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ATI RN Fundamentals Actual Questions 2024/2025 |
Updated Questions And Answers with Rationales |
NCLEX Prep Ready
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?
A. Monitoring evidence‑based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining if medications are safe for administration to clients
B
A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care
A, B, C
A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? (Select all that apply.)
A. Preferred provider organization (PPO)
B. Medicare
C. Long‑term care insurance
D. Exclusive provider organization (EPO)
E. Medicaid
B, E
A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
C. Providing specialized intraoperative training regarding surgical treatments for obesity
A goal for a client who has difficulty with self‑feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
D
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist
A, C, D
A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech‑language pathologist
D
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When
she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
D
A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
C
A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
D
A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma?
A. A nurse on a medical‑surgical unit demonstrates signs
of chemical impairment.
B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints.
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form.
C
Chapter 4
Legal responsibilities
We have an expert-written solution to this problem!
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the
client should indicate to the nurse an understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."
C
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery.
A, B
AD
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found
the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take?
A. Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit.
D. Leave the nurse alone to sleep.
C
Chapter 5
Information technology
A nurse is preparing information for change‑of‑shift report. Which of the following information should the nurse include in the report?
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document.
B, C
A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply).
A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Complaint from a client's family member
A, B, D
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.)
A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the provider's signature on the prescription within 24 hr.
D. Decline the verbal prescription because it is not an emergency situation.
E. Tell the charge nurse that the provider has prescribed morphine by telephone.
A, B, C
Chapter 6
Delegation and supervision
A nurse on a medical‑surgical unit has received change‑of‑shift report and will care for four clients.
Which of the following client's needs should the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hr ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
C. The client uses a front‑wheeled walker when ambulating.
D. The client had pain medication 30 min ago.
E. The client is allergic to codeine.
F. The client ate 50% of his breakfast this morning.
B, C, D
An RN is making assignments for a practical nurse (PN) at the beginning of the shift. Which of the following assignments should the PN question?
A. Assisting a client who is 24‑hr postoperative to use
an incentive spirometer
B. Collecting a clean‑catch urine specimen from a client who has a wound infection
C. Providing nasopharyngeal suctioning for a client
who has pneumonia
D. Teaching a client who has asthma to use a metered‑dose inhaler
D
A nurse is preparing an in‑service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation (Select all that apply.)
A. Right client
B. Right supervision and evaluation
C. Right direction and communication
D. Right time
E. Right circumstances
B, C, E
Chapter 7
Nursing processes
By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing his pain.
A
E. The assistive personnel reports the client walked with a limp.
A, D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric (NG) tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal.
E. Repositioning a client every 2 hr to reduce pressure ulcer risk.
C, D, E
A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process?
A. "I will determine the most important client problems
that we should address."
B. "I will review the past medical history on the client's record to get more information."
C. "I will go carry out the new prescriptions from the provider."
D. "I will ask the client if his nausea has resolved."
A
Chapter 8
Critical thinking and clinical judgment
AD
A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
A. Basic
B. Commitment
C. Complex
D. Integrity
A
