ATI Capstone Fundamentals Questions
and Answers Already Passed
A nurse is completing a nutritional assessment on a client and measures BMI, which of the
following readings correlates with a BMI of an overweight client? ✔✔25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following
pH values provides a good indication of correct tube placement? ✔✔2
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when pressure is applied to the client’s nail
beds, the clients eyes open and adduction of the arms with flexion of the elbows and wrists is
noted. the client also moans with stimulation, what is the GCS? ✔✔7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring crutches about how to use a three
point gait? ✔✔a client who has a R femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg, the affected leg
does not touch the ground)
a nurse is providing teaching about the Mediterranean diet to a client newly who has a new
diagnosis of hypertension. what statement indicates need for further teaching? ✔✔i will limit my
intake of red meat to 2x weekly
(should be limited to 2x monthly)
a nurse is providing dietary education to a client with cholecystitis who has been prescribed a lowfat diet. which of the following meal selections by the client indicates understanding of education?
✔✔roast turkey, rice pilaf, green beans
a client with cystocele is encouraged to exercise to strengthen pelvic floor muscles and prevent
pelvic organ prolapse. What exercise will the client need to perform ✔✔Kegals
(reduce pelvic prolapse and stress urinary incontinence)
a nurse is caring for an older adult client with delirium. which intervention will most likely reduce
the client’s risk for falls? ✔✔hourly rounding by the nurse
a nurse is caring for a client who has been prescribed furosemide. which of the following foods
should the nurse encourage this to include in his diet? ✔✔oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas are good for a
potassium wasting diuretic)
a menopausal client is having difficulty getting to sleep and asks what actions she should
incorporate in her daily routine to promote sleep. the nurse would encourage, which of the below
measures to promote sleep? ✔✔limit alcohol and nicotine prior to bedtime
(at least 4 hours)
a nurse is caring for several clients prescribed heat/cold therapies. which of the following clients
are at risk of injury from these therapies? SATA ✔✔use caution with clients who are very young,
older adult, fair skinned, impaired cognition, and comorbidities –> higher risk for fragile skin
a nurse is caring for a client with HF who has evidence of dyspnea, bibasalar crackles and frothy
sputum. what dietary recommendations should be provided to this client in management of their
HF? ✔✔reduce sodium intake
(stop smoking, monitor fluid intake to 2L/d, increase protein, consume small frequent meals that
are soft and easy to chew)
ATI Comprehensive Test B Questions
and Answers 100% Correct
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following
actions is the priority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection ✔✔C
The priority action the nurse should take when using the airway, breathing, circulation approach
to client care is to assist the client with deep breathing and coughing, which reduces the risk for
postoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism?
A. I have experienced physical discomfort when intimate with my partner since my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for other women who are sick in my
community
D. I used to mistrust my doctor, but now I know that she is the best one to care for me during my
illness ✔✔C
This statement indicates that the client is using the constructive defense mechanism sublimation
by devising a socially acceptable alternative to facing a reality that she does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of
the following actions should the nurse take?
A. Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing every 48 hours ✔✔C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the
following areas should the nurse assess for manifestations of HD?
A. Eyes area
B. Chest area
C. Lower abdominal area ✔✔C
Hirschsprung disease is a condition that affects the large intestine (colon) and causes problems
with passing stool. This is present at birth (congenital) as a result of missing nerve cells in the
muscle of the baby’s colon
A nurse at a mental health clinic is caring for four clients. The nurse should recognize that which
of the following clients is using dissociation as a defense mechanism?
A. A client forgets to buy their partner a birthday gift after a disagreement
B. A client who was abused as a child describes the abuse as if it happened to someone else.
C. A client who is shorter than average is verbally assertive with coworkers
D. A client states that they did not get a job promotion because the boss did not like them ✔✔B
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The
nurse should instruct the client to monitor for which of the following findings as a manifestation
of hypoglycemia?
A. irritability
B. increased urination
C. vomiting
D. facial flushing ✔✔A
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize
that which of the following clients is effectively using sublimation as a defense mechanism?
A. A client who transfers their anger about their job onto their family and then apologizes
B. A client who misses provider appointments because they say they are too busy
C. A client who channels their energy into a new hobby following the loss of their job
D. A client whose partner died 4 years ago sets a place for him at dinner each night ✔✔C
The nurse should identify that this client is using the defense mechanism of sublimation by
channeling negative feelings over the loss of their job into a new hobby.
A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care?
A. “We can expect the hospice nurse to provide support for us after our mother’s death.”
B. A hospice nurse will come to the house each time our mother needs pain medication
C. Now that my mother is receiving hospice services, we will not be able to get respite care
D. Hospice care focuses on arranging treatment that will prolong our mother’s life ✔✔A
Hospice care includes bereavement services after a family member’s death.
