NURS 201 Unit 1 ATI Questions2025/2026 LATEST
COMPLETE QUESTION AND ANSWER 100% VERIFIED
FALL-SPRING GRADED A+
A nurse is caring for a client who is confused and trying to remove their peripheral IV. Using the least
restrictive/least invasive priority setting framework, which of the following actions should the nurse take
first?
A) Apply soft limb restraints to the client's wrists.
B) Administer an antianxiety medication to the client intramuscularly (IM).
C) Cover the IV site with an elastic bandage.
D) Request a prescription for a central venous catheter.
C: When using the least restrictive/least invasive priority setting framework, the nurse should use the
least restrictive or least invasive intervention before other more invasive or restrictive ones. Therefore, the
first action the nurse should take is to cover the IV with elastic bandage in an attempt to prevent the
client from pulling the IV out. An elastic bandage will hide the IV from the client's vision while at the same
time allowing the nurse easy access to the site.
A nurse at a provider's office is reviewing the records of several clients. Which of the following clients
should the nurse recommend as the priority for treatment?
A) A client who has a history of hypertension and requires a yearly checkup
B) A client who reports new chest pain
C) A client who reports increased joint stiffness due to arthritis
D) A client who has diabetes mellitus and needs dietary instruction
B: When using the acute vs chronic approach to client care, the nurse should recommend a client who
reports new chest pain as the priority for treatment. The client might be experiencing a myocardial
infarction, which could result in poor outcomes if not identified and treated immediately.
A nurse is assessing a client using the ABCDE approach. The nurse has already assessed the client's
airway and breathing status. Which of the following assessments should the nurse perform next?
A) Body temperature
B) Abdominal contour
C) Skin integrity
D) Blood pressure
D: When using the ABCDE approach to client care, the nurse should determine to next assess the client's
circulatory status after airway and breathing status. Indicators of circulatory function can include taking
a blood pressure, checking peripheral pulses, and measuring capillary refill time.
,A nurse is providing education on priority setting frameworks to a group of newly licensed nurses. Which
of the following statements should the nurse make regarding the safety and risk reduction priority setting
framework?
A) "When using this framework, clients are prioritized using a color-coded system."
B) "This framework uses the least restrictive measures first as long as the client's safety is maintained."
C) "When using this framework, the nurse will encourage the client to have social relationships through
group interaction."
D) "This framework assigns the highest priority to the situation that poses a threat to the client's physical
well-being."
D: The nurse should inform the newly licensed nurses that the safety and risk reduction priority setting
framework assigns the highest priority to the factor or situation that will cause the greatest harm to the
client's physical well-being.
A nurse is reviewing the medical records of four clients. Which of the following clients should the nurse
identify as the priority for care?
A) A client who received digoxin and has a heart rate of 48/min
B) A client who received pain medication and has a respiratory rate of 14/min
C) A client who has a urinary tract infection and temperature of 37.9° C (100.2° F)
D) A client who has anemia and a blood pressure of 118/78 mm Hg
A: A client who received digoxin and has a heart rate of 48/min is unstable; therefore, the nurse should
identify this client as the priority for care. This heart rate is below the expected reference range. The
nurse should report this finding to the provider and check for manifestations of decreased cardiac output.
A nurse is caring for a client who is experiencing unexpected manifestations with several body systems.
Which of the following priority setting frameworks should the nurse use to prioritize client assessment?
A) Acute vs. chronic
B) ABCDE
C) Least restrictive/least invasive
D) Survival potential
B: Since this client is experiencing manifestations in multiple body systems, the nurse should use the
ABCDE framework to prioritize which assessment to perform first. The ABCDE method prioritizes the
client's airway first, followed by breathing, circulation, disability, and exposure, so the first assessment
the nurse should make is to ensure the client has an adequate airway.
, A nurse stops at the side of the road to provide care to a person involved in a motor-vehicle crash. Which
of the following protects the nurse from liability when administering care at the scene of an accident?
A) Whistleblower protection
B) Good Samaritan Laws
C) Torts
D) Emergency Medical Treatment and Labor Act (EMTALA)
B: Good Samaritan laws protect people who provide aid in the event of an emergency from being held
liable for their well-intentioned actions. The actions the nurse takes should be within their scope of
practice as a licensed nurse and should not be considered grossly negligent.
A nurse is reviewing standards of care with a group of newly hired nurses. The nurse should include
which of the following incidents as an example of a breach of standards of care?
A) A nurse did not read back a verbal medication prescription to a provider
B) A nurse did not return to a client's room with a promised blanket
C) A nurse documents client care as soon as it is completed
D) A nurse forgot to call a client's family after performing a procedure
A: Standards of care guide nursing practice to perform safe and effective care. Failing to verify a
medication prescription can result in harm to a client and is therefore a breach of the standard of care
A nurse in an emergency department overhears a provider say they will not accept any more clients who
do not have health insurance. Which of the following is the provider violating?
A) The Emergency Medical Treatment and Labor Act (EMTALA)
B) The Health Insurance Portability and Accountability Act of 1966 (HIPPA)
C) Tort law
D) Good Samaritan laws
A: The EMTALA was enacted to allow clients to access the emergency departments of hospitals for equal
care regardless of their ability to pay. Refusing to accept clients who do not have health insurance is a
violation of the EMTALA
A nurse is teaching a newly licensed nurse about professional values. The nurse should include that of
which of the following is an example of autonomy?
