ATI - Test 5 Practice Assessment

Question 1

ATI - Test 5 Practice Assessment

A nurse is documenting information in a computerized medical record. Which of the following nursing actions may jeopardize the confidentiality?

A. Log out of the computer before leaving the terminal.
B. Share passwords for computer access with colleagues.
C. Periodically change computer access passwords.
D. Prevent an unidentified healthcare worker from viewing computer records on the screen.

Answer 1

B. Share passwords for computer access with colleagues.

Question 2

ATI - Test 5 Practice Assessment

A nurse is discussing guided imagery with peers. When discussing indications for this treatment the nurse should include which of the following diagnosis?

A. Post-traumatic Stress Disorder
B. Schizophrenia
C. Pedophilia
D. Paranoid personality disorder

Answer 2

A. Post-traumatic Stress Disorder

Question 3

ATI - Test 5 Practice Assessment

A nurse is reinforcing teaching for a client about proper crutch walking using the swing-through gait. Which of the following statements is appropriate to include?

A. “Look down at your feet before moving the crutches.”
B. “Place one crutch forward with the opposite foot and then place the second crutch forward followed by the second foot.”
C. “Move both crutches forward, then lift and swing your body past the crutches.”
D. “Bear weight against the underarm crutch pads.”

Answer 3

C. “Move both crutches forward, then lift and swing your body past the crutches.”

Question 4

ATI - Test 5 Practice Assessment

A nurse is preparing to document a client’s information on the electronic chart. Which of the following nursing statements identifies and understands of the purpose of charting?

A. “Charting is a communication tool for the healthcare team.”
B. “Charting is to provide reimbursement from the local government.”
C. “Charting is to provide information for a client audit.”
D. “Charting is to enable physicians to monitor the nurse.”

Answer 4

A. “Charting is a communication tool for the healthcare team.”

Question 5

ATI - Test 5 Practice Assessment

A nurse is evaluating a client whose 12 year old child was killed in a motor vehicle crash involving a drunk driver 2 years ago. Manifestations of dysfunctional grieving are evident if the parent

A. visits the child’s grave every week after worship services.
B. volunteers at a local children’s hospital.
C. talks about the child in the past tense.
D. leaves the child’s room exactly as it was before the loss.

Answer 5

D. leaves the child’s room exactly as it was before the loss.

Question 6

ATI - Test 5 Practice Assessment

A nurse is caring for a client who received a sedative medication at bedtime and becomes confused during the night. The client falls while getting out of bed, sustaining a laceration to the head that requires suturing. Which of the following notations would be appropriate for the nurse to make when documenting in the client’s medical record?

A. “Client found lying on the floor. Three cm laceration present 1 cm lacerating present 1 cm above left eyebrow. Client oriented to name only.”
B. “Client found lying on the floor with blood on his face. Assistive personnel forgot to put side rails up at bedtime.
C. “Client fell out of bed and cut his forehead secondary to confusion caused by sleeping medication.”
D. “Client fell out of bed and received facial laceration when his head hit the bedside table. See incident report in medical record for further details.”

Answer 6

A. “Client found lying on the floor. Three cm laceration present 1 cm lacerating present 1 cm above left eyebrow. Client oriented to name only.”

Question 7

ATI - Test 5 Practice Assessment

A nurse is caring for an older adult client who is depressed and has trouble sleeping at night. Which of the following nursing measures is of the least help to this client?

A. Providing a soothing nighttime routine.
B. Sitting by the client’s bed and talking to the client for an hour.
C. Limiting intake of caffeinated beverages in the late afternoon and evening.
D. Discouraging napping during the day.

Answer 7

B. Sitting by the client’s bed and talking to the client for an hour.

Question 8

ATI - Test 5 Practice Assessment

A nurse is caring for a client who is postoperative from a total hip arthroplasty. The nurse assists the client into a supine position. Which of the following actions is appropriate to prevent external rotation of the lower extremity?

A. Place a wedge pillow between the legs.
B. Place a sandbag to the later calf.
C. Place a trochanter roll against the thigh.
D. Place a footboard on the bed.

Answer 8

C. Place a trochanter roll against the thigh.

Question 9

ATI - Test 5 Practice Assessment

A nurse is assisting a client who is postoperative with ambulation. While ambulating with the nurse, the client feels faint and starts to fall. Which of the following is an appropriate action by the nurse?

A. Hold the client upright until another curse can provide a wheelchair.
B. Push the client up against the wall to prevent a fall.
C. Grasp the client around the waist to prevent a fall.
D. Ease the client gently to the floor.