A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following
actions should the nurse take?
ATI comprehensive practice B questions
and answers with complete solutions
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the
following findings should indicate to the nurse that the therapy has been effective? ✔✔hemoglobin
14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following clients
should the nurse recommend for treatment first? ✔✔a middle adult client who has unstable vital
signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should
the nurse delegate to an assistive personnel? ✔✔measure the client’s daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client
who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should
administer? ✔✔18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion
of the legs, which of the following images indicates the adolescent is abducting the hip joint?
✔✔Moving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should the
nurse expect? ✔✔tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the following
findings should the nurse expect? ✔✔nuchal rigidity
also weight loss
a nurse is assessing a newborn’s heart rate. which of the following actions should the nurse take?
✔✔auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should
plan to perform which of the following actions? ✔✔instruct the client to avoid coughing during
the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the
nurse should identify which of the following findings as a potential indication of child sexual
abuse? ✔✔the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn’s disease and an
enteroenteric fistula. which of the following nutrients should the nurse instruct the client to
decrease in their diet? ✔✔fiber – reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine
following a total knee arthroplasty. which of the following actions should the nurse take? ✔✔Turn
off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client? ✔✔radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult clients. the
nurse should include which of the following variables as a risk factor for osteoporosis?
✔✔sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles
on the trunk and extremities. which of the following interventions should the nurse identify as the
priority? ✔✔initiate transmission based precautions
ATI Capstone Fundamentals Questions
and Answers 100% Solved
A nurse is assessing the pain level of a client who has dementia and difficulty communicating,
which pain assessment technique should the nurse use? ✔✔behavioral indicators
(increased agitation, restlessness)
a nurse receives a report from an assistive personnel that a client’s BP is 160/95, what should the
nurse do first? ✔✔recheck the clients BP
(reassess prior to any intervention)
a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as
a cath occlusion? ✔✔bladder distention
(inability to empty the bladder, impaired elimination)
a nurse is discussing immunity with a client who has received an immunization, the nurse should
identify that an immunization functions as part of which of the following types of immunity?
✔✔acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of antibodies)
a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries? ✔✔urinary incontinence
(r/f skin breakdown–> pressure injury, poor nutrition, infection, poor tissue perfusion, friction and
shear, immobility, alterations in sensory perception)
a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red and
there is warmth along the coarse of the vein, what should the nurse do? ✔✔d/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required, start new
IV)
a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in) in
diameter. which of the following terms should the nurse use to document this finding? ✔✔macule
(nonpalpable smaller than 1cm, ex: freckle)
a community health nurse is teaching a group of clients about first aid for different types of
wounds. which of the following client statements indicates an understanding of the teaching? ✔✔i
should apply clean dressings over the top of blood saturated dressings and hold pressure
ATI Capstone Med Surg Questions and
Answers with Verified Solutions
A nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis.
what would the nurse expect to see ✔✔pH below 7.35
a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3), what should
the nurse anticipate as the cause of these s/s ✔✔HF
a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12
hours, available is 6.7 mEq/5mL. how many mL should the nurse administer per dose? ✔✔30mL
a nurse is caring for a pt in the ED who was just admitted with chest pain, possible acute coronary
syndrome. what should the nurse do first? ✔✔administer sublingual nitroglycerin
(treat chest pain to reduce cardiac tissue damage)
a nurse is caring for pt who is experiencing ventricular tachycardia with a pulse, the RRT is at the
bedside. what electrical intervention should be used to correct this dysrhythmia? ✔✔synchronized
cardioversion
(tx for afib, SVT, and v tach with a pulse)
a nurse is caring for an adult pt who is experiencing delayed wound healing, which of the following
interventions should the nurse take? ✔✔monitor serum albumin levels and notify provider if below
3.5g/dL
(lack of protein increases the risk for a delay in wound healing and infection)
a nurse is teaching a client who has pre-dialysis ESKD about diet, what should be included?
