ATI RN Nursing Foundations Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI RN Nursing Foundations Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified How should a nurse respond if a client refuses a medication? The nurse should respect the client’s autonomy, explain the purpose and benefits of the medication, and address any concerns the client may have. If the client still refuses, the nurse should document the refusal and inform the healthcare provider. What is the first action a nurse should take when entering a client’s room for an assessment? The nurse should introduce themselves, explain the purpose of the assessment, and ensure the client is comfortable and understands what will happen during the procedure. When performing a physical examination, what is the nurse’s role during inspection? The nurse’s role is to observe the client’s appearance, body movements, skin color, and any visible abnormalities that might indicate changes in health status. What should a nurse do to maintain client privacy during an assessment? 2 The nurse should ensure the client’s privacy by closing the door, pulling the curtains, and maintaining confidentiality by documenting and sharing information only with the appropriate team members. How can a nurse assess a client’s level of consciousness? The nurse can assess the level of consciousness by using the Glasgow Coma Scale, noting the client’s response to stimuli, and observing their orientation to time, place, and person. What is the importance of assessing a client’s vital signs during the initial assessment? Assessing vital signs provides baseline data that helps determine the client’s overall health status and any immediate interventions needed. What is the nurse’s role in promoting a safe environment during a physical assessment? The nurse should ensure the environment is free of hazards, maintain clear pathways, and ensure equipment is clean and functioning. The nurse should also use proper body mechanics to prevent injury. How can a nurse assess a client’s pain level effectively? 3 The nurse should ask the client to rate their pain using a standardized scale, such as a 0-10 scale, and observe for non-verbal cues like facial expressions or body posture. When performing an abdominal assessment, what order should the nurse follow? The nurse should inspect first, then auscultate, followed by palpation, and finally percussion, to avoid altering bowel sounds. What is the significance of assessing a client’s bowel sounds? Bowel sounds are an important indicator of gastrointestinal activity. Abnormal sounds, such as absent or hyperactive bowel sounds, can indicate issues such as bowel obstruction or infection. How can a nurse assess for signs of fluid retention in a client? The nurse should assess for edema, measure daily weight, check for changes in skin turgor, and monitor intake and output to identify fluid imbalances. What should a nurse do if a client exhibits signs of distress during an assessment? The nurse should immediately stop the assessment, assess the client’s condition, provide reassurance, and take necessary actions based on the severity of the distress. 4 How can a nurse evaluate the effectiveness of a client’s pain management plan? The nurse should regularly assess the client’s pain level, ask the client about the effectiveness of the interventions, and observe for any changes in behavior or vital signs. What is the correct technique for assessing a client’s heart sounds?