ATI - Test 4 Practice Assessment

Question 1

ATI - Test 4 Practice Assessment

A nurse has a prescription to administer an adult client penicillin that is to be given intramuscularly. Which of the following angles should the nurse use for the injection into the ventrogluteal muscle?

A. 45º angle
B. 60º angle
C. 75º angle
D. 90º angle

Answer 1

D. 90º angle

Question 2

ATI - Test 4 Practice Assessment

Before administering a medication to a client, the nurse needs to identify the client. Which of the following methods of identification should the nurse perform?

A. Ask the client’s full name and date of birth.
B. Check the client’s ID bracelet and scan the bar code.
C. Check the client’s name on the medication administration record.
D. Check the client’s name with family member.

Answer 2

A. Ask the client’s full name and date of birth.

Rationale:
The nurse should request the client to state his/her full name along with their date of birth. This is part of the 7 Rights of Medication of Administration.

Question 3

ATI - Test 4 Practice Assessment

A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following?

A. Move the decimal point 3 places to the right.
B. Move the decimal point 3 places to the left.
C. Move the decimal point 2 places to the right.
D. Move the decimal point 2 places to the left.

Answer 3

A. Move the decimal point 3 places to the right.

Question 4

ATI - Test 4 Practice Assessment

A nurse has received a new order. The order reads amoxicillin 250 mg PO q8h. The pharmacy has 125 mg chewable amoxicillin tablets in stocks. How many tablets should the nurse administer?

A. 1/2 tablet
B. 1 tablet
C. 2 tablets
D. 4 tablets

Answer 4

C. 2 tablets

Rationale:
250 mg/125 mg * 1 tablet = 2 tablets

Question 5

ATI - Test 4 Practice Assessment

A nurse is preparing to administer ofloxacin drops (Floxin) to an adult client. Which of the following actions should the nurse take?

A. Hold the dropper against the ear canal and drip the medication slowly down the canal.
B. Apply gentle pressure with a finger to the tragus of the ear.
C. Chill the medication prior to administration.
D. Straighten the external auditory canal by pulling it down and back

Answer 5

B. Apply gentle pressure with a finger to the tragus of the ear.

Question 6

ATI - Test 4 Practice Assessment

A nurse receives a new prescription from the provider which reads “give 14 units of regular insulin and 28 units of long-acting insulin to be given subcutaneously at the breakfast hour.” What is the total number of units of insulin the nurse will prepare in the insulin syringe?

A. 14 units
B. 28 units
C. 32 units
D. 42 units

Answer 6

D. 42 units

Question 7

ATI - Test 4 Practice Assessment

A provider prescribes 2 g of a medication to give to a client in eight divided doses over the next 24h. How many mg should the nurse administer for each dose?

__________

Answer 7

250 mg

Question 8

ATI - Test 4 Practice Assessment

A nurse is caring for an infant who is prescribed amoxicillin (Amoxil) 320 mg PO q12h. The medication is available as 400 mg/5 mL. How many mL will the nurse

__________ mL

Answer 8

4 mL

Question 9

ATI - Test 4 Practice Assessment

A nurse is caring for a client. The client states, “I don’t want to take any medication.” Which of the following actions should the nurse take?

A. Tell the client the physician wants the client to take the medicine.
B. Ask the client why the client refuses to take the medication.
C. Explain the purpose for the medication.
D. Document that the client refuses the medication.

Answer 9

D. Document that the client refuses the medication.

Question 10

ATI - Test 4 Practice Assessment

The nurse is preparing a medication and observes the date of expiration on the vial occurred two months ago. Which action should the nurse perform?

A. Give the medication.
B. Discard the medication.
C. Notify the provider.
D. Return the medication to the pharmacy.

Answer 10

D. Return the medication to the pharmacy.

Question 11

ATI - Test 4 Practice Assessment

A client is about to start using gentamicin (Garamycin) ointment to treat a serious skin infection. Which of the following instructions should the nurse reinforce when talking with the client about using the preparation?

A. “I’ll wash the area with soap and water before I apply the cream.”
B. “After I apply the cream, I will leave the area open to the air.”
C. “I can expect a little blurry vision while I’m using this cream.”
D. “I should apply the cream to large areas around the infection.”

