ATI Practice Test - Final Exam

Question 1

ATI Practice Test - Final Exam

A nurse is caring for a client who has a prescription for enoxaparin (Lovenox) 1 mg/kg per dose. The client weighs 77 kg. The vial contains 100 mg/1 mL. How many mL should the client receive per dose? Round to the nearest tenth

________

Answer 1

0.8 mL

1 mL / 77 kg = 0.77 = 0.8 mL

Question 2

ATI Practice Test - Final Exam

A nurse administers an oral medication to a client. The client reports itching 30 min later. Which of the following represents appropriate documentation of this client finding?

A. Client is itching from medication.
B. Client states, “I am itching all over.”
C. It appears that the client has a rash from the medication.
D. Rash from medication noted.

Answer 2

B. Client states, “I am itching all over.”

Question 3

ATI Practice Test - Final Exam

A home health nurse has been assigned care of a recently discharged client who has macular degeneration. During a home visit, which of the following statements by the client indicate a need for further invention?

A. “A meal delivery service brings me hot meals every day.”
B. “I haven’t been able to drive, so I’ve been taking the bus.”
C. “I will have my spouse change the blade in my razor.”
D. “I had my tile and wood floors covered with carpet.”

Answer 3

C. “I will have my spouse change the blade in my razor.”

Rationale:
Clients who have macular degeneration should use an electric razor to prevent injury.

Question 4

ATI Practice Test - Final Exam

A nurse is preparing a client for a Romberg test. Which of the following statements is appropriate for the nurse to make to this client at this time?

A. “Stand with your feet together and your arms at your sides.”
B. “After I place a tuning fork, tell me when you no longer hear the sound.”
C. “I’m going to stroke the lateral side of the bottom of your foot.”
D. “Touch each fingertip as quickly as possible with your thumb.”

Answer 4

A. “Stand with your feet together and your arms at your sides.”

Question 5

ATI Practice Test - Final Exam

A nurse is reinforcing teaching to a group of young adult makes about testicular self-examination. The nurse should include which of the following pieces of information?

A. Conduct testicular self-examination prior to getting out of bed in the morning.
B. Palpate both testicles at the same time.
C. Perform a testicular self-examination once a month.
D. Testicular cancer occurs most frequently in older adults.

Answer 5

C. Perform a testicular self-examination once a month.

Question 6

***ATI Practice Test - Final Exam

The nurse is evaluating a client’s understanding of her infant’s developmental level. Which of the following statements by the client requires intervention by the nurse?

A. “He sleeps about 16 hours a day.”
B. “He coughs and gurgles a lot when sleeping.”
C. “I rock him until he is sound asleep.”
D. “He naps several times a day.”

Answer 6

C. “I rock him until he is sound asleep.”

Rationale:
It is recommended to put infants to bed when they are drowsy, but not asleep. This will encourage children to become self-soothers.

Question 7

ATI Practice Test - Final Exam

A nurse is reinforcing teaching regarding palliative care with a client who has cancer. Which of the following statements by the client indicates a need for further teaching?

A. “My family will receive emotional support during this process.”
B. “My provider will still attempt to cure my illness.”
C. “I can self-administer morphine for my pain.”
D. “My family can set up appointments with a massage therapist for me.”

Answer 7

B. “My provider will still attempt to cure my illness.”

Question 8

ATI Practice Test - Final Exam

A nurse is caring for a client who does not speak English. An interpreter is assisting the nurse with the client’s admission to the hospital. The nurse should:

A. direct questions to the interpreter.
B. interview the client in the presence of the family.
C. introduce the interpreter to the client.
D. ask the client’s spouse whom to consult regarding major decisions.

Answer 8

C. introduce the interpreter to the client.

Question 9

ATI Practice Test - Final Exam

A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take?

A. Restrict the client’s visitors to the immediate family.
B. Assign the client to a negative airflow pressure room.
C. Discard personal protective equipment outside the client’s room.
D. Have the client wear a HEPA mask when being transported through the facility

Answer 9

B. Assign the client to a negative airflow pressure room.

Question 10

ATI Practice Test - Final Exam

A nurse is admitting a client into a rehabilitation facility. Which of the following actions by the nurse is the highest priority?

