ATI Practice Test - Learning System Fundamentals 1

Question 1

ATI Practice Test - Learning System Fundamentals 1

Which of the following manifestations should a nurse tell the parent of a child who has just received a DTaP (diphtheria and tetanus toxoids and acellular pertussis vaccine) immunization to expect during the first 24 hr?

A. Dyspnea
B. Irritability
C. Uticaria
D. Fever of 40.5º C (105º F)

Answer 1

B. Irritability

Question 2

ATI Practice Test - Learning System Fundamentals 1

An assistive personnel (AP) says to the nurse, “This client is incontinent of stool three or four times a day. I get angry, and I think that the client is doing it just to get attention. I think we should put adult diapers on her.” Which of the following is an appropriate nursing response?

A. “It is very upsetting to see an adult client regress.”
B. “Changing the bed and cleaning the client must be tiresome. Next time, I’ll help you.”
C. “You are probably right. Soiling the bed is one way of getting the staff’s attention.”
D. “I think you should try not to judge your client’s behavior.”

Answer 2

A. “It is very upsetting to see an adult client regress.”

Question 3

ATI Practice Test - Learning System Fundamentals 1

A nurse brings in the dinner tray for a client who demonstrates occasional confusion. The nurse puts the bed in high-Fowler’s position and places the client’s dinner in front of him on the over-bed table. Before leaving the room, it is most essential for the nurse to

A. place the call light where the client can easily reach it.
B. assist the client with menu selects for the following day.
C. tell the client when he will return to the room to remove the tray.
D. ask if the client needs further assistance with the meal.

Answer 3

A. place the call light where the client can easily reach it.

Question 4

ATI Practice Test - Learning System Fundamentals 1

Unless it is contraindicated, in which position should a nurse place a client recovering from general anesthesia?

A. Semi-Fowler’s
B. Lateral
C. Prone
D. Supine

Answer 4

B. Lateral

Question 5

ATI Practice Test - Learning System Fundamentals 1

Unless it is contraindicated, in which position should a nurse place a client recovering from general anesthesia?

A. Semi-Fowler’s
B. Lateral
C. Prone
D. Supine

Answer 5

B. Lateral

Question 6

ATI Practice Test - Learning System Fundamentals 1

A nurse is discussing the diet of a client who has a strong family history of colon cancer. Which dietary component should the nurse encourage the client to increase?

A. Nitrates
B. Citrus fruits
C. Fiber
D. Vitamin K

Answer 6

C. Fiber

Rationale:
A diet high in fiber is thought to help minimize chronic irritants in the colon, which in turn, reduces the individual’s risk of developing cancer of the colon.

Question 7

ATI Practice Test - Learning System Fundamentals 1

Before giving preoperative medication to a client being prepared for surgery, the nurse must make sure that the

A. client’s dentures have been removed.
B. vital signs are documented on the preoperative checklist.
C. consent form has been signed.
D. client has an empty bladder.

Answer 7

C. consent form has been signed.

Question 8

ATI Practice Test - Learning System Fundamentals 1

While speaking with a 3-year-old girl, the child tells the nurse, “I am going to marry my daddy when I grow up.” The nurse recognizes this is an indication of

A. immaturity
B. age-appropriate development
C. dysfunctional family communication
D. sexual abuse

Answer 8

B. age-appropriate development

Question 9

ATI Practice Test - Learning System Fundamentals 1

While making a client’s bed, the nurse finds a capsule of medication in the sheets. It would be inappropriate for the nurse to

A. document the occurrence in the nurse’s notes.
B. notify the charge nurse of the missed dose.
C. determine what medication the capsule contains.
D. administer the medication to the client.

Answer 9

D. administer the medication to the client.

Question 10

ATI Practice Test - Learning System Fundamentals 1

When measuring the blood pressure of a client with a history of hypertension, the nurse’s most important action is to

A. have the client recline or sit comfortably in a chair with her forearm at the level of the heart.
B. ascertain whether or not the client has taken her prescribed antihypertensive medication.
C. use equipment of the appropriate size.
D. document the measurement, which extremity was used, and the client’s position during the measurement.

Answer 10

C. use equipment of the appropriate size.

Question 11

ATI Practice Test - Learning System Fundamentals 1

A nurse at a family planning clinic is devising a program targeting adolescent sexuality. The nurse takes into consideration that according to Erikson, the major development task for adolescents is

A. establishing the capacity for an intimate love relationship.
B. developing their hypothetical reasoning skills.
C. adjusting to the dramatic changes in their body image.
D. learning to make wise choices that do not put them at risk.