Answer 11

A. “I’ll wash the area with soap and water before I apply the cream.”

Question 12

ATI - Test 4 Practice Assessment

A nurse is preparing to administer aspirin gr 10 PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number)

_________

Answer 12

2

Question 13

ATI - Test 4 Practice Assessment

A nurse suspects that another nurse on the unit is removing a small amount of morphine sulfate from the syringe before administering the medication to the client. Which of the following actions by the nurse is appropriate?

A. Inform the nurse manager about her suspicions.
B. Approach the nurse involved to discuss her suspicions.
C. Ask the (AP to observed the other nurse’s actions.
D. Report the incident to the hospital’s security department.

Answer 13

A. Inform the nurse manager about her suspicions.

Question 14

ATI - Test 4 Practice Assessment

A nurse is preparing to administer digoxin (Lanoxin) 0.25 mg PO. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number.)
__________

Answer 14

2

Question 15

ATI - Test 4 Practice Assessment

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer to the client? (Round to the nearest tenth.)
________mL

Answer 15

0.4

Question 16

ATI - Test 4 Practice Assessment

A nurse is preparing to administer medications to an older adult client who had a cerebrovacsular accident (CVA) and has difficulty swallowing medications. The client asks teh nurse if the prescribed enteric-coated aspirin (Ecotrin) can be crushed to make it easier to swallow. Which of the following would be an appropriate response by the nurse?

A. “That would release all the medication at once, rather than over time.”
B. “I will crush it and mix it in some ice cream for you.”
C. “If I crush it you may experience a stomach ache or indigestion.”
D. “If I do that some of the medication will be inactivated by stomach acid.”

Answer 16

C. “If I crush it you may experience a stomach ache or indigestion.”

Question 17

ATI - Test 4 Practice Assessment

A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection. Which of the following techniques should the nurse use when instilling the medication?

A. Pull the child’s ear auricle upward and outward.
B. Pull the child’s ear auricle down and backward.
C. Pull the child’s ear lobe towards the front and downward.
D. Pull the child’s ear lobe down and outward.

Answer 17

B. Pull the child’s ear auricle down and backward.

Question 18

ATI - Test 4 Practice Assessment

A nurse is planning to administer a nicotine transdermal patch (Nicoderm) to a female client who is trying to quit smoking. Which of the following actions should the nurse plan to include?

A. Wear sterile gloves when applying the patch.
B. Remove the old patch after applying the new one.
C. Date, time, and initial the patch before applying to the client.
D. Apply the patch to the client’s breast.

Answer 18

C. Date, time, and initial the patch before applying to the client.

Question 19

ATI - Test 4 Practice Assessment

A nurse is preparing a client’s evening dose of resperidone (Risperdal) 2 mg when the tablet falls on the countertop. Which of the following interventions is appropriate?

A. Pick the tablet up from the counter using clean gloves.
B. Wash the tablet off with alcohol and place it in a cup.
C. Discard the tablet and obtain another dose of medication.
D. Place the tablet directly into a medication cup.

Answer 19

C. Discard the tablet and obtain another dose of medication.

Question 20

ATI - Test 4 Practice Assessment

A nurse is caring for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

A. Apply a heat lamp twice a day.
B. Cleanse with saline solution.
C. Cleanse with povidone-iodine solution.
D. Massage reddened areas with dressing changes.

Answer 20

B. Cleanse with saline solution.

Rationale:
Isotonic saline solution, a nonionic agent, is used to prevent disruption of tissue healing.

Question 21

ATI - Test 4 Practice Assessment

A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following should the nurse administer?

A. 1 mL
B. 1.5 mL
C. 2 mL
D. 2.5 mL

Answer 21

C. 2 mL

Question 22

ATI - Test 4 Practice Assessment

A nurse is caring for a surgical client and accidentally sticks her hand with the needle used to administer the client’s pain medication. Which of the following actions should the nurse take first?

A. Wash with soap and rinse under water.
B. Report the incident to the employee health office.
C. Complete an incident report and obtain an HIV test.
D. Determine the HIV and Hepatitis B status of the client.

Answer 22

A. Wash with soap and rinse under water.

Question 23

ATI - Test 4 Practice Assessment

A nurse is must administer levothyroxine (Synthroid) 100 mcg to a client. The computerized medication delivery system on the unit supplies individually dispensed pills labeled “Synthroid 0.2 mg.” how many pills should the nurse dispense to the client.

