ATI FUNDS EXAM 200 QUESTIONS
A nurse is collecting data about a client’s respiratory system. Which of the following breath
sounds should the nurse expect to hear over the periphery of the major lung fields?
A: Vesicular (Vesicular sounds are soft and low-pitched)
A nurse employs a thorough, systematic method for obtaining OBJECTIVE data about a client.
Which of the following methods should the nurse us to collect this information?
A: Physical Examination (Physical findings are objective and the nurse should collect this
information in a systematic way.
A nurse is assisting a provider with performing thoracentesis to remove pleural fluid.
How should the nurse position the client? A: Leaning forward over a pillow.
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of
the following instructions should the nurse give the client before beginning the procedure?
A: “Raise your index finger if you need to pause during the insertion.”
A nurse is performing a mental-status exam for a client who has manifestations of dementia.
Which of the following directions should the nurse give the client when evaluating the client’s
ability to think abstractly? A: Discuss the meaning of a common proverb. (Evaluates clients
ability to think abstractly.)
A nurse is presenting an in-service session about nutrition. Which of the following simple sugars
should the nurse identify as the carb found in milk? A: LACTOSE (Sugar found in milk)
A nurse is assisting with teaching a newly licensed nurse about pain management in clients age
of 65 and older. Which of the following pieces of information should the nurse include?
A: Clients who are 65 or older are reluctant to report pain. (Might not want to bother or anger
caregivers and might believe that pain is expected.)
A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicate she is experiencing
psychological distress? A: “I keep having nightmares about my upcoming surgeries.”
A nurse is assisting with the admission of a client to the medical unit and asks if he has advance
directives. The client states “I have a document with me that names someone who can make
health care decisions for me if i am not able.” The nurse should identify that the client is
referring to which of the following documents? A: Durable Power of Attorney Document
(names a surrogate who can make health decisions or the client if the client is unable to do so)
A nurse is admitting a client who is experiencing an exacerbation of heart failure. At which of
the following times should the nurse initiate discharge planning?
,A: During the admission process. (Nurse should initiate discharge planning as soon as the client
is admitted to the facility.
A nurse discovers that a client received the wrong medication. Which of the following should
the nurse take first?
A: Collect data from the client. (For any side effects from either receiving the wrong medication
or not receiving the prescribed medication”
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of
the following actions should the nurse take?
A: Exert pressure on the bony prominences when holding the eyelids open.
A nurse is measuring the blood pressure for several clients. Which of the following results is
within the expected reference range for blood pressure? A: 116/70 mmHg
A nurse is assisting a client who has dysphagia at mealtime. Which following actions should the
nurse take?
A: Advise the client to tuck his chin downward.
A nurse is collecting data from a client who is experiencing stress and anxiety regarding a recent
diagnosis. Which of the following findings should the nurse expect?
A: Increased blood pressure.
A nurse is reinforcing teaching with a Group of unit nurses about the experiences of clients
who are having surgery. Which phase of care begins with transferring the client to the
surgical suite table and ends with the transfer tp PACU? A: Intraoperative
A nurse is examining a client’s thyroid gland. Which of the following instructions should the
nurse give the client before inspecting and palpating this gland?
A: “Turn your head back and swallow.”
A nurse is instructing an assistive personnel AP about proper hand hygiene. Which of the
following statements by the AP indicates an understanding of the teaching?
A: “Sometimes, i should use soap and water rather than an alcohol-based rub to clean my
hands.”
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that
an error was made during the previous shift in which the client received atenolol instead of
allopurinol. Which of the following interventions is the nurse’s priority?A: Measure the client’s
apical pulse
A nurse is collecting data about a client’s peripheral pulses. Which of the following
descriptions should the nurse use to document the finding? A: Peripheral pulses bilaterally
symmetric, equal, and strong in all 4 extremities.
, A nurse is reinforcing teaching with a client who has heart failure about reducing his daily
intake of sodium. Which of the following factors is the most important in determining the
client’s ability to learn new dietary habits? A: The involvement of the client in planning the
change
A nurse is supervising a newly licensed nurse who is administering a controlled substance.
Which of the following actions by the newly licensed nurse indicates an understanding of the
procedure?
A: Asking another nurse to observe disposal of an unused portion of the medication
A nurse is reinforcing teaching with a group of older adults about expected changes of aging.
Which of the following statements by a group member indicates that the teaching has been
effective?
A: “I should expect my heart to rate to take longer to return to normal after exercise as I get
older.”
A nurse at a screening clinic is collecting data for a client who reports a history of a heart
murmur related to aortic valve stenosis. At which of the following anatomical areas should the
nurse place the stethoscope to auscultation the aortic valve?
A: Second intercostal space to the right of the sternum.
A nurse is changing the dressings for a client recovering from an appendectomy following a
ruptured appendix. The client’s surgical wound is healing by secondary intention. Which of the
following observations should the nurse report to the provider? A: Halo of erythema on the
surrounding of the skin. (Redness around the skin, which may underly an infection)
A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube.
The specific gravity of the client’s urine is 1.035. Which of the following actions should the
nurse take?
A: Provide more water feedings. (Nurse should provide more fluids by adding free water.)
A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic
procedure. Which of the following actions should the nurse take? A: Insert the tip of the tubing
8cm (3.1inches)
A nurse is examining a client for signs of costovertebral angle tenderness. The nurse should
place the client in which of the following positions for the evaluation? A: Sitting
A nurse is caring for a client who requires a dressing change. Which of the following actions
should the nurse take? A: Clean the drain site from the center outward.
A nurse is caring for a client who is unconscious. Which of the following actions should
the nurse take when providing oral care for the client? A: Test for the presence of the
client’s GAG REFLEX.
