ATI Final Exam ~ Review Questions With
correct answers 2025-2026
A charge nurse is leading a staff education session about caring for a client who has hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." - CORRECT ANSWER -3.
"Clients who have hypocalcemia are at risk for pathologic fractures."
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?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - CORRECT ANSWER -3. "It must be frustrating.
I have a few minutes now."
**therapeutic by acknowledging client's feelings**
A client has an admission blood glucose reading of 260 mg/dL and no documented history of diabetes
mellitus. While the nurse reviews the client's medication history, which of the following types of
,medications should alert the nurse to the possibility that the client has developed an adverse effect of
pharmacologic therapy? (Select all that apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - CORRECT ANSWER -- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes a red line extending
outward from the insertion site. Which of the following actions should the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
3. Discontinue the infusion.
4. Document the findings. - CORRECT ANSWER -3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the client after anesthesia
has been administered. Which of the following interventions should be initiated?
1. Leave the necklace on the client.
2. Give the necklace to a family member.
3. Place the necklace in the client's chart.
4. Notify security for placement of the necklace. - CORRECT ANSWER -4. Notify security for placement of
the necklace.
,A client who has an indwelling catheter reports a need to urinate. Which of the following interventions
should the nurse perform?
1. Check to see whether the catheter is patent.
2. Reassure the client that it is not possible for her to urinate.
3. Recatheterize the bladder with a larger-gauge catheter.
4. Collect a urine specimen for analysis. - CORRECT ANSWER -1. Check to see whether the catheter is
patent.
A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Occupational therapist
4. Speech-language pathologist - CORRECT ANSWER -4. Speech-language pathologist
A client who is nonambulatory notifies the nurse to tell her that his trash can is on fire. After confirming
the fire, which of the following actions should the nurse take next?
1. Call emergency fire code.
2. Extinguish the fire.
3. Confine the fire.
4. Evacuate the client. - CORRECT ANSWER -4. Evacuate the client.
**rescue client first**
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication he is receiving for pain management. Which of the following members of the
, interprofessional care team may assist the client in understanding the medication's effects? (Select all
that apply.)
- Provider
- Certified nursing assistant
- Pharmacist
- Registered nurse
- Respiratory therapist - CORRECT ANSWER -- Provider
- Pharmacist
- Registered nurse
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." - CORRECT ANSWER -3. "It may
help me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral with which of the following members of
the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Registered dietitian
4. Occupational therapist - CORRECT ANSWER -4. Occupational therapist
correct answers 2025-2026
A charge nurse is leading a staff education session about caring for a client who has hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." - CORRECT ANSWER -3.
"Clients who have hypocalcemia are at risk for pathologic fractures."
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?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - CORRECT ANSWER -3. "It must be frustrating.
I have a few minutes now."
**therapeutic by acknowledging client's feelings**
A client has an admission blood glucose reading of 260 mg/dL and no documented history of diabetes
mellitus. While the nurse reviews the client's medication history, which of the following types of
,medications should alert the nurse to the possibility that the client has developed an adverse effect of
pharmacologic therapy? (Select all that apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - CORRECT ANSWER -- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes a red line extending
outward from the insertion site. Which of the following actions should the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
3. Discontinue the infusion.
4. Document the findings. - CORRECT ANSWER -3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the client after anesthesia
has been administered. Which of the following interventions should be initiated?
1. Leave the necklace on the client.
2. Give the necklace to a family member.
3. Place the necklace in the client's chart.
4. Notify security for placement of the necklace. - CORRECT ANSWER -4. Notify security for placement of
the necklace.
,A client who has an indwelling catheter reports a need to urinate. Which of the following interventions
should the nurse perform?
1. Check to see whether the catheter is patent.
2. Reassure the client that it is not possible for her to urinate.
3. Recatheterize the bladder with a larger-gauge catheter.
4. Collect a urine specimen for analysis. - CORRECT ANSWER -1. Check to see whether the catheter is
patent.
A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Occupational therapist
4. Speech-language pathologist - CORRECT ANSWER -4. Speech-language pathologist
A client who is nonambulatory notifies the nurse to tell her that his trash can is on fire. After confirming
the fire, which of the following actions should the nurse take next?
1. Call emergency fire code.
2. Extinguish the fire.
3. Confine the fire.
4. Evacuate the client. - CORRECT ANSWER -4. Evacuate the client.
**rescue client first**
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication he is receiving for pain management. Which of the following members of the
, interprofessional care team may assist the client in understanding the medication's effects? (Select all
that apply.)
- Provider
- Certified nursing assistant
- Pharmacist
- Registered nurse
- Respiratory therapist - CORRECT ANSWER -- Provider
- Pharmacist
- Registered nurse
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." - CORRECT ANSWER -3. "It may
help me to listen to music while I'm lying in bed."
**nonpharmacological intervention to pain**
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive
devices. The nurse caring for the client should initiate a referral with which of the following members of
the interprofessional care team?
1. Social worker
2. Certified nursing assistant
3. Registered dietitian
4. Occupational therapist - CORRECT ANSWER -4. Occupational therapist
