ATI FOUNDATIONS TEST BANK EXAM 250 QUESTIONS
AND CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
A nurse is caring for a client preoperatively who has given informed consent for an appendectomy.
Which of the following statements by the client should the nurse address first?
a.) "I am afraid to walk if it hurts too much"
b.) "I don‟t understand why I need this surgery"
c.) "I don‟t want my family helping me after the surgery"
d.) "I am afraid the scar will make me look disfigured" - CORRECT ANSWER-B
20. A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of
the following statements by the client indicates an understanding of the teaching?
a.) "I should roll the NPH vial between my hands before drawing it up"
b.) "I should draw up the NPH insulin before the regular insulin"
c.) "I should inject air into the vial of regular insulin first"
d.) "I should wait 10 minutes after mixing the insulin to inject it" - CORRECT ANSWER-A
22. A nurse at a long-term facility is providing a change-of-shift report to an oncoming nurse about an
older adult client who has shingles. Which of the following information should the nurse include in the
report?
a.) Where the client ate his breakfast
b.) The times for routine vital sign measurements
c.) The exact times the client had visitors
d.) The type of transmission-based precautions in place - CORRECT ANSWER-D
24. A nurse on a med-surg unit is providing care for four clients. The nurse should identify which of the
following situations as an ethical dilemma?
a.) A surgeon who removed the wrong kidney during a surgical procedures refuses to take responsibility
of her actions- please double check anyone
,b.) A client who has a new colostomy refuses to take instructions from the ostomy therapist because she
"doesn‟t like him"
c.) The family of a client who has a terminal illness asks that the provider not tell the client the diagnosis
d.) A client who has Crohn‟s disease reports that his prescription drug plan will not pay for his
medications - CORRECT ANSWER-A
27. A nurse is caring for a client who is grieving the loss of her partner. The client states, "I don‟t see the
point of living anymore." Which of the following actions should the nurse take?
a.) Recommend that the client seek spiritual guidance
b.) Request that the client‟s family provide additional support
c.) Tell the client that this is a normal response to grief
d.) Ask the client if she plans to harm herself - CORRECT ANSWER-D
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the
following actions should the nurse include in the plan?
a.) Empty the drainage bag at least every 8 hr
b.) Keep the drainage bag at the level of the bladder
c.) Use the clean technique to collect a specimen from the drainage system
d.) Tape the catheter to the lower abdomen - CORRECT ANSWER-C
30. A nurse is planning care for a client who has a prescription for extremity restraints to both wrists.
Which of the following actions should the nurse include in the plan of care" (select ALL)
a.) Secure restrains to allow three fingers to slide under the restrains (1-2 fingers)
b.) Ensure that the bed is in the lowest position
c.) Tie each restraint with a quick-release knot
d.) Attach the client‟s restraints to the bed rail (to the bed frame)
e.) Remove the client‟s restraints every 2 hr - CORRECT ANSWER-B C E
A nurse is assessing a client who is receiving tube feedings via NG tube. Which of the following findings
should the nurse report to the provider?
a.) Potassium 5.5 mEq/L
,b.) Irritation of nasal mucosa
c.) Sodium 144 mEq/L
d.) Loose stools - CORRECT ANSWER-A
nurse is preparing to perform a sterile dressing change for a client. Which of the following actions
should the nurse plan to take?
a.) Don sterile gloves prior to opening sterile dressing supplies
b.) Set up the sterile field above waist level
c.) Consider 5.08cm (2 in) of the sterile field‟s border to be contaminated
d.) Place the cap of a sterile solution inside the sterile field - CORRECT ANSWER-B
A nurse is caring for a client who has a closed wound drainage system. Which of the following actions
should the nurse take?
a. Press straight down on the container to create a vacuum
b. Wear sterile gloves when emptying the container
c. Reset the container with the drainage port closed
d. Maintain the drain in a dependent position to facilitate drainage - CORRECT ANSWER-A
41. A nurse is caring for a client who has a closed wound drainage system. Which of the following
actions should the nurse take?