A nurse is collecting data about a client’s respiratory system. Which of the following breath
sounds should the nurse expect to hear over the periphery of the major lung fields?
A: Vesicular (Vesicular sounds are soft and low-pitched)
A nurse employs a thorough, systematic method for obtaining OBJECTIVE data about a client.
Which of the following methods should the nurse us to collect this information?
A: Physical Examination (Physical findings are objective and the nurse should collect this
information in a systematic way.
A nurse is assisting a provider with performing thoracentesis to remove pleural fluid.
How should the nurse position the client? A: Leaning forward over a pillow.
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of
the following instructions should the nurse give the client before beginning the procedure?
A: “Raise your index finger if you need to pause during the insertion.”
A nurse is performing a mental-status exam for a client who has manifestations of dementia.
Which of the following directions should the nurse give the client when evaluating the client’s
ability to think abstractly? A: Discuss the meaning of a common proverb. (Evaluates clients
ability to think abstractly.)
A nurse is presenting an in-service session about nutrition. Which of the following simple sugars
should the nurse identify as the carb found in milk? A: LACTOSE (Sugar found in milk)
A nurse is assisting with teaching a newly licensed nurse about pain management in clients age
of 65 and older. Which of the following pieces of information should the nurse include?
A: Clients who are 65 or older are reluctant to report pain. (Might not want to bother or anger
caregivers and might believe that pain is expected.)
A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicate she is experiencing
psychological distress? A: “I keep having nightmares about my upcoming surgeries.”
A nurse is assisting with the admission of a client to the medical unit and asks if he has advance
directives. The client states “I have a document with me that names someone who can make
health care decisions for me if i am not able.” The nurse should identify that the client is
referring to which of the following documents? A: Durable Power of Attorney Document
(names a surrogate who can make health decisions or the client if the client is unable to do so)
A nurse is admitting a client who is experiencing an exacerbation of heart failure. At which of
the following times should the nurse initiate discharge planning?
,A: During the admission process. (Nurse should initiate discharge planning as soon as the client
is admitted to the facility.
A nurse discovers that a client received the wrong medication. Which of the following should
the nurse take first?
A: Collect data from the client. (For any side effects from either receiving the wrong medication
or not receiving the prescribed medication”
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of
the following actions should the nurse take?
A: Exert pressure on the bony prominences when holding the eyelids open.
A nurse is measuring the blood pressure for several clients. Which of the following results is
within the expected reference range for blood pressure? A: 116/70 mmHg
A nurse is assisting a client who has dysphagia at mealtime. Which following actions should the
nurse take?
A: Advise the client to tuck his chin downward.
A nurse is collecting data from a client who is experiencing stress and anxiety regarding a recent
diagnosis. Which of the following findings should the nurse expect?
A: Increased blood pressure.
A nurse is reinforcing teaching with a Group of unit nurses about the experiences of clients
who are having surgery. Which phase of care begins with transferring the client to the
surgical suite table and ends with the transfer tp PACU? A: Intraoperative
A nurse is examining a client’s thyroid gland. Which of the following instructions should the
nurse give the client before inspecting and palpating this gland?
A: “Turn your head back and swallow.”
A nurse is instructing an assistive personnel AP about proper hand hygiene. Which of the
following statements by the AP indicates an understanding of the teaching?
A: “Sometimes, i should use soap and water rather than an alcohol-based rub to clean my
hands.”
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that
an error was made during the previous shift in which the client received atenolol instead of
allopurinol. Which of the following interventions is the nurse’s priority?A: Measure the client’s
apical pulse
A nurse is collecting data about a client’s peripheral pulses. Which of the following
descriptions should the nurse use to document the finding? A: Peripheral pulses bilaterally
symmetric, equal, and strong in all 4 extremities.
, A nurse is reinforcing teaching with a client who has heart failure about reducing his daily
intake of sodium. Which of the following factors is the most important in determining the
client’s ability to learn new dietary habits? A: The involvement of the client in planning the
change
A nurse is supervising a newly licensed nurse who is administering a controlled substance.
Which of the following actions by the newly licensed nurse indicates an understanding of the
procedure?
A: Asking another nurse to observe disposal of an unused portion of the medication
A nurse is reinforcing teaching with a group of older adults about expected changes of aging.
Which of the following statements by a group member indicates that the teaching has been
effective?
A: “I should expect my heart to rate to take longer to return to normal after exercise as I get
older.”
A nurse at a screening clinic is collecting data for a client who reports a history of a heart
murmur related to aortic valve stenosis. At which of the following anatomical areas should the
nurse place the stethoscope to auscultation the aortic valve?
A: Second intercostal space to the right of the sternum.
A nurse is changing the dressings for a client recovering from an appendectomy following a
ruptured appendix. The client’s surgical wound is healing by secondary intention. Which of the
following observations should the nurse report to the provider? A: Halo of erythema on the
surrounding of the skin. (Redness around the skin, which may underly an infection)
A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube.
The specific gravity of the client’s urine is 1.035. Which of the following actions should the
nurse take?
A: Provide more water feedings. (Nurse should provide more fluids by adding free water.)
A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic
procedure. Which of the following actions should the nurse take? A: Insert the tip of the tubing
8cm (3.1inches)
A nurse is examining a client for signs of costovertebral angle tenderness. The nurse should
place the client in which of the following positions for the evaluation? A: Sitting
A nurse is caring for a client who requires a dressing change. Which of the following actions
should the nurse take? A: Clean the drain site from the center outward.
A nurse is caring for a client who is unconscious. Which of the following actions should
the nurse take when providing oral care for the client? A: Test for the presence of the
client’s GAG REFLEX.