Answer 11

C. adjusting to the dramatic changes in their body image.

Question 12

ATI Practice Test - Learning System Fundamentals 1

While a nurse plans care for a female client receiving antineoplastic therapy, the client tells the nurse that she is dreading the alopecia that may occur. Which of the following interventions should the nurse include to address the client’s potential for body image disturbances?

A. Encourage the client to purchase a wig or a hat to wear before she loses her hair.
B. Recommend that the client limit social contacts until her hair grows back.
C. Reassure the client that her hair will soon grow back to the way it was before treatment.
D. Assure the client that people will not notice her hair loss nearly as much as she thinks they will.

Answer 12

A. Encourage the client to purchase a wig or a hat to wear before she loses her hair.

Question 13

ATI Practice Test - Learning System Fundamentals 1

A client is 2 days postoperative following an appendectomy. While changing the linens on the client’s bed, the nurse notes that drainage from an infected wound has soiled the bed sheet. The appropriate nursing action is to

A. roll up the soiled sheet and toss it directly into the laundry chute.
B. spray the soiled sheet with a bleach solution.
C. carefully place the soiled sheet in a moisture-resistant plastic laundry bag.
D. discard the sheet in an impervious trash bag.

Answer 13

C. carefully place the soiled sheet in a moisture-resistant plastic laundry bag.

Question 14

ATI Practice Test - Learning System Fundamentals 1

An older adult client being admitted to the hospital has brought her personal medications, including a bottle with no label. She says it is cough medicine she put in a small bottle so it would fit in her bag. Which nursing action is appropriate at this time?

A. Take the bottle to the pharmacy so the medication can be identified and labeled.
B. Pour the liquid down the drain since it has not label.
C. Instruct the client about safety issues related to this practice.
D. Have the client ask a family member to take the medications home

Answer 14

D. Have the client ask a family member to take the medications home

Question 15

ATI Practice Test - Learning System Fundamentals 1

A nurse reinforces teaching for a client who has just received his first hepatitis B immunization. The nurse determines that the client understands the teaching when he states:

A. “I won’t eat anything prior to my next appointment.”
B. “I always use condoms when I’m sexually active.”
C. “The hepatitis vaccine protects me from hepatitis A, B, and C.”
D. “I will make an appointment to return in one month.”

Answer 15

D. “I will make an appointment to return in one month.”

Question 16

ATI Practice Test - Learning System Fundamentals 1

A client is admitted to the hospital after being on bed rest at home. The client has been incontinent and smells strongly urine. His spouse, who has been caring for him at home, states that she is sorry and embarrassed about the unpleasant smell. Which response by the nurse therapeutic?

A. “A lot of clients who are cared for at home have the same problem.”
B. “Don’t worry about it. He will get a bath, and that will take care of the odor.”
C. “It must be difficult of care for someone who is confined to bed.”
D. “When was the last time that he had a bath?”

Answer 16

C. “It must be difficult of care for someone who is confined to bed.”

Question 17

ATI Practice Test - Learning System Fundamentals 1

While starting an intravenous infusion (IV) for a client, a nurse notices that her gloved hands are spotted with blood. The client has not been diagnosed with any bloodborne infections. Which of the following should the nurse do as soon as the task is completed?

A. Wash the gloved hands and then throw the gloves away.
B. Remove the gloves carefully and follow with hand hygiene.
C. Prepare an incident report so that this occurrence will be documented.
D. Ask the charge nurse to request that the provider order a blood culture to determine risk.

Answer 17

B. Remove the gloves carefully and follow with hand hygiene.

Question 18

ATI Practice Test - Learning System Fundamentals 1

A provider has ordered a chest x-ray for a hospital client. The radiology department calls the nursing unit and says that they are sending a transporter for the client. The priority action of the nurse caring for this client is to

A. check the client’s identification bracelet.
B. help the client into a wheelchair so he will be ready when the transporter arrives.
C. ask if the client has any questions.
D. explain the x-ray procedure to the client.

Answer 18

A. check the client’s identification bracelet.

Question 19

ATI Practice Test - Learning System Fundamentals 1

Which of the following nursing actions is an example of demonstrating cultural sensitivity to the client’s needs?

A. Using nonverbal communication and touch with clients unable to speak the same language as the nurse.
B. Asking clients’ permission to use first names rather than attempting to pronounce their last names.
C. Establishing and maintaining eye contact with clients.
D. Accepting a gift brought in by a client’s family.

Answer 19

D. Accepting a gift brought in by a client’s family.

Question 20

ATI Practice Test - Learning System Fundamentals 1

When communicating with a hearing-impaired client, the nurse should

A. speak directly into the impaired ear.
B. exaggerate lip movements.
C. talk very loudly to the client.
D. speak slowly while facing the client.