a. Press straight down on the container to create a vacuum
b. Wear sterile gloves when emptying the container
c. Reset the container with the drainage port closed
d. Maintain the drain in a dependent position to facilitate drainage - CORRECT ANSWER-A
42. A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corn
And calluses on her toes. Which of the following statements by the client indicates an understanding of
the teaching?
a. I can place an oval corn pad over toes that have corns as long asi remove the pad weekly b. I should
soak my feet in warm water daily to soften corns and calluses
, c. I can apply lotion to soften calluses as long asidont put lotion between my toes
d. I should use an over the counter liquid medication to remove corns - CORRECT ANSWER-C
A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
a. Contact
b. Droplets
c. Airborne
d. Protective environment - CORRECT ANSWER-C
45. A nurse is planning to use nonpharmacological pain methods for a client who reports still having mild
back pain after receiving analgesia 1 hour ago. Which of the following actions should the nurse include
in the plan?
a. Encourage the client to apply a heating pad for 2 hours at a time
b. Apply an ice pack to the clients back for 1 hour
c. Remove distractions from the client‟s room (distraction is good for the pt to get mind off
of pain)
d. Instruct the client to take deep, rhythmic breath - CORRECT ANSWER-D
46. A nurse is teaching a client how to use an incentive spirometer. Which of the following statements
by the client indicates an understanding of the teaching?
a. I will try not to cough after using the spirometer (it‟s good to cough up sputum)
b. I will use the spirometer three times a day (3-5x an hour)
c. I will initially hold my breath for 15 seconds (for inhalers)
d. Iwillsealmylipsaroundthemouthpiece - CORRECT ANSWER-D
48. A charge nurse is assigning tasks to nurse and assistive personnel for a group of clients. Which of the
following tasks should the charge nurse delegate to the AP?
a. Report ABG results to the provider
b. Instruct a client about how to use an incentive spirometer
AND CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
A nurse is caring for a client preoperatively who has given informed consent for an appendectomy.
Which of the following statements by the client should the nurse address first?
a.) "I am afraid to walk if it hurts too much"
b.) "I don‟t understand why I need this surgery"
c.) "I don‟t want my family helping me after the surgery"
d.) "I am afraid the scar will make me look disfigured" - CORRECT ANSWER-B
20. A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of
the following statements by the client indicates an understanding of the teaching?
a.) "I should roll the NPH vial between my hands before drawing it up"
b.) "I should draw up the NPH insulin before the regular insulin"
c.) "I should inject air into the vial of regular insulin first"
d.) "I should wait 10 minutes after mixing the insulin to inject it" - CORRECT ANSWER-A
22. A nurse at a long-term facility is providing a change-of-shift report to an oncoming nurse about an
older adult client who has shingles. Which of the following information should the nurse include in the
report?
a.) Where the client ate his breakfast
b.) The times for routine vital sign measurements
c.) The exact times the client had visitors
d.) The type of transmission-based precautions in place - CORRECT ANSWER-D
24. A nurse on a med-surg unit is providing care for four clients. The nurse should identify which of the
following situations as an ethical dilemma?
a.) A surgeon who removed the wrong kidney during a surgical procedures refuses to take responsibility
of her actions- please double check anyone
,b.) A client who has a new colostomy refuses to take instructions from the ostomy therapist because she
"doesn‟t like him"
c.) The family of a client who has a terminal illness asks that the provider not tell the client the diagnosis
d.) A client who has Crohn‟s disease reports that his prescription drug plan will not pay for his
medications - CORRECT ANSWER-A
27. A nurse is caring for a client who is grieving the loss of her partner. The client states, "I don‟t see the
point of living anymore." Which of the following actions should the nurse take?