Answer 9

D. Ease the client gently to the floor.

Question 10

ATI - Test 5 Practice Assessment

A nurse is talking to an older adult client’s caregiver who is interested in respite care. The nurse explains that the purpose of a respite care program is to provide

A. pain management.
B. temporary care.
C. palliative care.
D. restorative care.

Answer 10

B. temporary care.

Rationale:
The purpose of respite care is to give family members temporary relief from the stress they may experience while providing care for a family member. Respite care programs help make alternative arrangements so caregivers have time off to attend to their own needs.

Question 11

ATI - Test 5 Practice Assessment

A nurse should share her password for access to the facility’s computer system with

A. no one.
B. the nurse manager.
C. the hospital system representative.
D. the unit clerk.

Answer 11

A. no one.

Question 12

ATI - Test 5 Practice Assessment

A nurse is caring for a client who is hospitalized and asks to review his medical record. The appropriate response by the nurse is

A. “I’m sorry, you do not have right to read your chart.”
B. “You will need permission from the hospital administration to review your chart.”
C. “We’ll give you a copy of your records when you are discharged.”
D. “We will need to review your chart together.”

Answer 12

D. “We will need to review your chart together.”

Rationale:
Every client has the right to review personal medical records; however, clients usually do not have the medical knowledge necessary to understand and interpret everything in the chart. Consequently, it is best for the client to review his chart with an appropriate member the health care team.

Question 13

ATI - Test 5 Practice Assessment

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client’s level of strength?

A. Ask the client how strong they feel today.
B. Ask the client if they have been up today.
C. Check the pedal pulses and feet for edema.
D. Ask the client to push their feet against the nurse’s palms.

Answer 13

D. Ask the client to push their feet against the nurse’s palms.

Question 14

ATI - Test 5 Practice Assessment

While collecting data from an older adult client, the nurse learns that she has had difficulty sleeping at night for several months. When evaluating the client’s sleep disturbances, the nurse should remember which of the following?

A. Older adults have an increase in stages 3 and 4 sleep.
B. Older adults seldom awake at night once they have fallen asleep.
C. Chronic pain and illness interfere with sleep patterns.
D. Older adults require much less sleep than younger adults do.

Answer 14

C. Chronic pain and illness interfere with sleep patterns.

Question 15

ATI - Test 5 Practice Assessment

A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use?

A. One nurse lifting as the clients pushes with his feet.
B. Two nurses lifting the client under the shoulders.
C. One nurse lifting the client’s legs as the client uses a trapeze bar.
D. Two nursing using a friction reduction device.

Answer 15

D. Two nursing using a friction reduction device.

Question 16

ATI - Test 5 Practice Assessment

A nurse is providing information on pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?

A. “I will call for pain medication before the previous dose wears off.”
B. “I will call for pain medication as my pain starts to increase again.”
C. “I will wait for you to evaluate my pain before asking for more.”
D. “I will ask for less medication to avoid addiction.”

Answer 16

A. “I will call for pain medication before the previous dose wears off.”

Question 17

ATI - Test 5 Practice Assessment

A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations would require the completion of a variance report by the nurse?

A. The discovery that a client’s dentures are missing
B. A staff member not showing up to work an assigned shift
C. The identification of malfunctioning equipment
D. A disagreement with the nurse manager about inadequate staffing.

Answer 17

A. The discovery that a client’s dentures are missing

Question 18

ATI - Test 5 Practice Assessment

What is the best goal for nursing care of the client in the terminal stages of an illness?

A. Reassure the client about death
B. Provide a quiet, restful environment
C. Support the client through each stage of the dying process
D. Maintain hope for the client and family

Answer 18

C. Support the client through each stage of the dying process

Question 19

ATI - Test 5 Practice Assessment

A nurse is preparing to transfer a client form lying in bed to sitting in a chair. When identifying the safest method of transfer, which of the following is most important for the nurse to determine?

A. The client’s ability to communicate
B. The client’s current weight-bearing status
C. The client’s height
D. The type of equipment used in the past

Answer 19

B. The client’s current weight-bearing status

Question 20

ATI - Test 5 Practice Assessment

A nurse is caring for a client newly diagnosed with ovarian cancer. Which of the following reactions from the client should the nurse initially expect?

