ATI Questions

11/24/2020 ATI Review ATI Exam Tips to Help You Answer the Questions: 1. Pick the least invasive or most least restrictive option (i.e. do not immediately restrain or isolate a patient if there are other options you haven’t considered first) 2. When in doubt, eliminate answer choices. Rationalize each answer. If the answer doesn’t have a rationale that makes sense or doesn’t answer the question, don’t pick it. 3. Know Maslow’s hierarchy of needs (pg. 32 in your ATI book): a. Physiological b. Safety and security c. Love and belonging d. Self-esteem e. Self-actualization 4. Know your nursing process: Assess, Diagnosis, Plan, Intervention, Evaluation (chapter 7 in your ATI book). 5. Know your ABCs: Airway, Breathing, Circulation. Airway is the #1 priority, followed by the other two. (pg. 68 of ATI book). ABC guides the primary survey in life-threatening conditions. 6. Address acute needs first before chronic (acute needs can develop into chronic) 7. Address urgent patient needs first rather than non-urgent needs. 8. Address unstable patients first rather than stable. Unstable patient needs can be lifethreatening. ATI Exam Practice Questions: Test Your Knowledge! 1. What ethical principle below is accurately paired with a way that ethical principle is applied into nursing practice? a. Justice: Equally dividing time and other resources among a group of clients b. Beneficence: Doing no harm during the course of nursing care c. Veracity: Fully answering the client’s questions without any withholding of information d. Fidelity: Upholding the American Nurses Association’s Code of Ethics 2. A nurse restrains a client and administers an injection against their wishes. What type of tort is this? a. b. c. d. Assault Battery False imprisonment Malpractice 3. A nurse delegates a task to an assistive personnel and tells them, “I need you to measure the vital signs of a patient before 0900. His name is Mr. Jones in room 312 and he is postoperative, requiring naloxone to reverse his respiratory depression”. What right of delegation is this nurse violating? a. Right task b. Right person c. Right communication d. Right circumstances – bc he is not stable 4. A nurse is discussing the nursing process with a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the implementation step of the nursing process? a. “I will wear personal protective equipment and wash my hands” b. “I will determine the client’s most important problems that I should address” c. “I will ask the patient if their dyspnea has resolved” d. “I will review the patient’s past medical history to get more information” 5. A patient is under precautions where they have to be in a private room or with other clients who have the same infectious disease. Providers and visitors have to wear masks and the client has to wear a mask outside of their room/home. What precaution are they under? a. Airborne precautions – n95/negative pressure room b. Droplet precautions c. Standard precautions d. Enhanced contact precautions 6. Which of the following statements require further teaching? a. “Even in an emergency situation when there is risk to the client or others, a nurse cannot place restraints on a patient” b. “I should always pad bony prominences to prevent skin breakdown when using restraints” c. “Providers can renew restraint prescriptions with a maximum of 24 consecutive hours” d. “I should assess skin integrity, offer food and fluid, and perform range of motion with a client who has restraints” 7. A nurse is performing a rapid assessment of a patient who just came into the ER with multiple injuries sustained from a car accident. What step should the nurse do first? a. b. c. d. Assess the airway of the patient Assess the respirations and heart rate of the patient Assess if the patient body is being properly perfused Assess the patient’s level of consciousness 8. Which of the following ergonomic principles is correct? a. Twist your back or bend your back when lifting while your hips/knees are straight b. Push objects away from your body’s center of gravity c. Lift while you are kneeling or sitting d. Keep your back straight and hold object close before you lift 9. There has been a mass casualty event in town and your hospital is suddenly flooded with emergency trauma cases. Which patient do you take care of first? a. A patient who has fatal injuries and is expected to die soon b. A patient who has a fractured arm and broken ribs c. A patient who has a deep cut on the side of his face d. A patient who has major internal bleeding and is going into hypovolemic shock 10. A nurse is conducting early detection screenings of diabetes mellitus and providing treatment for those who have been recently diagnosed. What level of prevention is this? