ATI CONTENT MASTERY SERIES WITH 100% QUESTIONS AND
ANSWERS
A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse
assign to a PN?
A. Creating a plan of care for a client who is recovering following a stroke.
B. Assessing a pressure injury on the client who is on bed rest.
C. Providing nasopharyngeal suctioning for a client who has pneumonia.
D. Teaching a client who has asthma to use a metered-dose inhaler (MDI). - -C- Correct: Providing
nasopharyngeal suctioning is within the scope of practice of the PN.
A, B, D- Incorrect: Creating a plan of care, Assessing a pressure injury, and Teaching clients requires
professional nursing knowledge, skills, and judgement of an RN.
-A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse
checked the client's MAR and noted that the last dose of pain medication was 6hrs ago. The prescription
reads every 4hr PRN for pain. The nurse administered the medication and checked with the client 40
mins later, when the client reported improvement. The newly licensed nurse left out which of the
following steps of the nursing process?
A.. Assessment
B. Planning
C. Intervention
D. Evaluation - -A- Correct: The newly licensed nurse should have used the assessment step of the
nursing process by asking the client to evaluate the severity of pain on a 0 to 10 pain scale. The nurse
also should have asked about the characteristics of the pain and assessed for any changes that might
have contributed to worsening of the pain.
B- Incorrect: The newly licensed nurse used the planning step of the nursing process when deciding that
it was the right time to administer the medication.
C- Incorrect: The newly licensed nurse used the implementation step of the nursing process when
administering the medication.
D- Incorrect: The newly licensed nurse used the evaluation step of the nursing process when checking
the effectiveness of the pain medication.
-A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documenting in a client's record? (Select all that
apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
,E. Wait until the end of the shift to document. - -B, C- Correct: Documentation must confirm correct
sequence of events for day and time and be factual, descriptive, and objective, without opinions or
criticism.
A- Incorrect: Correction fluid implies that the nurse might have tried to hide the previous documentation
or deface the medical record.
D- Incorrect: Too many abbreviations can make the entry difficult to understand. Nurses should
minimize use of abbreviations, and use only those the facility approves.
E- Incorrect: Documentation should be current. Waiting until the end of the shift can result in data
omission.
-A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the
following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations
B. The client's partner states, "They said they hurt after walking about 10 mins."
C. The client's pain rating is 3 on a scale of 0 to 10.
D. The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a limp. - -A, D, E- Correct: Objective data
includes information that can be measured or observed (seen).
B, C- Incorrect: Subjective data includes a client's reported manifestations, even if a secondary source
gave the nurse the information.
-A charge nurse is reviewing with a newly hired nurse the difference in manifestations of localized versus
a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that
apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - -A, B, E- Correct: Fever, Malaise, and Increase in pulse and
respiratory rate indicates that the infection is affecting the whole body, and therefore systemic.
C, D- Incorrect: Edema, pain or tenderness are manifestations of localized infection.
-A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not
require a provider's prescription. Which of the following interventions should the charge nurse include?
(Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hrs to reduce pressure injury risk - -C, D, E- Correct: Muscle relaxation is
an appropriate nursing-initiated intervention for stress relief, bathing is a routine nursing care
,procedure, and repositioning is an appropriate nursing- initiated intervention. Unless there is a
contraindication for a specific client.
A, B- Incorrect: A prescription from the provider is needed for administer medication and insertion of a
NG tube. After obtaining a prescription for PRN medication, the nurse has flexibility to determine when
to administer the mediation.
-A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring
for the client should initiate a referral with which of the following members of the interprofessional care
team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - -D- Correct: A speech-language pathologist can initiate specific therapy
for clients who have difficulty with feeding due to the swallowing difficulties.
A- Incorrect: A social worker can coordinate community services to help the client, but not specifically
with dysphagia.
B- Incorrect: A certified nursing assistant can help the client with feeding, but cannot assess and treat
dysphagia.
C- Incorrect: An occupational therapist can assist clients who have motor challenges to improve abilities
with self-care and work, but cannot assess and treat dysphagia.
-A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication prescribed for pain management. Which of the following members of the interprofessional
care team can assist the client in understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - -A, C , D- Correct: The provider, pharmacist, and registered nurse must be
knowledgeable about any medication prescribed for the client, including its actions, effects, and
interactions.
B- Incorrect: it is not within the scope of a certified nursing assistant's duties to counsel a client about
medications
E- Incorrect: Although some analgesics can cause respiratory depression, requiring assistance from a
respiratory therapist is not within this therapist's scope of practice to counsel the client about
medications prescribed by the provider.
