairment
B. Ischemic heart disease
C. Severe osteoporosis
D. Cirrhosis Correct Answer: B. Ischemic heart disease
A charge nurse is discussing ethics with a newly licensed nurse. Which of the following actions
should the charge nurse include as an example of beneficence?
A. Taking a continuing education course about recognizing risk factors of suicide
B. Spending extra time reorienting a client who is experiencing command hallucinations
,C. Acknowledging and accepting a client's refusal of a psychotropic medication
D. Describing the purpose, action, and side effects of a psychotropic medication Correct Answer:
B. Spending extra time reorienting a client who is experiencing command hallucinations
A nurse is preparing to administer a client's anticoagulant medication. The client states, "I don't
like to take this medication. I always have to get my blood checked." Which of the following
responses should the nurse make?
A. "You can refuse the medication. I will notify your provider."
B. "This medication is given all the time to clients, and they don't have a problem."
C. "I will come back later to give you the medication."
D. "You need to take this medication in order to feel better." Correct Answer: A. "You can
refuse the medication. I will notify your provider."
A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse
identifies that which of the following hormones plays a key role in preventing miscarriage?
A. Oxytocin
B. Prolactin
C. Progesterone
D. Estrogen Correct Answer: C. Progesterone
During a neurological assessment, a nurse asks the client to name all of his children, their ages,
and their birth dates. Which of the following types of memory is the nurse testing?
A. Remote
B. Sensory
C. Immediate
D. Recall Correct Answer: A. Remote
A nurse at a long-term care facility notes that a client with dementia is having problems with
orientation. Which of the following actions should the nurse take to improve the client's level of
orientation?
A. Encourage the client to make choices about meals and activities
B. Use written signs to label specific rooms
C. Post a large calendar on the bulletin board
D. Place an electronic wander alert bracelet on the client's wrist Correct Answer: C. Post a large
calendar on the bulletin board
A nurse is providing discharge teaching to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of daily living.
Which of the following activities should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
, C. Cleaning windows
D. Washing dishes Correct Answer: D. Washing dishes
A nurse is rewarming a client following coronary artery bypass graft (CABG) surgery. For which
of the following complications of the rewarming process should the nurse monitor the client?
A. Acidosis
B. Infection
C. Hypertension
D. Cardiac tamponade Correct Answer: A. Acidosis
A nurse is assessing a client who sustained a recent head injury. Which of the following findings
should the nurse recognize as a manifestation of increased intracranial pressure?
A. Widened pulse pressure
B. Tachycardia
C. Periorbital edema
D. Decrease in urine output Correct Answer: A. Widened pulse pressure
A nurse is assessing a child who has a ventricular septal defect. Which of the following findings
should the nurse expect?
A. Diastolic murmur
B. Murmur at the left sternal border
C. Cyanosis that increases with crying
D. Widened pulse pressure Correct Answer: B. Murmur at the left sternal border
A nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones.
Which of the following client statements indicates an understanding of the teaching?
A. "Treatment should last for a couple of months."
B. "Liver function tests are required while taking this medication."
C. "I should contact my provider if I experience diarrhea."
D. "I can continue to take this medication if I become pregnant." Correct Answer: B. "Liver
function tests are required while taking this medication."
A nurse is caring for a child who has a diagnosis of terminal brain cancer. The mother states, "I
feel numb and can't believe this is happening to us." Which of the following interventions by the
nurse is the first priority?
A. Explore effective ways of family coping
B. Encourage the family's expression of their feelings
C. Discuss the disease and its manifestations with family members
D. Instruct the family about anticipatory grieving Correct Answer: B. Encourage the family's
expression of their feelings