Answer 20

D. speak slowly while facing the client.

Question 21

ATI Practice Test - Learning System Fundamentals 1

To use proper body mechanics while making an occupied bed for a client on bed rest, the nurse should

A. place the bed in semi-Fowler’s position.
B. make sure the side rails are down.
C. ask the client to roll as far as possible into her side.
D. place the bed in a high horizontal position.

Answer 21

D. place the bed in a high horizontal position.

Question 22

ATI Practice Test - Learning System Fundamentals 1

To use the nursing process correctly, the nurse must first

A. identify the goals for the client’s care.
B. obtain information about the client.
C. state the client’s nursing care needs.
D. evaluate the effectiveness of the client’s care.

Answer 22

B. obtain information about the client.

Question 23

ATI Practice Test - Learning System Fundamentals 1

During a well-child visit, the parents of a school-age child from a rural area express their concern that the child refuses to ear a helmet while riding his bicycle on their farm. Which of the following is an appropriate nursing response?

A. Tell the child the bike doesn’t leave the garage without the helmet.
B. It isn’t crucial since the child won’t be riding in the road.
C. Encourage the child to the helmet by using a reward system.
D. Explain the potential for injury without helmet.

Answer 23

A. Tell the child the bike doesn’t leave the garage without the helmet.

Question 24

ATI Practice Test - Learning System Fundamentals 1

An older adult client appears agitated when the nurse requests that the client’s dentures be removed prior to surgery and states, “I never go anywhere without my teeth.” Which of the following is an appropriate nursing response?

A. “It’s for your safety. Dentures can slip and block your airway during surgery.”
B. “You wouldn’t want your teeth to be lost or broken during surgery, would you?”
C. “The anesthesiologist requires everyone to remove their dentures.”
D. “You seem worried. Are you concerned someone may see you without your teeth?”

Answer 24

D. “You seem worried. Are you concerned someone may see you without your teeth?”

Question 25

ATI Practice Test - Learning System Fundamentals 1

A client arrives at clinic, accompanied by her spouse, for treatment of a fractured arm. The client reports that her spouse accidentally hit her during an argument. Which of the following approaches is appropriate when the nurse responds to the client?

A. Ask the client how the couple usually resolves conflicts.
B. Convey concern and ask the client to describe how the injury occurred.
C. Point out that no one has a right to harm another physically, even during an argument.
D. Inform the client that spousal abuse is illegal and there are legal and social services available.

Answer 25

B. Convey concern and ask the client to describe how the injury occurred.

Question 26

ATI Practice Test - Learning System Fundamentals 1

A nurse is helping a client who is postoperative to walk down the hall when the client says he feels faint and starts to fall. Which of the following is the appropriate nursing action?

A. Ask another client to get some help while supporting the client.
B. Hold the client up against the wall to keep him from falling.
C. Grasp the client around the waist and hold him up to prevent a fall.
D. Ease the client gently to the floor.

Answer 26

D. Ease the client gently to the floor.

Question 27

ATI Practice Test - Learning System Fundamentals 1

A 3-year-old child has had multiple tooth extractions while under general anesthesia. The client returns from the postanesthesia care unit crying, but awake. Which of the following approaches is likely to be successful?

A. Examine the mouth last
B. Examine the mouth first
C. Do not examine the mouth
D. Medicate the child for pain before examining the mouth

Answer 27

A. Examine the mouth last

Question 28

ATI Practice Test - Learning System Fundamentals 1

A nurse prepares to admit a client who is immediately postoperative following abdominal surgery. When transferring the client from the gurney to the bed, the nurse should

A. lock the wheels on the bed and stretcher.
B. have the client use a trapeze bar to assist.
C. have at least four people help with the transfer.
D. use logrolling to move the client.

Answer 28

A. lock the wheels on the bed and stretcher.

Question 29

ATI Practice Test - Learning System Fundamentals 1

The first action a nurse should take when discovering a fire in a client’s room is to

A. pull the fire alarm.
B. close the fire doors and room doors.
C. move the client out of the room.
D. place moist towels at the threshold of the clients’ door.

Answer 29

C. move the client out of the room.

Question 30

ATI Practice Test - Learning System Fundamentals 1

An older adult client has been hospitalized and on bed rest for 1 week. The client reports elbow pain. Which of the following is an appropriate initial action for the nurse caring for this client to take?

A. Place elbow pads on the client.
B. Examine the elbow
C. Ask the primary nurse to obtain a pain medication order.
D. Reposition the client

Answer 30

B. Examine the elbow

Question 31

ATI Practice Test - Learning System Fundamentals 1

A client is in a coma as a result of a head injury. The most important action when the nurse is performing mouth care for this client is to

A. use a soft toothbrush.
B. turn the client to the side before starting.
C. keep the client’s mouth open with a bite block.
D. use only small amount of fluid.

