ATI NURSING CARE SCENARIOS EXAM 2025 | 172 QUESTIONS
WITH ACCURATE SOLUTIONS
1. A single dad is discussing with the nurse the sleep needs of a
preschooler. Which of the following directions would be most helpful to
the parent?
It is important that the 5-year-old get a nap every day.
Preschoolers sleep soundly all night long.
On average, the preschooler needs to sleep 10 hours a night.
The preschooler may have trouble settling down after a busy
day.
2. Why is it crucial for a nurse to monitor oxygen saturation levels in patients
with chest injuries?
Oxygen saturation levels are critical to assess respiratory
function and detect potential hypoxia.
Oxygen saturation levels are not relevant in chest injuries.
Monitoring oxygen saturation helps in diagnosing fractures.
Oxygen saturation is only important in patients with lung diseases.
3. What should a nurse recognize about clients who share the same
religious background?
The same religious beliefs may influence individuals differently
Members of the same religion share similar feelings about their
religion
A shared religious background generates mutual regard for one
another
They should discuss the differences and commonalities in their
beliefs
,4. What should a nurse do with the first drop of blood obtained during
blood glucose monitoring?
Wipe away the first drop of blood from the client's finger.
Use the first drop for testing.
Collect the first drop in a separate container.
Apply pressure to the first drop to increase blood flow.
5. The nurse is most likely to report which of the following findings to the
primary care provider for a client who has an established colostomy?
The stoma extends 1/2 in. above the abdomen.
The skin under the appliance looks red briefly after removing the
appliance.
The stoma color is a deep red-purple.
An ascending colostomy delivers liquid feces.
6. If a client insists on keeping a throw rug in their home despite the nurse's
advice, what should the nurse do to address this situation?
Reinforce the risks and suggest alternatives for safety.
Allow the client to make their own choice without further
discussion.
Remove the rug themselves during the visit.
Document the client's refusal and take no further action.
7. If a nurse observes that a child continues to struggle with sleep despite
following the recommendation to change her bedtime, what should be
the next step in addressing the issue?
Evaluate other factors affecting the child's sleep environment
and routine.
Increase the child's nap duration to ensure she is well-rested.
, Advise the parents to keep the child awake longer in the evening.
Suggest using sleep medications to help the child fall asleep.
8. At what point in the nursing process should discharge planning begin for
a client admitted with heart failure exacerbation?
During the admission process
As soon as the client's condition is stable
During the initial team conference
After consulting with the client's family
9. In a scenario where a child is scheduled for a series of painful injections,
which combination of strategies should a nurse implement to minimize
the child's anxiety?
Assign caregivers with whom the child is familiar and have the
parents bring in a favorite toy from home.
Cluster invasive procedures whenever possible and engage the
child in pretend play with a toy medical kit.
Invite the child to assist with mealtime activities and cluster
invasive procedures whenever possible.
Engage the child in pretend play with a toy medical kit and assign
caregivers with whom the child is familiar.
10. A client using home oxygen therapy reports nasal stuffiness and fatigue.
What should the nurse's immediate response be based on the ethical
principles of patient care?
Assess the client for potential complications and provide
appropriate interventions.
Advise the client to stop using the oxygen therapy temporarily.
Suggest the client apply petroleum jelly to alleviate discomfort.
, Instruct the client to remove the cannula during meals.
11. If a new parent insists that their baby is safe in the bathtub once they can
sit up, what would be the best response to ensure their understanding of
safety measures?
Explain that constant supervision is necessary, as babies can
still slip and drown.
Suggest they wait until the baby is a toddler to use the bathtub.
Advise them to use a bath seat for added safety.
Encourage them to allow the baby to play alone in the bathtub.
12. What ethical principle is demonstrated when a patient makes an
informed decision about their treatment options?
Autonomy
Justice
Fidelity
Nonmaleficence
13. What is the first action a nurse should take when preparing to instruct a
client about managing stress incontinence?
Determine what the client knows about stress incontinence.
Encourage the client to participate actively in learning.
Select instructional materials appropriate for the older adult.
Identify goals the nurse and the client agree are reasonable.
14. Why is a bladder scan revealing 525 mL of urine significant in the
context of an indwelling urinary catheter?
It indicates potential blockage due to urine accumulation.