a.) Recommend that the client seek spiritual guidance
b.) Request that the client‟s family provide additional support
c.) Tell the client that this is a normal response to grief
d.) Ask the client if she plans to harm herself - CORRECT ANSWER-D
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the
following actions should the nurse include in the plan?
a.) Empty the drainage bag at least every 8 hr
b.) Keep the drainage bag at the level of the bladder
c.) Use the clean technique to collect a specimen from the drainage system
d.) Tape the catheter to the lower abdomen - CORRECT ANSWER-C
30. A nurse is planning care for a client who has a prescription for extremity restraints to both wrists.
Which of the following actions should the nurse include in the plan of care" (select ALL)
a.) Secure restrains to allow three fingers to slide under the restrains (1-2 fingers)
b.) Ensure that the bed is in the lowest position
c.) Tie each restraint with a quick-release knot
d.) Attach the client‟s restraints to the bed rail (to the bed frame)
e.) Remove the client‟s restraints every 2 hr - CORRECT ANSWER-B C E
A nurse is assessing a client who is receiving tube feedings via NG tube. Which of the following findings
should the nurse report to the provider?
a.) Potassium 5.5 mEq/L
,b.) Irritation of nasal mucosa
c.) Sodium 144 mEq/L
d.) Loose stools - CORRECT ANSWER-A
nurse is preparing to perform a sterile dressing change for a client. Which of the following actions
should the nurse plan to take?
a.) Don sterile gloves prior to opening sterile dressing supplies
b.) Set up the sterile field above waist level
c.) Consider 5.08cm (2 in) of the sterile field‟s border to be contaminated
d.) Place the cap of a sterile solution inside the sterile field - CORRECT ANSWER-B
A nurse is caring for a client who has a closed wound drainage system. Which of the following actions
should the nurse take?
a. Press straight down on the container to create a vacuum
b. Wear sterile gloves when emptying the container
c. Reset the container with the drainage port closed
d. Maintain the drain in a dependent position to facilitate drainage - CORRECT ANSWER-A
41. A nurse is caring for a client who has a closed wound drainage system. Which of the following
actions should the nurse take?
a. Press straight down on the container to create a vacuum
b. Wear sterile gloves when emptying the container
c. Reset the container with the drainage port closed
d. Maintain the drain in a dependent position to facilitate drainage - CORRECT ANSWER-A
42. A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corn
And calluses on her toes. Which of the following statements by the client indicates an understanding of
the teaching?
a. I can place an oval corn pad over toes that have corns as long asi remove the pad weekly b. I should
soak my feet in warm water daily to soften corns and calluses
, c. I can apply lotion to soften calluses as long asidont put lotion between my toes
d. I should use an over the counter liquid medication to remove corns - CORRECT ANSWER-C
A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
a. Contact
b. Droplets
c. Airborne
d. Protective environment - CORRECT ANSWER-C
45. A nurse is planning to use nonpharmacological pain methods for a client who reports still having mild
back pain after receiving analgesia 1 hour ago. Which of the following actions should the nurse include
in the plan?
a. Encourage the client to apply a heating pad for 2 hours at a time
b. Apply an ice pack to the clients back for 1 hour
c. Remove distractions from the client‟s room (distraction is good for the pt to get mind off
of pain)
d. Instruct the client to take deep, rhythmic breath - CORRECT ANSWER-D
46. A nurse is teaching a client how to use an incentive spirometer. Which of the following statements
by the client indicates an understanding of the teaching?
a. I will try not to cough after using the spirometer (it‟s good to cough up sputum)
b. I will use the spirometer three times a day (3-5x an hour)
c. I will initially hold my breath for 15 seconds (for inhalers)
d. Iwillsealmylipsaroundthemouthpiece - CORRECT ANSWER-D
48. A charge nurse is assigning tasks to nurse and assistive personnel for a group of clients. Which of the
following tasks should the charge nurse delegate to the AP?
a. Report ABG results to the provider
b. Instruct a client about how to use an incentive spirometer