A) A nurse provides the same quality of care for every client
B) A nurse maintains client confidentiality
C) A nurse admits the forgot to change a client's dressing
COMPLETE QUESTION AND ANSWER 100% VERIFIED
FALL-SPRING GRADED A+
A nurse is caring for a client who is confused and trying to remove their peripheral IV. Using the least
restrictive/least invasive priority setting framework, which of the following actions should the nurse take
first?
A) Apply soft limb restraints to the client's wrists.
B) Administer an antianxiety medication to the client intramuscularly (IM).
C) Cover the IV site with an elastic bandage.
D) Request a prescription for a central venous catheter.
C: When using the least restrictive/least invasive priority setting framework, the nurse should use the
least restrictive or least invasive intervention before other more invasive or restrictive ones. Therefore, the
first action the nurse should take is to cover the IV with elastic bandage in an attempt to prevent the
client from pulling the IV out. An elastic bandage will hide the IV from the client's vision while at the same
time allowing the nurse easy access to the site.
A nurse at a provider's office is reviewing the records of several clients. Which of the following clients
should the nurse recommend as the priority for treatment?
A) A client who has a history of hypertension and requires a yearly checkup
B) A client who reports new chest pain
C) A client who reports increased joint stiffness due to arthritis
D) A client who has diabetes mellitus and needs dietary instruction
B: When using the acute vs chronic approach to client care, the nurse should recommend a client who
reports new chest pain as the priority for treatment. The client might be experiencing a myocardial
infarction, which could result in poor outcomes if not identified and treated immediately.
A nurse is assessing a client using the ABCDE approach. The nurse has already assessed the client's
airway and breathing status. Which of the following assessments should the nurse perform next?
A) Body temperature
B) Abdominal contour
C) Skin integrity
D) Blood pressure
D: When using the ABCDE approach to client care, the nurse should determine to next assess the client's
circulatory status after airway and breathing status. Indicators of circulatory function can include taking
a blood pressure, checking peripheral pulses, and measuring capillary refill time.
,A nurse is providing education on priority setting frameworks to a group of newly licensed nurses. Which
of the following statements should the nurse make regarding the safety and risk reduction priority setting
framework?
A) "When using this framework, clients are prioritized using a color-coded system."
B) "This framework uses the least restrictive measures first as long as the client's safety is maintained."
C) "When using this framework, the nurse will encourage the client to have social relationships through
group interaction."
D) "This framework assigns the highest priority to the situation that poses a threat to the client's physical
well-being."
D: The nurse should inform the newly licensed nurses that the safety and risk reduction priority setting
framework assigns the highest priority to the factor or situation that will cause the greatest harm to the
client's physical well-being.
A nurse is reviewing the medical records of four clients. Which of the following clients should the nurse
identify as the priority for care?
A) A client who received digoxin and has a heart rate of 48/min
B) A client who received pain medication and has a respiratory rate of 14/min
C) A client who has a urinary tract infection and temperature of 37.9° C (100.2° F)
D) A client who has anemia and a blood pressure of 118/78 mm Hg
A: A client who received digoxin and has a heart rate of 48/min is unstable; therefore, the nurse should
identify this client as the priority for care. This heart rate is below the expected reference range. The
nurse should report this finding to the provider and check for manifestations of decreased cardiac output.
A nurse is caring for a client who is experiencing unexpected manifestations with several body systems.
Which of the following priority setting frameworks should the nurse use to prioritize client assessment?
A) Acute vs. chronic
B) ABCDE
C) Least restrictive/least invasive
D) Survival potential
B: Since this client is experiencing manifestations in multiple body systems, the nurse should use the
ABCDE framework to prioritize which assessment to perform first. The ABCDE method prioritizes the
client's airway first, followed by breathing, circulation, disability, and exposure, so the first assessment
the nurse should make is to ensure the client has an adequate airway.
, A nurse stops at the side of the road to provide care to a person involved in a motor-vehicle crash. Which
of the following protects the nurse from liability when administering care at the scene of an accident?
A) Whistleblower protection
B) Good Samaritan Laws
C) Torts
D) Emergency Medical Treatment and Labor Act (EMTALA)
B: Good Samaritan laws protect people who provide aid in the event of an emergency from being held
liable for their well-intentioned actions. The actions the nurse takes should be within their scope of
practice as a licensed nurse and should not be considered grossly negligent.
A nurse is reviewing standards of care with a group of newly hired nurses. The nurse should include
which of the following incidents as an example of a breach of standards of care?
A) A nurse did not read back a verbal medication prescription to a provider
B) A nurse did not return to a client's room with a promised blanket
C) A nurse documents client care as soon as it is completed
D) A nurse forgot to call a client's family after performing a procedure
A: Standards of care guide nursing practice to perform safe and effective care. Failing to verify a
medication prescription can result in harm to a client and is therefore a breach of the standard of care
A nurse in an emergency department overhears a provider say they will not accept any more clients who
do not have health insurance. Which of the following is the provider violating?
A) The Emergency Medical Treatment and Labor Act (EMTALA)
B) The Health Insurance Portability and Accountability Act of 1966 (HIPPA)
C) Tort law
D) Good Samaritan laws
A: The EMTALA was enacted to allow clients to access the emergency departments of hospitals for equal
care regardless of their ability to pay. Refusing to accept clients who do not have health insurance is a
violation of the EMTALA
A nurse is teaching a newly licensed nurse about professional values. The nurse should include that of
which of the following is an example of autonomy?
A) A nurse provides the same quality of care for every client
B) A nurse maintains client confidentiality
C) A nurse admits the forgot to change a client's dressing
