NUR 220: ATI Practice Exam A Questions With Complete
Solutions
A nurse in a clinic is interviewing a client who will undergo
diagnostic testing. The nurse should ask about a client's potential
allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
C. Assessment
A nurse is assisting with transferring a client from the bed to a
wheelchair. Which of the following actions should the nurse
take?
A. Place the wheelchair at a 90º angle to the bed.
B. Lock the wheels of the bed and the wheelchair.
C. Acquire the help of several people to lift the client.
D. Elevate the bed to a position of comfort for the nurse.
B. Lock the wheels of the bed and the wheelchair.
A nurse is caring for a client who is prescribed bedrest. The plan
of care indicates that the client should perform isometric
exercises every 2 hr. Which of the following actions should the
nurse take as directed by the plan of care?
A. Ask the client to mover her arms and legs while applying
slight resistance.
B. Move the client's limbs through their complete range of
,motion.
C. Have the client move each limb independently through its
complete range of motion.
D. Instruct the client to tighten muscle groups for a short period,
and then relax.
D. Instruct the client to tighten muscle groups for a short period,
and then relax.
A nurse is caring for a client who refuses treatment and asks to
be discharged from the hospital against medical advice. The
nurse notifies the client's provider, who tells the nurse to restrain
the client, if necessary, to keep her from leaving the hospital.
The nurse understands that restraining the client would be
considered which type of civil action by the nurse?
A. Invasion of privacy
B. Assault
C. Battery
D. False imprisonment
D. False imprisonment
A nurse is caring for an older adult client who states, "I am
afraid that I may fall while walking to the bathroom during the
night." Which of the following actions should the nurse take?
A. Limit the client's fluid intake in the evening.
B. Obtain a bedside commode for the client's use.
, C. Leave a nightlight on in the client's room.
D. Put the side rails up and tell the client to call the nurse before
voiding.
C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a
nightlight on can protect the elderly from falling.
A nurse is caring for a client who has a very low white blood
cell count. Which of the following infection-control precautions
should the nurse use while caring for the client?
A. Airborne
B. Protective
C. Contact
D. Droplet
C. Contact
Rationale: Prevent transmission of infections spread by
direct or indirect contact with the patient or patient's
environment.
Gown + Gloves
A nurse is providing oral care for a client who is immobile.
Which of the following actions should the nurse take?
A. Use a stiff toothbrush to clean the client's teeth.
B. Use the thumb and index finger to keep the client's mouth
open.
C. Turn the client on his side before starting oral care.
D. Apply petroleum jelly to the client's lip after oral care.
C. Turn the client on his side before starting oral care.
Solutions
A nurse in a clinic is interviewing a client who will undergo
diagnostic testing. The nurse should ask about a client's potential
allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
C. Assessment
A nurse is assisting with transferring a client from the bed to a
wheelchair. Which of the following actions should the nurse
take?
A. Place the wheelchair at a 90º angle to the bed.
B. Lock the wheels of the bed and the wheelchair.
C. Acquire the help of several people to lift the client.
D. Elevate the bed to a position of comfort for the nurse.
B. Lock the wheels of the bed and the wheelchair.
A nurse is caring for a client who is prescribed bedrest. The plan
of care indicates that the client should perform isometric
exercises every 2 hr. Which of the following actions should the
nurse take as directed by the plan of care?
A. Ask the client to mover her arms and legs while applying
slight resistance.
B. Move the client's limbs through their complete range of
,motion.
C. Have the client move each limb independently through its
complete range of motion.
D. Instruct the client to tighten muscle groups for a short period,
and then relax.
D. Instruct the client to tighten muscle groups for a short period,
and then relax.
A nurse is caring for a client who refuses treatment and asks to
be discharged from the hospital against medical advice. The
nurse notifies the client's provider, who tells the nurse to restrain
the client, if necessary, to keep her from leaving the hospital.
The nurse understands that restraining the client would be
considered which type of civil action by the nurse?
A. Invasion of privacy
B. Assault
C. Battery
D. False imprisonment
D. False imprisonment
A nurse is caring for an older adult client who states, "I am
afraid that I may fall while walking to the bathroom during the
night." Which of the following actions should the nurse take?
A. Limit the client's fluid intake in the evening.
B. Obtain a bedside commode for the client's use.
, C. Leave a nightlight on in the client's room.
D. Put the side rails up and tell the client to call the nurse before
voiding.
C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a
nightlight on can protect the elderly from falling.
A nurse is caring for a client who has a very low white blood
cell count. Which of the following infection-control precautions
should the nurse use while caring for the client?
A. Airborne
B. Protective
C. Contact
D. Droplet
C. Contact
Rationale: Prevent transmission of infections spread by
direct or indirect contact with the patient or patient's
environment.
Gown + Gloves
A nurse is providing oral care for a client who is immobile.
Which of the following actions should the nurse take?
A. Use a stiff toothbrush to clean the client's teeth.
B. Use the thumb and index finger to keep the client's mouth
open.
C. Turn the client on his side before starting oral care.
D. Apply petroleum jelly to the client's lip after oral care.
C. Turn the client on his side before starting oral care.