A. Obtain the client’s DNR status.
B. Begin discharge planning process.
C. Identify the client support systems.

Answer 10

A. Obtain the client’s DNR status.

Question 11

ATI Practice Test - Final Exam

A nurse is collecting data from a middle adult client for safety evaluation. Which of the following is the greatest safety risk for clients at this age?

A. Motor-vehicle crash
B. Fall-related injuries
C. Carbon monoxide poisoning
D. Gunshot wounds

Answer 11

A. Motor-vehicle crash

Question 12

ATI Practice Test - Final Exam

A client has requested pain medication. The nurse notes that morphine 5 mg is ordered subcutaneously q3 to 4 hr. The medication is available in a pre filled syringe does of 10 mg/mL. The nurse knows that after giving the client 0.5 mL, the appropriate action is to

A. place the unused portion in the client’s medication drawer.
B. dispose of the unused portion in the sharps container.
C. return the unused portion to the pharmacy.
D. have another nurse witness the disposal of the unused portion.

Answer 12

D. have another nurse witness the disposal of the unused portion.

Question 13

ATI Practice Test - Final Exam

A client who has a fractured left femur being discharged. The nurse should reinforce that the client should

A. place most of his body weight on the crutches for support.
B. keep the crutches close to the body when standing.
C. put the handgrips at the lowest reachable position.
D. use both crutches in one hand when preparing to sit down.

Answer 13

D. use both crutches in one hand when preparing to sit down.

Question 14

ATI Practice Test - Final Exam

A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Which of the following is the best indicator that the client is experiencing pain?

A. The client refuses breakfast
B. The client limits her visitors
C. The client describes her discomfort as unbearable
D. The client guards her surgical incision when ambulating

Answer 14

C. The client describes her discomfort as unbearable

Rationale:
Subjective data is the best indicator of pain because the pain is a subjective experience

Question 15

***ATI Practice Test - Final Exam

A nurse is preparing to perform a closed-intermittent irrigation for a female client who has an indwelling urinary catheter. The nurse should explain that

A. the amount of drainage will be greater than the amount of irrigant.
B. the irrigant will be instilled rapidly.
C. the client will lie on her left side during the procedure.
D. the procedure will begin with cleansing the perineal area.
B.

Answer 15

A. the amount of drainage will be greater than the amount of irrigant.

Rationale:
The amount of drainage includes both the irrigant and the expected urine output.

Question 16

ATI Practice Test - Final Exam

A nurse is caring for a client who is postoperative following radical mastectomy. Therapeutic interventions for helping the client accept her altered body image should include

A. changing the subject to more positive topics.
B. encouraging her to assist in dressing changes.
C. reassuring her that she is still attractive.
D. requesting a mental health referral from her primary care provider.

Answer 16

B. encouraging her to assist in dressing changes.

Question 17

***ATI Practice Test - Final Exam

A nurse is reinforcing teaching with the family of a client who has generalized weakness following a cerebrovascular accident. Which of the following statements by a family member indicates a need for further teaching?

A. “We will help set up his medication in a pill organizer every week.”
B. “We will instill grab bars in the bathroom area.”
C. “We will perform passive range-of-motion activities once a day.”
D. “We will assist with daily meal planning and contact the community meal delivery program.”

Answer 17

C. “We will perform passive range-of-motion activities once a day.”

Rationale:
Home safety includes providing adequate lighting, installing nonskid bath/shower surfaces, and installing handrails.

Question 18

ATI Practice Test - Final Exam

A client who is scheduled for surgery tells the nurse that she does not understand the procedure is having second thoughts. Which of the following actions should the nurse take?

A. Offer information about alternative therapies to the procedures.
B. Contact a family member to convince the client to change his mind.
C. Tell the client the benefits of the surgery.
D. Notify the charge nurse of the client’s concerns.

Answer 18

D. Notify the charge nurse of the client’s concerns.

Question 19

ATI Practice Test - Final Exam

A nurse is caring for a client who is prescribed mechanical ventilation. The client states that she does not want to undergo this treatment. The nurse should

A. recognize that the client has a legal right to refuse treatment.
B. verify the client’s request with the client’s power of attorney of health care.
C. determine the client’s living will status.
D. meet with the family regarding the client’s wishes.