A. 0.2 pills
B. 2 pills
C. 5 pills
D. 0.5 pills

Answer 23

D. 0.5 pills

Question 24

ATI - Test 4 Practice Assessment

A nurse is preparing to administer an ophthalmic solution to a client. Which of the following is an appropriate action by the nurse?

A. Instill the drops into the inner canthus.
B. Instill the drops in the center of the upper conjunctival sac.
C. Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac.
D. Ask the client to look down when instill the solution.

Answer 24

C. Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac.

Question 25

ATI - Test 4 Practice Assessment

A nurse is completing a client’s history and physical examination. Which information should the nurse consider subjective data?

A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae

Answer 25

C. Nausea

Rationale:
Subjective data include information that only the client can perceive and report. The nurse cannot determine that the client feels nauseated.

Question 26

ATI - Test 4 Practice Assessment

A nurse is preparing to administer pain medication to a client. The provider’s order is for meperidine (Demerol) 35 mg IM q6h PRN for pain. The available vial contains 75 mg/mL. How many mLs should the nurse administer? (Round to the nearest hundredth.)

________mL

Answer 26

0.47 mL

Question 27

ATI - Test 4 Practice Assessment

A nurse’s inadvertent medication error results in a severe allergic reactions and prolonged hospitalization. The client could rightfully sue the nurse for which of the following?

A. Malpractice
B. Assault
C. Battery
D. Abuse

Answer 27

A. Malpractice

Question 28

ATI - Test 4 Practice Assessment

The nurse is planning to administer ear drops to an adult client. Which is the correct method for the nurse to do it?

A. The ear lobe is pulled down and forward
B. The auricle is pulled up and back
C. The tragus is pulled away from the ear canal
D. The pinna is pulled down and back

Answer 28

B. The auricle is pulled up and back

Question 29

ATI - Test 4 Practice Assessment

A nurse is instilling ear drops to a young child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions?

A. Down and backward.
B. Down and outward.
C. Upward and backward.
D. Upward and outward

Answer 29

A. Down and backward.

Question 30

ATI - Test 4 Practice Assessment

A nurse is preparing an injection using a single dose glass ampule. which of the following techniques should the nurse use when opening the glass ampule?

A. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side.
B. Wear sterile gloves and break off the neck of the glass ampule with a single snap downward motion.
C. Tap the bottom of the ampule, place a gauze pad or alcohol swab around the ampule neck, and break off the bottom with a forward motion away from the hands.
D. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swap around the ampule neck, and break off the top with a forward motion away from the hands.

Answer 30

D. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swap around the ampule neck, and break off the top with a forward motion away from the hands.

Question 31

ATI - Test 4 Practice Assessment

A nurse is collecting subjective and objective data about a toddler who has otitis media. The nurse’s observation of this child are likely to include

A. tugging on the affected ear’s lob.
B. clear drainage from the affected ear.
C. pain when manipulating the affected ear’s lobe.
D. erythema and edema of the affected auricle.

Answer 31

A. tugging on the affected ear’s lob.

Question 32

ATI - Test 4 Practice Assessment

A nurse is creating discharge planning. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

A. “I will begin 48h before discharge.”
B. “I will begin once the discharge order is written.”
C. “I will begin upon the patient’s admission to the facility.”
D. “I will begin once the insurance company approves discharge coverage.”

Answer 32

C. “I will begin upon the patient’s admission to the facility.”

Question 33

ATI - Test 4 Practice Assessment

A nurse is caring for an older adult client who has several medications prescribed and expresses reluctance to take them because of difficulty swallowing. Which strategy should the nurse use for this client?

A. Crush the medications and mix them with soft foods.
B. Disguise the medications by placing them in meat.
C. Request the injectable medications be prescribed.
D. Place the client in semi-Fowler’s position.

Answer 33

A. Crush the medications and mix them with soft foods.

Question 34

ATI - Test 4 Practice Assessment

A nurse is caring for a client and promotes the nurse-client relationship by asking the client to share personal stories. Which type of intervention is the nurse using?

