ATI TESTING EXAM FOR ENGAGE ADULT MEDICAL SURGICAL
RN- RN ILLNESS ASSESSMENT (correct answers are marked)
Question 1 of 25
A nurse is caring for a client who is chronically ill and has decreased mobility. Which of the
following body systems should the nurse identify as the greatest risk of complication
associated with bone demineralization?
A. Gastrointestinal system
B. Endocrine system
C. Urinary system
D. Respiratory system
Answer: C. Urinary system
Question 2 of 25
A public health nurse is preparing an educational activity for the community about risk
factors for chronic illness. Which of the following health habits should the nurse include as
the leading cause of preventable death in the United States?
A. Lack of exercise
B. Not getting vaccines
C. Tobacco use
D. Poor eating habits
Answer: C. Tobacco use
Question 3 of 25
A nurse is assisting a client who has a chronic illness obtain health insurance. Which of the
following laws has improved the access to care for people who have disabilities?
A. Social Security Fairness Act
B. Title IX
C. Health Insurance Portability and Accountability Act of 1996
D. The Patient Protection and Affordable Care Act
Answer: D. The Patient Protection and Affordable Care Act
Question 4 of 25
Question 5 of 25
A nurse is planning care for a client who has sickle cell disease. Which of the following
potential complications should the nurse expect?
A. Hirsutism
B. Psoriasis
C. Asbestosis
D. Vision loss
Answer: D. Vision loss
Question 6 of 25
A school nurse is creating an assembly promoting antibullying after a child who has a
disability was stigmatized at school. The nurse is addressing which of the following domains
of the social determinants of health?
A. Education access and quality
B. Social and community context
C. Health care access and quality
D. Neighborhood and built environment
Answer: B. Social and community context
Question 7 of 25
A nurse is obtaining a past medical history from a client who is chronically ill and has an
immune disorder. The nurse should recognize that which of the following past medical
conditions is likely linked to the client's unhealthy gut microbiome?
A. Bell's palsy
B. Colorectal cancer
C. Diabetes mellitus
D. Kidney stones
Answer: B. Colorectal cancer
Question 8 of 25
A nurse is caring for a client who has a recent diagnosis of type 2 diabetes mellitus. Which of
the following topics should the nurse teach the client first?
A. Hand hygiene
B. Sexually transmitted infections
C. Injury prevention
D. Heart healthy diet
Answer: D. Heart healthy diet
Question 9 of 25
A nurse is teaching a client who has cancer about enhancing their immune system. Which of
the following recommendations should the nurse make?
A. Practice coping skills
B. Decrease exercise routine
C. Increase the use of supplements in the diet
D. Take vitamin C in large doses
Answer: A. Practice coping skills
Question 10 of 25
A nurse is teaching a client about healthy versus unhealthy microbes. The nurse should
identify that which of the following systems accounts for the most microbes in the body?
A. Gastrointestinal tract
B. Reproductive system
C. urinary system
D. Respiratory system
Answer: A. Gastrointestinal tract
Question 11 of 25
A nurse is encouraging a client who has a chronic illness to exercise. Which of the following
statements should the nurse make?
A. 'Exercising at least 30 minutes per day can help decrease your risk for developing
metabolic syndrome."
B. Exercising 3 times per week can help decrease your risk for developing chronic
obstructive pulmonary disease."
C. Exercising several times each day can help decrease your risk for developing asthma."
D. Exercising 60 minutes every other day can help decrease your risk for developing
glaucoma."
Answer: A. 'Exercising at least 30 minutes per day can help decrease your risk for
developing metabolic syndrome."
Question 12 of 25
A nurse is caring for a client who asks for tips to help them stop drinking alcohol. Which of
the following responses should the nurse make?
A. 'Keep a record of your actual consumption,"
B. Keep alcohol in the house locked up. •
C. Spend time alone."
D. Demonstrate your self-control to your friends."
Answer: A. 'Keep a record of your actual consumption,"
Question 13 of 25
A nurse is discussing pancreatic cancer with a newly licensed nurse. Which of the following
hormones should the nurse identify as being the most likely to have altered secretion?
