ATI Assessment Test Questions and Answers

ATI Assessment Test Questions and Answers A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A. orient the client to his room. B. conduct a client care conference. C. review medical prescriptions. D. develop a plan of care. A. The greatest risk to this client is injury from unfamiliar surroundings. Therefore, the priority action is to orient the client to the room. Before the nurse leaves the room, the client should know how to use the call light and other equipment at the bedside. A nurse is admitting a client who has acute cholecystitis to a medical‑surgical unit. Which of the following actions are essential steps of the admission procedure? (select all that apply.) A. explain the roles of other care delivery staff. B. Begin discharge planning. C. Provide information about advance directives. D .document the client's wishes about organ donation. E. introduce the client to his roommate A. The client's hospitalization is likely to be more positive if the client understands who can perform which care activities. B. Unless the client is entering a long‑term care facility, discharge planning should begin on admission. C. The Patient self‑determination Act requires asking clients if they have advance directives and providing information about them. D. Incorrect: asking about organ donation at the point of admission could instill fear unnecessarily. E. Any action that can reduce the stress of hospitalization is therapeutic. introductions to other clients and staff can encourage communication and psychological comfort. A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (select all that apply.) A. ensure that the client has possession of his valuables. B. confirm that the rehabilitation center has a room available at the time of transfer. C. Assess how the client tolerates the transfer. D. give a verbal transfer report via telephone. E .complete a transfer form for the receiving facility A.CORRECT: The nurse should account for all of the client's valuable at the time of transfer. B. CORRECT: on the day of the transfer, the nurse should confirm that the receiving facility is expecting the client and that the room is available. C. it is the responsibility of the nurse at the receiving facility to assess the client upon arrival to determine how he tolerated the transfer. D. CORRECT: The nurse should provide the nurse at the receiving facility with a verbal transfer report in person or via telephone. E. CORRECT: The nurse should complete any documentation for the transfer, including a transfer form and the client's medical records. A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (select all that apply.) A. Advance directives status B. follow‑up care C. instructions for diet and medications D. most recent vital sign data E. contact information for the home health care agency A. Advance directives status is important in transfer documentation, when other care providers will take over a client's care. They are not an essential component of a discharge summary for a client who is returning to his home. B.CORRECT: it is essential to include the names and contact information of providers and community resources the client will need after he returns home. C.CORRECT: The client will need written information detailing his medication and dietary therapy at home. A client who has had knee arthroscopy typically requires analgesics, possibly anticoagulants, and dietary instructions for avoiding postoperative complications such as constipation. D. Vital sign measurements are important in transfer documentation, when other care providers will take over a client's care. They are not an essential component of a discharge summary for a client who is returning home. E. CORRECT: it is essential to include the names and contact information of providers and community resources the client will need after returning home. for example, a client who had a knee arthroplasty might require physical therapy at home until he can travel to a physical therapy department or facility. As part of the admission process, a nurse at a long‑term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client's family? A. Body mass index B. Usual times for meals and snacks C. favorite foods D. Any difficulty swallowing D. The greatest risk to this client related to a nutrition‑related evaluation is from difficulty swallowing, or dysphagia. it puts the client at risk for aspiration, which can be life‑threatening. A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (select all that apply) a. place a belt restraint on the client when they are sitting on the bedside commode b. keep the bed at the lowest position with all side rails up c. make sure the client's call light is within reach d. provide the client with nonskid footwear e. complete a fall risk assessment C, D, E keep the bed in lowest position with bed rails down A nurse manager is reviewing with nurses on the unit in the care of a client who has had a seizure. Which of the following statements a nurse requires further instruction? a. "I will place the client on their side" b. "I will go to the nurses station for assistance" c. "I will note the time the seizure began" d. "I will prepare to insert an airway" b. "I will go to the nurses station for assistance" Never leave a patient who is having a seizure A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurses priority? a. extinguish the fire b. activate the fire alarm c. move clients away who are nearby d. close all open doors on the unit c. move clients away who are nearby Patient safety is nurse priority A nurse is caring for a client who has a history of falls. Which of the following actions is the nurses priority? a. complete a fall risk assessment b. educate the client and family on fall risk c. eliminate safety hazards from the clients environment d. make sure the client uses assistive aids in their possession a. complete a fall risk assessment Rationale: Complete a fall-risk assessment for each client at admission and at routine intervals