NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
A nurse in a long-term care facility is admitting a new client following a brief stay in acute care.
In adherence with the Joint Commission National Patient Safety Goals regarding medication
administration, which of the following actions should the nurse take?
A. Inform the client that he will not be receiving medications he took prior to his hospitalization
B. Compare a list of the clients current medications with the ones he will take in long-term care
C. Eliminate any OTC products from the clients current medication list
D. Omit the medication indications when listing the clients medication dose information
Correct Answer: B. Compare a list of the clients current medications with the ones he will take
in long- term care
The Joint Commission National Patient Safety Goals regarding medication reconciliation
includes maintaining and communicating accurate client medication information. The nurse
should complete a medication reconciliation to identify and resolve any discrepancies by
comparing the client's list of current medications with the medications he will take in the long-
term care facility and addressing any duplications, omissions, or interactions
This classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain
The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and
cutting the watermelon into pieces provides the toddler with a nutritious snack that does not
increase the toddler's risk of foreign body obstruction
A nurse is searching electronic databases for clinical research about behavior indications of pain
in an infant. Which of the following online sources should the nurse select to research this
infant care issue
A. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
B. The Nursing Minimum Data Set
C. The Omaha System
D. The Nursing Intervention Classification (NIC) Correct Answer: A. Cumulative Index
to Nursing and Allied Health Literature (CINAHL)
A nurse is caring for a client who has dysphagia following a stroke. Which of the following
actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration?
A. Delay the clients meal-time if he is fatigued
B. Instruct the client to tilt his head to the side when swallowing
C. Assist the client with fluid intake by inserting it into the client's mouth with a syringe
D. Encourage the client to focus on a television program during mealtime Correct Answer:
A. Delay the clients meal-time if he is fatigued
A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted
client using the Timed Up and Go (TUG) test. The client reports using a tripod cane for
ambulation. Which of the following actions should the nurse take when using this test?
,NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
A. Observe the client ambulating a distance of 3m(10 feet) during the TUG test
B. Instruct the client to perform the TUG test without the use of the cane
C. Assist the client to stand up from the chair when starting the TUG test
D. Advise the client to use the arms of the chair to stand when starting the TUG test
Correct Answer: A. Observe the client ambulating a distance of 3m(10 feet) during the
TUG test
The nurse should instruct the client to stand, ambulate to the marked spot, turn, ambulate back to
the chair, and sit down. The nurse should observe the client's ability to perform the test and use a
stopwatch to time the client. The nurse should identify that the client is at increased risk of falls
if it takes longer than 14 seconds to complete the test
A nurse in an emergency room is caring for an infant who required emergency surgery. The
infant is accompanies by his 16 year old mother and his sternal grandfather. Which of the
following should the nurse take when assisting with informed consent
A. Witness consent obtained from the infants mother
B. Inform the family that informed consent is not needed due to the emergency surgery
C. Notify the maternal grandfather that he is required to give informed consent
D. Request that a court-appointed representative provide consent Correct Answer: A.
Witness consent obtained from the infants mother
The nurse should assist in obtaining informed consent from the infant's mother by witnessing her
signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent
for her infant
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is
receiving IV fluid therapy. Which of the following interventions should the nurse include in the
plan
A. Change bags of IV solution every 72 hours
B. Perform hand hygiene before touching the IV tubing
C. Use hydrogen peroxide to cleanse the IV insertion site
D. Assess the IV insertion site every 12 hours for redness Correct Answer: B. Perform
hand hygiene before touching the IV tubing
A nurse is caring for an adolescent client who is in critical condition following a motor vehicle
crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son
is dying instead of the driver. Which of the following actions should the nurse take to provide
emotional support to The parent?
A. Encourage the parent to speak with the family of the driver of the car.
B. Inform the parent that anger is a natural response when dealing with loss.
C. Ask the parent to leave and come back later after she has calmed down.
D. Contact a clergy member to come and speak with the parent. Correct Answer: B. Inform
the parent that anger is a natural response when dealing with loss.
A nurse is teaching about advance directives with an older adult client who has a terminal illness.
Which of the following statements should the nurse make?
A. "Having advance directives means that you don't want to receive CPR."
,NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
B. "Your next of kin can amend your advance directives for you if you are unconscious."
C. "Advance directives are verbal or written instructions."
D. "Your advance directives can designate a friend to make your health care decisions." Correct
Answer: D. "Your advance directives can designate a friend to make your health care
decisions."
