Davenport University NURS217 Health Assessment in
Nursing / Fundamentals - ATI PRACTICE TEST A
Questions With Complete Solutions
A charge nurse is discussing the responsibility of nurses caring
for clients who have a Clostridium difficile infection. Which of
the following information should the nurse include in the
teaching?
Assign the client to a room with a negative airflow system.
Use alcohol-based hand sanitizer when leaving the client's room.
Clean contaminated surfaces in the client's room with a phenol
solution.
Have family members wear a gown and gloves when visiting.
Correct Answers Have family members wear a gown and
gloves when visiting.
A client who is nonambulatory notifies the nurse that their trash
can is on fire. After the nurse confirms the presence of the fire,
which of the following actions should the nurse take next?
Activate the emergency fire alarm.
Extinguish the fire.
Evacuate the client.
Confine the fire. Correct Answers Evacuate the client.
A client who is postoperative is verbalizing pain as a 2 on a pain
scale of 0 to 10. Which of the following statements should the
nurse identify as an indication that the client understands the
preoperative teaching they received about pain management?
,"I think I should take my pain medication more often, since it is
not controlling my pain."
"Breathing faster will help me keep my mind off of the pain."
"It might help me to listen to music while I'm lying in bed."
"I don't want to walk today because I have some pain." Correct
Answers "It might help me to listen to music while I'm lying in
bed."
A middle adult client tells the nurse, "I feel so useless now that
my children do not need me anymore." Which of the following
responses should the nurse make?
"Most people are happy when their children grow up and leave
home."
"You should be proud that your children are becoming
independent."
"Maybe you should consider why you are feeling useless."
"People in middle adulthood often find satisfaction in nurturing
and guiding young people." Correct Answers "People in
middle adulthood often find satisfaction in nurturing and guiding
young people."
A nurse enters a client's room and finds them on the floor. The
client's roommate reports that the client was trying to get out of
bed and fell over the side rail onto the floor. Which of the
following statements should the nurse document about this
incident?
"Incident report completed."
"Client climbed over the side rails."
"Client found lying on floor."
, "Client was trying to get out of bed." Correct Answers "Client
found lying on floor."
A nurse has just inserted a nasogastric (NG) tube for a client.
Which of the following findings should the nurse expect to
confirm correct tube placement?
The tube aspirate has a pH of 7 (less than 5).
An x-ray shows the end of the tube above the pylorus.
Bowel sounds are present on auscultation.
The client reports relief of nausea. Correct Answers An x-ray
shows the end of the tube above the pylorus.
A nurse in a long-term care facility is caring for a client who
dies during the nurse's shift. Identify the sequence in which the
nurse should perform the following steps. (Move the steps into
the box on the right, placing them in the order of performance.
Use all the steps.) Correct Answers Obtain the pronouncement
of death from the provider
Remove tubes and indwelling lines
Wash the client's body
Ask the client's family members if they would like to view the
body
Place a name tag on the body
A nurse in a provider's clinic is caring for a client who has
diarrhea.
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