A. Symbolic communication
B. Narrative interaction
C. Hands-off technique
D. Social conversation

Answer 34

B. Narrative interaction

Question 35

ATI - Test 4 Practice Assessment

The nurse is to administer rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A. Sim’s position
B. Prone position
C. Lying on the right side
D. Lying on the left side

Answer 35

A. Sim’s position

Rationale:
The Sim’s position exposes the anus and helps the client relax the external sphincter while lying in bed. This allows easier insertion of the suppository

Question 36

ATI - Test 4 Practice Assessment

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

A. Pull the skin 1.3 cm (1/2 inch) to the side.
B. Insert the needle slowly and gently.
C. Use a 45º angle of insertion.
D. Aspirate for 5 to 10 seconds.

Answer 36

D. Aspirate for 5 to 10 seconds.

Rationale:
The nurse should pull the skin 2.5 vm (1 inch) to the side to make it easier to insert the needle.

Question 37

ATI - Test 4 Practice Assessment

A nurse is preparing to administer a flu vaccine, which of the following techniques should the nurse use to locate the deltoid muscle?

A. By locating the center of the arm between the elbow and the shoulder.
B. By locating the midpoint o the lateral aspect of the upper arm.
C. By palpating the lower edge of the acromion process and measuring 4 inches below to the center of the lateral aspect of the upper arm.
D. By palpating the lower edge of the acromion process and measuring 4 finger-widths below to the midpoint and center of the lateral aspect of the upper arm.

Answer 37

D. By palpating the lower edge of the acromion process and measuring 4 finger-widths below to the midpoint and center of the lateral aspect of the upper arm.

Question 38

ATI - Test 4 Practice Assessment

A nurse is caring for a client who is requesting prescription pain medication. Which of the following actions should the nurse perform first?

A. Reposition the client.
B. Administer the medication
C. Determine the location of the pain.
D. Review the effects of the pain medication.

Answer 38

C. Determine the location of the pain.

Rationale:
Using the nursing process, assessment of the location of the pain is the priority action by the nurse.

Question 39

ATI - Test 4 Practice Assessment

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following techniques should the nurse use?

A. Cleanse the skin with an alcohol swab, insert the needle, and aspirate and inject the heparin.
B. Cleanse the skin with an alcohol swab, insert the needle, aspirate and inject the heparin, and massage the site.
C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding.
D. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and aspirate and observe for bleeding.

Answer 39

C. Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, and observe for bleeding.

Question 40

ATI - Test 4 Practice Assessment

A nurse is preparing to administer an enema when the client states, “My doctor didn’t tell me I was supposed to receive an enema.” Which of the following actions is appropriate for the nurse to take?

A. Inform the charge nurse that the client refused the enema.
B. Explain to the client that the provider prescribed the procedure.
C. Assure the client that enemas are commonly prescribed for constipation.
D. Check the client’s chart for the provider’s prescription.

Answer 40

D. Check the client’s chart for the provider’s prescription.

Question 41

ATI - Test 4 Practice Assessment

When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. The nurse calls the provider but he is unavailable for several days. Which of the following actions should the nurse take?

A. Contact the pharmacy and confirm the dosage is safe to administer.
B. Withhold the medication until the prescribing provider is available.
C. Request to speak with the provider who is covering for the prescriber.
D. Inform the charge nurse and administer the usual dose of the medication.

Answer 41

C. Request to speak with the provider who is covering for the prescriber.

Question 42

ATI - Test 4 Practice Assessment

A nurse is preparing to administer a pre-packaged medication to a client and complete the final medication check. Which of the following is an appropriate action by the nurse? Check the medication

A. at the client’s bedside before administration.
B. in the area where the medication is obtained.
C. at the time of documentation.
D. in the nurse’s station while review the provider’s order.

Answer 42

A. at the client’s bedside before administration.

Question 43

ATI - Test 4 Practice Assessment

When administering a liquid medication to a 10-month-old infant who is crying, which of the following approaches by the nurse minimizes the possibility of aspiration?

A. Mix the medication in a bottle with the infants regular formula and administer.
B. Administer the medication quickly while the infant is securely restrained.
C. Administer the medication with a needless syringe placed in the buccal pouch.
D. Hold the infant in a supine position for a few seconds after administration.