A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which
of the following statements by the client indicates an understanding of the teaching?
A. "I should stop participating in my bowling league."
B. "I should take a cool shower in the morning to relieve stiffness."
C. "I should decrease my intake of foods containing purine."
D. "I should use a warm paraffin dip for my hands and feet." Correct Answer: D. "I should use
a warm paraffin dip for my hands and feet."
dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more easily
perform hand and finger exercises following the treatment
A nurse is caring for a child who has contact dermatitis due to poison ivy. The patient asks the
nurse how to prevent further reactions. Which of the following responses should the nurse make?
A. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
B. "Wash your child's exposed clothing with hot water and detergent."
C. "Scrub your child's exposed skin with warm water and antibacterial soap."
D. "Don't allow your child to have contact with other children who have poison ivy."
Correct Answer: B. "Wash your child's exposed clothing with hot water and detergent."
This will remove the oil, urushiol, which causes the skin reaction
A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In which
order should the nurse take the following actions? (Move the steps into the box on the right,
placing them in the order of performance. Use all steps)
- Flush the NG tube with 30 mL of water
- Aspirate 5 mL of gastric contents
- Assist the client to an upright position
- Measure the gastric residual volume
- Test the pH of gastric aspirate Correct Answer: 1. Assist the client to an upright position
2. Aspirate 5 mL of gastric contents
3. Test the pH of gastric aspirate
4. Measure the gastric residual volume
5. Flush the NG tube with 30 mL of water
A nurse is providing change of shift report about a group of clients to the oncoming nurse at the
end of the shift. Which of the following statements should the nurse include?
A. "The client received a PRN dose of pain medication this morning."
B. "The client has been very tearful since finding out he has diabetes mellitus."
C. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
D. "The client's husband visited during lunch as he has done each day." Correct Answer: B.
, NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
"The client has been very tearful since finding out he has diabetes mellitus."
WITH ANSWERS 2022/2023
A nurse in a long-term care facility is admitting a new client following a brief stay in acute care.
In adherence with the Joint Commission National Patient Safety Goals regarding medication
administration, which of the following actions should the nurse take?
A. Inform the client that he will not be receiving medications he took prior to his hospitalization
B. Compare a list of the clients current medications with the ones he will take in long-term care
C. Eliminate any OTC products from the clients current medication list
D. Omit the medication indications when listing the clients medication dose information
Correct Answer: B. Compare a list of the clients current medications with the ones he will take
in long- term care
The Joint Commission National Patient Safety Goals regarding medication reconciliation
includes maintaining and communicating accurate client medication information. The nurse
should complete a medication reconciliation to identify and resolve any discrepancies by
comparing the client's list of current medications with the medications he will take in the long-
term care facility and addressing any duplications, omissions, or interactions
This classification of medication has been shown to relieve the phantom limb pain
manifestations of constant dull and burning type pain
The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as
watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and
cutting the watermelon into pieces provides the toddler with a nutritious snack that does not
increase the toddler's risk of foreign body obstruction
A nurse is searching electronic databases for clinical research about behavior indications of pain
in an infant. Which of the following online sources should the nurse select to research this
infant care issue
A. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
B. The Nursing Minimum Data Set
C. The Omaha System
D. The Nursing Intervention Classification (NIC) Correct Answer: A. Cumulative Index
to Nursing and Allied Health Literature (CINAHL)
A nurse is caring for a client who has dysphagia following a stroke. Which of the following
actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration?
A. Delay the clients meal-time if he is fatigued
B. Instruct the client to tilt his head to the side when swallowing
C. Assist the client with fluid intake by inserting it into the client's mouth with a syringe
D. Encourage the client to focus on a television program during mealtime Correct Answer:
A. Delay the clients meal-time if he is fatigued
A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted
client using the Timed Up and Go (TUG) test. The client reports using a tripod cane for
ambulation. Which of the following actions should the nurse take when using this test?
,NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
A. Observe the client ambulating a distance of 3m(10 feet) during the TUG test
B. Instruct the client to perform the TUG test without the use of the cane
C. Assist the client to stand up from the chair when starting the TUG test
D. Advise the client to use the arms of the chair to stand when starting the TUG test
Correct Answer: A. Observe the client ambulating a distance of 3m(10 feet) during the
TUG test
The nurse should instruct the client to stand, ambulate to the marked spot, turn, ambulate back to
the chair, and sit down. The nurse should observe the client's ability to perform the test and use a
stopwatch to time the client. The nurse should identify that the client is at increased risk of falls
if it takes longer than 14 seconds to complete the test
A nurse in an emergency room is caring for an infant who required emergency surgery. The
infant is accompanies by his 16 year old mother and his sternal grandfather. Which of the
following should the nurse take when assisting with informed consent
A. Witness consent obtained from the infants mother
B. Inform the family that informed consent is not needed due to the emergency surgery
C. Notify the maternal grandfather that he is required to give informed consent
D. Request that a court-appointed representative provide consent Correct Answer: A.
Witness consent obtained from the infants mother
The nurse should assist in obtaining informed consent from the infant's mother by witnessing her
signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent
for her infant
A nurse is planning care to prevent a catheter-related blood stream infection for a client who is
receiving IV fluid therapy. Which of the following interventions should the nurse include in the
plan
A. Change bags of IV solution every 72 hours
B. Perform hand hygiene before touching the IV tubing
C. Use hydrogen peroxide to cleanse the IV insertion site
D. Assess the IV insertion site every 12 hours for redness Correct Answer: B. Perform
hand hygiene before touching the IV tubing
A nurse is caring for an adolescent client who is in critical condition following a motor vehicle
crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son
is dying instead of the driver. Which of the following actions should the nurse take to provide
emotional support to The parent?
A. Encourage the parent to speak with the family of the driver of the car.
B. Inform the parent that anger is a natural response when dealing with loss.
C. Ask the parent to leave and come back later after she has calmed down.
D. Contact a clergy member to come and speak with the parent. Correct Answer: B. Inform
the parent that anger is a natural response when dealing with loss.
A nurse is teaching about advance directives with an older adult client who has a terminal illness.
Which of the following statements should the nurse make?
A. "Having advance directives means that you don't want to receive CPR."
,NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
B. "Your next of kin can amend your advance directives for you if you are unconscious."
C. "Advance directives are verbal or written instructions."
D. "Your advance directives can designate a friend to make your health care decisions." Correct
Answer: D. "Your advance directives can designate a friend to make your health care
decisions."
A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which
of the following statements by the client indicates an understanding of the teaching?
A. "I should stop participating in my bowling league."
B. "I should take a cool shower in the morning to relieve stiffness."
C. "I should decrease my intake of foods containing purine."
D. "I should use a warm paraffin dip for my hands and feet." Correct Answer: D. "I should use
a warm paraffin dip for my hands and feet."
dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more easily
perform hand and finger exercises following the treatment
A nurse is caring for a child who has contact dermatitis due to poison ivy. The patient asks the
nurse how to prevent further reactions. Which of the following responses should the nurse make?
A. "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
B. "Wash your child's exposed clothing with hot water and detergent."
C. "Scrub your child's exposed skin with warm water and antibacterial soap."
D. "Don't allow your child to have contact with other children who have poison ivy."
Correct Answer: B. "Wash your child's exposed clothing with hot water and detergent."
This will remove the oil, urushiol, which causes the skin reaction
A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In which
order should the nurse take the following actions? (Move the steps into the box on the right,
placing them in the order of performance. Use all steps)
- Flush the NG tube with 30 mL of water
- Aspirate 5 mL of gastric contents
- Assist the client to an upright position
- Measure the gastric residual volume
- Test the pH of gastric aspirate Correct Answer: 1. Assist the client to an upright position
2. Aspirate 5 mL of gastric contents
3. Test the pH of gastric aspirate
4. Measure the gastric residual volume
5. Flush the NG tube with 30 mL of water
A nurse is providing change of shift report about a group of clients to the oncoming nurse at the
end of the shift. Which of the following statements should the nurse include?
A. "The client received a PRN dose of pain medication this morning."
B. "The client has been very tearful since finding out he has diabetes mellitus."
C. "The client's routine vital signs were obtained at 0700, 1100, and 1500."
D. "The client's husband visited during lunch as he has done each day." Correct Answer: B.
, NURS ATI RN ASSESSMENT TEXT QUESTIONS
WITH ANSWERS 2022/2023
"The client has been very tearful since finding out he has diabetes mellitus."
