PRE-ASSESSMENT QUESTIONS
WITH ACTUAL SOLUTIONS 2024
A nurse is assessing a client following the application of an aquathermia pad. Which of the following is
the first indication to the nurse that the client is experiencing a superficial burn injury to the application
site?
Erythema
Erythema is an indication that the client has experienced a superficial burn with damage limited to the
epidermis. Other manifestations include edema, pain, and increased sensitivity to heat.
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings
associated with urinary retention should the nurse expect? (Select all that apply.)
- Report of feeling pressure
- Tenderness over the symphysis pubis
- Distended bladder
- Voiding 30 mL frequently
Clinical findings of urinary retention include frequent voiding of 25 to 60 mL of urine.
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest
percentage of calories. Which of the following statements indicates the client understands the teaching?
"I should eat more calories from complex carbohydrates than anything else."
, COMPLETE ATI FUNDAMENTALS
PRE-ASSESSMENT QUESTIONS
WITH ACTUAL SOLUTIONS 2024
The client who has diabetes should consume the majority of calories from complex carbohydrates, such
as whole grains, fruits, and vegetables.
A nurse is providing discharge teaching to a client who was recently diagnosed with a latex allergy.
Which of the following client statements indicates an understanding of the teaching?
"I will use ink pens for writing."
The client understands pencil erasers contain latex and should use pens for writing instead.
A nurse is calculating a client's intake and output for an 8-hour shift. The client's intake included 1,000
mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of water, one 180 mL bowl of soup, 3 oz of
flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total
intake for the shift? (Round the answer to the nearest whole number)
1720 mL
.
A charge nurse observes a nurse administer intermittent tube feeding via an NG tube to a client. Which
of the following actions should prompt the charge nurse to intervene?
The nurse allows the client to rest in a supine position during feeding.
The nurse should elevate the head of the bed to a minimum of 30° to prevent aspiration from reflux
during feedings.