Answer 19

A. recognize that the client has a legal right to refuse treatment.

Question 20

***ATI Practice Test - Final Exam

A nurse is planning to remove a client’s NG tube. Which of the following actions should the nurse plan to take first?

A. Instill 50 mL of air into the tube.
B. Detach the NG tube.
C. Ask the client to inhale deeply and hold.
D. Provide oral care to the client.

Answer 20

B. Detach the NG tube.

Rationale:
According to the ABC priority framework, the nurse should detach the NG tube first prior to removal of the NG tube. This is to ensure that the client’s airway is free from obstruction.

Question 21

***ATI Practice Test - Final Exam

A nurse is reinforcing discharge teaching with an older adult client who lives alone. Which of the following statements by the client indicates an understanding of the teaching?

A. “I will store my medications in child-proof containers.”
B. “I will put non-skin rugs on the linoleum of my kitchen floor.”
C. “I will perform passive range-of-motion activities.”
D. “I will contact the community meal delivery program.”

Answer 21

D. “I will contact the community meal delivery program.”

Question 22

ATI Practice Test - Final Exam

A nurse performs a guaiac smear on a client’s stool specimen. Which of the following test results should the nurse recognize as indicating a positive finding?

A. Blue
B. Pink
C. Yellow
D. Green

Answer 22

A. Blue

Question 23

ATI Practice Test - Final Exam

A nurse is reinforcing teaching with a client regarding the prevention of stress injuries. Which of following instructions should the nurse including?

A. Keep your knees in a locked position when standing for prolonged periods.
B. Bend at the waist when lifting a heavy object.
C. Keep your feet close together when lifting a heavy object.
D. When lifting a heavy object, keep it close to your body.

Answer 23

D. When lifting a heavy object, keep it close to your body.

Question 24

ATI Practice Test - Final Exam

A client has died from injuries sustained in a motor vehicle crash. Members of the client’s family have been grieving loudly since they arrived at the emergency department 10 min ago. Which of the following is appropriate nursing action?

A. Inform the family that they must mourn quietly so as to not disturb others in the hospital.
B. Transfer the body to a private room to allow the family members to grieve there.
C. Encourage the family members to think of the good times they had with the client.
D. Inform that there will be a time to grieve when the body is removed to the mortuary.

Answer 24

B. Transfer the body to a private room to allow the family members to grieve there.

Question 25

***ATI Practice Test - Final Exam

A nurse is caring for an adult client who has motor/expressive aphasia. Which of the following scales should the nurse use to determine the intensity of the client’s pain?

A. Numeric
B. Wong-Baker
C. FLACC
D. PAINAD

Answer 25

A. Numeric

Rationale:

Question 26

ATI Practice Test - Final Exam

A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements by the nurse is appropriate?

A. “It must be difficult facing this type of surgery.”
B. “Other clients who have had this surgery have done just fine.”
C. “This facility is known for providing excellent care for people who need this type of surgery.”
D. “I can request a sleeping pill, if you think that will help.”

Answer 26

A. “It must be difficult facing this type of surgery.”

Question 27

***ATI Practice Test - Final Exam

A nurse is preparing to perform a wound irrigation for a client who has a Stage 3 pressure ulcer. Which of the following supplies should the nurse plan to use?

A. Bulb syringe
B. Petroleum jelly
C. Sodium chloride
D. Sterile cotton balls

Answer 27

C. Sodium chloride

Question 28

ATI Practice Test - Final Exam

A nurse is caring for an adult client who is receiving medication to control anxiety. Which of the following findings indicates that the client is experiencing mild anxiety?

A. Insomnia
B. Nausea
C. Dizziness
D. Facial twitching

Answer 28

A. Insomnia

Question 29

ATI Practice Test - Final Exam

A nurse is caring for four clients. For which of the following clients should the nurse employ the therapeutic communication technique of silence?

A. A client who plans to leave the hospital against medical advice.
B. A client who informs the nurse that he has made his funeral arrangements.
C. A client who tells the nurse that the night shift nurse did not bring his medication
D. A client who has just experienced the death of his child.