✔✔reduce intake of foods high in potassium
(potassium clearance is impaired in ESKD)
a nurse is caring for a client who has T1DM, the nurse misread the client’s morning BG level as
210mg/dL, instead of 120mg/dL and administered the insulin dose appropriate for a reading over
200mg/dL before the client’s breakfast, what action is the nurse’s priority? ✔✔monitor the client
for hypoglycemia
a nurse is planning care for a pt who has a new diagnosis of DI, which of the following
interventions should the nurse include in the plan of care? ✔✔check urine specific gravity
a nurse is caring for a pt admitted with wheezing and coughing due to an allergic reaction to a
newly prescribed medication, what medication should be administered first? ✔✔albuterol 3mL
via nebulizer
a nurse is caring for a female client in the ED who reports SOB and pain in the lung area, she states
that she started taking BC pills 3 weeks ago and that she smokes, her heart rate is 110/min, RR
40/min, and BP 140/80, her ABGs are pH 7.50, PaCO2 29, PaO2 60, HCO3 20, SaO2 86%, what
is the priority of nursing interventions ✔✔administer oxygen via face mask
a nurse is caring for a pt following repair of a fracture, what finding should alert the nurse that the
pt is experiencing compartment syndrome? ✔✔unrelieved pain, pallor, pulselessness, numbness,
pins and needles sensation, swelling, tightness of the effected extremity
a nurse is administering a tap water enema to a pt who is constipated, during the administration of
the enema, the client states he is having abdominal cramps, what action should the nurse take to
relieve the client’s comfort ✔✔lower the height of the solution container
a pt is diagnosed with left homonymous hemianopsia following a stroke, what action should the
nurse take? ✔✔place the clients bedside table on the right side of the bed
a nurse is caring for a pt who is at risk for shock, what finding is the earliest indicator that this
complication is developing? ✔✔narrowing pulse pressure
a nurse is assessing a client who has hypokalemia as a result of n/v, and diarrhea, what finding
should the nurse expect ✔✔weak, irregular pulse
ATI – Comprehensive Practice 2019 A
Questions and Answers Graded A
A nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of
the left lower leg. which of the following interventions should the nurse include in the plan of
care? ✔✔elevate the affected leg
ambulation should be encouraged
a nurse is teaching a group of guardians about child safety measures. which of the following
statements by a guardian indicates an understanding of the teaching? ✔✔I should have my child
avoid sun exposure between 10 am and 2 pm
a home health nurse is providing teaching about infection prevention to a client who has cancer
and is receiving chemotherapy. Which of the following statements by the client indicates an
understanding of the teaching? ✔✔I will walk for short distances throughout the day
a nurse is providing dietary teaching to the parents of a 6 month old infant. which of the following
instructions should the nurse include? ✔✔Introduce new foods one at a time over 5 to 7 days
a charge nurse is planning care for a client who has mechanical restraints in place. which of the
following interventions should the nurse include in the plan? ✔✔Provide a staff member to stay
with the client continuously
can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs for adults,
every 3 hrs for 9-17 years and every hour for those younger
a community health nurse is assisting with the development of a disaster management plan. the
nurse should include which of the following nursing responsibilities in the disaster response stage
of the plan? ✔✔performing a rapid needs assessment
a nurse manager is assisting with the orientation of a newly licensed nurse. which of the following
actions by the nurse requires the nurse manager to intervene? ✔✔tells the hospital chaplain a
clients diagnosis
a nurse is caring for a client who is in labor at 39 weeks of gestation. during the second stage of
labor, the nurse observes early deceleration on the monitor tracing. which of the following actions
should the nurse take? ✔✔continue observing the fetal heart rate
these are an expected finding
a nurse manager is planning to make changes to the current scheduling system on the unit. to
facilitate the staff’s acceptance of this change, which of the following actions should the nurse
manager take first? ✔✔provide information about scheduling issues to the staff
unfreezing stage – increase understanding of why change is needed
a nurse is planning teaching about allowable foods for a client who has a history of uric acid based
urinary calculi formation. which of the following foods should the nurse include in the teaching?
✔✔oranges
can eat citrus fruits
no chicken, no organ meats like liver, no red wine (avoiding purine)
a charge nurse is teaching a newly licensed nurse how to identify true labor. which of the following
should the nurse include in the teaching? ✔✔the cervix transitions to an anterior position
contractions will be felt in the lower abdomen and back, intensity increases with ambulation,
cervix shortens and thins
a nurse on a medical surgical unit is caring for a client prior to a surgical procedure. which of the
following findings should indicate to the nurse that the client has the ability to sign the informed
consent? ✔✔the client is able to accurately describe the upcoming procedure
a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The nurse
expresses concern about having limited experience with monitoring chest tube drainage. which of
ATI Capstone Pharmacology
assessment 1 Questions and Answers
100% Pass
A nurse is caring for a client who is receiving morphine, what assessment is priority ✔✔RR
a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma,
what is the priority to report to the provider ✔✔bronchospasms
a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to
use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? ✔✔you
should gargle with water after each use of this inhaler
a nurse is planning a staff education session on AE of meds, what info should the nurse discuss
about anticholinergic adverse effects? ✔✔blurred vision
tachycardia
constipation
a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info
regarding the action of guaifenesin should the nurse include in the teaching? ✔✔guaifenesin
increases cough production
a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction.
the nurse should monitor the client for which of the following outcomes as therapeutic response to
the medication? ✔✔decreased anginal pain
a nurse is providing teaching to a client who has a new prescription for levothyroxine, which
statement indicates understanding of the teaching? ✔✔”i might not realize the full effect of the
medication for several weeks”
take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast
a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client for
which of the following manifestations as an indication of digoxin toxicity to report to the provider?
