ATI Entrance for Eastwick College

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Sample questions from ATI Entrance for Eastwick College

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, four clients need care. Which client should the nurse assess first?

   • A.A client with diabetes whose premeal glucose is 240 mg/dL
   • B.A client 1 day after surgery requesting pain medication for incisional pain rated 7/10
   • C.A client with heart failure who has gained 0.5 kg in 24 hours and has mild ankle edema
   • D.A client with pneumonia whose oxygen saturation has fallen from 95% to 88% on 2 L/min oxygen

   Rationale: The falling oxygen saturation despite supplemental oxygen signals impaired gas exchange and requires immediate assessment and intervention. Hyperglycemia, postoperative pain, and mild edema require follow-up, but are less immediately threatening based on the information provided. Use airway and breathing concerns to guide initial prioritization.

2. 2.During a clinic visit, a client with hypertension says, "I stopped taking my medication because I feel fine." Which response by the nurse is best?

   • A."Tell me what concerns you about taking the medication when you feel well."
   • B."You need to take it because your provider prescribed it."
   • C."You can take it only on days when you have a headache."
   • D."You should restart it today and take twice as much if your blood pressure is high."

   Rationale: Exploring the client's concerns identifies barriers and supports shared decision-making about long-term treatment. Doubling a dose can be unsafe, and medication should not be taken only when symptoms occur unless specifically prescribed that way. A directive response may discourage the client from discussing concerns.

3. 3.Refer to the client's chart. Which actions should the nurse take next for this client with possible sepsis? Select all that apply.

   • A.Administer the prescribed broad-spectrum antibiotic promptly after cultures are obtained.
   • B.Wait for the next scheduled vital-sign check because the client is already receiving fluids.
   • C.Obtain a blood culture before starting the prescribed antibiotic, if this does not delay treatment.
   • D.Notify the rapid response team or provider about the deterioration.
   • E.Reassess perfusion, mental status, and vital signs frequently.

   Rationale: The new hypotension, fever, tachycardia, confusion, and elevated lactate indicate worsening sepsis and require escalation now. Obtain cultures before antibiotics when feasible, but do not delay prompt antibiotic administration; reassess response closely. Waiting until routine observations risks further deterioration.

4. 4.A charge nurse is assigning tasks on a rehabilitation unit. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Assess a newly admitted client's ability to swallow.
   • B.Obtain routine vital signs for a stable client before discharge.
   • C.Evaluate a client's response to a new antihypertensive medication.
   • D.Teach a client how to use a walker on stairs.

   Answer and rationale are in the full material.

5. 5.A client scheduled for surgery says, "I do not understand why I need this procedure." The consent form is unsigned. What should the nurse do?

   • A.Have the client sign because the procedure is already scheduled.
   • B.Explain the procedure's risks and benefits, then obtain the signature.
   • C.Notify the surgeon that the client needs further explanation before signing.
   • D.Ask a family member to explain the procedure and sign as a witness.

   Answer and rationale are in the full material.