Answer 29

D. A client who has just experienced the death of his child.

Question 30

***ATI Practice Test - Final Exam

A nurse is caring for a client who is returning from surgery. The client is drowsy but oriented. Which of the following actions should the nurse perform first?

A. Verify the client’s identity.
B. Administer pain medication to the client.
C. Document the client’s vital signs.
D. Assist the client with position.

Answer 30

A. Verify the client’s identity.

Rationale:
According to the Safety and Risk Reduction priority framework, the first action by the nurse is to verify the client’s identity.

Question 31

***ATI Practice Test - Final Exam

A nurse is preparing to administer potassium chloride (Kaon-Cl) to a client who has hypokalemia. The prescription reads potassium chloride 60 mEq/day in two equal doses. Available to potassium chloride 40 mEq/15 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth)

__________mL

Answer 31

11.25 mL

Rationale:
60 mEq / 2 doses = 30 mEq/dose
30 mEq / 40 * 15 = 11.25 mL

Question 32

ATI Practice Test - Final Exam

A nurse is admitting a client to the medical-surgical unit. Which of the following findings may indicate that the client is malnourished?

A. Heart rate of 89/min
B. Pink mucous membranes
C. Pale, scaly skin
D. Body mass index 23

Answer 32

C. Pale, scaly skin

Question 33

ATI Practice Test - Final Exam

A nurse is caring for a client who has a new prescription for a chest restraint. Which of following actions is appropriate for the nurse to include in the plan of care?

A. Check to be sure that the chest restraint is tied to a fixed frame of the bed.
B. Observe the client’s chest movement with inspiration and expiration.
C. Remove the chest restraint q4h to allow movement.
D. Tie the chest restraint with a knot that will tighten when pulled.

Answer 33

B. Observe the client’s chest movement with inspiration and expiration.

Question 34

ATI Practice Test - Final Exam

A nurse is preparing to administer oral medications to a client for the first time. Which of the following actions should the nurse take first, before administering the medication?

A. Note the time of the client’s last meal.
B. Note the client’s ability to swallow.
C. Review the client’s history of gastroesphogeal reflux.
D. Review the client’s medication history.

Answer 34

B. Note the client’s ability to swallow.

Question 35

***ATI Practice Test - Final Exam

A nurse is reinforcing teaching about wheelchair transfer safety with a client who is experiencing right-sided weakness following a cerebrovascular accident. The nurse should recognize that the client understands the teaching when he states,

A. “My wheelchair and my armchair should be the same height.”
B. “Placing the shower chair firmly against the wall will prevent me from falling.”
C. “I will steady myself holding the arm of the chair with my right hand.”
D. “My weak side should be positioned closest to the bed when I transfer.”

Answer 35

A. “My wheelchair and my armchair should be the same height.”

Question 36

ATI Practice Test - Final Exam

A nurse is caring for a client who was admitted with pneumonia and has a productive cough. When the client asks how to avoid spreading the infection to others, which of the following responses in appropriate?

A. “Pneumonia is not usually contagious.”
B. “Make sure you are current on pneumonia vaccinations.”
C. “Take your antibiotics as prescribed.”
D. “Cover your mouth with a tissue when you cough.”

Answer 36

D. “Cover your mouth with a tissue when you cough.”

Question 37

***ATI Practice Test - Final Exam

A nurse is caring for a client who has an indwelling urinary catheter. An appropriate nursing intervention for catheter care includes

A. flushing the catheter with sterile irrigant daily.
B. deflating the balloon while providing perineal care.
C. cleaning the perineal area twice a day using soap and water.
D. disconnecting the drainage bag when emptying and measuring urine.

Answer 37

C. cleaning the perineal area twice a day using soap and water.

Question 38

ATI Practice Test - Final Exam

A nurse is caring for an older adult client who has right-sided weakness. Which of the following statements by the client indicates an understanding of safety procedures regarding ambulation?

A. “I can use the wall for support when walking to the bathroom.”
B. “I will sit at the side of the bed for 1 minute before standing up.”
C. “I think I will be able to ambulate as long as I have pain medication.”
D. “I will have a family member help me if I need to get out of bed.”

