NUR 220 ATI ASSESSMENT A 2026-2027
QUESTIONS AND ANSWERS GRADED A+
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the
use of assistive devices during ambulation. Which of the following should the nurse give the
AP's about the clients' use of a cane?
A. "When the client moves, he should move the cane forward first."
B. "The client should hole the cane on the weak side of his body."
C. "The grip should be level with the client's waist."
D. "The client should move the strong leg, then the weak one."
D. "The client should first move the strong leg, then the weak one."
A charge nurse is anticipating the admission of four client and planning their room assignments.
Which of the following clients should the nurse assign to the room closest to the nurse's station?
A. A client who sustained a head injury and is having periods of confusion
B. A client who reports a severe migraine headache
C. A client who has a suspected diagnosis of tuberculosis (TB)
D. A client who has a history of atrial fibrillation and is on continuous ECG monitoring.
A. A client who sustained a head injury and is having periods of confuson.
A nurse is caring for a client who needs a stool specimen collected. Which of the following
actions should the nurse take when obtaining the specimen?
A. Use a sterile swab to obtain the specimen
, B. Place the specimen in a sterile container
C. Label the paper bag in which specimen container is placed.
D. Send specimen container immediately to the lab
D. Send specimen container immediately to the lab
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse
understands the purpose of the test is to check the stool for which of the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
B. Blood
Rationale: A guaiac test detects the presence of occult or hidden blood in the stool. The guaiac
test is an extremely useful diagnostic screening test for the presence of colon cancer and
gastrointestinal ulcers.
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the
following actions should the nurse take to assess cranial nerve III?
A. Testing visual acuity
B. Observing for facial symmetry
C. Eliciting the gag reflex
D. Checking the pupillary response to light
D. Checking the pupillary response to light
QUESTIONS AND ANSWERS GRADED A+
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the
use of assistive devices during ambulation. Which of the following should the nurse give the
AP's about the clients' use of a cane?
A. "When the client moves, he should move the cane forward first."
B. "The client should hole the cane on the weak side of his body."
C. "The grip should be level with the client's waist."
D. "The client should move the strong leg, then the weak one."
D. "The client should first move the strong leg, then the weak one."
A charge nurse is anticipating the admission of four client and planning their room assignments.
Which of the following clients should the nurse assign to the room closest to the nurse's station?
A. A client who sustained a head injury and is having periods of confusion
B. A client who reports a severe migraine headache
C. A client who has a suspected diagnosis of tuberculosis (TB)
D. A client who has a history of atrial fibrillation and is on continuous ECG monitoring.
A. A client who sustained a head injury and is having periods of confuson.
A nurse is caring for a client who needs a stool specimen collected. Which of the following
actions should the nurse take when obtaining the specimen?
A. Use a sterile swab to obtain the specimen
, B. Place the specimen in a sterile container
C. Label the paper bag in which specimen container is placed.
D. Send specimen container immediately to the lab
D. Send specimen container immediately to the lab
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse
understands the purpose of the test is to check the stool for which of the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
B. Blood
Rationale: A guaiac test detects the presence of occult or hidden blood in the stool. The guaiac
test is an extremely useful diagnostic screening test for the presence of colon cancer and
gastrointestinal ulcers.
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the
following actions should the nurse take to assess cranial nerve III?
A. Testing visual acuity
B. Observing for facial symmetry
C. Eliciting the gag reflex
D. Checking the pupillary response to light
D. Checking the pupillary response to light