It suggests the urine is concentrated and needs dilution.
WITH ACCURATE SOLUTIONS
1. A single dad is discussing with the nurse the sleep needs of a
preschooler. Which of the following directions would be most helpful to
the parent?
It is important that the 5-year-old get a nap every day.
Preschoolers sleep soundly all night long.
On average, the preschooler needs to sleep 10 hours a night.
The preschooler may have trouble settling down after a busy
day.
2. Why is it crucial for a nurse to monitor oxygen saturation levels in patients
with chest injuries?
Oxygen saturation levels are critical to assess respiratory
function and detect potential hypoxia.
Oxygen saturation levels are not relevant in chest injuries.
Monitoring oxygen saturation helps in diagnosing fractures.
Oxygen saturation is only important in patients with lung diseases.
3. What should a nurse recognize about clients who share the same
religious background?
The same religious beliefs may influence individuals differently
Members of the same religion share similar feelings about their
religion
A shared religious background generates mutual regard for one
another
They should discuss the differences and commonalities in their
beliefs
,4. What should a nurse do with the first drop of blood obtained during
blood glucose monitoring?
Wipe away the first drop of blood from the client's finger.
Use the first drop for testing.
Collect the first drop in a separate container.
Apply pressure to the first drop to increase blood flow.
5. The nurse is most likely to report which of the following findings to the
primary care provider for a client who has an established colostomy?
The stoma extends 1/2 in. above the abdomen.
The skin under the appliance looks red briefly after removing the
appliance.
The stoma color is a deep red-purple.
An ascending colostomy delivers liquid feces.
6. If a client insists on keeping a throw rug in their home despite the nurse's
advice, what should the nurse do to address this situation?
Reinforce the risks and suggest alternatives for safety.
Allow the client to make their own choice without further
discussion.
Remove the rug themselves during the visit.
Document the client's refusal and take no further action.
7. If a nurse observes that a child continues to struggle with sleep despite
following the recommendation to change her bedtime, what should be
the next step in addressing the issue?
Evaluate other factors affecting the child's sleep environment
and routine.
Increase the child's nap duration to ensure she is well-rested.
, Advise the parents to keep the child awake longer in the evening.
Suggest using sleep medications to help the child fall asleep.
8. At what point in the nursing process should discharge planning begin for
a client admitted with heart failure exacerbation?
During the admission process
As soon as the client's condition is stable
During the initial team conference
After consulting with the client's family
9. In a scenario where a child is scheduled for a series of painful injections,
which combination of strategies should a nurse implement to minimize
the child's anxiety?
Assign caregivers with whom the child is familiar and have the
parents bring in a favorite toy from home.
Cluster invasive procedures whenever possible and engage the
child in pretend play with a toy medical kit.
Invite the child to assist with mealtime activities and cluster
invasive procedures whenever possible.
Engage the child in pretend play with a toy medical kit and assign
caregivers with whom the child is familiar.
10. A client using home oxygen therapy reports nasal stuffiness and fatigue.
What should the nurse's immediate response be based on the ethical
principles of patient care?
Assess the client for potential complications and provide
appropriate interventions.
Advise the client to stop using the oxygen therapy temporarily.
Suggest the client apply petroleum jelly to alleviate discomfort.
, Instruct the client to remove the cannula during meals.
11. If a new parent insists that their baby is safe in the bathtub once they can
sit up, what would be the best response to ensure their understanding of
safety measures?
Explain that constant supervision is necessary, as babies can
still slip and drown.
Suggest they wait until the baby is a toddler to use the bathtub.
Advise them to use a bath seat for added safety.
Encourage them to allow the baby to play alone in the bathtub.
12. What ethical principle is demonstrated when a patient makes an
informed decision about their treatment options?
Autonomy
Justice
Fidelity
Nonmaleficence
13. What is the first action a nurse should take when preparing to instruct a
client about managing stress incontinence?
Determine what the client knows about stress incontinence.
Encourage the client to participate actively in learning.
Select instructional materials appropriate for the older adult.
Identify goals the nurse and the client agree are reasonable.
14. Why is a bladder scan revealing 525 mL of urine significant in the
context of an indwelling urinary catheter?
It indicates potential blockage due to urine accumulation.
It suggests the urine is concentrated and needs dilution.
