Fundamentals ATI Review Questions with Verified Answers
A nurse at a screening clinic is assessing a client inspiration . The nurse auscultates a high -
who reports a history of a heart murmur related pitched scratching sound during both systole and
to aortic valve stenosis At which of the following diastole with the diaphragm of the stethoscope
anatomical areas should the nurse place the positioned at the left sternal border . Which of the
stethoscope to auscultate the aortic valve ? - following heart sounds should the nurse
ANSWER -Second intercostal space to the document ? - ANSWER -Pericardial friction
right of the sternum rub
A nurse caring for a client who starts to A nurse is caring for a client who is having
experience a seizure while sitting in a chair . difficulty breathing . The nurse should assist the
Which of the following actions should nurse take client into which of the following positions ? -
?- ANSWER -Lower the client to the floor ANSWER -Fowler's
and place a pad under the client's head
A nurse is teaching a client who is postoperative
A nurse is caring for a client who has gastric following a knee arthroplasty about the muscles
ulcer . The nurse should explain that prolonged he will need to strengthen in physical therapy .
exposure of the body to stress can also cause Which of the following muscle groups is
which of the following to occur ? - responsible for movement at the knee joint -
ANSWER -Hyperglycemial ANSWER -Antagonistic
A nurse is assessing a client who is A nurse is caring for a client who has a hearing
postoperative Which of the following findings impairment . Which of the following interventions
should the nurse identify as an indication that the should the nurse use when speaking with the
client is experiencing pain ? - ANSWER - client ? - ANSWER -Face the client when
Grimacing speaking
A nurse delegated the task of emptying an A nurse is caring for a client who is having
indwelling urinary catheter drainage bag to The difficulty with muscle coordination following a
nurse later observes the AP emptying the bag head injury . The nurse should suspect injury to
without wearing an gloves . Which of the which of the following areas of the brain ? -
following actions should the nurse take ? - ANSWER -Cerebellum
ANSWER -Talk with the ap about the
technique used
A nurse is preparing to administer oral phenytoin
to a client who has a seizure disorder . Before
A nurse is assessing the heart sounds of a client administering the medication , which of the
who has developed chest pain that worsens with following actions should the nurse take ? -
, Fundamentals ATI Review Questions with Verified Answers
ANSWER -Check the medication dose and A nurse is caring for a client with dehydration
the client's identification who has developed hypovolemic shock . Which
of the following laboratory values should the
nurse expect for this client ? - ANSWER -
Hct 55 %
A nurse is discussing fire safety with newly hired
nurses . Which of the following actions is the
priority if a fire occurs in the health care facility -
ANSWER -Evacuate clients from the unit A nurse is planning weight - loss strategies for a
group of clients who are obese . Which of the
following actions by the nurse will improve the
clients commitment to a long - term goal of
A nurse documents the presence of clubbing of weight loss ? - ANSWER -Attempt to
the fingernails for a client who has emphysema . increase the clients ' self - motivation
Which of the following is the underlying cause of
this finding ? - ANSWER -Chronic
hypoxemia
A nurse is caring for a client who has a deficiency
of vitamin D. Which of the following foods should
the nurse recommend the client include in his diet
A nurse is cleaning a client's wound by swabbing ? - ANSWER -Whole milk
from the area of least contamination to an area
of greater contamination . Which of the following
rationales should the nurse identify for using this
technique ? - ANSWER -Keeping A nurse is changing the dressings for a client
microorganisms from entering the wound who is 3 days postoperative following a
cholecystectomy . The nurse observes yellow ,
thick drainage on the dressing . The nurse should
document this finding as which of the following
A nurse is admitting a client who has decreased types of drainage ? - ANSWER -Purulent
circulation in his left leg . Which of the following exudate
actions should the nurse take first ? -
ANSWER -Evaluate pedal pulses
A nurse is assessing a client who reports nausea
and vomiting for 2 days . Which of the following
A nurse is planning care for a client who is findings should indicate to the nurse that the
postoperative and has a history of poor client is experiencing fluid volume deficit ? -
nutritional intake . Which of the following actions ANSWER -Increased heart rate
should the nurse include in the plan of care to
promote wound healing ? - ANSWER -
Provide a protein intake of 1.5 g / kg of body
weight per day A nurse is preparing to administer an afternoon
dose of ampicillin to a client . The client appears
upset and refuses to take the medication before
throwing the pill on the floor . Which of the
, Fundamentals ATI Review Questions with Verified Answers
following entries should the nurse into the client's
medical record ? - ANSWER -client threw
the medication on the floor .