✔✔vomiting
(n/v, anorexia, blurred vision)
a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority
teaching point? ✔✔you should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome
ATI Capstone Pediatrics Questions and
Answers Latest 2022 Graded A
A nurse is reviewing the history and physicality of an adolescent client who has conduct disorder.
what is an expected finding? ✔✔suspended from school several times in the past year
a nurse is planning care for a 6yr old child who has bacterial meningitis, what nursing intervention
is unnecessary in the pt’s plan of care? ✔✔measure head circumference every shift
a nurse is teaching the parents of a child who has ADHD about methylphenidate. which of the
following statements should the nurse include in the teaching? ✔✔restrict your child’s intake of
caffeine while she is taking this medication
a nurse is caring for a 6 month old pt who has sudden abdominal pain, vomiting, distended
abdomen and red current jelly like stools. the nurse should know that these are signs of what
✔✔intussuception
a nurse is preparing to perform an abdominal assessment on a child. identify the sequence the nurse
should follow (move the steps into the box on the right, placing them in the selected order of
performance. use all the steps) ✔✔inspection
auscultation
superficial palpitation
deep palpitation
a nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and is distressed
after an insulin injection. which of the following play activities should the nurse recognize is
therapeutic in helping the child deal with the injection? ✔✔a needleless syringe and a doll
a nurse is providing anticipatory guidance about child development to the parents of a preschooler.
which of the following developmental tasks should the nurse include as being expected of a
preschooler? ✔✔participates in imaginary play
a nurse is providing care to a child who has an allergy to eggs, the nurse should question a
prescription for which of the following immunizations? ✔✔influenza, live attenuated (LAIV)
a nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia of the hip
(DDH). which of the following strategies should the nurse implement to promote the infant’s
growth and development ✔✔allow the infant to stand in the crib
a nurse is caring for a 6month old infant following surgery. which of the following should the
nurse use to measure pain in this client ✔✔FLACC pain scale
a nurse is assisting with the admission of a child who has measles. which of the isolation
precautions should the nurse initiate ✔✔airborne
Comprehensive predictor test 85 correct
answers already passed
A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse
to enter data for her because the AP has forgotten her password and needs to leave. Which of the
following actions should the nurse take? ✔✔Tell the AP to contact the IT department for charting
assistance.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should
instruct the parents to place the car seat in a…. ✔✔Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the
safety of a large sum of money in his wallet. Which of the following actions is appropriate for the
nurse to take? ✔✔contact security personnel to place the money in the facility safe.
A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative
following a tonsillectomy. Which of the following findings is a sign on hemorrhage? ✔✔Frequent
Swallowing
A nurse is reinforcing discharge teaching with an older adult client’s family about safety
precautions when administering a tap water enema to the client. Which of the following should the
nurse include? ✔✔Instruct the client to bear down during rectal tube insertion.
A nurse is caring for a client. Which of the following client statements should the nurse attend
first? ✔✔”My heartburn pain is going into my jaw now”
A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has a
Penrose drain. Which of the following actions should the nurse take? ✔✔Leave the drain insertion
site open to air
A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series with
fluoroscopy. Which of the following information should the nurse provide? ✔✔”You will have to
drink a contrast medium before the test.”
A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is
in the emergent phase of burn. Which of the following findings should the nurse expect?
✔✔Hypernatremia
A nurse is planing to administer an ophthalmic medication to a client. Which of the following
actions would minimize systemic absorption of the medication? ✔✔Wait 5 mins after instillation
before instilling the drops in the other eye
A nurse is preparing morning medication for a client who has potassium level of 3.2 mEq/L. For
which of the following medications should the nurse withhold administration and notify the
provider? ✔✔Furosemide
A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate
via a continuous IV infusion. Which of the following findings should the nurse report to the
provider? ✔✔Facial flushing
A nurse in a provider’a office is collecting data from a client who was discharged from the hospital
7 days ago following treatment from deep-vein thrombosis. Which of the following findings is the
nurse’s priority? ✔✔The client takes ibuprofen to treat musculosketal pain.
