ATI Fundamentals
1. A nurse is teaching a client about dietary management of hypercholesterolemia. Which
of the following foods should the nurse suggest that the client add to his diet?
a. Beef liver
b. Shellfish
c. Egg yolks
d. Avocados
-d
2. A nurse is providing home care for a client who is receiving tube feedings and
medication through a gastrostomy tube. The family member providing the feedings
reports that the client has begun to have diarrhea. For which of the following practices
should the nurse intervene?
a. the client is receiving formula at room temp
b. the feedings infuse at a slow, continuous drip over 8 hours each night
c. the family member flushes the tubing with warm water before and after giving
medications
d. the family member washes out the feeding bag with warm water once every 24 hours
-d
3. A nurse is caring for a client who has a terminal illness and is approaching death. The
client's respirations are noisy from secretions in her airway and she is short of breath.
Which of the following actions should the nurse take?
a. turn the client every 4 hours
b. elevate the head of the client's bed
c. hold oral care
d. increase the rooms temp
, -b
4. A nurse is caring for a client who needs to maintain a positive nitrogen balance for
wound healing. Which of the following food items should the nurse recommend as a
good source of complete protein?
a. oat cereal
b. re fried beans
c. peanut butter
d. cheddar cheese
-d
5. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid.
Which of the following statements should the nurse identify as an indication that she
understands the use of this assistive device?
a. "This type of hearing aid does not allow for fine tuning of volume."
b. "I shouldn't have trouble keeping the hearing aid in place during exercise."
c. "I expect to hear a whistling sound when I first insert the hearing aid."
d. "I will be sure to remove my hearing aid before taking a shower."
-d
6. A nurse is caring for a client who does not speak the same language as the nurse. When
working with the client through an interpreter, which of the following actions should the
nurse take?
a. Talk directly to the client, instead of the interpreter, when speaking.
b. Use a family member as the client's interpreter.
c. Make sure that the interpreter has a college degree.
d. Avoid asking the client personal questions through the interpreter.
, -a
7. A home health nurse who has attended a training session for the therapeutic use of
aromatherapy with essential oils is planning to use this modality with some of her
clients. For which of the following clients should the nurse consult the provider before
using this complementary therapy?
a. A client who has a history of physical abuse
b. A client who has a permanent pacemaker
c. A client who has ulcerative colitis
d. A client who has asthma
-d
8. A nurse is caring for a client who has an aggressive form of prostate cancer. The
provider briefly discusses treatment options and leaves the client's room. When the
nurse asks if the client would like to discuss any concerns, the client declines. Which of
the following statements should the nurse make?
a. "I will return shortly after I document this in your record."
b. "Most men live a long time with prostate cancer."
c. "I am available to talk if you should change your mind."
d. "I will make a referral to a cancer support group for you."
-c
9. A nurse is assessing a client who reports increased pain following physical therapy.
Which of the following questions should the nurse ask when assessing the quality of the
client's pain?
a. "Is your pain constant or intermittent?"
b. "What would you rate your pain on a scale of 0 to 10?"
c. "Does the pain radiate?"
d. "Is your pain sharp or dull?"
-d
, 10. A nurse is planning to initiate IV therapy for an older adult client who requires IV fluids.
Which of the following actions should the nurse take?
a. Insert the IV catheter into the back of the client's hand.
b. Massage the area of the venipuncture site vigorously.
c. Insert the IV catheter without using a tourniquet.
d. Apply traction to the skin proximal to the insertion site to stabilize the vein.
-c
11. A nurse has just inserted an NG tube for a client. Which of the following assessment
findings should the nurse expect to confirm correct tube placement?
a. The tube aspirate has a pH of 7.
b. An x-ray shows the end of the tube above the pylorus.
c. Bowel sounds are present on auscultation.
d. The client reports relief of nausea.
-b
12. A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the fire, which of the following actions should the nurse take next?
a. Activate the emergency fire alarm.
b. Extinguish the fire.
c. Evacuate the client.
d. Confine the fire.
-c
13. A nurse is caring for a group of clients. Which of the following actions should the nurse
take to prevent the spread of infection?
