NUR 2989 -CAPSTONE
PROCTORED MODULE 3 ATI QUIZ
90 QUESTIONS AND ANSWERS
Section 1: Management of Care
Question 1
A nurse is caring for four clients on a medical-surgical unit. Which client should
the nurse assess first?
A. A client who is 2 days postoperative with a temperature of 100.2°F (37.9°C)
B. A client who reports sudden shortness of breath and chest pain
C. A client requesting pain medication for incisional pain rated 6/10
D. A client who needs discharge teaching about wound care
Correct Answer: B
Rationale: Sudden shortness of breath and chest pain in a postoperative client
suggests a possible pulmonary embolism, which is a life-threatening emergency
requiring immediate assessment and intervention. Using the ABC (Airway,
Breathing, Circulation) priority framework, respiratory compromise takes
precedence over pain management, fever, and discharge teaching.
Question 2
A nurse is delegating tasks to assistive personnel (AP). Which task is most
appropriate to delegate?
A. Assessing a client's newly admitted wound for signs of infection
B. Administering a tube feeding to a client with dysphagia
C. Assisting a stable client with ambulation to the bathroom
D. Teaching a client about their new blood pressure medication
Correct Answer: C
,Rationale: Assisting a stable client with ambulation is within the scope of
practice for assistive personnel. Assessment (A), tube feeding administration (B),
and client teaching (D) require the clinical judgment and licensure of a registered
nurse and cannot be delegated to AP.
Question 3
A nurse is reviewing an incident report with a newly licensed nurse. Which
statement by the newly licensed nurse indicates understanding?
A. "I should document the incident report in the client's medical record."
B. "The incident report is used to determine disciplinary action against staff."
C. "I should complete the incident report and submit it to risk management."
D. "I should delay completing the incident report until the end of my shift."
Correct Answer: C
Rationale: Incident reports are completed and submitted to risk management
to identify potential risks and improve quality of care. They should not be
documented in the medical record (A), are not used for disciplinary action (B), and
should be completed as soon as possible while details are fresh (D).
Question 4
A nurse is preparing to administer medications and notes that a client has a new
prescription for warfarin (Coumadin). Which action should the nurse take first?
A. Check the client's most recent INR result
B. Administer the medication as prescribed
C. Hold the medication and notify the provider
D. Assess the client for signs of bleeding
Correct Answer: A
Rationale: The nurse should first review the client's most recent INR
(International Normalized Ratio) to determine if the result is within the therapeutic
,range (typically 2–3 for warfarin therapy) before administering the medication. If
the INR is elevated, the nurse would then hold the medication and notify the
provider. Assessment for bleeding (D) is also important but the laboratory value
guides the clinical decision.
Question 5
A nurse is caring for a client who is scheduled for surgery and has signed the
informed consent form. Which statement by the client indicates the nurse should
notify the surgeon?
A. "I understand I will need physical therapy after surgery."
B. "I am not sure I want to have this surgery after all."
C. "Can I have something to help me relax before surgery?"
D. "Will my family be able to visit me after surgery?"
Correct Answer: B
Rationale: The client expressing uncertainty about proceeding with surgery
indicates that the informed consent process may need to be revisited. Informed
consent is an ongoing process, and the client has the right to withdraw consent at
any time. The nurse must notify the surgeon so the client's concerns can be
addressed. The other statements are common preoperative concerns that do not
require immediate provider notification.
Question 6
A nurse is caring for a client who has a living will. The client becomes
unresponsive and the family requests aggressive treatment that contradicts the
living will. Which action should the nurse take?
A. Follow the family's wishes since they are the decision-makers
B. Contact the provider and ethics committee to resolve the conflict
C. Ignore the living will and provide aggressive treatment
D. Ask the family to leave the room while care is provided
, Correct Answer: B
Rationale: A living will is a legal document that outlines the client's wishes for
medical treatment when they cannot speak for themselves. When family wishes
conflict with the living will, the nurse should notify the provider and involve the
ethics committee to ensure the client's documented wishes are respected and the
conflict is appropriately resolved.
Question 7
A nurse is working with a licensed practical nurse (LPN) and assistive personnel
(AP). Which task should the nurse assign to the LPN?
A. Performing an initial assessment on a newly admitted client
B. Administering oral medications to a stable client
C. Developing a discharge teaching plan for a client with diabetes
D. Evaluating a client's response to pain medication
Correct Answer: B
Rationale: LPNs can administer oral medications to stable clients under the
supervision of an RN. Initial assessments (A), development of teaching plans (C),
and evaluation of medication response (D) require the clinical judgment of an RN
and are not within the LPN scope of practice.
Question 8
A nurse is caring for a client who speaks limited English and needs to provide
informed consent for a procedure. Which action should the nurse take?
