FOUNDATIONS OF NURSING EXAM 1 ATI
EXAM QUIZZES WITH RIGHT SOLUTIONS .
A nurse is preparing to conduct an initial survey and assessment on a newly admitted client.
Which of the following actions should the nurse plan to take? - Correct Answer -Engage in
active listening with the client and allow the client to express concerns early in the
assessment process
A nurse is conducting a general survey on a client and notes a continuous twitching
movement of a muscle in the client's left arm. Which of the following terms should the nurse
use to describe the involuntary movement? - Correct Answer -Fasciculation
A nurse is documenting information in a client's medical record during an initial assessment.
Which of the following information should the nurse include in the documentation? (Select
all that apply) - Correct Answer -Use of assistive devices, height and weight, behavior and
mood
A nurse is preparing to obtain a client's height during a general survey. Which of the
following actions should the nurse take? - Correct Answer -Ensure the client's feet are in
contact with the wall or measuring pole
A nurse is caring for a middle adult client who has stomatitis and is unable to hold an oral
probe in their mouth. Which of the following alternative routes should the nurse use to obtain
the most accurate core temp of the client? - Correct Answer -Rectal
A nurse is having difficulty obtaining a pulse ox reading from a client. The nurse should
identify which of the following factors can interfere with obtaining a pulse ox reading? -
Correct Answer -Recent scan with contrast dye
A nurse is caring for a client who is reporting pain as a 4 on a scale 0-10. Upon further
assessment, which of the following findings should the nurse identify as manifestations of
chronic pain? (Select all that apply) - Correct Answer -The client reports that the pain has
been present for 4 years, the client reports never feeling total relief from pain, the client
reports that the pain is recurring and does not always originate in the same location
1
,A nurse is planning to take an orthostatic bp from a client who has a syncope. In what order
should the nurse take the following steps? - Correct Answer -Place the client in a supine
position and allow them to rest, take the clients bp in the supine position, keep the cuff in
place and assist the client to a seated position, take the client's blood pressure in a seated
position, assist client to stand and obtain their bp
A nurse is conducting a general survey on a client who is being admitted to a long-term care
facility. The nurse is assessing the client's emotional state. Which of the following findings
should the nurse record as a subjective, unexpected finding? - Correct Answer -The client
reports they feel sad and lonely most of the time
A nurse is documenting vital signs in the medical record following a general survey. Which
of the following entries should the nurse place in the record? - Correct Answer -Oxygen
saturation 96% on O2 2L/min via nasal cannula
A nurse is completing an initial assessment checklist on an older adult client. The client is
accompanied by their caregiver. For which of the following indicators should the nurse
observe when assessing for potential maltreatment of the client? (Select all that apply) -
Correct Answer -Dirty clothing, unexplained physical injuries, malnourished appearance
A nurse assess a client's respiratory rate and notes that it is below the expected reference
range. The nurse should identify that which of the following findings can cause a decreased
respiratory range? - Correct Answer -The client takes a narcotic pain medication for chronic
pain
A nurse is providing teaching to a client who asks, "What are things that can affect my blood
pressure?" Which of the following information should the nurse include as factors that affect
bp? (Select all that apply) - Correct Answer -Time of day, obesity, diuretic medication,
smoking
A nurse is obtaining a client's pulse and notes a regular rhythm with a rate of 110 bpm. The
nurse should identify this as which of the following unexpected findings? - Correct Answer -
Tachycardia
A nurse is assessing a client's respirations and notes they are shallow and at a rate of 24/min.
The nurse should identify this as which of the following unexpected findings? - Correct
Answer -Tachypnea
2
, A nurse is assessing a client's neck. Which of the following should the nurse ask the client to
perform during the assessment? - Correct Answer -Instruct the client to swallow, apply
downward pressure and ask the client to shrug their shoulders, request the client to move their
head forward and backward and then side to side
A nurse is preparing to care for a group of clients in an acute care setting. Which of the
following assessments should the nurse plan to perform on every client? - Correct Answer -
Lung sounds, bowel sounds, pedal pulses, mental status
A nurse is performing an assessment of a client's abdomen. Which of the following actions
should the nurse take? - Correct Answer -Auscultate bowel sounds prior to palpating
A nurse is preparing an assessment on a client who reports ear pain. Which of the following
actions should the nurse take? - Correct Answer -Palpate the mastoid area for pain
A nurse is assessing a client's posterior and lateral chest. Which of the following actions
should the nurse take? - Correct Answer -Observe for the use of accessory muscles during
inspiration
A nurse is assessing a client's vital signs. while counting the number of respirations. Which of
the following information should the nurse collect? - Correct Answer -Characteristics of the
respirations
A nurse is performing an assessment of a client's lower extremities. Which of the following
actions should the nurse include in this assessment? - Correct Answer -Inspect the pattern of
hair distribution
A nurse is evaluating an older adult client for an alteration in orientation. Which of the
following questions should the nurse ask the client? - Correct Answer -Can you tell me what
month it is?
A nurse is assessing a client's radial pulse rate. Which of the following information should
the nurse collect while performing this action? - Correct Answer -Regularity of the pulse,
strength of the pulse
3
EXAM QUIZZES WITH RIGHT SOLUTIONS .