1. A nurse is teaching a client about dietary management of hypercholesterolemia. Which
of the following foods should the nurse suggest that the client add to his diet?
a. Beef liver
b. Shellfish
c. Egg yolks
d. Avocados
-d
2. A nurse is providing home care for a client who is receiving tube feedings and
medication through a gastrostomy tube. The family member providing the feedings
reports that the client has begun to have diarrhea. For which of the following practices
should the nurse intervene?
a. the client is receiving formula at room temp
b. the feedings infuse at a slow, continuous drip over 8 hours each night
c. the family member flushes the tubing with warm water before and after giving
medications
d. the family member washes out the feeding bag with warm water once every 24 hours
-d
3. A nurse is caring for a client who has a terminal illness and is approaching death. The
client's respirations are noisy from secretions in her airway and she is short of breath.
Which of the following actions should the nurse take?
a. turn the client every 4 hours
b. elevate the head of the client's bed
c. hold oral care
d. increase the rooms temp
, -b
4. A nurse is caring for a client who needs to maintain a positive nitrogen balance for
wound healing. Which of the following food items should the nurse recommend as a
good source of complete protein?
a. oat cereal
b. re fried beans
c. peanut butter
d. cheddar cheese
-d
5. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid.
Which of the following statements should the nurse identify as an indication that she
understands the use of this assistive device?
a. "This type of hearing aid does not allow for fine tuning of volume."
b. "I shouldn't have trouble keeping the hearing aid in place during exercise."
c. "I expect to hear a whistling sound when I first insert the hearing aid."
d. "I will be sure to remove my hearing aid before taking a shower."
-d
6. A nurse is caring for a client who does not speak the same language as the nurse. When
working with the client through an interpreter, which of the following actions should the
nurse take?
a. Talk directly to the client, instead of the interpreter, when speaking.
b. Use a family member as the client's interpreter.
c. Make sure that the interpreter has a college degree.
d. Avoid asking the client personal questions through the interpreter.
, -a
7. A home health nurse who has attended a training session for the therapeutic use of
aromatherapy with essential oils is planning to use this modality with some of her
clients. For which of the following clients should the nurse consult the provider before
using this complementary therapy?
a. A client who has a history of physical abuse
b. A client who has a permanent pacemaker
c. A client who has ulcerative colitis
d. A client who has asthma
-d
8. A nurse is caring for a client who has an aggressive form of prostate cancer. The
provider briefly discusses treatment options and leaves the client's room. When the
nurse asks if the client would like to discuss any concerns, the client declines. Which of
the following statements should the nurse make?
a. "I will return shortly after I document this in your record."
b. "Most men live a long time with prostate cancer."
c. "I am available to talk if you should change your mind."
d. "I will make a referral to a cancer support group for you."
-c
9. A nurse is assessing a client who reports increased pain following physical therapy.
Which of the following questions should the nurse ask when assessing the quality of the
client's pain?
a. "Is your pain constant or intermittent?"
b. "What would you rate your pain on a scale of 0 to 10?"
c. "Does the pain radiate?"
d. "Is your pain sharp or dull?"
-d
, 10. A nurse is planning to initiate IV therapy for an older adult client who requires IV fluids.
Which of the following actions should the nurse take?
a. Insert the IV catheter into the back of the client's hand.
b. Massage the area of the venipuncture site vigorously.
c. Insert the IV catheter without using a tourniquet.
d. Apply traction to the skin proximal to the insertion site to stabilize the vein.
-c
11. A nurse has just inserted an NG tube for a client. Which of the following assessment
findings should the nurse expect to confirm correct tube placement?
a. The tube aspirate has a pH of 7.
b. An x-ray shows the end of the tube above the pylorus.
c. Bowel sounds are present on auscultation.
d. The client reports relief of nausea.
-b
12. A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the fire, which of the following actions should the nurse take next?
a. Activate the emergency fire alarm.
b. Extinguish the fire.
c. Evacuate the client.
d. Confine the fire.
-c
13. A nurse is caring for a group of clients. Which of the following actions should the nurse
take to prevent the spread of infection?