-A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral to which of the following members of
the interprofessional care team?
A. Social worker
B. Certified nursing assistant
, C. Registered dietitian
D. Occupational therapist - -D - Correct: An occupational therapist can assist clients who have physical
challenges to use adaptive devices and strategies to help with self-care activities.
A- Incorrect: A social worker can coordinate community services to help the client, but not specifically
with self-feeding devices
B- Incorrect: A certified nursing assistant can help the client with feeding, but does not typically procure
adaptive devices for the client
C- Incorrect: A registered dietitian can help with educating the client about meeting nutritional needs,
but cannot help with the client's physical limitations.
-A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the
following information should the nurse include?
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- Correct: Warn the client that carbon
monoxide is very dangerous b/c it binds with hemoglobin and ultimately reduces the oxygen supplied to
the tissues in the body.
A- Incorrect: Include that carbon monoxide cannot be seen, smelled, or tasted.
B- Incorrect: Tell the client to inspect gas-burning furnaces, water heaters, and appliances annually.
C- Incorrect: Inform the client that carbon monoxide impairs the body's ability to use oxygen, but the
lungs are not damaged.
-A home health nurse is discussing the dangers of food poisoning with a client. Which of the following
information should the nurse include? (Select all that apply.)
A. Most food poisoning is caused by a virus.
B. Immunocompromised individuals are at increased 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 the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning. - -B- Correct: Warn the client that
very young, very old, immunocompromised, and pregnant individuals are at increased risk for
complications from food poisoning.
C- Correct: Include that clients who are at high risk should follow a low-microbial diet, which includes
eating or drinking only pasteurized milk, yogurt, cheese, and other dairy products.
E- Correct: Include interventions to prevent food poisoning (performing proper hand hygiene, cooking
meat and fish to the correct temperature, handling raw and fresh food separately to avoid cross-
contamination, and refrigerating perishable items)
A- Incorrect: Include that most food poisoning is caused by bacteria (E. coli, Listeria, monocytogenes,
and Salmonella)
D- Incorrect: Inform the client that healthy individuals usually recover from the illness in a few days.
-A newly licensed nurse is considering strategies to improve critical thinking. Which of the following
actions should the nurse take? (Select all that apply.)
ANSWERS
A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse
assign to a PN?
A. Creating a plan of care for a client who is recovering following a stroke.
B. Assessing a pressure injury on the client who is on bed rest.
C. Providing nasopharyngeal suctioning for a client who has pneumonia.
D. Teaching a client who has asthma to use a metered-dose inhaler (MDI). - -C- Correct: Providing
nasopharyngeal suctioning is within the scope of practice of the PN.
A, B, D- Incorrect: Creating a plan of care, Assessing a pressure injury, and Teaching clients requires
professional nursing knowledge, skills, and judgement of an RN.
-A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse
checked the client's MAR and noted that the last dose of pain medication was 6hrs ago. The prescription
reads every 4hr PRN for pain. The nurse administered the medication and checked with the client 40
mins later, when the client reported improvement. The newly licensed nurse left out which of the
following steps of the nursing process?
A.. Assessment
B. Planning
C. Intervention
D. Evaluation - -A- Correct: The newly licensed nurse should have used the assessment step of the
nursing process by asking the client to evaluate the severity of pain on a 0 to 10 pain scale. The nurse
also should have asked about the characteristics of the pain and assessed for any changes that might
have contributed to worsening of the pain.
B- Incorrect: The newly licensed nurse used the planning step of the nursing process when deciding that
it was the right time to administer the medication.
C- Incorrect: The newly licensed nurse used the implementation step of the nursing process when
administering the medication.
D- Incorrect: The newly licensed nurse used the evaluation step of the nursing process when checking
the effectiveness of the pain medication.
-A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documenting in a client's record? (Select all that
apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
,E. Wait until the end of the shift to document. - -B, C- Correct: Documentation must confirm correct
sequence of events for day and time and be factual, descriptive, and objective, without opinions or
criticism.
A- Incorrect: Correction fluid implies that the nurse might have tried to hide the previous documentation
or deface the medical record.
D- Incorrect: Too many abbreviations can make the entry difficult to understand. Nurses should
minimize use of abbreviations, and use only those the facility approves.
E- Incorrect: Documentation should be current. Waiting until the end of the shift can result in data
omission.