A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the
past 3 days. Which of the following findings indicates hypokalemia? ✔✔Muscle weakness
A nurse is participating in a performance improvement process to decrease the rate of health careassociated infections within the facility. The nurse should recognize that which of the following is
an appropriate performance improvement outcome indicator? ✔✔Client data indicates a decreased
rate of infection
A nurse is establishing a baseline postoperative assessment for a client who is recovering from a
right femoropopliteal bypass graft. Which of the following findings in the assessment of the
clients’s right leg should be of the most concern to the nurse? ✔✔The client’s foot feels cooler than
the previous assessment
A nurse is preparing a client regimen. Which of the following insulins can be mixed? ✔✔Aspart
Regular
Maternity ATI Capstone Practice
Questions and Answers 100% Pass
A nurse concludes that the father of an infant is not showing positive signs of parent‐infant
bonding. He appears very anxious and nervous when the infant’s mother asks him to bring her the
infant. Which of the following actions should the nurse use to promote father‐infant bonding?
a. Hand the father the infant, and suggest that he change the diaper.
B. ask the father why he is so anxious and nervous.
C. Tell the father that he will grow accustomed to the infant.
d. Provide education about infant care when the father is present. ✔✔d. CORRECT: nursing
interventions to promote paternal bonding include providing education about infant care and
encouraging the father to take a hands‐on approach.
a client in the early postpartum period is very excited and talkative. She is repeatedly telling the
nurse every detail of her labor and
birth. Because the client will not stop talking, the nurse is having difficulty completing the
postpartum assessments. Which of the following action should the nurse take?
a. Come back later when the client is more cooperative.
B. Give the client time to express her feelings.
C. Tell the client she needs to be quiet so the assessment can be completed.
d. redirect the client’s focus so that she will become quiet. ✔✔B. CORRECT: The nurse should
recognize that the client in is the taking‐in phase, which begins immediately following birth and
lasts a few hours to a couple of days.
a nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal
adaptation and mother‐infant bonding. Which of the following behaviors by the client indicates a
need for the nurse to intervene? (Select all that apply.)
a. demonstrates apathy when the infant cries
B. Touches the infant and maintains close physical proximity
C. Views the infant’s behavior as uncooperative during diaper changing
d. identifies and relates infant’s characteristics to those of family members
e. interprets the infant’s behavior as meaningful and a way of expressing needs ✔✔C. CORRECT:
a client’s view of her infant as being uncooperative during diaper changing is a sign of impaired
maternal‐infant bonding.
a nurse is caring for a client who is 2 days postpartum. The client states, “My 4‐year old son was
toilet trained and now he is frequently wetting himself.” Which of the following statements should
the nurse provide to the client?
a. “your son was probably not ready for toilet training and should wear training pants.”
B. “your son is showing an adverse sibling response.”
C.”your son may need counseling.”
d.”you should try sending your son to preschool to resolve the behavior.” ✔✔B. CORRECT:
adverse responses by a sibling to a new infant can include regression in toileting habits.
a nurse in the delivery room is planning to promote maternal‐infant bonding for a client who just
delivered. Which of the following is the priority action by the nurse?
a. encourage the parents to touch and explore the neonate’s features.
B. limit noise and interruption in the delivery room.
C. Place the neonate at the client’s breast.
d. Position the neonate skin‐to‐skin on the client’s chest. ✔✔d. CORRECT: Placing the neonate in
the en face position on the client’s chest immediately after birth is the priority nursing intervention
to promote maternal‐infant bonding.
a nurse on the postpartum unit is caring for four clients. Which of the following clients should the
nurse recognize as the greatest risk for development of a postpartum infection?
a. a client who experienced a precipitous labor less than 3 hr in duration
B. a client who had premature rupture of membranes
and prolonged labor
c. a client who delivered a large for gestational age infant
D. a client who had a boggy uterus that was not well‐contracted ✔✔B. CORRECT: Premature
rupture of membranes with prolonged labor poses the greatest risk for developing a postpartum
infection because the birth canal was open, allowing pathogens to enter.
A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following
responses should the nurse make?
a. “Limit the amount of time the infant nurses on each breast.”
B. “nurse the infant only on the unaffected breast until resolved.”
c.”completely empty each breast at each feeding or use a pump.”
D.”Wear a tight‐fitting bra until lactation has ceased.” ✔✔c. CORRECT: Instruct the client to
completely empty each breast at each feeding to prevent milk stasis, which provides a medium for
bacterial growth.
a nurse is reviewing discharge teaching with a client who has a urinary tract infection. Which of
the following statements by the client indicates understanding of the teaching? (select all that
apply.)
a. “I will perform peri care and apply a perineal pad in a back‐to‐front direction.”
B. “I will drink cranberry and prune juices to make my urine more acidic.”
c.”I will drink large amounts of fluids to flush the bacteria from my urinary tract.”