Answer 31

B. turn the client to the side before starting.

Question 32

ATI Practice Test - Learning System Fundamentals 1

The nurse is caring for a client diagnosed with terminal illness. The client asks several questions about the nurse’s religious beliefs related to death and dying. An appropriate nursing response is to

A. tell the client religious beliefs are a personal matter.
B. change the topic since the client is trying to divert attention from the illness to the nurse.
C. encourage the client to express personal thoughts about death and dying.
D. offer to contact the client’s minister or the hospital chaplain.

Answer 32

C. encourage the client to express personal thoughts about death and dying.

Question 33

ATI Practice Test - Learning System Fundamentals 1

Hot coffee spills and scalds a client’s arm. The nurse’s priority action is to

A. remove the clothing from burned area and apply cold water.
B. notify the client’s primary nurse.
C. complete an incident report.
D. apply an antibiotic ointment and cover with a sterile dressing.

Answer 33

A. remove the clothing from burned area and apply cold water.

Question 34

ATI Practice Test - Learning System Fundamentals 1

A client is admitted to the telemetry unit with a possible diagnosis of myocardial infarction (MI). After the client’s condition is stabilized, the client says to the nurse, “This equipment is making me nervous. Am I so sick that I need this?” which of the following is an appropriate nursing response?

A. “You won’t need the equipment very long.”
B. “Medical equipment can be frightening.”
C. “Why does the equipment bother you.”
D. “Let me tell you about what telemetry does.”

Answer 34

B. “Medical equipment can be frightening.”

Question 35

ATI Practice Test - Learning System Fundamentals 1

A client began having sleeping problems 6 months ago, soon after being diagnosed with cancer. Prior to that, the client had good physical health; however, the client’s spouse of 50 years died 1 year ago this week. The client tells the nurse, “I’d be better of dead because I am totally worthless.” which of the following is an appropriate nursing response?

A. “You feel that way now because you’re depressed. You’ll feel better when your depression lifts.”
B. “You have been feeling very sad and alone for some time now.”
C. “You really have a great deal to live for. What about your grandchildren?”
D. “I have seen some very valuable things about you.”

Answer 35

B. “You have been feeling very sad and alone for some time now.”

Question 36

ATI Practice Test - Learning System Fundamentals 1

During her preparation for discharge, a client tells the nurse that her current illness started a few weeks after she stopped taking a prescribed medication. Which of the following is an appropriate nursing response?

A. “You know now that you cannot stop taking the pills or you’ll get sick again. If I were you, I wouldn’t do it again.”
B. “You’re smart. Now you know what will happen to you if you stop taking your pills again.”
C. “You must get tired of taking your medications, especially when you are feeling well.”
D. “If you are ever tempted to stop taking your pills, think of how you might wind up having to take even more pills.”

Answer 36

C. “You must get tired of taking your medications, especially when you are feeling well.”

Question 37

ATI Practice Test - Learning System Fundamentals 1

Before donning gloves to perform a procedure, proper hand hygiene is essential. The nurse understands that the most important aspect of hand hygiene is the amount of

A. water.
B. soap.
C. friction
D. time.

Answer 37

C. friction

Question 38

ATI Practice Test - Learning System Fundamentals 1

A client is admitted to the hospital in the terminal stage of cancer. The nurse enters the client’s room to administer medication and finds the client crying. The appropriate nursing action is to

A. sit and hold the client’s hand.
B. tell the client that someone will call his minister.
C. contact the family and ask them to stay with the client.
D. administer the client’s medication and allow him to cry privately.

Answer 38

A. sit and hold the client’s hand.

Question 39

ATI Practice Test - Learning System Fundamentals 1

A nurse is caring for a client who has hypertension. Which approach is the priority when the nurse is measuring the client’s blood pressure?

A. Place the blood pressure cuff on the right arm above the elbow.
B. Record the blood pressure with the client sitting on the side of the bed.
C. Obtain the blood pressure under the same conditions each time.
D. Measure the blood pressure with the client in supine position.

Answer 39

C. Obtain the blood pressure under the same conditions each time.

Question 40

ATI Practice Test - Learning System Fundamentals 1

A nurse is caring for a client who has acute renal failure. The nurse knows that on a day-to-day basis, the most accurate measure of the client’s fluid status is the

A. intake and output.
B. blood pressure.
C. specific gravity.
D. daily weight.

A. intake and output.
B. blood pressure.
C. specific gravity.
D. daily weight.

Answer 40

D. daily weight.