-A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the
following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations
B. The client's partner states, "They said they hurt after walking about 10 mins."
C. The client's pain rating is 3 on a scale of 0 to 10.
D. The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a limp. - -A, D, E- Correct: Objective data
includes information that can be measured or observed (seen).
B, C- Incorrect: Subjective data includes a client's reported manifestations, even if a secondary source
gave the nurse the information.
-A charge nurse is reviewing with a newly hired nurse the difference in manifestations of localized versus
a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that
apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - -A, B, E- Correct: Fever, Malaise, and Increase in pulse and
respiratory rate indicates that the infection is affecting the whole body, and therefore systemic.
C, D- Incorrect: Edema, pain or tenderness are manifestations of localized infection.
-A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not
require a provider's prescription. Which of the following interventions should the charge nurse include?
(Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hrs to reduce pressure injury risk - -C, D, E- Correct: Muscle relaxation is
an appropriate nursing-initiated intervention for stress relief, bathing is a routine nursing care
,procedure, and repositioning is an appropriate nursing- initiated intervention. Unless there is a
contraindication for a specific client.
A, B- Incorrect: A prescription from the provider is needed for administer medication and insertion of a
NG tube. After obtaining a prescription for PRN medication, the nurse has flexibility to determine when
to administer the mediation.
-A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring
for the client should initiate a referral with which of the following members of the interprofessional care
team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - -D- Correct: A speech-language pathologist can initiate specific therapy
for clients who have difficulty with feeding due to the swallowing difficulties.
A- Incorrect: A social worker can coordinate community services to help the client, but not specifically
with dysphagia.
B- Incorrect: A certified nursing assistant can help the client with feeding, but cannot assess and treat
dysphagia.
C- Incorrect: An occupational therapist can assist clients who have motor challenges to improve abilities
with self-care and work, but cannot assess and treat dysphagia.
-A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication prescribed for pain management. Which of the following members of the interprofessional
care team can assist the client in understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - -A, C , D- Correct: The provider, pharmacist, and registered nurse must be
knowledgeable about any medication prescribed for the client, including its actions, effects, and
interactions.
B- Incorrect: it is not within the scope of a certified nursing assistant's duties to counsel a client about
medications
E- Incorrect: Although some analgesics can cause respiratory depression, requiring assistance from a
respiratory therapist is not within this therapist's scope of practice to counsel the client about
medications prescribed by the provider.
-A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral to which of the following members of
the interprofessional care team?
A. Social worker
B. Certified nursing assistant
, C. Registered dietitian
D. Occupational therapist - -D - Correct: An occupational therapist can assist clients who have physical
challenges to use adaptive devices and strategies to help with self-care activities.
A- Incorrect: A social worker can coordinate community services to help the client, but not specifically
with self-feeding devices
B- Incorrect: A certified nursing assistant can help the client with feeding, but does not typically procure
adaptive devices for the client
C- Incorrect: A registered dietitian can help with educating the client about meeting nutritional needs,
but cannot help with the client's physical limitations.
-A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the
following information should the nurse include?
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- Correct: Warn the client that carbon
monoxide is very dangerous b/c it binds with hemoglobin and ultimately reduces the oxygen supplied to
the tissues in the body.
A- Incorrect: Include that carbon monoxide cannot be seen, smelled, or tasted.
B- Incorrect: Tell the client to inspect gas-burning furnaces, water heaters, and appliances annually.
C- Incorrect: Inform the client that carbon monoxide impairs the body's ability to use oxygen, but the
lungs are not damaged.
-A home health nurse is discussing the dangers of food poisoning with a client. Which of the following
information should the nurse include? (Select all that apply.)
A. Most food poisoning is caused by a virus.
B. Immunocompromised individuals are at increased 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 the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning. - -B- Correct: Warn the client that
very young, very old, immunocompromised, and pregnant individuals are at increased risk for
complications from food poisoning.
C- Correct: Include that clients who are at high risk should follow a low-microbial diet, which includes
eating or drinking only pasteurized milk, yogurt, cheese, and other dairy products.
E- Correct: Include interventions to prevent food poisoning (performing proper hand hygiene, cooking
meat and fish to the correct temperature, handling raw and fresh food separately to avoid cross-
contamination, and refrigerating perishable items)
A- Incorrect: Include that most food poisoning is caused by bacteria (E. coli, Listeria, monocytogenes,
and Salmonella)
D- Incorrect: Inform the client that healthy individuals usually recover from the illness in a few days.
-A newly licensed nurse is considering strategies to improve critical thinking. Which of the following
actions should the nurse take? (Select all that apply.)