A. Have the client's family member interpret the consent form
B. Use an official medical interpreter to explain the procedure
C. Proceed with the procedure since the client nodded in agreement
D. Provide the consent form in the client's native language without explanation
Correct Answer: B
PROCTORED MODULE 3 ATI QUIZ
90 QUESTIONS AND ANSWERS
Section 1: Management of Care
Question 1
A nurse is caring for four clients on a medical-surgical unit. Which client should
the nurse assess first?
A. A client who is 2 days postoperative with a temperature of 100.2°F (37.9°C)
B. A client who reports sudden shortness of breath and chest pain
C. A client requesting pain medication for incisional pain rated 6/10
D. A client who needs discharge teaching about wound care
Correct Answer: B
Rationale: Sudden shortness of breath and chest pain in a postoperative client
suggests a possible pulmonary embolism, which is a life-threatening emergency
requiring immediate assessment and intervention. Using the ABC (Airway,
Breathing, Circulation) priority framework, respiratory compromise takes
precedence over pain management, fever, and discharge teaching.
Question 2
A nurse is delegating tasks to assistive personnel (AP). Which task is most
appropriate to delegate?
A. Assessing a client's newly admitted wound for signs of infection
B. Administering a tube feeding to a client with dysphagia
C. Assisting a stable client with ambulation to the bathroom
D. Teaching a client about their new blood pressure medication
Correct Answer: C
,Rationale: Assisting a stable client with ambulation is within the scope of
practice for assistive personnel. Assessment (A), tube feeding administration (B),
and client teaching (D) require the clinical judgment and licensure of a registered
nurse and cannot be delegated to AP.
Question 3
A nurse is reviewing an incident report with a newly licensed nurse. Which
statement by the newly licensed nurse indicates understanding?
A. "I should document the incident report in the client's medical record."
B. "The incident report is used to determine disciplinary action against staff."
C. "I should complete the incident report and submit it to risk management."
D. "I should delay completing the incident report until the end of my shift."
Correct Answer: C
Rationale: Incident reports are completed and submitted to risk management
to identify potential risks and improve quality of care. They should not be
documented in the medical record (A), are not used for disciplinary action (B), and
should be completed as soon as possible while details are fresh (D).
Question 4
A nurse is preparing to administer medications and notes that a client has a new
prescription for warfarin (Coumadin). Which action should the nurse take first?
A. Check the client's most recent INR result
B. Administer the medication as prescribed
C. Hold the medication and notify the provider
D. Assess the client for signs of bleeding
Correct Answer: A
Rationale: The nurse should first review the client's most recent INR
(International Normalized Ratio) to determine if the result is within the therapeutic
,range (typically 2–3 for warfarin therapy) before administering the medication. If
the INR is elevated, the nurse would then hold the medication and notify the
provider. Assessment for bleeding (D) is also important but the laboratory value
guides the clinical decision.
Question 5
A nurse is caring for a client who is scheduled for surgery and has signed the
informed consent form. Which statement by the client indicates the nurse should
notify the surgeon?
A. "I understand I will need physical therapy after surgery."
B. "I am not sure I want to have this surgery after all."
C. "Can I have something to help me relax before surgery?"
D. "Will my family be able to visit me after surgery?"
Correct Answer: B
Rationale: The client expressing uncertainty about proceeding with surgery
indicates that the informed consent process may need to be revisited. Informed
consent is an ongoing process, and the client has the right to withdraw consent at
any time. The nurse must notify the surgeon so the client's concerns can be
addressed. The other statements are common preoperative concerns that do not
require immediate provider notification.
Question 6
A nurse is caring for a client who has a living will. The client becomes
unresponsive and the family requests aggressive treatment that contradicts the
living will. Which action should the nurse take?
A. Follow the family's wishes since they are the decision-makers
B. Contact the provider and ethics committee to resolve the conflict
C. Ignore the living will and provide aggressive treatment
D. Ask the family to leave the room while care is provided
, Correct Answer: B
Rationale: A living will is a legal document that outlines the client's wishes for
medical treatment when they cannot speak for themselves. When family wishes
conflict with the living will, the nurse should notify the provider and involve the
ethics committee to ensure the client's documented wishes are respected and the
conflict is appropriately resolved.
Question 7
A nurse is working with a licensed practical nurse (LPN) and assistive personnel
(AP). Which task should the nurse assign to the LPN?
A. Performing an initial assessment on a newly admitted client
B. Administering oral medications to a stable client
C. Developing a discharge teaching plan for a client with diabetes
D. Evaluating a client's response to pain medication
Correct Answer: B
Rationale: LPNs can administer oral medications to stable clients under the
supervision of an RN. Initial assessments (A), development of teaching plans (C),
and evaluation of medication response (D) require the clinical judgment of an RN
and are not within the LPN scope of practice.
Question 8
A nurse is caring for a client who speaks limited English and needs to provide
informed consent for a procedure. Which action should the nurse take?
A. Have the client's family member interpret the consent form
B. Use an official medical interpreter to explain the procedure
C. Proceed with the procedure since the client nodded in agreement
D. Provide the consent form in the client's native language without explanation
Correct Answer: B
