ATI - Fundamentals Practice Quiz 1
A nurse is teaching a group of older adults about suspected changes of aging. Which statement
by a group member indicates effective teaching?
I should expect my HR to take longer to return to normal after exercise.
Urinary incontinence is something I have to live with as I get older.
I can expect to have less ear wax as I get older.
My stomach will empty more quickly after meals as I grow older. - ANSI should expect my HR to
take longer to return to normal after exercise.
A nurse is caring for a patient who is post-op with paralytic ileus. Which abdominal assessment
is expected?
Frequent bowel sounds with flatus
Absent bowel sounds with distention
Hyperactive bowel sounds with diarrhea
Normal bowel sounds with increased peristalsis - ANSAbsent bowel sounds with distention
A nurse is planning care for a client with abdominal pain. An assessment reveals temperature of
102.6 F, HR 105, soft-non-tender abdomen, menses overdue by 2 days. Which of the following
findings should be the priority?
Heart rate
Soft, non-tender abdomen
Temperature
Overdue menses - ANSTemperature
Which instruction should be followed for a child who is post-op following a tonsillectomy?
Encourage frequent coughing to clear congestion from anesthesia.
Place a heating pat at child's neck for comfort.
Administer analgesics to the child on a routine schedule throughout the day.
Provide the child with ice cream when oral intake is initiated. - ANSAdminister analgesics to the
child on a routine schedule throughout the day.
The nurse auscultates a high-pitched scratching sound during diastole with the diaphragm of the
stethoscope positioned at the left sternal border. Which of the following heart sounds should the
nurse document?
Audible click
Murmur
, Third heart sound
Pericardial friction rub - ANSPericardial friction rub
A nurse is teaching an assistive personnel about proper hand hygiene. Which statement from
AP indicates understanding?
"There are times I should use soap and water instead of alcohol-based sanitizer"
"I will use cold water when I wash my hands to protect my skin from becoming too dry."
"I will apply friction for at least 10 seconds while washing my hands."
"After washing my hands I will dry them from the elbows down." - ANS"There are times I should
use soap and water instead of alcohol-based sanitizer"
A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes
using an electronic BP machine. The nurse notices the machine begins to measure BP at varied
intervals and readings are inconsistent. which action should the nurse take?
Turn on the machine every 15 minutes to measure the BP.
Record only BP readings needed for the 15-min intervals.
Obtain manual and automatic readings & compare them.
Disconnect the machine, measure the BP manually every 15 minutes. - ANSDisconnect the
machine, measure the BP manually every 15 minutes.
A nurse is providing teaching to a client who has heart failure about how to reduce his sodium
intake. Which of the following factors is the most important in determining the client's ability to
learn new dietary habits?
Involvement of client in planning the change
Emphasis provider places on the dietary changes
Learning theory the nurse uses to teach the dietary changes
The extent of the dietary changes planned for the client. - ANSThe involvement of the client in
planning the change
Nurse is obtaining vitals for a 2-year old child who is experiencing diarrhea and may have right
ear infection. Which route should be used to measure temperature?
Rectal
tympanic
oral
temporal - ANSTemporal- oral temp. is not suitable for kids under 3
A nurse is witnessing a client sign an informed consent form for surgery. What describes what
the nurse is affirming this action?
The client fully understands the provider's explanation of this procedure.
The client has been informed about risks/benefits of procedure
A nurse is teaching a group of older adults about suspected changes of aging. Which statement
by a group member indicates effective teaching?
I should expect my HR to take longer to return to normal after exercise.
Urinary incontinence is something I have to live with as I get older.
I can expect to have less ear wax as I get older.
My stomach will empty more quickly after meals as I grow older. - ANSI should expect my HR to
take longer to return to normal after exercise.
A nurse is caring for a patient who is post-op with paralytic ileus. Which abdominal assessment
is expected?
Frequent bowel sounds with flatus
Absent bowel sounds with distention
Hyperactive bowel sounds with diarrhea
Normal bowel sounds with increased peristalsis - ANSAbsent bowel sounds with distention
A nurse is planning care for a client with abdominal pain. An assessment reveals temperature of
102.6 F, HR 105, soft-non-tender abdomen, menses overdue by 2 days. Which of the following
findings should be the priority?
Heart rate
Soft, non-tender abdomen
Temperature
Overdue menses - ANSTemperature
Which instruction should be followed for a child who is post-op following a tonsillectomy?
Encourage frequent coughing to clear congestion from anesthesia.
Place a heating pat at child's neck for comfort.
Administer analgesics to the child on a routine schedule throughout the day.
Provide the child with ice cream when oral intake is initiated. - ANSAdminister analgesics to the
child on a routine schedule throughout the day.
The nurse auscultates a high-pitched scratching sound during diastole with the diaphragm of the
stethoscope positioned at the left sternal border. Which of the following heart sounds should the
nurse document?
Audible click
Murmur
, Third heart sound
Pericardial friction rub - ANSPericardial friction rub
A nurse is teaching an assistive personnel about proper hand hygiene. Which statement from
AP indicates understanding?
"There are times I should use soap and water instead of alcohol-based sanitizer"
"I will use cold water when I wash my hands to protect my skin from becoming too dry."
"I will apply friction for at least 10 seconds while washing my hands."
"After washing my hands I will dry them from the elbows down." - ANS"There are times I should
use soap and water instead of alcohol-based sanitizer"
A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes
using an electronic BP machine. The nurse notices the machine begins to measure BP at varied
intervals and readings are inconsistent. which action should the nurse take?
Turn on the machine every 15 minutes to measure the BP.
Record only BP readings needed for the 15-min intervals.
Obtain manual and automatic readings & compare them.
Disconnect the machine, measure the BP manually every 15 minutes. - ANSDisconnect the
machine, measure the BP manually every 15 minutes.
A nurse is providing teaching to a client who has heart failure about how to reduce his sodium
intake. Which of the following factors is the most important in determining the client's ability to
learn new dietary habits?
Involvement of client in planning the change
Emphasis provider places on the dietary changes
Learning theory the nurse uses to teach the dietary changes
The extent of the dietary changes planned for the client. - ANSThe involvement of the client in
planning the change
Nurse is obtaining vitals for a 2-year old child who is experiencing diarrhea and may have right
ear infection. Which route should be used to measure temperature?
Rectal
tympanic
oral
temporal - ANSTemporal- oral temp. is not suitable for kids under 3
A nurse is witnessing a client sign an informed consent form for surgery. What describes what
the nurse is affirming this action?
The client fully understands the provider's explanation of this procedure.
The client has been informed about risks/benefits of procedure
