ATI Final Exam ~ Review Questions and
answers 2025\2026 update
A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions is appropriate for the
client and family?
1. Remove the outer cannula cautiously for routine cleaning.
2. Use tracheostomy covers when outdoors.
3. Use sterile technique when performing tracheostomy care at home.
4. Cleanse irritated skin with full-strength hydrogen peroxide. - answer 2. Use
tracheostomy covers when outdoors.
A nurse is giving an end-of-shift report about a client admitted earlier that day
with pneumonia. Which of the following pieces of information is most essential to
provide?
1. Admitting diagnosis
2. Diagnostic test results
3. Body temperature
4. Breath sounds - answer 4. Breath sounds
**ABCs**
A nurse is checking blood pressures at a community health screening. Which of
the following clients is at high risk for primary hypertension?
,1. A client who is pregnant
2. A client who has an elevated LDL
3. A client who takes oral contraceptives
4. A client who has kidney disease - answer 2. A client who has an elevated LDL
A nurse is planning care for a client who has had a stroke resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an AP? (Select
all that apply.)
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse administers an antihypertensive
medication.
- Test the client's swallowing ability by providing thickened liquids.
- Use a communication board to ask what the client wants for lunch.
- Irrigate the client's indwelling urinary catheter. - answer - Assist the client with a
partial bed bath.
- Measure the client's BP after the nurse administers an antihypertensive
medication.
- Use a communication board to ask what the client wants for lunch.
A nurse is caring for a client who is combative in the emergency department. The
provider orders wrist restraints after the client attempts to assault the admitting
nurse. Which of the following actions is appropriate for the nurse to take?
1. Tie restraints to the lower edge of the side rail.
2. Remove each restraint one at a time every 2 hr.
,3. Ensure 3 finger-widths of space between the restraint and the client's wrist.
4. Use a square knot to securely tie the restraints to the bed. - answer 2. Remove
each restraint one at a time every 2 hr.
**To perform ROM exercises and neurovascular checks**
A nurse is preparing to administer morphine 4 mg IV bolus to a client. Available is
morphine 5mg/mL. Which of the following is an appropriate nursing intervention?
1. Return the unused medication to the automatic dispensing system.
2. Keep the remaining medication at the client's bedside for later use.
3. Have a second nurse witness the disposal of remaining medication.
4. Lock remaining medication in secure cabinet. - answer 3. Have a second nurse
witness the disposal of remaining medication.
A nurse is caring for a client who asks about the purpose of advance directives.
Which of the following is an appropriate response by the nurse?
1. "It allows the court to overrule an adult client's refusal of medical treatment."
2. "It permits a client to withhold medical information from health care
personnel."
3. "It indicates the form of treatment a client is willing to accept in the event of a
serious illness."
4. "It allows health care personnel in the emergency department to stabilize a
client's condition." - answer 3. "It indicates the form of treatment a client is
willing to accept in the event of a serious illness."
, A nurse finds a client on the floor upon entering the client's room. The roommate
reports that the client was trying to get out of bed and fell over the bedrail onto
the floor. Which of the following is correct documentation of this incident?
1. Incident report completed.
2. Client climbed over the bedrails.
3. Client found lying on floor.
4. Client was trying to get out of bed. - answer 3. Client found lying on floor.
**remember, be Objective in documentation**
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10.
The nurse understands that the preoperative teaching regarding pain control has
been effective when the client states which of the following?
1. "I think I should take my pain medication more often, since it is not controlling
my pain."
2. "Breathing faster will help me keep my mind off of the pain."
3. "It may help me to listen to music while I'm lying in bed."
4. "I don't want to walk today, because I'm experiencing some pain." - answer 3.
"It may help me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A client demonstrates anger when the nurse does not respond within 5 min of
ringing for the nurse. Which of the following is an appropriate response by the
nurse?
answers 2025\2026 update
A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions is appropriate for the
client and family?
1. Remove the outer cannula cautiously for routine cleaning.
2. Use tracheostomy covers when outdoors.
3. Use sterile technique when performing tracheostomy care at home.
4. Cleanse irritated skin with full-strength hydrogen peroxide. - answer 2. Use
tracheostomy covers when outdoors.
A nurse is giving an end-of-shift report about a client admitted earlier that day
with pneumonia. Which of the following pieces of information is most essential to
provide?
1. Admitting diagnosis
2. Diagnostic test results
3. Body temperature
4. Breath sounds - answer 4. Breath sounds
**ABCs**
A nurse is checking blood pressures at a community health screening. Which of
the following clients is at high risk for primary hypertension?
,1. A client who is pregnant
2. A client who has an elevated LDL
3. A client who takes oral contraceptives
4. A client who has kidney disease - answer 2. A client who has an elevated LDL
A nurse is planning care for a client who has had a stroke resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an AP? (Select
all that apply.)
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse administers an antihypertensive
medication.
- Test the client's swallowing ability by providing thickened liquids.
- Use a communication board to ask what the client wants for lunch.
- Irrigate the client's indwelling urinary catheter. - answer - Assist the client with a
partial bed bath.
- Measure the client's BP after the nurse administers an antihypertensive
medication.
- Use a communication board to ask what the client wants for lunch.
A nurse is caring for a client who is combative in the emergency department. The
provider orders wrist restraints after the client attempts to assault the admitting
nurse. Which of the following actions is appropriate for the nurse to take?
1. Tie restraints to the lower edge of the side rail.
2. Remove each restraint one at a time every 2 hr.
,3. Ensure 3 finger-widths of space between the restraint and the client's wrist.
4. Use a square knot to securely tie the restraints to the bed. - answer 2. Remove
each restraint one at a time every 2 hr.
**To perform ROM exercises and neurovascular checks**
A nurse is preparing to administer morphine 4 mg IV bolus to a client. Available is
morphine 5mg/mL. Which of the following is an appropriate nursing intervention?
1. Return the unused medication to the automatic dispensing system.
2. Keep the remaining medication at the client's bedside for later use.
3. Have a second nurse witness the disposal of remaining medication.
4. Lock remaining medication in secure cabinet. - answer 3. Have a second nurse
witness the disposal of remaining medication.
A nurse is caring for a client who asks about the purpose of advance directives.
Which of the following is an appropriate response by the nurse?
1. "It allows the court to overrule an adult client's refusal of medical treatment."
2. "It permits a client to withhold medical information from health care
personnel."
3. "It indicates the form of treatment a client is willing to accept in the event of a
serious illness."
4. "It allows health care personnel in the emergency department to stabilize a
client's condition." - answer 3. "It indicates the form of treatment a client is
willing to accept in the event of a serious illness."
, A nurse finds a client on the floor upon entering the client's room. The roommate
reports that the client was trying to get out of bed and fell over the bedrail onto
the floor. Which of the following is correct documentation of this incident?
1. Incident report completed.
2. Client climbed over the bedrails.
3. Client found lying on floor.
4. Client was trying to get out of bed. - answer 3. Client found lying on floor.
**remember, be Objective in documentation**
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10.
The nurse understands that the preoperative teaching regarding pain control has
been effective when the client states which of the following?
1. "I think I should take my pain medication more often, since it is not controlling
my pain."
2. "Breathing faster will help me keep my mind off of the pain."
3. "It may help me to listen to music while I'm lying in bed."
4. "I don't want to walk today, because I'm experiencing some pain." - answer 3.
"It may help me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A client demonstrates anger when the nurse does not respond within 5 min of
ringing for the nurse. Which of the following is an appropriate response by the
nurse?