A. Denial
B. Bargaining
C. Acceptance
D. Anger

Answer 20

A. Denial

Question 21

ATI - Test 5 Practice Assessment

A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident report about the pressure ulcer, the nurse should

A. document what the nurse believes was the cause of ulcer development.
B. include any relevant statements the client made about the incident.
C. document in the client’s medical record that she completed an incident report.
D. question the charge nurse about any relevant information about the incident.

Answer 21

B. include any relevant statements the client made about the incident.

Question 22

ATI - Test 5 Practice Assessment

A nurse is caring for an older adult client who expresses feelings of grief for his earlier life. Which of the following actions is appropriate to help the client cope with his feelings of loss?

A. Let the client know that this is a common problem of the aging population.
B. Give the client some activities to perform so he won’t have time to dwell on the past.
C. Listen attentively while the client talks about the past.
D. Tell the client about some of the younger clients in the hospital who have experienced loss.

Answer 22

C. Listen attentively while the client talks about the past.

Question 23

ATI - Test 5 Practice Assessment

A nurse is monitoring a client for complications of immobility. Which of the following does the nurse expect to find? (Select all that apply.)

A. Contractures of extremities
B. Decreased pain
C. Diarrhea
D. Crackles in the lungs
E. Pressure ulcers

Answer 23

A. Contractures of extremities
D. Crackles in the lungs
E. Pressure ulcers

Question 24

ATI - Test 5 Practice Assessment

A nurse is collecting data regarding the pain level of a 4-year-old client on the second postoperative day. Which of the following actions should the nurse take?

A. Ask the client what number the pain is on a scale from 1 to 10.
B. Tell the client to point to a face on a FACES Pain Rating Scale.
C. Have the parent report the pain level for the client.
D. Request an assistive personnel to evaluate the client’s pain level.

Answer 24

B. Tell the client to point to a face on a FACES Pain Rating Scale.

Question 25

ATI - Test 5 Practice Assessment

The nurse is reinforcing teaching to the client teaching about healthy sleep habits. Which of the following statements by the client alerts the nurse that further teaching is indicated?

A. “I don’t take naps throughout the day.”
B. “I go to bed and get up routinely at the same time each day.”
C. “I have a small snack and take bath before going to bed each day.”
D. “I watch television until I fall asleep at night.”

Answer 25

D. “I watch television until I fall asleep at night.”

Question 26

ATI - Test 5 Practice Assessment

A nurse is reinforcing teaching for a client who has rheumatoid arthritis (RA) abut self-care techniques. Which of the following strategies should she include to illustrate the concept of joint protection?

A. Press water from a sponge rather than wringing it.
B. Lift objects instead of sliding or pushing them.
C. Finish weekly household tasks within 1 or 2 days.
D. Engage in repetitive tasks that keep the joints mobile.

Answer 26

A. Press water from a sponge rather than wringing it.

Question 27

ATI - Test 5 Practice Assessment

A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions should the nurse perform first?

A. Determine if the client can bear weight.
B. Place a transfer belt to the client.
C. Position the bed at an appropriate height.
D. Assist the client to a seated position.

Answer 27

A. Determine if the client can bear weight.

Question 28

ATI - Test 5 Practice Assessment

A nurse is caring for a client with limited had movement. Which of the following actions should the nurse take to assist the client with feeding?

A. place the client in a lateral position.
B. Provide an adaptive feeding device for the client.
C. Initiate a liquid diet for the client.
D. Arrange the food groups clockwise on the plate.

Answer 28

B. Provide an adaptive feeding device for the client.

Question 29

ATI - Test 5 Practice Assessment

A nurse in a clinic reinforcing teaching to a group of clients about preventing low back pain and injury. Which of the following statements by a client requires clarification?

A. “I will do exercises that strengthen my upper body and abdominal muscles.”
B. “I will increase my calcium intake on a regular basis.”
C. “Low-heeled shoes should be worn as much as possible.”
D. “Carrying heavy objects close to my body is appropriate.”

Answer 29

A. “I will do exercises that strengthen my upper body and abdominal muscles.”

Question 30

ATI - Test 5 Practice Assessment

A nurse is collecting data from a client at a followup clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting his goal?

A. The client slides an object across the floor rather than lifting it.
B. To pick up an object, the client beds at the waist.
C. The client twists at the waist while reach for the object.
D. The client stands with his feet together when lifting an object.

Answer 30

A. The client slides an object across the floor rather than lifting it.

Question 31

ATI - Test 5 Practice Assessment

A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following client statements indicates a need for further reinforcement of teaching?