Answer 38

B. “I will sit at the side of the bed for 1 minute before standing up.”

Question 39

***ATI Practice Test - Final Exam

A nurse is discussing health and wellness with a group of young adults. Which of the following pieces of information should the nurse include?

A. Young adults should receive a vaccination for human papilloma virus (HPV) prior to becoming sexually active.
B. Bulimia increases in incidence in young adult women.
C. Prostate cancer increases in incidence in young adult males.
D. Young adults should receive a pneumococcal polysaccharide vaccine (PPSV) annually.

Answer 39

A. Young adults should receive a vaccination for human papilloma virus (HPV) prior to becoming sexually active.

Question 40

***ATI Practice Test - Final Exam

A nurse is assisting with the plan of care of an adolescent client who has a bacterial infection and has a persistent oral temperature of 39.2º C (102º F). To treat the fever, which of the following should the nurse include in the plan of care?

A. Administer aspirin (Ecotrin)
B. Apply ice packs to the client’s axillae.
C. Maintain the room temperature at 18.3º C (65º F).
D. Obtain blood cultures.

Answer 40

D. Obtain blood cultures.

Rationale:
Blood cultures should be obtained if the fever is about 101º F, and the fever is constant.

Question 41

ATI Practice Test - Final Exam

A nurse is speaking with a client who has been prescribed insulin for type 2 diabetes mellitus. The client displays anger about having to take insulin. Which of the following is an appropriate response by the nurse?

A. “You’ll feel much better if you take your insulin.”
B. “I know how you feel because diabetes runs in my family.”
C. “I see that you are angry. Let’s talk about how you are feeling about this.”
D. “Insulin is effective at lowering your blood glucose level.”

Answer 41

C. “I see that you are angry. Let’s talk about how you are feeling about this.”

Question 42

ATI Practice Test - Final Exam

A nurse is obtaining a consent form from a client scheduled for a surgical procedure. With regard to obtaining consent, which of the following is the nurse’s responsibility?

A. Explain the surgical procedure to the client.
B. Explain the risks associated with anesthesia.
C. Witness the client’s signature.
D. Discuss alternative treatment options with the client.

Answer 42

C. Witness the client’s signature.

Question 43

ATI Practice Test - Final Exam

A nurse is reinforcing teaching about home safety with a client who is taking insulin. Which of the following statements indicates the client needs further teaching?

A. “My throw rug in front of the sink cushions my feet when I stand.”
B. “My water heater is set at 120º F.”
C. “I keep a night light on when I sleep.”
D. “I discard my used syringes in a plastic milk jug.”

Answer 43

A. “My throw rug in front of the sink cushions my feet when I stand.”

Question 44

ATI Practice Test - Final Exam

A nurse is preparing to administer ferrous fumarate (Feostat) to a child who weighs 55 lb. The prescription read ferrous fumarate 3 mg/kg PO daily. Available is ferrous fumarate suspension 100 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth.)

___________mL

Answer 44

3.75 mL

Rationale:
2.2 lb / 55 = 25
25 * 3 mg = 75 mg
(75/100) * 5 = 3.75 mL

Question 45

ATI Practice Test - Final Exam

A nurse is preparing to transfer a client from the hospital to a long-term care facility. Which of the following strategies will promote continuity of care with the long-term care facility?

A. The social worker instructs the client’s spouse to provide information about the client’s medical status.
B. The unit secretary requests the client’s transfer to the long-term care facility.
C. The nurse communicates with personnel at the long-term care facility regarding the client’s medical status.
D. The primary care provider a copy of the client’s medical record to the long-term care facility
D. The primary car provider provides a copy of the client’s medical record to the long-term care facility.

Answer 45

C. The nurse communicates with personnel at the long-term care facility regarding the client’s medical status.

Rationale:
It is the nurse’s responsibility to communicate information regarding the client’s care to personnel at the long-term care facility to ensure continuity of care.

Question 46

ATI Practice Test - Final Exam

A nurse discovers a client received 200 mg of a 400 mg dose of a medication during the previous shift. Which of the following actions should the nurse take? (Select all that apply.)

A. Complete an incident report.
B. Notify the state board of nursing about the incident.
C. Report the error to the nursing supervisor.
D. Notify the primary care provider of the medication error.
E. Obtain the client’s vital signs.

