NURS380 ADULT NURSING ATI STYLE EXAM II
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. A nurse is caring for an adult client who is at risk for falls.
Which intervention should the nurse implement first?
A. Apply restraints
B. Place the call light within reach
C. Keep the room dark at night
D. Encourage independent ambulation
Correct answer: B. Place the call light within reach
Rationale: Easy access to assistance reduces fall risk while
promoting client independence and safety.
2. A nurse is assessing a client’s pain level. Which method
provides the most accurate pain assessment?
A. Observing facial expressions
B. Asking the client to rate pain using a scale
C. Measuring blood pressure
D. Asking family members about pain
Correct answer: B. Asking the client to rate pain using a scale
Rationale: Pain is subjective; the client’s self-report is the most
reliable indicator.
,3. A nurse should perform hand hygiene at which time?
A. Only after client contact
B. Before and after client contact
C. Only when hands appear dirty
D. Once per shift
Correct answer: B. Before and after client contact
Rationale: Hand hygiene prevents transmission of
microorganisms.
4. Which position is best for a client experiencing difficulty
breathing?
A. Supine
B. Trendelenburg
C. High-Fowler’s
D. Prone
Correct answer: C. High-Fowler’s
Rationale: Upright positioning improves lung expansion and
oxygenation.
5. A nurse is preparing to administer medication. Which action
is essential before administration?
,A. Ask another client to confirm identity
B. Verify the client using two identifiers
C. Leave medications unattended
D. Document before giving medication
Correct answer: B. Verify the client using two identifiers
Rationale: Two identifiers prevent medication errors.
6. Which finding indicates effective oxygen therapy?
A. Oxygen saturation increases from 88% to 96%
B. Respiratory rate decreases to zero
C. Client becomes confused
D. Skin becomes cyanotic
Correct answer: A. Oxygen saturation increases from 88% to
96%
Rationale: Improved oxygen saturation indicates improved
oxygenation.
7. A nurse is caring for a client with a surgical incision. Which
finding requires immediate reporting?
A. Mild discomfort
B. Small amount of clear drainage
C. Redness with purulent drainage
D. Mild bruising
, Correct answer: C. Redness with purulent drainage
Rationale: Purulent drainage and redness suggest infection.
8. Which nursing action helps prevent pressure injuries?
A. Repositioning the client regularly
B. Limiting fluids
C. Massaging reddened skin
D. Keeping linens wrinkled
Correct answer: A. Repositioning the client regularly
Rationale: Frequent repositioning reduces prolonged pressure
on tissues.
9. A nurse is teaching a client about incentive spirometry.
What instruction is correct?
A. Use it once daily
B. Breathe out forcefully into the device
C. Inhale slowly and deeply through the device
D. Lie flat while using it
Correct answer: C. Inhale slowly and deeply through the
device
Rationale: Incentive spirometry promotes lung expansion and
prevents atelectasis.
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. A nurse is caring for an adult client who is at risk for falls.
Which intervention should the nurse implement first?
A. Apply restraints
B. Place the call light within reach
C. Keep the room dark at night
D. Encourage independent ambulation
Correct answer: B. Place the call light within reach
Rationale: Easy access to assistance reduces fall risk while
promoting client independence and safety.
2. A nurse is assessing a client’s pain level. Which method
provides the most accurate pain assessment?
A. Observing facial expressions
B. Asking the client to rate pain using a scale
C. Measuring blood pressure
D. Asking family members about pain
Correct answer: B. Asking the client to rate pain using a scale
Rationale: Pain is subjective; the client’s self-report is the most
reliable indicator.
,3. A nurse should perform hand hygiene at which time?
A. Only after client contact
B. Before and after client contact
C. Only when hands appear dirty
D. Once per shift
Correct answer: B. Before and after client contact
Rationale: Hand hygiene prevents transmission of
microorganisms.
4. Which position is best for a client experiencing difficulty
breathing?
A. Supine
B. Trendelenburg
C. High-Fowler’s
D. Prone
Correct answer: C. High-Fowler’s
Rationale: Upright positioning improves lung expansion and
oxygenation.
5. A nurse is preparing to administer medication. Which action
is essential before administration?
,A. Ask another client to confirm identity
B. Verify the client using two identifiers
C. Leave medications unattended
D. Document before giving medication
Correct answer: B. Verify the client using two identifiers
Rationale: Two identifiers prevent medication errors.
6. Which finding indicates effective oxygen therapy?
A. Oxygen saturation increases from 88% to 96%
B. Respiratory rate decreases to zero
C. Client becomes confused
D. Skin becomes cyanotic
Correct answer: A. Oxygen saturation increases from 88% to
96%
Rationale: Improved oxygen saturation indicates improved
oxygenation.
7. A nurse is caring for a client with a surgical incision. Which
finding requires immediate reporting?
A. Mild discomfort
B. Small amount of clear drainage
C. Redness with purulent drainage
D. Mild bruising
, Correct answer: C. Redness with purulent drainage
Rationale: Purulent drainage and redness suggest infection.
8. Which nursing action helps prevent pressure injuries?
A. Repositioning the client regularly
B. Limiting fluids
C. Massaging reddened skin
D. Keeping linens wrinkled
Correct answer: A. Repositioning the client regularly
Rationale: Frequent repositioning reduces prolonged pressure
on tissues.
9. A nurse is teaching a client about incentive spirometry.
What instruction is correct?
A. Use it once daily
B. Breathe out forcefully into the device
C. Inhale slowly and deeply through the device
D. Lie flat while using it
Correct answer: C. Inhale slowly and deeply through the
device
Rationale: Incentive spirometry promotes lung expansion and
prevents atelectasis.
