ATI Testing and Remediation Beginning
Test Questions And Answers
A nurse is preparing to administer an IM injection to an adult client who has a BMI of 30. Which
of the following needle lengths is appropriate to administer the injection in the ventrogluteal
muscle. - ANS 1 1/2 inch
A nurse is collecting data on a newly admitted client who is reporting abdominal discomfort.
When examining the abdomen, which of the following techniques should the nurse perform
next? - ANS Inspection
A nurse is caring for a client who is scheduled for a biopsy of a tumor located in the left lower
lobe of the lung. The client states, "I will quit smoking if the results don't come back positive for
cancer." This statement indicates the client is in which of the following stages of grief? - ANS
Bargaining
To answer this item, start by critically reading the stem and reviewing the scenario, as well as
identifying the person of focus, key words, and what the question is asking. Also, you should
have determined if the question was positively worded, negatively worded, or if it involves
priority setting.
Scenario: A nurse is caring for a client who is scheduled for a biopsy of a tumor located in her
left lower lobe. The client states, "I will quit smoking if the results don't come back positive for
cancer."
Question: This statement indicates the client is in which of the following stages of grief?
Person of Focus: The client scheduled for the biopsy of a lung tumor
Key Words: tumor, left lower lobe of lung, "I will quit if"
So, the question is asking which of the stages of grief is client is in. This is a positively worded,
traditional multiple choice item, which means there are four options. Of these options, one is
correct, called the key, and three are incorrect, called the distracters. Because the question
indicates there is only one correct option, it is not a priority setting item.
Next you should review each option and determine if it is probably correct, possibly correct, or
probably incorrect, and assign the appropriate code to each option.
Bargaining is correct. Denial, anger, bargaining, and acceptance are all stages of the dying and
grief process. The statement made by the client is an example of bargaining. Clients or families
might promise to improve or change habits as a part of the grieving process.
a nurse on a pediatric unit is caring for an infant who is diagnosed with
laryngotracheobronchitis. While preforming a respiratory examination, the nurse hears the
sound on the provided audio clip. Based on this finding, the nurse should conclude the client is
exhibiting which of the following breath sounds? - ANS Stridor
, A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is
appropriate to include in the clients diet? - ANS Grape juice, ice cream
A nurse is caring for a client who is receiving vancomycin for a beta hemolytic streptococci
infection. For which of the following adverse effects should the nurse monitor? - ANS
Hearing loss
To answer this item, start by critically reading the stem and reviewing the scenario, as well as
identifying the person of focus, key words, and what the question is asking. Also, you should
have determined if the question was positively worded, negatively worded, or if it involves
priority setting.
Scenario: A nurse is caring for a client who is receiving vancomycin for a beta-hemolytic
streptococci infection.
Question: For which of the following adverse effects should the nurse monitor?
Person of Focus: The client who is receiving vancomycin
Key Words: laboratory values, indicates, nephrotoxicity
So, the question is asking which finding the nurse should monitor for in a client who is receiving
vancomycin. This was a positively worded, traditional multiple choice item, which means there
were four options. Of these options, one is correct, called the key, and three are incorrect, called
the distracters. Because the question indicates there is only one correct option, it is not a priority
setting item.
Next, you should review each option and determine if it is probably correct, possibly correct, or
probably incorrect, and assign the appropriate code to each option.
Hearing loss is correct. Ototoxicity, an auditory nerve injury, is the most serious adverse effect of
vancomycin and can result in hearing loss. The nurse should monitor for this adverse effect.
A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the
following characteristics is associated with a stage II pressure ulcer? - ANS Partial
thickness skin loss
Scenario: A nurse is caring for a client who is immobile and has developed a pressure ulcer.
Question: Which of the following characteristics is associated with a stage II pressure ulcer?
Person of Focus: The client who has developed a pressure ulcer
Key Words: pressure ulcer, characteristics, stage II
So, the question is asking which of the characteristics is associated with a stage II pressure
ulcer. This is a positively worded, traditional multiple choice item, which means there are four
options. Of these options, one is correct, called the key, and three are incorrect, called the
distracters. Because the question indicates there is only one correct option, it is not a priority
setting item.
Next you should review each option and determined if it is probably correct, possibly correct, or
probably incorrect, and assign the appropriate code to each option.
Partial thickness skin loss is correct. Staging of pressure ulcers includes the depth of tissue
involvement, description of exudates, dimensions of the wound, and the condition of
surrounding skin. A stage II pressure ulcer involves partial thickness skin loss and typically
presents as an abrasion or blister.
