Fundamentals ATI Review Questions with Verified Answers
A nurse is planning to obtain vital signs of a 2 yr Palpation
old child who is experiencing diarrhea and who
migh have a right ear infection. Which of the For any other adult assessment the sequence is
following routes should the nurse use to obtain Inspect, Palpate, Perscuss, and Auscultate
temperature? - ANSWER -Temporal
Explanation:
Oral route is not appropiate for kids under 3.
Temporal artery route is noninvasive and could A nurse is teaching a group of older adults about
be used. IF the child is diaphoretic(sweaty) place expected changes of aging. Which of the
probe behind the ear, avoid an area covered with following statements by a group member
hair. indicates that the teaching has been effective? -
ANSWER -"I should expect my heart rate to
take longer to return to normal after exercise as I
get older"
A nurse is planning care for a client who reports Explanation :
abd pain. Assessment reveals the pt has a temp Older adults experience decreased cardiac
of 102.6, heart rate of 105 bpm, a soft non tender output, which causes increased pulse rate during
abd, and menses due over by 2 days. Which of exercise . The pulse rate also takes longer to
the following findings should be the nurses return to normal
priority? - ANSWER -Temperature "Urinary incontinence is something I will have to
Explanation: live with as I grow older" - bladder capacity
Overdue menses is an important assessment decreases in older adults but it's not an expected
because of clients abd pain but irregular menses finding and should be reported so it can be
is common when a person is stressed therefore treated.
not a priority.
Elevated temperature is an emergent
physiological need. Consider Maslow's hierarchy
if needs. A nurse is witnessing a client sign an informed
consent form for surgery. Which of the following
describes what the nurse is affirming by this
action? - ANSWER -The signature on the
A nurse is preparing to perform oral hygiene on preoperative consent form is the client's.
an unresponsive client. Which of the following Explanation :
actions should the nurse plan to take? - The nurse acts as a witness to attest that it is the
ANSWER -Raise the level of the bed client signature on the preoperative consent form.
Explanation: It is the responsibility of the provider who will
To allow the proper body mechanics and reduce perform the procedure to obtain consent by
the risk of self injury explaining the procedure along with the
associated risk and benefits
A nurse is performing an abdominal assessment
. Identify the correct sequence for this A nurse is obtaining the blood pressure in a
assessment. - ANSWER -Inspection clients lower extremity which of the following
Auscultation action should the nurse take? - ANSWER -
Percussion Place the bladder of the cuff over the posterior
, Fundamentals ATI Review Questions with Verified Answers
aspect of the thigh. action should the charge nurse teach as the first
Explanation: response in CPR? - ANSWER -Confirm
This is the correct position for the nurse to place unresponsiveness.
the bladder of the cuff when measuring a lower Explanation :
extremity blood pressure. Call for assistance is incorrect
Placing the cuff 3 inches above the popliteal is
incorrect it should be 1 inch above the popliteal.
A nurse is providing preop teaching to a client
who is scheduled for a arthroplasty in the next
A nurse is caring for a client who is unstable and month that might require blood transfusion.Which
has vital signs measured every 15 minutes by an of the following statements should the nurse
electronic blood pressure machine. The nurse make to the client? - ANSWER -Donate
notices the machine begins to measure the blood autologous blood before the surgery.
pressure at varied intervals and the readings are Explanation:
inconsistent. Which of the following action should Autologous blood transfusion is the collection and
the nurse take? - ANSWER -Disconnect reinfusion of the clients blood. The blood is drawn
the machine and measure the blood pressure from the client 3 to 5 weeks before an elective
manually every 15 minutes. surgical procedure and stored for transfusion at
Explanation: the time of surgery, it is the safest form of blood
If the nurse questions the reliability of the transfusion because it is the clients own blood,
monitoring equipment a manual process should eliminating exposure to transfusion transmitted
be used. Also malfunctioning equipment poses a infections.
safety risk for the client so It must be tagged and
removed.
"Obtain manual and automatic readings and
compare them" - INCORRECT A charge nurse is observing a newly licensed
nurse perform tracheostomy care for a client.
Which of the following actions by the newly
licensed nurse requires intervention? -
A nurse is caring for an older client who is violent ANSWER -Obtaining cotton balls for the
and attempting to disconnect your IV lines. The tracheostomy care
provider prescribes soft wrist restraints. Which of Explanation :
the following action should the nurse take while Cotton ball particles can be aspirated into the
the client is in restraints? - ANSWER - tracheostomy opening possibly causing a
Remove the restraints one at a time. tracheal abscess.
Explanation " obtaining hydrogen peroxide for the
Restraint should be removed one at a time for tracheostomy care" - INCORRECT bc half-
clients who are violent or noncompliant. strength peroxide solution is used to clean the
"Performs range of motion exercises every 3 hrs" inner cannula.
- INCORRECT bc it should be every 2 hrs .
