Clinicals ATI Exam

Free preview · Original latest version

Sample questions from Clinicals ATI Exam

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

1. 1.A 68-year-old client on a medical unit has pneumonia and becomes newly confused. Temperature is 39.1 C, heart rate is 122/min, respiratory rate is 30/min, blood pressure is 84/48 mm Hg, and oxygen saturation is 88% on room air. Which action should the nurse take first?

   • A.Obtain a sputum specimen before beginning treatment.
   • B.Apply supplemental oxygen and activate the rapid response system.
   • C.Administer the prescribed oral antipyretic.
   • D.Repeat the blood pressure after the client rests for 15 minutes.

   Rationale: Hypoxemia, hypotension, and altered mental status indicate acute deterioration requiring immediate oxygen and emergency assistance. A sputum specimen can support treatment decisions but must not delay stabilization. An antipyretic does not correct impaired oxygenation or perfusion, and waiting to reassess delays treatment of possible septic shock. Prioritize immediate physiologic threats before diagnostic collection or comfort measures.

2. 2.A 74-year-old client is recovering from a stroke on a rehabilitation unit. The client is alert, has stable vital signs, and requires one-person assistance to transfer using an established technique. Which task should the RN delegate to experienced assistive personnel?

   • A.Determine whether the client can begin walking without assistance.
   • B.Teach the family the prescribed transfer technique.
   • C.Assist the client from bed to a chair using the established transfer plan.
   • D.Evaluate the client's response to a new mobility program.

   Rationale: Assisting a stable client with an established transfer plan is a routine task appropriate for trained assistive personnel. Determining readiness for independent walking and evaluating a new program require nursing judgment. Initial teaching of the transfer technique should remain with the licensed nurse. Delegate predictable tasks while retaining assessment, teaching, and evaluation responsibilities.

3. 3.A charge nurse is assigning clients on an adult medical unit. An experienced LPN/VN is working within a scope that permits routine wound care and scheduled oral medications. Which client is most appropriate for this nurse?

   • A.A 62-year-old with stable vital signs who needs a scheduled dressing change for a chronic venous ulcer.
   • B.A 45-year-old admitted 10 minutes ago with undifferentiated chest pain and diaphoresis.
   • C.A 70-year-old receiving a first blood transfusion who has developed chills.
   • D.A 29-year-old with a new spinal cord injury who needs an initial comprehensive care plan.

   Rationale: The stable client needing predictable wound care is appropriate for an LPN/VN within the stated scope. New chest pain and a possible transfusion reaction require immediate RN assessment and management. Initial comprehensive care planning for a new spinal cord injury is an RN responsibility. Match assignments to client stability, task predictability, demonstrated competence, and jurisdictional scope.

4. 4.A 59-year-old client is admitted with fever, weight loss, night sweats, and a productive cough lasting 4 weeks. Chest imaging shows an upper-lobe cavitary lesion, and pulmonary tuberculosis is suspected. Which placement and protective equipment are appropriate?

   • A.A private room with the door open and a surgical mask for staff.
   • B.A positive-pressure room and a fit-tested N95 respirator for staff.
   • C.A shared room with another coughing client and gloves for staff.
   • D.An airborne infection isolation room and a fit-tested N95 respirator for staff.

   Answer and rationale are in the full material.

5. 5.An 81-year-old client in a long-term care facility develops frequent watery stools after completing clindamycin. Stool testing confirms Clostridioides difficile infection. Which infection-control plan should the nurse implement?

   • A.Use droplet precautions and dedicate a thermometer to the client.
   • B.Use contact precautions, dedicated equipment, and soap-and-water handwashing after care.
   • C.Use airborne precautions and alcohol-based hand rub only.
   • D.Use standard precautions alone once the first antibiotic dose is given.

   Answer and rationale are in the full material.