D.”I will go back to breastfeeding after I have finished
taking the antibiotic.”
e. “I will take tylenol for any discomfort.” ✔✔B. CORRECT: acidification of urine inhibits
bacterial multiplication.
c. CORRECT: Increased fluid intake can help to
flush the bacteria from the urinary tract.
e. CORRECT: acetaminophen is taken to reduce discomfort and pain associated with a urinary
tract infection.
a nurse is caring for a client who has mastitis. Which of the following is the typical causative agent
of mastitis?
a. Staphylococcus aureus
B. Chlamydia trachomatis
Comprehensive Proctored ATI
Remediation Questions and Answers
Already Passed
Managing Client Care: Organizing Workload to Manage Time Effectively ✔✔1. The nurse needs
to look at what needs to be done immediately to manage her time effectively.
- The nurse must assess what items in her workload must be done by a specific time when
planning her management of time out. - The nurse must then look at her workload and decide what can be delegate so she can more
effectively manage her own time.
Leadership Chp 1 pg 6
Managing Client Care: Providing Cost-Effective Care ✔✔1. The main priority for the nurse when
providing cost‑effective client care should be not to compromise the quality of care. - The nurse can provide cost-effective care by returning items that are not contaminated or used
to the appropriate place. - The nurse can provide care that is cost-effective by delegating tasks that do not require nursing
skills to lower paid employees.
Leadership Chp 1 pg 18
Care of Specific Populations: Priority Action for Family in Grieving ✔✔1. The nurse should
provide grief counseling to families following the death of a family member to suicide or homicide. - The nurse should assess the relationships and social support network, type and significance of
loss, culture and ethnicity, and spiritual and religious beliefs and practices of the family that is
grieving. - The nurse needs to give the family time for grief.
CH Chp 5 pg 51
Coordinating Client Care: Information to Include in Change-of-Shift Report ✔✔1. The nurse
should include information on the client’s current health status. - The nurse should supply the oncoming nurse with the pertinent client care information.
- The nurse should provide information that clarifies the plan of care for the patient.
Leadership Chp 2 pg 26
Managing Client Care: Prioritizing Client Care ✔✔1. The nurse should prioritize systemic before
local when prioritizing care of clients. - The nurse should prioritize actual problems over potential problems when planning care of
patients. - The nurse is to prioritize acute issues over chronic ones when planning and giving care to a
patient.
Leadership Chp 1 pg 5
Information Technology: Appropriate Documentation ✔✔1. Documentation should be done to
provide continuity of care and promote client safety. - Documentation should be precise only what the nurse sees, hears, feels and smells.
- The nurse should only use abbreviations and symbols that are approved by the facility and the
Joint Commission.
FUND Chp 5 pg 21
Pressure Ulcers, Wounds, and Wound Management: Revising the Plan of Care ✔✔1. The nurse
should provide the patient with adequate hydration and meet their protein and calorie need to
reduce the risk of skin impairment. - The nurse should assess the level of serum albumin and if it is less than 3.5 g/dL the nurse should
increase the patient’s protein and note that they are at an increased risk for skin impairment. - The nurse should not use cotton balls or other materials that shed fibers when cleaning out
wounds.
FUND Chp 55 pg 330
Adverse Effects, Interactions, and Contraindications: Priority Action to an Allergic Response
✔✔1. The nurse must first treat the anaphylatic reaction with epinephrine, bronchodilators, and
antihistamines. - The nurse’s next priority is to provide respiratory support, and to contact the provider when the
client is experiencing a reaction. - The nurse before administering any medication should obtain a complete medical history to
avoid allergic responses if possible.