A. Oxytocin
B. Luteinizing hormone
C. Glucagon
D. Adrenocorticotrophic hormone
Answer: C. Glucagon
Question 14 of 25
A nurse is preparing to administer intravenous gamma globulin therapy to a client. The client
asks what the purpose of this medication is. The nurse should explain that the medication
provides which of the following types of immunity?
A. Natural passive immunity
B. Artificial passive immunity
C. Natural active immunity
D. Artificial active immunity
Answer: B. Artificial passive immunity
Question 15 of 25
A nurse administrator of a health care facility wants to initiate a campaign to promote healthy
eating. Which of the following actions should the nurse promote as part of the campaign?
A. Encourage staff to maintain a body mass index between 18.5 and 24.9.
B. Organize a 5K race for the staff and their families.
C. Request that only healthy food options be served in the cafeteria, vending machines, and
restaurants on the facility campus.
D. Set a goal of total pounds for staff to lose, and create a poster in the cafeteria showing
progress.
Answer: C. Request that only healthy food options be served in the cafeteria, vending
machines, and restaurants on the facility campus.
Question 16 of 25
A nurse is caring for a client who has a chronic illness and has extreme thirst and urination.
The nurse should identify these as manifestations of which of the following disorders?
A. Addison's disease
B. Central diabetes insipidus
C. Polycystic ovarian syndrome
D. Hypoparathyroidism
Answer: B. Central diabetes insipidus
Question 17 of 25
A nurse is teaching a client who has a chronic illness about the DASH diet. The nurse should
recommend which of the following cooking oils?
A. Coconut oil
B. Palm oil
C. Olive Oil
D. Butter
Answer: C. Olive Oil
Question 18 of 25
A school nurse is developing a poster to raise awareness about social justice, equity. and
diversity and inclusion to reduce stigma toward students who have chronic illnesses. Which
of the following domains of the social determinants of health does this address?
A. Education access and quality
B. Health care access and quality
C. Social and community context
D. Neighbourhoods and built environments
Answer: C. Social and community context
Question 19 of 25
A nurse attends a local planning meeting regarding a new housing complex that is being
constructed in the local neighbourhood. The nurse wants to be sure that which of the
following domains of the social determinants of health is being met?
A. Education access and quality
B. Economic stability
C. Neighborhood and built environment
D. Health care access and quality
Answer: C. Neighborhood and built environment
Question 20 of 25
A nurse is teaching a client who has alcohol use disorder about ways to stop drinking alcohol.
Which of the following statements by the client indicates a need for further teaching?
A. "l think I will volunteer at the local soup kitchen."
B. "l Can go with my friends to the bar and order a soda."
C. I am going to stop drinking alcohol for the month of January.
D. I don't think I drink a lot, but I will keep a diary of my drinking and see what I find."
Answer: B. "l Can go with my friends to the bar and order a soda."
Question 21 of 25
Question 22 of 25
Question 23 of 25
A nurse advocates for bicycle paths in the community to promote safe exercise for clients and
prevent chronic illness. This is an example of which of the following kinds of prevention?
A. Primordial
B. Primary
C. Secondary
D. Tertiary
Answer: A. Primordial
Question 24 of 25
A nurse is assessing a client who has polycystic ovarian syndrome. Which of the following
findings should the nurse expect?
A. polyuria
B. Exophthalmos
C. Polydipsia
D. Hirsutism
Answer: D. Hirsutism
Question 25 of 25
A nurse is assisting a client, who has a chronic illness. to obtain access to the internet to use
for telehealth opportunities. The nurse should identify that this is an example of which of the
following domains of social determinants of health?
A. Neighbourhood and built environments
B. Economic stability
C. Education access and quality
D. Social and community context
Answer: A. Neighbourhood and built environments
