ATI Quiz

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Sample questions from ATI Quiz

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, an RN receives report on four clients. Which client should the RN assess first?

   • A.A client 6 hours after thyroidectomy who reports tingling around the mouth and has a respiratory rate of 24/min
   • B.A client 1 day after abdominal surgery who requests assistance to the bathroom
   • C.A client with chronic heart failure who has bilateral ankle edema and is scheduled for a daily weight
   • D.A client with pneumonia whose temperature is 38.1 C (100.6 F) and who is due for an antipyretic

   Rationale: Perioral tingling after thyroidectomy can indicate hypocalcemia and may precede laryngospasm, making this client the priority. The fever, chronic edema, and request for assistance require care but do not suggest an equally immediate airway threat. Assess airway and calcium-related symptoms promptly.

2. 2.In a long-term care facility, an RN is assigning tasks to a nursing assistant for four stable residents. Which task is appropriate to delegate?

   • A.Evaluate a new pressure injury and determine its stage
   • B.Obtain the daily weight of a resident with stable heart failure
   • C.Teach a resident how to use an incentive spirometer
   • D.Assess a resident who reports new-onset dizziness

   Rationale: Obtaining a routine weight for a stable resident is a predictable task that can be delegated to trained assistive personnel. Staging a wound, teaching, and assessing a new symptom require nursing judgment. The RN remains responsible for interpreting the weight and responding to changes.

3. 3.During a home health visit, a 76-year-old client with heart failure has worsening shortness of breath and reports missing two medication doses. Which actions should the RN take? Select all that apply.

   • A.Assess respiratory effort and oxygen saturation
   • B.Ask the client to sit upright
   • C.Review the medication schedule and barriers to taking medications
   • D.Advise the client to double the next diuretic dose
   • E.Arrange prompt evaluation based on the client's current symptoms

   Rationale: Assessing breathing and oxygenation establishes immediate severity, and upright positioning can ease respiratory distress. Reviewing medication barriers supports safe planning, while worsening dyspnea warrants prompt evaluation. Doubling a diuretic without a prescription can cause hypotension and electrolyte abnormalities.

4. 4.A provider prescribes a medication dose that appears to be ten times the usual dose for a 9-year-old client. What should the RN do first?

   • A.Ask the parent whether the child has received this dose before
   • B.Administer the dose and monitor for adverse effects
   • C.Hold the medication and clarify the prescription with the provider
   • D.Ask another nurse to verify the dose, then administer it

   Answer and rationale are in the full material.

5. 5.In the emergency department, a client with a displaced fracture is waiting for transfer. Which task may the RN delegate to an experienced nursing assistant?

   • A.Decide whether the client's pain medication was effective
   • B.Explain the risks and benefits of the planned reduction
   • C.Perform the initial neurovascular assessment of the injured limb
   • D.Obtain and document routine vital signs on a stable client

   Answer and rationale are in the full material.