A nurse is planning weight loss strategies for a
A charge nurse is teaching adult CPR to a group group of clients who are obese. Which of the
of newly licensed nurses. Which of the following following actions by the nurse will improve the
A nurse is planning to obtain vital signs of a 2 yr Palpation
old child who is experiencing diarrhea and who
migh have a right ear infection. Which of the For any other adult assessment the sequence is
following routes should the nurse use to obtain Inspect, Palpate, Perscuss, and Auscultate
temperature? - ANSWER -Temporal
Explanation:
Oral route is not appropiate for kids under 3.
Temporal artery route is noninvasive and could A nurse is teaching a group of older adults about
be used. IF the child is diaphoretic(sweaty) place expected changes of aging. Which of the
probe behind the ear, avoid an area covered with following statements by a group member
hair. indicates that the teaching has been effective? -
ANSWER -"I should expect my heart rate to
take longer to return to normal after exercise as I
get older"
A nurse is planning care for a client who reports Explanation :
abd pain. Assessment reveals the pt has a temp Older adults experience decreased cardiac
of 102.6, heart rate of 105 bpm, a soft non tender output, which causes increased pulse rate during
abd, and menses due over by 2 days. Which of exercise . The pulse rate also takes longer to
the following findings should be the nurses return to normal
priority? - ANSWER -Temperature "Urinary incontinence is something I will have to
Explanation: live with as I grow older" - bladder capacity
Overdue menses is an important assessment decreases in older adults but it's not an expected
because of clients abd pain but irregular menses finding and should be reported so it can be
is common when a person is stressed therefore treated.
not a priority.
Elevated temperature is an emergent
physiological need. Consider Maslow's hierarchy
if needs. A nurse is witnessing a client sign an informed
consent form for surgery. Which of the following
describes what the nurse is affirming by this
action? - ANSWER -The signature on the
A nurse is preparing to perform oral hygiene on preoperative consent form is the client's.
an unresponsive client. Which of the following Explanation :
actions should the nurse plan to take? - The nurse acts as a witness to attest that it is the
ANSWER -Raise the level of the bed client signature on the preoperative consent form.
Explanation: It is the responsibility of the provider who will
To allow the proper body mechanics and reduce perform the procedure to obtain consent by
the risk of self injury explaining the procedure along with the
associated risk and benefits
A nurse is performing an abdominal assessment
. Identify the correct sequence for this A nurse is obtaining the blood pressure in a
assessment. - ANSWER -Inspection clients lower extremity which of the following
Auscultation action should the nurse take? - ANSWER -
Percussion Place the bladder of the cuff over the posterior
, Fundamentals ATI Review Questions with Verified Answers
aspect of the thigh. action should the charge nurse teach as the first
Explanation: response in CPR? - ANSWER -Confirm
This is the correct position for the nurse to place unresponsiveness.
the bladder of the cuff when measuring a lower Explanation :
extremity blood pressure. Call for assistance is incorrect
Placing the cuff 3 inches above the popliteal is
incorrect it should be 1 inch above the popliteal.
A nurse is providing preop teaching to a client
who is scheduled for a arthroplasty in the next
A nurse is caring for a client who is unstable and month that might require blood transfusion.Which
has vital signs measured every 15 minutes by an of the following statements should the nurse
electronic blood pressure machine. The nurse make to the client? - ANSWER -Donate
notices the machine begins to measure the blood autologous blood before the surgery.
pressure at varied intervals and the readings are Explanation:
inconsistent. Which of the following action should Autologous blood transfusion is the collection and
the nurse take? - ANSWER -Disconnect reinfusion of the clients blood. The blood is drawn
the machine and measure the blood pressure from the client 3 to 5 weeks before an elective
manually every 15 minutes. surgical procedure and stored for transfusion at
Explanation: the time of surgery, it is the safest form of blood
If the nurse questions the reliability of the transfusion because it is the clients own blood,
monitoring equipment a manual process should eliminating exposure to transfusion transmitted
be used. Also malfunctioning equipment poses a infections.
safety risk for the client so It must be tagged and
removed.
"Obtain manual and automatic readings and
compare them" - INCORRECT A charge nurse is observing a newly licensed
nurse perform tracheostomy care for a client.
Which of the following actions by the newly
licensed nurse requires intervention? -
A nurse is caring for an older client who is violent ANSWER -Obtaining cotton balls for the
and attempting to disconnect your IV lines. The tracheostomy care
provider prescribes soft wrist restraints. Which of Explanation :
the following action should the nurse take while Cotton ball particles can be aspirated into the
the client is in restraints? - ANSWER - tracheostomy opening possibly causing a
Remove the restraints one at a time. tracheal abscess.
Explanation " obtaining hydrogen peroxide for the
Restraint should be removed one at a time for tracheostomy care" - INCORRECT bc half-
clients who are violent or noncompliant. strength peroxide solution is used to clean the
"Performs range of motion exercises every 3 hrs" inner cannula.
- INCORRECT bc it should be every 2 hrs .
A nurse is planning weight loss strategies for a
A charge nurse is teaching adult CPR to a group group of clients who are obese. Which of the
of newly licensed nurses. Which of the following following actions by the nurse will improve the
