ATI Fundamentals 2023 Questions with
Answers and Rationales.
A nurse in a health clinic is caring for a 21-year-old client who tells
the nurse that their last physical exam was in high school. Which
of the following health screenings should the nurse expect the
provider to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen - Correct answer A. Testicular
examination
The nurse should identify that starting at puberty, the client should
have examinations for testicular cancer, along with blood
pressure and body mass index, and cholesterol measurements.
Testicular cancer is most common in males 15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.
A nurse at a provider's office is talking about routine screenings
with a 45-year-old female client who has no specific family history
of cancer or diabetes mellitus. Which of the following client
statements indicates that the client understands how to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each
year."
C. "Because the doctor just did a Pap smear, I'll come back next
year for another one."
D. "I had my blood glucose test last year, so I won't need it again
for 4 years." - Correct answer B. "For now, I should continue to
have a clinical breast exam each year."
,The female client who is between the ages of 40 and 49 should
have a clinical breast exam annually, and they should consult with
their provider about the frequency of mammograms.
The nurse should identify that the female client who has no
specific family or personal history of colorectal cancer should
have a colonoscopy every 10 years beginning at age 45.
The female client who is between the ages of 30 and 65, with no
family or personal history of cervical cancer, should have either a
Pap smear and human papilloma virus test every 5 years, or a
Pap test every 3 years.
The client who is age 45 should have a blood glucose test at least
every 3 years. Unless there is a specific family or personal history
of diabetes mellitus, annual blood glucose determinations are not
necessary.
A nurse is caring for a young adult at a college health clinic.
Which of the following actions should the nurse take first?
A. Give the client information about immunization against
meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations. - Correct
answer C. Determine the client's health risks.
The first action that should be taken using the nursing process is
assessment. Talk with the client first to determine what risk
factors the client might have before initiating the health promotion
and disease prevention measures.
A. The nurse should plan to give the client information on the
meningococcal vaccine as part of the primary disease prevention;
however, there is another action the nurse should take first.
B. The nurse should recommend TB screening depending on the
client's occupation and exposure to TB as part of secondary
disease prevention; however, there is another action the nurse
should take first.
,D. The nurse should instruct the client about exercise and activity
recommendations as part of health promotion; however, there is
another action the nurse should take first.
A nurse at a health department is planning strategies related to
heart disease. Which of the following activities should the nurse
include as part of primary prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs - Correct
answer B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent
illness or injury. This level of prevention includes health
information about nutrition, exercise, stress management, and
protection from injuries and illness.
Cholesterol screening is an example of secondary prevention.
Taking medication to lower blood pressure is part of secondary
prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease
prevention strategies for a client who has multiple risk factors for
cardiovascular disease. Which of the following interventions
should the nurse include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
D. Devise and set goals for the client.
E. Teach stress management strategies. - Correct answer A, B, C,
& E are correct
Help the client see the benefits of their actions.
, The nurse should plan to assist the client to recognize the
benefits of their health-promoting actions while also overcoming
barriers to implementing actions.
Identify the client's support systems.
The nurse should plan to collect information about who can help
the client change unhealthy behaviors, and then suggest steps to
have friends and family to become involved and supportive.
Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available
community or online resources that can help the client progress
toward meeting set goals.
Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor
to cardiovascular disease, as well as many other specific and
systemic disorders.
Devise and set goals for the client.
The nurse and the client should work together to devise and set
mutually agreeable goals that are also realistic and achievable.
The ostomy nurse is providing preoperative education for the
client who is scheduled for a sigmoid colostomy. The nurse
should identify that which of the following client statements is an
indication that the client is ready to learn?
A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery." -
Correct answer C. "Can you tell me about how long the surgery will
take?"
Answers and Rationales.
A nurse in a health clinic is caring for a 21-year-old client who tells
the nurse that their last physical exam was in high school. Which
of the following health screenings should the nurse expect the
provider to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen - Correct answer A. Testicular
examination
The nurse should identify that starting at puberty, the client should
have examinations for testicular cancer, along with blood
pressure and body mass index, and cholesterol measurements.
Testicular cancer is most common in males 15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.
A nurse at a provider's office is talking about routine screenings
with a 45-year-old female client who has no specific family history
of cancer or diabetes mellitus. Which of the following client
statements indicates that the client understands how to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each
year."
C. "Because the doctor just did a Pap smear, I'll come back next
year for another one."
D. "I had my blood glucose test last year, so I won't need it again
for 4 years." - Correct answer B. "For now, I should continue to
have a clinical breast exam each year."
,The female client who is between the ages of 40 and 49 should
have a clinical breast exam annually, and they should consult with
their provider about the frequency of mammograms.
The nurse should identify that the female client who has no
specific family or personal history of colorectal cancer should
have a colonoscopy every 10 years beginning at age 45.
The female client who is between the ages of 30 and 65, with no
family or personal history of cervical cancer, should have either a
Pap smear and human papilloma virus test every 5 years, or a
Pap test every 3 years.
The client who is age 45 should have a blood glucose test at least
every 3 years. Unless there is a specific family or personal history
of diabetes mellitus, annual blood glucose determinations are not
necessary.
A nurse is caring for a young adult at a college health clinic.
Which of the following actions should the nurse take first?
A. Give the client information about immunization against
meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations. - Correct
answer C. Determine the client's health risks.
The first action that should be taken using the nursing process is
assessment. Talk with the client first to determine what risk
factors the client might have before initiating the health promotion
and disease prevention measures.
A. The nurse should plan to give the client information on the
meningococcal vaccine as part of the primary disease prevention;
however, there is another action the nurse should take first.
B. The nurse should recommend TB screening depending on the
client's occupation and exposure to TB as part of secondary
disease prevention; however, there is another action the nurse
should take first.
,D. The nurse should instruct the client about exercise and activity
recommendations as part of health promotion; however, there is
another action the nurse should take first.
A nurse at a health department is planning strategies related to
heart disease. Which of the following activities should the nurse
include as part of primary prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs - Correct
answer B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent
illness or injury. This level of prevention includes health
information about nutrition, exercise, stress management, and
protection from injuries and illness.
Cholesterol screening is an example of secondary prevention.
Taking medication to lower blood pressure is part of secondary
prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease
prevention strategies for a client who has multiple risk factors for
cardiovascular disease. Which of the following interventions
should the nurse include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
D. Devise and set goals for the client.
E. Teach stress management strategies. - Correct answer A, B, C,
& E are correct
Help the client see the benefits of their actions.
, The nurse should plan to assist the client to recognize the
benefits of their health-promoting actions while also overcoming
barriers to implementing actions.
Identify the client's support systems.
The nurse should plan to collect information about who can help
the client change unhealthy behaviors, and then suggest steps to
have friends and family to become involved and supportive.
Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available
community or online resources that can help the client progress
toward meeting set goals.
Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor
to cardiovascular disease, as well as many other specific and
systemic disorders.
Devise and set goals for the client.
The nurse and the client should work together to devise and set
mutually agreeable goals that are also realistic and achievable.
The ostomy nurse is providing preoperative education for the
client who is scheduled for a sigmoid colostomy. The nurse
should identify that which of the following client statements is an
indication that the client is ready to learn?
A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery." -
Correct answer C. "Can you tell me about how long the surgery will
take?"
