ATI Fundamentals of Nursing practice
questions
1. A client being reprimanded by an assistive personnel (AP) for improperly using the urinal is
observed by a nurse. If he doesn't use the urinal more carefully the next time, the AP warns him
that she will change him into a diaper. Which of the following is a tort committed by the AP? A.
Assault
B. Battery
C. Imprisonment in error D. Privacy invasion - ANS-A. Assault
Reason: The AP is committing assalt by threatening the client. The client might become fearful
and apprehensive as a result of her threats. 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 options that apply) A. Respiratory rate is 22/min with even,
unlabored respirations.
B. "He said he hurts after walking about 10 minutes," states the client's partner. C. On a scale
from 0 to 10, the pain rating is 3. D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - ANS-A. With regular,
unlabored respirations, the rate of respiration is 22/min. D. Pink, warm, and dry skin. E. The
assistive personnel reports the client walked with a limp.
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. demonstrating to a client the use of progressive muscle relaxation. D. Performing a daily
bath after the evening meal. E. ANS-C. Repositioning a patient every two hours to lower the
risk of pressure ulcers. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal. E. Repositioning a client every 2 hr to
reduce pressure ulcer risk.
A client who has had a cerebral vascular accident has persistent problems with dysphasia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. a social worker B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANS-D. speech-language pathologist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding the medications effects?
(Choose all) A. Provider
, B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANS-A. provider
C. pharmacist
D. registered nurse
Utilizing adaptive devices is a goal for a client with rheumatoid arthritis who has trouble
self-feeding. The nurse caring for the client should initiate a referral to which of the following
members of the interprofessional care team?
A. a social worker B. Nursing assistant certified C. Registered dietitian
D. Occupational therapist - ANS-D. Occupational Therapist
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client.
She states, "The client said his leg pain was back, so I checked his medical record, and he last
received his pain medication 6 hours ago. Since the prescription says to take it every four hours
for pain, I decided he needs it. I requested that the unit nurse watch me prepare and administer
it. I checked with the client 40 minutes later, and he said his pain is going away." Which of the
following steps of the nursing process should the charge nurse inform the newly licensed nurse
that she skipped? A. Assessment
B. Planning
C. Intervention
D. Evaluation - ANS-A. Assessment
A nurse educator is reviewing with a newly hired nurse the difference in manifestations of a
localized versus a systemic infection. The nurse indicates understanding when she states that
which of the following are manifestations of a systemic infection? (Select all relevant options.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. ANS-A, fever, rapid heart rate and respiration B. Malaise
E. Increase in pulse and respiratory rate
A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in
a chair in the break room when she was not on a break. The nurse ought to take which of the
following actions? A Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep. - ANS-C. Report the observations to the nurse manager on
the unit
Rationale: any nurse who notices behavior that could jeopardize client care or could indicate a
substance use disorder has a duty to report the situation immediately to the nurse manager
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion, Which of
the following events should the nurse recognize as contaminating the sterile field? (Select all
options that apply) A. The provider drops a sterile instrument onto the near side of the sterile
field.
questions
1. A client being reprimanded by an assistive personnel (AP) for improperly using the urinal is
observed by a nurse. If he doesn't use the urinal more carefully the next time, the AP warns him
that she will change him into a diaper. Which of the following is a tort committed by the AP? A.
Assault
B. Battery
C. Imprisonment in error D. Privacy invasion - ANS-A. Assault
Reason: The AP is committing assalt by threatening the client. The client might become fearful
and apprehensive as a result of her threats. 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 options that apply) A. Respiratory rate is 22/min with even,
unlabored respirations.
B. "He said he hurts after walking about 10 minutes," states the client's partner. C. On a scale
from 0 to 10, the pain rating is 3. D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - ANS-A. With regular,
unlabored respirations, the rate of respiration is 22/min. D. Pink, warm, and dry skin. E. The
assistive personnel reports the client walked with a limp.
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. demonstrating to a client the use of progressive muscle relaxation. D. Performing a daily
bath after the evening meal. E. ANS-C. Repositioning a patient every two hours to lower the
risk of pressure ulcers. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal. E. Repositioning a client every 2 hr to
reduce pressure ulcer risk.
A client who has had a cerebral vascular accident has persistent problems with dysphasia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. a social worker B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANS-D. speech-language pathologist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding the medications effects?
(Choose all) A. Provider
, B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANS-A. provider
C. pharmacist
D. registered nurse
Utilizing adaptive devices is a goal for a client with rheumatoid arthritis who has trouble
self-feeding. The nurse caring for the client should initiate a referral to which of the following
members of the interprofessional care team?
A. a social worker B. Nursing assistant certified C. Registered dietitian
D. Occupational therapist - ANS-D. Occupational Therapist
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client.
She states, "The client said his leg pain was back, so I checked his medical record, and he last
received his pain medication 6 hours ago. Since the prescription says to take it every four hours
for pain, I decided he needs it. I requested that the unit nurse watch me prepare and administer
it. I checked with the client 40 minutes later, and he said his pain is going away." Which of the
following steps of the nursing process should the charge nurse inform the newly licensed nurse
that she skipped? A. Assessment
B. Planning
C. Intervention
D. Evaluation - ANS-A. Assessment
A nurse educator is reviewing with a newly hired nurse the difference in manifestations of a
localized versus a systemic infection. The nurse indicates understanding when she states that
which of the following are manifestations of a systemic infection? (Select all relevant options.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. ANS-A, fever, rapid heart rate and respiration B. Malaise
E. Increase in pulse and respiratory rate
A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in
a chair in the break room when she was not on a break. The nurse ought to take which of the
following actions? A Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep. - ANS-C. Report the observations to the nurse manager on
the unit
Rationale: any nurse who notices behavior that could jeopardize client care or could indicate a
substance use disorder has a duty to report the situation immediately to the nurse manager
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion, Which of
the following events should the nurse recognize as contaminating the sterile field? (Select all
options that apply) A. The provider drops a sterile instrument onto the near side of the sterile
field.