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention 11. A patient is starting to gain coping skills that require mental and physical activity. This skill relies on the patient’s readiness to learn and task performance with an instructor. What type of learning is this? a. Cognitive learning b. Affective learning c. Psychomotor learning d. Kinesthetic learning 12. When performing a general survey, the nurse notes the patient has labored breathing, has kyphosis, a shuffling gait, and an elevated temperature. What part of the general survey is still missing? a. Physical appearance b. Body structure c. Mobility d. Behavior 13. Your patient is experiencing an irregular rate and depth of respirations. The client experiences shallow breaths that then progress to a normal pattern and increased rate, with the rate then beginning to slow. The breathing pattern then ends with an apneic period. What is the patient experiencing? a. Kussmaul respirations b. Apnea c. Hypoventilation d. Cheyne-Stokes respirations e. Hyperventilation 14. You are doing a head and neck assessment on a patient. You place a vibrating tuning fork on top of the client’s forehead, asking whether the client can hear the sound best in the right ear, the left ear, or both ears equally. What test are you performing and what is an expected finding? a. Rinne test: air conduction is longer than bone conduction b. Rinne test: client hears sound equally in both ears c. Weber test: air conduction is longer than bone conduction d. Weber test: client hears sound equally in both ears 15. A nurse is in a provider’s office and is preparing to auscultate and percuss a client’s abdomen as part of the comprehensive physical examination. Which of the following findings should the nurse not expect? (Select all that apply) a. Tympany b. High pitched clicks c. Borborygmi – gurgling so overactive bowels d. Blumberg’s sign - rebound tenderness e. Bruits – blood flow 16. Which of the following is an example of a secondary lesion? a. Dried blood, serum, or pus b. Pus filled vesicle, varies in size c. Solid mass, deep, larger than 1 to 2 cm d. Mass is palpable, has irregular borders, edematous 17. You are performing a mental status exam on an elderly patient. You ask them, “what would you do if you locked your keys in your car?” This part of the examination is testing their: a. Level of knowledge b. Thought process c. Judgement d. Thought content 18. A nurse is caring for a patient who states, “I have to check with my partner and see if they think I am ready to go home.” The nurse replies, “Are you feeling ready to go home?” What technique is the nurse using to enhance communication with the patient? a. Paraphrasing b. Reflecting c. Exploring d. Restating 19. What nursing intervention promotes adherence to a patient’s treatment plan? a. Suggest coping skills for the client to use in their new situation b. Provide extensive instructions on the client’s treatment regimen c. Involve the patient in their treatment plan and allow them to have their own input d. Do not allow the family to become involved in the patient’s treatment 20. Nurses who are knowledgeable about the cultures prevalent in their area of practice are (Ch. 35) A. culturally competent. B. culturally congruent. C. culturally sensitive. D. culturally appropriate. 21. A home health care nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's progress to which stage of death and dying? (Ch. 36) a. Acceptance b. Anger c. Bargaining d. Denial denial, anger, bargaining, depression, aceceptance 22. A nurse gives a bed-bound patient a bed bath. Which is the primary reason why the nurse provides hygiene care to this patient? (Ch. 37) (Fundamentals Success, p. 286) a. Support a sense of well-being by increasing self-esteem b. Promote circulation by stimulating peripheral nerve endings c. Remove excess oil, perspiration, and bacteria by mechanical cleansing d. Exercise muscles by contraction and relaxation of muscles when bathing 23. A patient is experiencing a lack of sleep because of pain. Which is the most appropriate goal for this patient? (Ch. 38) (Fundamentals Success, p. 403) a. The patient will be provided with a back massage every evening before bedtime. b. The patient will report feeling rested after awakening in the morning. c. The patient will request less pain medication during the night. d. The patient will experience four hours of uninterrupted sleep. 24. A nurse is caring for a patient receiving bolus enteral feedings several times daily. Which nursing intervention is most important to help prevent diarrhea? (Ch. 39) (Fundamentals Success, p. 320) a. Flush the tube after every feeding b. Check the residual before each feeding c. Elevate the head of the bed 30 degrees continually d. Discard the refrigerated opened cans of formula after 24 hours 25. A patient has hemiplegia as a result of a cerebrovascular accident. Which complication of immobility is a concern to the nurse? (Ch. 40) (Fundamentals Success, p. 301) a. Dehydration b. Contractures – tightening of muscles/skins/tendons c. Incontinence d. Hypertension 26. Which are most important for a nurse to consider when a patient reports the presence of pain? Select All That Apply (Ch. 41) (Fundamentals Success, p. 406) a. The extent of pain is directly related to the amount of tissue damage. b. Fatigue increases the intensity of pain experienced by the patient. c. Behavioral adaptations are congruent with statements about pain. d. Giving opioids to a patient will lead to an addiction. e. The person feeling the pain is