A nurse on a medical - surgical unit is admitting a
client Which the following pieces of information
should the nurse document in clients recor first? -
A nurse is caring for a client who is receiving ANSWER -Assessment
intermittent enteral feedings through an NG tube
. The specific gravity of the client's urine is 1.035
. Which of the following actions should the nurse
take ? - ANSWER -Provide more water with While in the hospital , a client who has a terminal
feedings illness tells the people in the world are healthy ,
and here I am dying ! " Which of the following
nurse , " I can't believe I'm dying . Which
responses should the nurse provide ? -
A nurse is administering an IM injection to a 5 - ANSWER -Tell me more how u feel about
month - old infant . Which of the following dying
injection sites should the nurse use ? -
ANSWER -Vastus lateralis
A nurse is preparing a client who is scheduled for
a hysterectomy for transport to the operating
A nurse is caring for a client who is receiving a room . The client states she no longer wants to
blood transfusion . The client reports flank pain , have the surgery . Which of the following actions
and the nurse notes reddish - brown urine in the should the nurse take ? - ANSWER -Notify
client's urinary catheter bag . The nurse the provider of the client's decision .
recognizes these manifestations as which of the
following types of transfusion reactions -
ANSWER -Hemolytic
A nurse is caring for a client who reports feeling a
pop after coughing without properly splinting an
abdominal incision . On assessment , the nurse
A nurse is assisting a client who is eating at notes that the client's wound has eviscerated .
mealtime . Suddenly , the client grabs her neck Which of the following actions should the nurse
with both hands and appears frightened . Which take ? ( Select all that apply - ANSWER -
of the following actions should the nurse take first Place the client in a supine position with the hips
?- ANSWER -Determine whether the client and knees flexed Cover the wound and intestine
is able to breathe with a sterile , moistened dressing Monitor the
client for manifestations of shock
A nurse is admitting a client who has a hearing
aid . Which of the following actions should the A nurse is caring for an adult client who
nurse take before beginning the interview communicates an unmet spiritual need . Which of
process ? - ANSWER -B. Make sure the the following client statements should indicate to
device is functioning the nurse that the client is experiencing spiritual
A nurse at a screening clinic is assessing a client inspiration . The nurse auscultates a high -
who reports a history of a heart murmur related pitched scratching sound during both systole and
to aortic valve stenosis At which of the following diastole with the diaphragm of the stethoscope
anatomical areas should the nurse place the positioned at the left sternal border . Which of the
stethoscope to auscultate the aortic valve ? - following heart sounds should the nurse
ANSWER -Second intercostal space to the document ? - ANSWER -Pericardial friction
right of the sternum rub
A nurse caring for a client who starts to A nurse is caring for a client who is having
experience a seizure while sitting in a chair . difficulty breathing . The nurse should assist the
Which of the following actions should nurse take client into which of the following positions ? -
?- ANSWER -Lower the client to the floor ANSWER -Fowler's
and place a pad under the client's head
A nurse is teaching a client who is postoperative
A nurse is caring for a client who has gastric following a knee arthroplasty about the muscles
ulcer . The nurse should explain that prolonged he will need to strengthen in physical therapy .