Pharm Chp 5 pg 36
ATI RN Fundamentals Proctored Focus
Questions and Answers Rated A
Yes. ✔✔Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse
may delegate to the AP ✔✔A nurse on a med-surg unit has received change-of-shift report & will
care for 4 clients. Which of the following client’s needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
B, C, D ✔✔A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump ✔✔An RN is making assignments for client
care to a LPN at the beginning of the shift. Which of the following assignments should the LPN
question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
B, C, E
A and D are rights of medication administration ✔✔A nurse is preparing an in-service program
about delegation. Which of the following elements should she identify when presenting the 5 rights
of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B. RN
A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable. ✔✔A nurse manager of a medsurg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back
to the unit from the PACU following thoracic surgery. To which staff member should the nurse
assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
A. Assault
By threatening the client, the AP is committing assault. ✔✔A nurse observes an AP reprimanding
a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does
not use the urinal more carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving the facility against
medical advice. The client did not consent. ✔✔An adult client who is competent tells the nurse
that he is thinking about leaving the hospital against medical advice. The nurse believes that this
is not in the client’s best interest, so she administers a PRN sedative med that the client has not
requested along w/his usual meds. Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
C
ATI Comprehensive Practice Test B 2019
Already Passed
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions
is the nurse’s priority? ✔✔Assist with deep breathing and coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism? ✔✔”I told
my doctor that I would like to start a support group for other women who are sick in my
community”
A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of
the following actions should the nurse take? ✔✔Monitor the client’s mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the
following areas should the nurse assess for manifestations of HD? ✔✔C
The nurse should assess the infant’s abdomen for distention and visible peristalsis, which are
manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following
clients is using dissociation as a defense mechanism? ✔✔A client who was abused as a child
describes the abuse as if it happened to someone else
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The
nurse should instruct the client to monitor for which of the following findings as a manifestation
of hypoglycemia? ✔✔irritability
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize
that which of the following clients is effectively using sublimation as a defense mechanism? ✔✔A
client who channels their energy into a new hobby following the loss of their job
A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care? ✔✔”We can expect the hospice nurse to provide support for us after our
mother’s death”
A nurse is caring for a client who has active tuberculosis. Which of the following actions should
the nurse take? ✔✔Assign the client to a private room with negative air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3
hour oral glucose tolerance test. Which of the following instructions should the nurse include in
the teaching? ✔✔”You will need to fast the night before the test”
A nurse on a pediatric unit has received change of shift report for four children. Which of the
following children should the nurse assess first? ✔✔A 10 year old child who is awaiting surgery
for an appendectomy and experienced sudden relief from pain
A nurse in a community center is providing an education session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching? ✔✔Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation.
The client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take? ✔✔Check the client’s oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of the following
clients should the nurse recommend for treatment first? ✔✔A middle adult client who has unstable
vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast
in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks. Which
of the following instructions should the nurse include in the teaching? ✔✔Use a three-point gait
A nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client? ✔✔Radial vein of the inner arm
A nurse is planning to delegate client care tasks to an AP. Which of the following tasks should the
nurse plan to delegate to the AP? ✔✔Perform gastrostomy feedings through a client’s established
gastrostomy tube
A nurse is caring for a newborn immediately after delivery. Which of the following interventions
should the nurse implement to prevent heat loss by conduction? ✔✔Use a protective cover on the
scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the
following laboratory tests should the nurse review prior to adjusting the client’s heparin? ✔✔aPTT
A nurse administers an incorrect dose of medication to a client. The nurse recognized the error
immediately and completes and incident report. Which of the following facts related to the incident
should the nurse document in the client’s medical record? ✔✔Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching? ✔✔”I will make
sure my child receives a yearly influenza immunization”
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after
falling off a step stool at home. Which of the following prescriptions should the nurse clarify with
the provider? ✔✔Apply a cold pack to the client’s ankle for 30 min every hour
A nurse is assessing a client who has a major depressive disorder and is taking amitriptyline. Which
of the following findings should the nurse identify as an adverse effect of the medication?
✔✔Blurred vision
ATI Capstone Fundamentals Questions
and Answers Rated A
Hypovolemia ✔✔decreased blood volume
increase in Hematocrit
Hypervolemia ✔✔increased blood volume
Hemodilation
Hypernatermia ✔✔Severe neurological disturbances
Hyponatermia ✔✔< 136
Hyperkalemia ✔✔Peaked T waves and widened QRS.
Hypokalemia ✔✔<3.5
Erikson’s stages of psychosocial development ✔✔trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt
industry vs inferiority
identity vs role confusion
intimacy vs isolation
generativity vs stagnation
integrity vs despair
Can an LPN administer blood products? ✔✔NO
What can’t be delegated? ✔✔Unstable patients
Teaching tasks
Assessments
Evaluate
Assessments
Teaching
Which of the following masks delivers precise oxygen concentration? ✔✔Venturi mask
how does TENS reduces pain perception? ✔✔The TENS reduces pain by stimulating peripheral
nerve.
Extinguisher Classifications ✔✔A.wood or paper
B.liquids (grease)
C.electrical
D.metals
ATI – Comprehensive C Questions and
Answers with Complete Solutions
A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse
obtained a verbal prescription for restraints. Which of the following should the actions the nurse
take? ✔✔Document the client’s condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr postoperative following perforated
appendicitis. Which of the following actions should the nurse include in the plan of care?
✔✔Administer analgesics on a scheduled basis for the first 24 hr
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients
should the nurse plan to assess first? ✔✔A client who has a hip fracture and a new onset of
tachypnea
A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following
actions should the nurse take? ✔✔Wear gloves to apply the patch to the client’s skin
A nurse has just received change-of-shift report for four clients. Which of the following clients
should the nurse assess first? ✔✔A client who was just given a glass of orange juice for a low
blood glucose level
A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the
following places the client at risk for aspiration? ✔✔A history of gastroesophageal reflux disease
A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should
expect the client to have an increase in which of the following laboratory values? ✔✔Serum
glucose level- increased
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate
intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity.