the authority on the pain. 27. A patient is admitted with lower gastrointestinal tract bleeding. Which characteristic of the stool supports this diagnosis? (Ch. 43) (Fundamentals Success, p. 385) a. Tarry stool - upper b. Orange stool c. Green mucoid stool d. Bright red-tinged stool 28. A nurse is assessing the urinary status of a patient. Which sign indicates that additional nursing assessments are necessary? (Ch. 44) (Fundamentals Success, p. 354) a. Specific gravity of 1.035 b. Aromatic odor c. Output of 35 mL hourly d. Pale yellow urine 29. Which one statement is false? (Ch. 45) a. Sensorineural hearing loss is an alteration in the inner ear, auditory nerve, or hearing center of the brain. b. Conductive hearing loss is an alteration in the middle ear that blocks the sound waves before they reach the cochlea of the inner ear. c. To conduct a Rinne test, place the actuated tuning fork on the top of the patient’s head. d. To conduct a Weber test, place the actuated tuning fork on the top of the patient’s head. e. An expected finding is that air conduction is greater than bone conduction. 30. A nurse is administering a variety of medications via the following routes. Which of these routes is the fastest acting? (Ch. 46) (Fundamentals Success, p. 264) a. Buccal b. Transdermal c. Subcutaneous d. Intramuscular 31. (Review Rights of Safe Medication Administration) The nurse is administering an antihypertensive medication to a patient. Which clinical manifestation should the nurse identify as an excessive response to the antihypertensive agent? (Ch. 47) (Fundamentals Success, p. 264) a. Respirations of 24 breaths per minute b. Heart rate of 60 beats per minute c. Blood pressure of 80/60 mm/Hg d. Oral temperature of 99.5 degrees F Be sure to review Dosage Calculation problems- see Ch. 48 32. A nurse who has just initiated an IV infusion explains to the patient that complications are possible, and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of infiltration? (Ch. 49) a. Damp dressing b. Bruising c. Tingling d. Coolness e. Slowed rate of infusion 33. Which of the following are Extrapyramidal symptoms? SATA (Ch. 50) a. Shuffling gait b. Excessive thirst c. Tremors d. Photophobia e. Acute dystonia (spastic movements of the back, neck, tongue, face) 34. Which of the following statements regarding collecting a specimen for blood glucose testing is false? (Ch. 52) a. Use the same collection site to ensure accurate comparison of results. b. Cleanse site with warm water and soap, but not alcohol, and allow it to dry. c. Hold finger in dependent position before puncturing to improve blood flow. d. Apply a cotton ball over the puncture site. 35. A meal tray arrives for a patient who is receiving 24% oxygen via a Venturi mask. Which should the nurse do to meet this patient’s needs? (Ch. 53) a. Arrange for liquid supplements that can be administered via a straw through a valve in the max. b. Obtain an order to change the mask to a nonrebreather mask during meals. c. Request an order to use a nasal cannula during meals. d. Discontinue the oxygen when the patient is eating meals. 36. Identify the steps that should be implemented when administering enteral nutrition via a NG tube. SATA. (Ch. 54) a. Elevate the HOB (head of the bed) 15 degrees. b. Ensure that the formula is at room temperature. c. Auscultate for bowel sounds before initiating feeding. d. Aspirate for residual volume before initiating feeding. e. Flush tubing with at least 100 mL of water after feeding. 37. A nurse identifies that a patient’s pressure ulcer has just partial-thickness skin loss involving the epidermis and dermis. Which stage pressure ulcer should the nurse document based on this assessment? (ch. 55) a. Stage I b. Stage II c. Stage III d. Stage IV e. Unstageable 38. T/F. Airborne pathogens can travel up to 3 feet, but droplets can travel extended distances. (Ch. 56) 39. A nurse is assessing a patient’s fluid status. Which assessments indicate that the patient has a deficient fluid volume? SATA. (Ch. 57) a. Negative balance of intake and output b. Increased blood pressure c. Shortness of breath d. Flat neck veins e. Weight loss 40. A nurse suspects that an older adult may have a fluid and electrolyte imbalance. Which assessment best reflects fluid and electrolyte balance in an older adult? a. Intake and output results b. Serum laboratory results c. Condition of the skin d. Presence of tenting Tips of the week: ● Try and locate each chapter where each question we discussed today is located! This will help you get even more familiar with your book and the information we have gone over. ● Take time to apply for scholarships!! Log into My Student Center to apply. https://students.uthscsa.edu/financialaid/2013/04/scholarships/ If you need help getting started, let us know! We were both blessed to receive scholarships last year:) DEADLINE: May 29. (So maybe put this on your calendar for after finals.) ● Consider applying to be a Tutor, SI leader or Peer Mentor for next semester! ● ATI Exam is April 20:) ● Finish both A & B Practice Exams (and upload results to canvas, each must be >90%, can take multiple times) by April 15!!