A nurse is preparing to conduct an initial survey and assessment on a newly admitted client.
Which of the following actions should the nurse plan to take? - Correct Answer -Engage in
active listening with the client and allow the client to express concerns early in the
assessment process
A nurse is conducting a general survey on a client and notes a continuous twitching
movement of a muscle in the client's left arm. Which of the following terms should the nurse
use to describe the involuntary movement? - Correct Answer -Fasciculation
A nurse is documenting information in a client's medical record during an initial assessment.
Which of the following information should the nurse include in the documentation? (Select
all that apply) - Correct Answer -Use of assistive devices, height and weight, behavior and
mood
A nurse is preparing to obtain a client's height during a general survey. Which of the
following actions should the nurse take? - Correct Answer -Ensure the client's feet are in
contact with the wall or measuring pole
A nurse is caring for a middle adult client who has stomatitis and is unable to hold an oral
probe in their mouth. Which of the following alternative routes should the nurse use to obtain
the most accurate core temp of the client? - Correct Answer -Rectal
A nurse is having difficulty obtaining a pulse ox reading from a client. The nurse should
identify which of the following factors can interfere with obtaining a pulse ox reading? -
Correct Answer -Recent scan with contrast dye
A nurse is caring for a client who is reporting pain as a 4 on a scale 0-10. Upon further
assessment, which of the following findings should the nurse identify as manifestations of
chronic pain? (Select all that apply) - Correct Answer -The client reports that the pain has
been present for 4 years, the client reports never feeling total relief from pain, the client
reports that the pain is recurring and does not always originate in the same location
1
,A nurse is planning to take an orthostatic bp from a client who has a syncope. In what order
should the nurse take the following steps? - Correct Answer -Place the client in a supine
position and allow them to rest, take the clients bp in the supine position, keep the cuff in
place and assist the client to a seated position, take the client's blood pressure in a seated
position, assist client to stand and obtain their bp
A nurse is conducting a general survey on a client who is being admitted to a long-term care
facility. The nurse is assessing the client's emotional state. Which of the following findings
should the nurse record as a subjective, unexpected finding? - Correct Answer -The client
reports they feel sad and lonely most of the time
A nurse is documenting vital signs in the medical record following a general survey. Which
of the following entries should the nurse place in the record? - Correct Answer -Oxygen
saturation 96% on O2 2L/min via nasal cannula
A nurse is completing an initial assessment checklist on an older adult client. The client is
accompanied by their caregiver. For which of the following indicators should the nurse
observe when assessing for potential maltreatment of the client? (Select all that apply) -
Correct Answer -Dirty clothing, unexplained physical injuries, malnourished appearance
A nurse assess a client's respiratory rate and notes that it is below the expected reference
range. The nurse should identify that which of the following findings can cause a decreased
respiratory range? - Correct Answer -The client takes a narcotic pain medication for chronic
pain
A nurse is providing teaching to a client who asks, "What are things that can affect my blood
pressure?" Which of the following information should the nurse include as factors that affect
bp? (Select all that apply) - Correct Answer -Time of day, obesity, diuretic medication,
smoking
A nurse is obtaining a client's pulse and notes a regular rhythm with a rate of 110 bpm. The
nurse should identify this as which of the following unexpected findings? - Correct Answer -
Tachycardia
A nurse is assessing a client's respirations and notes they are shallow and at a rate of 24/min.
The nurse should identify this as which of the following unexpected findings? - Correct
Answer -Tachypnea
2
, A nurse is assessing a client's neck. Which of the following should the nurse ask the client to
perform during the assessment? - Correct Answer -Instruct the client to swallow, apply
downward pressure and ask the client to shrug their shoulders, request the client to move their
head forward and backward and then side to side
A nurse is preparing to care for a group of clients in an acute care setting. Which of the
following assessments should the nurse plan to perform on every client? - Correct Answer -
Lung sounds, bowel sounds, pedal pulses, mental status
A nurse is performing an assessment of a client's abdomen. Which of the following actions
should the nurse take? - Correct Answer -Auscultate bowel sounds prior to palpating
A nurse is preparing an assessment on a client who reports ear pain. Which of the following
actions should the nurse take? - Correct Answer -Palpate the mastoid area for pain
A nurse is assessing a client's posterior and lateral chest. Which of the following actions
should the nurse take? - Correct Answer -Observe for the use of accessory muscles during
inspiration
A nurse is assessing a client's vital signs. while counting the number of respirations. Which of
the following information should the nurse collect? - Correct Answer -Characteristics of the
respirations
A nurse is performing an assessment of a client's lower extremities. Which of the following
actions should the nurse include in this assessment? - Correct Answer -Inspect the pattern of
hair distribution
A nurse is evaluating an older adult client for an alteration in orientation. Which of the
following questions should the nurse ask the client? - Correct Answer -Can you tell me what
month it is?
A nurse is assessing a client's radial pulse rate. Which of the following information should
the nurse collect while performing this action? - Correct Answer -Regularity of the pulse,
strength of the pulse
3