Answer 46

A. Complete an incident report.
C. Report the error to the nursing supervisor.
D. Notify the primary care provider of the medication error.
E. Obtain the client’s vital signs.

Question 47

ATI Practice Test - Final Exam

A nurse is caring for a client who has limited mobility. Which of the following interventions will help prevent the development of pressure ulcers?

A. Massage reddened areas over bony prominence.
B. Place a donut-shaped cushion on the client’s chair.
C. Use lukewarm water when bathing the client.
D. Maintain the client in high-Fowler’s position.

Answer 47

C. Use lukewarm water when bathing the client.

Question 48

ATI Practice Test - Final Exam

A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?

A. Eggs
B. Latex
C. Seafood
D. Bee stings

Answer 48

B. Latex

Question 49

ATI Practice Test - Final Exam

A nurse at a community health fair is assisting with screenings for skin lesions. Which of the following is of greatest priority to report to the provider?

A. 3 cm fluid-filled vesicle on the client’s foot.
B. 4 cm nodule with an uneven border on the client’s forearm.
C. 6 cm plague that is white in color on the client’s scalp.
D. 1 cm lesion filled with pus on the client’s right upper thigh.

Answer 49

B. 4 cm nodule with an uneven border on the client’s forearm.

Question 50

ATI Practice Test - Final Exam

A nurse is caring for a client who has chronic constipation. The client asks the nurse what can be done to improve this condition. Which of the following instructions should the nurse plan to include?

A. Take bulk-forming agents with 8 oz glass of water.
B. Drink hot, black tea with meals.
C. Chew laxative agents before swallowing.
D. Take laxative agents with antacids.

Answer 50

A. Take bulk-forming agents with 8 oz glass of water.

Question 51

***ATI Practice Test - Final Exam

A nurse is collecting data from an older adult client. Which of the following findings should the nurse address first?

A. The client reports a pain level of 7 out of 10 after receiving pain medication.
B. The client reports increase nausea and chills.
C. The client has an oral temperature of 39º C (102.2º F).
D. The client has redness and warmth in his calf.

Answer 51

D. The client has redness and warmth in his calf.

Question 52

ATI Practice Test - Final Exam

A nurse is assisting a client who has an altered mental status to eat. The nurse notes that the client is having difficulty swallowing. The nurse should first

A. ask an assistive personnel to assist the client.
B. offer the client thickened liquids.
C. request a bedside swallow evaluation.
D. ask a family member to remain with the client.

Answer 52

C. request a bedside swallow evaluation.

Question 53

ATI Practice Test - Final Exam

A nurse is reviewing the medical record of a client who has heart failure. Which of the following laboratory results indicate fluid volume excess

A. Urine specific gravity 1.015
B. Hematocrit 42%
C. Urine pH 6.5
D. BUN 8 mg/dL

Answer 53

D. BUN 8 mg/dL

Question 54

ATI Practice Test - Final Exam

A nurse finds a client on the bathroom floor. The client states that he fell while walking to the bathroom. Which of following actions the nurse should take first?

A. Assist the client into his bed.
B. Complete an incident report.
C. Check the client for injuries.
D. Contact the provider.

Answer 54

C. Check the client for injuries.

Question 55

***ATI Practice Test - Final Exam

When measuring a client’s blood pressure, which of the following actions should the nurse take to obtain an accurate reading?

A. Place the diaphragm to the stethoscope directly over the site of brachial pulsation.
B. Ensure that the bladder of the cuff encircles 60% of the client’s upper arm.
C. Position the cuff 2 inches above the area of brachial artery pulsation.
D. Position the client’s arm above the level of the heart.

Answer 55

A. Place the diaphragm to the stethoscope directly over the site of brachial pulsation.

Rationale:
The cuff should be position 2.5 cm (1 in) above the area of brachial artery pulsation.

Question 56

ATI Practice Test - Final Exam

A nurse is collecting data from a client. The nurse should recognize that which of the following findings is an indicator of pain?

A. Decreased respiratory rate
B. Lethargy
C. Dilated pupils
D. Bradycardia

Answer 56

C. Dilated pupils