ATI Practice Test – Exam 2 (25 Questions)

■ ATI Practice Test – Exam 2 (25 Questions) 1. Which of the following is an example of a primary prevention activity? a. Administering the influenza vaccine b. Performing a mammogram c. Leading a stroke rehabilitation exercise class d. Monitoring blood pressure in a patient with hypertension 2. A nurse is explaining the three levels of communication. Which of the following is an example of intrapersonal communication? a. Documenting in the patient’s chart b. Talking to a patient’s family member c. Giving a presentation to a community group d. Reflecting silently on how to approach patient teaching 3. Which of the following roles is an expanded role of nursing? a. Caregiver b. Clinical Nurse Specialist (CNS) c. Patient advocate d. Health promoter 4. A nurse is educating a newly diagnosed diabetic patient on insulin administration. This demonstrates which Bloom’s domain of learning? a. Cognitive b. Affective c. Psychomotor d. Analytical 5. Which of the following is the most appropriate strategy for motivating a patient to adhere to prescribed lifestyle changes? a. Providing detailed scientific literature b. Setting mutually agreed-upon, achievable goals c. Withholding information until readiness is shown d. Offering only verbal instruction without feedback 6. Which documentation style organizes data by problem identification and interventions? a. SOAP b. PIE c. Narrative d. DAR 7. Which of the following is the correct sequence of the chain of infection? a. Susceptible host → Infectious agent → Portal of entry → Reservoir → Mode of transmission → Portal of exit b. Infectious agent → Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible host c. Reservoir → Infectious agent → Portal of entry → Mode of transmission → Portal of exit → Susceptible host d. Infectious agent → Reservoir → Mode of transmission → Portal of entry → Portal of exit → Susceptible host 8. A nurse is providing teaching about hypertension. Which patient statement indicates a need for further teaching? a. “I should reduce my sodium intake.” b. “I will avoid smoking and limit alcohol.” c. “I will take my medication only when my blood pressure is high.” d. “I should maintain a healthy weight through diet and exercise.” 9. Which finding is an expected vital sign for a healthy 4-year-old child? a. HR 180 bpm b. RR 12/min c. BP 100/60 mmHg d. Temp 38.5°C 10. Which of the following is a tertiary prevention strategy? a. Administering childhood immunizations b. Performing vision screenings at schools c. Teaching a cardiac rehab exercise class d. Conducting a workplace health fair 11. Which of the following best represents therapeutic communication? a. “Don’t worry, everything will be fine.” b. “Why didn’t you take your medication?” c. “Tell me more about what concerns you most.” d. “I’m sure you’ll do better next time.” 12. Which of the following should the nurse include when documenting in a patient’s EHR? a. Use of vague terms such as “appears anxious.” b. Personal opinions about the patient’s behavior. c. Exact observations and patient statements in quotes. d. Delayed documentation at the end of the shift. 13. A patient with TB is admitted. Which type of precaution should the nurse implement? a. Standard b. Droplet c. Airborne d. Contact 14. Which patient finding should the nurse identify as an abnormal respiratory rate in an adult? a. 14/min b. 10/min c. 18/min d. 20/min 15. Which of the following is a modifiable risk factor for cardiovascular disease? a. Age b. Family history c. Smoking d. Gender 16. Which of the following is considered an occurrence report? a. Documentation of a fall in the patient’s chart b. A confidential report about a medication error c. Notation of pain reassessment in the EHR d. Charting wound dressing change 17. A nurse is assessing bowel sounds and hears none for 5 minutes. This finding indicates: a. Normal variation b. Hypoactive bowel sounds c. Hyperactive bowel sounds d. Absent bowel sounds 18. A patient is crying after receiving a cancer diagnosis. Which communication response by the nurse is most appropriate? a. “Don’t cry, it will upset your family.” b. “Why are you crying when treatment is available?” c. “I can see this news is very upsetting for you.” d. “You should think positively and stay strong.” 19. Which action demonstrates the nurse’s role in health promotion? a. Administering an antibiotic for pneumonia b. Educating school children about nutrition and exercise c. Starting an IV for fluid resuscitation d. Assisting with postoperative ambulation 20. Which of the following is a secondary defense against infection? a. Skin b. Mucous membranes c. Inflammatory response d. Immunity from vaccinations 21. A nurse identifies crackles in a patient’s lungs. This is an example of which assessment technique? a. Inspection b. Palpation c. Percussion d. Auscultation 22. A patient weighs 44 lb. The provider orders amoxicillin 25 mg/kg/day in two divided doses. Available: 200 mg/5 mL. How many mL per dose should the nurse administer? (Round to the nearest tenth.) 23. Which of the following immunizations is recommended for an adult over 65 years old? a. Varicella b. Pneumococcal vaccine c. Rotavirus d. Hib vaccine 24. Which teaching strategy would be best for a patient with limited health literacy? a. Provide lengthy written pamphlets b. Use simple language and visual aids c. Encourage self-directed online research d. Rely solely on verbal instructions 25. Which nurse activity demonstrates the role of a nurse researcher? a. Administering medication b. Conducting a clinical trial on wound healing c. Leading a staff meeting on delegation d. Teaching a patient about insulin administration Answers & Rationales 1. a – Primary prevention = preventing disease before it occurs. 2. d – Intrapersonal = self-talk/reflection. 3. b – CNS is an advanced/expanded role. 4. c – Psychomotor = performing a skill. 5. b – Motivation works best with achievable, collaborative goals. 6. b – PIE = Problem, Intervention, Evaluation. 7. b – Correct sequence of infection chain. 8. c – Meds must be taken consistently, not only when BP is high. 9. c – 4-yr-old BP ~100/60 is normal. 10. c – Tertiary = rehab/restoration. 11. c – Open-ended, therapeutic communication. 12. c – Use objective, factual, timely documentation. 13. c – TB requires airborne precautions. 14. b – Adult normal 12–20/min; 10 is abnormal. 15. c – Smoking is modifiable. 16. b – Occurrence reports = internal incident reporting. 17. d – Absent bowel sounds = none heard for 5 min. 18. c – Validating feelings shows empathy. 19. b – School-based nutrition education = health promotion. 20. c – Inflammatory response is secondary defense. 21. d – Crackles are heard with auscultation. 22. 44 lb ÷ 2.2 = 20 kg. 25 mg × 20 = 500 mg/day ÷ 2 = 250 mg/dose. 200 mg/5 mL = 40 mg/mL. 250 ÷ 40 = 6.25 mL → 6.3 mL/dose. 23. b – Pneumococcal recommended >65. 24. b – Simple language and visuals support low literacy. 25. b – Conducting research = nurse researcher role.