Answer 43

C. Administer the medication with a needless syringe placed in the buccal pouch.

Question 44

ATI - Test 4 Practice Assessment

A nurse is caring for a client with bacterial conjunctivitis of the right eye, for which an antibiotic ointment has been prescribed. Which of the following is an appropriate statement by the nurse?

A. “When washing your face, wash the infected eye first.”
B. “Apply the ointment in a thing line into the conjuctival sac.”
C. “Always wipe from the outer to the inner canthus when wiping away secretions.”
D. “Use a sterile glove and applicator to apply the antibiotic ointment.”

Answer 44

B. “Apply the ointment in a thing line into the conjuctival sac.”

Question 45

ATI - Test 4 Practice Assessment

A nurse is preparing to administer acetaminophen (Tylenol) to a child with a fever. The nurse observes that the client appears small for her age. Which of the following actions should the nurse take?

A. Compare the dose with the calculated dosage range based on the child’s weight.
B. Administer half of the prescribed dose.
C. Give the dose as prescribed by the provider.
D. Call the provider to verify the dosage.

Answer 45

A. Compare the dose with the calculated dosage range based on the child’s weight.

Question 46

ATI - Test 4 Practice Assessment

A client who has a nasogastric tube in place is prescribed a sublingual medication. Which of the following is an appropriate action by the nurse?

A. Administer the medication in a liquid form orally.
B. Administer the crushed medication trough the NG tube.
C. Administer the medication dissolved in water through the NG tube.
D. Administer the medication under the client’s tongue.

Answer 46

D. Administer the medication under the client’s tongue.

Question 47

ATI - Test 4 Practice Assessment

A nurse is receiving a provider’s prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply)

A. Repeat the order back to the prescriber.
B. Question any part of the prescription that is unclear or inappropriate.
C. Transcribe the prescription into the clients medical record.
D. Obtain the prescriber’s signature within 8 hours.
E. Implement a voice mail prescription if the nurse can hear and understand it well.

Answer 47

A. Repeat the order back to the prescriber.
B. Question any part of the prescription that is unclear or inappropriate.
C. Transcribe the prescription into the clients medical record.

Question 48

ATI - Test 4 Practice Assessment

A nurse is reinforcing teaching with a client who is being discharged following an episode of status asthmaticus. The client has a prescription for two inhalations, four times a day from an albuterol (Proventil) metered-dose inhaler. The nurse determines that the client understands the teaching when the client

A. exhales as the medication is released from the inhaler.
B. takes a deep breath just prior to releasing the medication from the inhaler.
C. holds his breath at least 10 seconds after inhaling the medication.
D. waits 10 min between each inhalation

Answer 48

C. holds his breath at least 10 seconds after inhaling the medication.

Question 49

ATI - Test 4 Practice Assessment

A nurse is preparing to administer amoxicillin (Amoxil) 300 mg PO. Available is 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

_______mL

Answer 49

6 mL

Question 50

ATI - Test 4 Practice Assessment

A nurse is preparing to administer amoxicillin (Amoxil) 350 mg PO. Available is 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

_______mL

Answer 50

7 mL

Question 51

ATI - Test 4 Practice Assessment

A nurse is administering morning medications and realizes that nifedipine (Procardia) was administered to the wrong client. Which of the following is the priority nursing action?

A. Check the client’s vital signs.
B. Notify the client’s charge nurse.
C. Fill out an occurrence form according to institutional policy.
D. Administer the medication to the correct client.

Answer 51

A. Check the client’s vital signs.

Question 52

ATI - Test 4 Practice Assessment

The on-coming nurse arrives for her shift and is asked to count the narcotics with the off-going nurse. The on-coming nurse should be the nurse who does which of the following?

A. Visually counts the actual number of the narcotics in the locked narcotic cabinet after the previous nurse leaves the unit.
B. Visually counts the actual number of the narcotics that remain in the locked narcotic cabinet before the previous nurse leaves the unit.
C. Visually counts the actual sign-out sheet for the balance of the narcotics administered by nurses before the previous nurse leaves the unit.
D. Visually counts the actual sign-out sheets for the balance of narcotics administered by nurses after the nurse leaves the unit.

Answer 52

B. Visually counts the actual number of the narcotics that remain in the locked narcotic cabinet before the previous nurse leaves the unit.