Which of the following actions should the nurse take? ✔✔Administer calcium gluconate IV
Rationale: Calcium gluconate is given for magnesium sulfate toxicity. Always have an injectable
form of
calcium gluconate available when administering magnesium sulfate by IV.
A charge nurse is teaching new staff members about factors that increase a client’s risk to become
violent. Which of the following risk factors should the nurse include as the best predictor of future
violence? ✔✔Previous violent behavior
Risk factors also include: past history of aggression, poor impulse control, and violence.
Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent
angry reactions with cognitive disorders).
A nurse is preparing to perform a sterile dressing change. Which of the following actions should
the nurse take when setting up the sterile field? ✔✔Place the cap from the solution sterile side up
on clean surface
A nurse is providing teaching to an older adult client about methods to promote nighttime
sleep. Which of the following instructions should the nurse include? ✔✔Eat a light snack before
bedtime
A home health nurse is preparing for an initial visit with an older adult client who lives
alone. Which of the following actions should the nurse take first? ✔✔Identify environmental
hazards in the home
A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of
the following questions should the nurse ask the client? ✔✔”What high school did you graduate
from”
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the
following goals should the nurse include in the teaching? ✔✔HbA1c level less than 7%
A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures
and has a new prescription for isoniazid and rifampin. Which of the following should the nurse
conclude if the client develops ataxia and incoordination? ✔✔The client is showing evidence of
phenytoin toxicity
A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the
following manifestations requires immediate action by the nurse? ✔✔Increase in frequency of
swallowing (may indicate bleeding)
A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease.
Which of the following interventions should the nurse include in the plan of care? ✔✔Monitor the
child’s cardiac status
A nurse is planning an educational program for high school students about cigarette smoking.
Which of the following potential consequences of smoking is most likely to discourage adolescents
from using tobacco? ✔✔Use of tobacco decreases the level of athletic ability
A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory
values should the nurse monitor for this client? ✔✔Serum potassium- diuretic that retains
potassium= hyperkalemic risk
A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another
nurse. Which of the following statements by the nurse indicates an understanding of this role?
✔✔”I will let the client know that I am available as the interpreter.”
ATI Comprehensive B Questions and
Answers Graded A+
Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
✔✔Ask another nurse to witness the disposal of the new patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT
98 seconds and INR 1.8 ✔✔Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which
indicates the client has a detached retina ✔✔Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to
report to provider ✔✔Irritability when being held. signifies increased ICP
Assessing a newborn heart rate follow actions the nurse should take ✔✔Auscultate the apical pulse
and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the
stool ✔✔Insert a lubricated gloved finger and advance along the rectal wall.
Dietary teaching for a new prescription of phenelzine ✔✔Broccoli, Yogurt, Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report should the
nurse document in the client’s medical record? ✔✔Time the medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first?
✔✔A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden
relief of pain. Can indicate peritonitis from a ruptured appendix.
Community health nurse providing teaching on home safety for older adults ✔✔Have grab bars
installed around your bathtub and toilet.
School age child with scald burns on both hands and wrists suspected abuse ✔✔Contact child
protective services.
Client who has acute blood loss following trauma refuses potentially life saving blood transfusion
✔✔Explore the client’s reasons fro refusing the treatment
Discussing common prenatal discomfort 20 weeks gestational ✔✔I will wear a supportive bra
overnight
Discharge instructions to client to received home oxygen therapy ✔✔Wear clothing made with
cotton fabrics while oxygen is in use.
Preparing an educational session about advocacy to a group of nurses ✔✔Advocacy is a leadership
role that helps others to self actualize
Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and
decreased urinary output ✔✔Irrigate the catheter with 0.9% sodium chloride irrigation
Child with sickle cell anemia and is having a vaso-occlusive crisis ✔✔Infuse IV fluids
Client teaching about the basal body temp method for birth control ✔✔Your body temperature
might decrease slightly just prior to ovulation
Caring for a client who is unconscious and requires emergency medical procedures. Unable to
locate family to obtain consent ✔✔Proceed with provision of medical care
Client who has fluid volume overload. Which tasks can nurse delegate to UAP ✔✔Measure the
client’s daily weight
Checking for Chvostek’s sign ✔✔The nurse should assess for a Chvostek’s sign by tapping the
client’s facial nerve about an inch in front of the tragus of the ear. Facial twitching is a positive
finding that indicates hypocalcemia.