A. “I will keep spare crutch tips handy.”
B. “I will bear the weight of my body on my hands.”
C. “I will inspect my crutches every day for signs of wear.”
D. “I have a set of spare crutches in my basement I can also use.”

Answer 31

D. “I have a set of spare crutches in my basement I can also use.”

Question 32

ATI - Test 5 Practice Assessment

A nurse is instructing coworkers about how to minimize low back pain and avoid repeated episodes of back pain. Which of the following strategies should the nurse include?

A. Avoid prolonged sitting.
B. Apply cold packs frequently.
C. Sleep in a side-lying position with flexed knees.
D. Sleep on a soft mattress
E. Try shoe insoles.

Answer 32

A. Avoid prolonged sitting.
C. Sleep in a side-lying position with flexed knees.
E. Try shoe insoles.

Question 33

ATI - Test 5 Practice Assessment

A nurse is preparing to assist a client who can partially bear weight and is cooperative from the bed to a chair. Which of the following actions by the nurse will be most safe for the client and the nurse?

A. Enlist help of another staff member.
B. Adjust bed to appropriate height.
C. Use a powered standing-assist lift.
D. Avoid movements that twist the spine.

Answer 33

C. Use a powered standing-assist lift.

Question 34

ATI - Test 5 Practice Assessment

A goal for a client who has difficulty with the physical aspects of feeding herself due to rheumatoid arthritis is to use adaptive devices to enhance her capabilities. The nurse caring for the client should initiate a referral with which of the following members of the collaborative health care team?

A. Occupational therapist
B. Social worker
C. Registered dietitian
D. Speech pathologist

Answer 34

A. Occupational therapist

Question 35

ATI - Test 5 Practice Assessment

A nurse is caring for a group of clients on a medical-surgical unit. The nurse understands that the delivery of high-quality care to a specific client is the responsibility of

A. the provider.
B. the Joint Commission.
C. health care facility.
D. the facility’s nursing administration.

Answer 35

A. the provider.

Question 36

ATI - Test 5 Practice Assessment

A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices while ambulating clients. Regarding the use of a cane, the nurse should instruct the APs about which of the following?

A. “The client should first move the strong leg, then the weak one.”
B. “The client should hold the cane on the weak side of his body.”
C. “The grip should be level with the client’s waist.”
D. “When the client moves, he should move the cane forward first.

Answer 36

D. “When the client moves, he should move the cane forward first.

Question 37

ATI - Test 5 Practice Assessment

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, the nurse should

A. check that the client lifts the walker and them places it down in front of her.
B. walk in front of the client to guide her in moving the walker.
C. have the client move one leg forward with the walker.
D. make sure that the upper bar of the walker level with the client’s waist

Answer 37

A. check that the client lifts the walker and them places it down in front of her.

Question 38

ATI - Test 5 Practice Assessment

The family of a client who has died unexpectedly arrives immediately after the death. Which of the following actions is appropriate for the nurse to take?

A. Ask the family to return after the body is cleaned.
B. Perform postmortem care so that the body is prepared for the funeral home.
C. Have a clergy member present when the family first sees the client.
D. Allow viewing of the client after pulling the curtain around them.

Answer 38

D. Allow viewing of the client after pulling the curtain around them.

Question 39

ATI - Test 5 Practice Assessment

A nurse at a local mental health center is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate therapeutic response?

A. “How long has this been going on?”
B. “Have you talked to your provider about this yet?”
C. “Why do you think you are so anxious?”
D. “It sounds like you’re having a difficult time.”

Answer 39

D. “It sounds like you’re having a difficult time.”

Question 40

ATI - Test 5 Practice Assessment

To prevent venous stasis, a client is to be measured for knee-high anti-embolus stockings. Which of the following are appropriate nursing actions?

A. Measure from heel to gluteal fold.
B. Measure the length of the feet.
C. Measure from heel to the popliteal space.
D. Measure the ankle.

Answer 40

C. Measure from heel to the popliteal space.

Question 41

ATI - Test 5 Practice Assessment

A nurse is visiting a client who has end-stage liver cancer and is homebound. The client tells the nurse that she has not been taking morphine sulfate (Duramorph) for pain relief because it does not seem to be working. The nurse understands that this is due to which of the following?

A. The client has not been taking the medication as prescribed.
B. The client is experiencing episodes of confusion.
C. The client has become addicted to the medication.
D. The client has developed a tolerance to the medication.

Answer 41

D. The client has developed a tolerance to the medication.