exposure of the body to stress can also cause Which of the following muscle groups is
which of the following to occur ? - responsible for movement at the knee joint -
ANSWER -Hyperglycemial ANSWER -Antagonistic
A nurse is assessing a client who is A nurse is caring for a client who has a hearing
postoperative Which of the following findings impairment . Which of the following interventions
should the nurse identify as an indication that the should the nurse use when speaking with the
client is experiencing pain ? - ANSWER - client ? - ANSWER -Face the client when
Grimacing speaking
A nurse delegated the task of emptying an A nurse is caring for a client who is having
indwelling urinary catheter drainage bag to The difficulty with muscle coordination following a
nurse later observes the AP emptying the bag head injury . The nurse should suspect injury to
without wearing an gloves . Which of the which of the following areas of the brain ? -
following actions should the nurse take ? - ANSWER -Cerebellum
ANSWER -Talk with the ap about the
technique used
A nurse is preparing to administer oral phenytoin
to a client who has a seizure disorder . Before
A nurse is assessing the heart sounds of a client administering the medication , which of the
who has developed chest pain that worsens with following actions should the nurse take ? -
, Fundamentals ATI Review Questions with Verified Answers
ANSWER -Check the medication dose and A nurse is caring for a client with dehydration
the client's identification who has developed hypovolemic shock . Which
of the following laboratory values should the
nurse expect for this client ? - ANSWER -
Hct 55 %
A nurse is discussing fire safety with newly hired
nurses . Which of the following actions is the
priority if a fire occurs in the health care facility -
ANSWER -Evacuate clients from the unit A nurse is planning weight - loss strategies for a
group of clients who are obese . Which of the
following actions by the nurse will improve the
clients commitment to a long - term goal of
A nurse documents the presence of clubbing of weight loss ? - ANSWER -Attempt to
the fingernails for a client who has emphysema . increase the clients ' self - motivation
Which of the following is the underlying cause of
this finding ? - ANSWER -Chronic
hypoxemia
A nurse is caring for a client who has a deficiency
of vitamin D. Which of the following foods should
the nurse recommend the client include in his diet
A nurse is cleaning a client's wound by swabbing ? - ANSWER -Whole milk
from the area of least contamination to an area
of greater contamination . Which of the following
rationales should the nurse identify for using this
technique ? - ANSWER -Keeping A nurse is changing the dressings for a client
microorganisms from entering the wound who is 3 days postoperative following a
cholecystectomy . The nurse observes yellow ,
thick drainage on the dressing . The nurse should
document this finding as which of the following
A nurse is admitting a client who has decreased types of drainage ? - ANSWER -Purulent
circulation in his left leg . Which of the following exudate
actions should the nurse take first ? -
ANSWER -Evaluate pedal pulses
A nurse is assessing a client who reports nausea
and vomiting for 2 days . Which of the following
A nurse is planning care for a client who is findings should indicate to the nurse that the
postoperative and has a history of poor client is experiencing fluid volume deficit ? -
nutritional intake . Which of the following actions ANSWER -Increased heart rate
should the nurse include in the plan of care to
promote wound healing ? - ANSWER -
Provide a protein intake of 1.5 g / kg of body
weight per day A nurse is preparing to administer an afternoon
dose of ampicillin to a client . The client appears
upset and refuses to take the medication before
throwing the pill on the floor . Which of the
, Fundamentals ATI Review Questions with Verified Answers
following entries should the nurse into the client's
medical record ? - ANSWER -client threw
the medication on the floor .
A nurse on a medical - surgical unit is admitting a
client Which the following pieces of information
should the nurse document in clients recor first? -
A nurse is caring for a client who is receiving ANSWER -Assessment
intermittent enteral feedings through an NG tube
. The specific gravity of the client's urine is 1.035
. Which of the following actions should the nurse
take ? - ANSWER -Provide more water with While in the hospital , a client who has a terminal
feedings illness tells the people in the world are healthy ,
and here I am dying ! " Which of the following
nurse , " I can't believe I'm dying . Which
responses should the nurse provide ? -
A nurse is administering an IM injection to a 5 - ANSWER -Tell me more how u feel about
month - old infant . Which of the following dying
injection sites should the nurse use ? -
ANSWER -Vastus lateralis
A nurse is preparing a client who is scheduled for
a hysterectomy for transport to the operating
A nurse is caring for a client who is receiving a room . The client states she no longer wants to
blood transfusion . The client reports flank pain , have the surgery . Which of the following actions
and the nurse notes reddish - brown urine in the should the nurse take ? - ANSWER -Notify
client's urinary catheter bag . The nurse the provider of the client's decision .
recognizes these manifestations as which of the
following types of transfusion reactions -
ANSWER -Hemolytic
A nurse is caring for a client who reports feeling a
pop after coughing without properly splinting an
abdominal incision . On assessment , the nurse
A nurse is assisting a client who is eating at notes that the client's wound has eviscerated .
mealtime . Suddenly , the client grabs her neck Which of the following actions should the nurse
with both hands and appears frightened . Which take ? ( Select all that apply - ANSWER -
of the following actions should the nurse take first Place the client in a supine position with the hips
?- ANSWER -Determine whether the client and knees flexed Cover the wound and intestine
is able to breathe with a sterile , moistened dressing Monitor the
client for manifestations of shock
A nurse is admitting a client who has a hearing
aid . Which of the following actions should the A nurse is caring for an adult client who
nurse take before beginning the interview communicates an unmet spiritual need . Which of
process ? - ANSWER -B. Make sure the the following client statements should indicate to
device is functioning the nurse that the client is experiencing spiritual
