ATI ENGAGE ADULT MEDICAL SURGICAL
RN Professional Nursing Assessment
Question: 1 of 30
A nurse is caring for a client who was recently diagnosed with type 2 diabetes mellitus and is
having difficulty understanding their new dietary requirements. The client is requesting to meet
with their medical team but has limited access to transportation. Which of the following nursing
actions would align with the competencies of communication for interprofessional teams?
A. The nurse recommends that the client follow the dietary plan to the best of their ability.
B. The nurse requests that a nutritionist replace the client's current dietary plan with different
guidelines.
C. The nurse helps the client understand that it is important to travel to the medical facility and
meet with the team in-person.
D. The nurse schedules a remote meeting with the client and their medical team to provide
education on dietary restrictions.
Answer: D. The nurse schedules a remote meeting with the client and their medical team to
provide education on dietary restrictions.
Question: 2 of 30
A nurse is providing care to a client who is unable to participate in the decision-making process.
Which of the following demonstrates how the Patient's Bill of Rights supports a client-based
approach?
A. It provides the client the right to be informed of billing and payment methods.
B. It allows a designated surrogate, such as a health care proxy, to make decisions for them.
C. It gives the client the right to consent or decline participation in medical research.
D. It provides the client the right to review their medical records and have them explained or
interpreted as needed.
Answer: B. It allows a designated surrogate, such as a health care proxy, to make decisions for
them.
Question: 3 of 30
A health care facility recently opened in a community with a sizable immigrant population. The
clients speak languages that are all different from the nursing staff. Which of the following
interventions can the facility take to promote client education regarding pandemic protocols?
A. The health care facility could work with the state government to provide free vaccines to the
community.
B. The health care facility could provide referrals for specialty services to clients experiencing
long-term manifestations of an infection.
C. The health care facility could hire interpreters who speak different languages to serve on the
staff to facilitate client education.
D. The health care facility could invest in advanced medical equipment to provide care that may
not be available in some clients' countries of origin.
Answer: C. The health care facility could hire interpreters who speak different languages to serve
on the staff to facilitate client education.
Question: 4 of 30
A nurse manager at a busy medical center identified that clients receiving treatment for
respiratory infections have had more negative outcomes over the past 3 months. Which of the
following changes should the nurse manager implement to improve client outcomes?
A. Eliminate the role of assistive personnel (AP).
B. Restrict all visitors to the units.
C. Implement mandatory overtime.
D. Assign low-risk tasks to licensed practical nurses (LPN).
Answer: D. Assign low-risk tasks to licensed practical nurses (LPN).
Question: 5 of 30
A nurse reviews a client's clinical manifestations to verify that the interventions used have the
desired effect. Which of the following steps of the nursing process is the nurse carrying out?
A. The planning phase
B. The implementation phase
C. The evaluation phase
D. The assessment phase
Answer: C. The evaluation phase
Question: 6 of 30
A nurse is planning to integrate a technique from a scholarly journal into a client's plan of care.
Which of the following steps of evidence-based practice is the nurse using when they review the
journal article to make sure the client fits the clinical criteria before applying the technique?
A. Analyzing the evidence
B. Gathering the best evidence
C. Applying the evidence to clinical practice
D. Assessing the result
Answer: A. Analyzing the evidence
Question: 7 of 30
A nurse hears another staff member at the nurses' station make a joke using a racial slur. The
nurse identifies that the staff member needs education on which of the following nursing values?
A. Autonomy
B. Diversity and inclusion
C. Nonmaleficence
D. Moral distress
Answer: B. Diversity and inclusion
Question: 8 of 30
A nurse is caring for a client in an acute care setting and has just made a medication error. Which
of the following actions by the nurse demonstrates accountability?
A. Documenting the client's status in the chart
B. Monitoring the client for adverse reactions
C. Administering the antidote to the incorrectly administered medication
D. Completing an incident report with the details of the error
Answer: D. Completing an incident report with the details of the error
Question: 9 of 30
An emergency department nurse, who has practiced nursing for 20 years, administers a treatment
that is contraindicated with a client's medications while assisting in a mass-casualty event. Which
of the following factors most likely contributed to the nurse's incorrect decision?
A. Lack of technology to check the client's medication record
B. The experience level of the nurse
C. Interpretation of the medical order
D. The practice setting
Answer: D. The practice setting
Question: 10 of 30
A nurse is discussing workplace hazards with the health care team. Which of the following
circumstances should the nurse include as a significant workplace hazard?
A. Use of client lift equipment
B. Employer immunization requirements
C. Exposure to infectious diseases
D. Staff absences due to illness
Answer: C. Exposure to infectious diseases
Question: 11 of 30
A nurse is reviewing the plans of care for a group of clients. Which of the following findings
indicate a client-centered approach was used when developing the client's plan of care?
A. Delivery of client education was limited due to language barriers.
B. Physical therapy was scheduled during the client's prayer hour.
C. The nurse spent time sitting with the client who received a terminal diagnosis.
D. The nurse transferred the client to another unit before providing a report.
Answer: C. The nurse spent time sitting with the client who received a terminal diagnosis.
Question: 12 of 30
A nurse is discussing bullying in the workplace with a group of new staff members. Which of the
following statements related to workplace bullying should the nurse include in the discussion?
A. “Client mortality is not affected by workplace bullying.”
B. “Bullying is limited to direct statements toward the individual.”
C. “Bullying can lead to an increase in staff absences.”
D. “Clients cannot be a source of bullying.”
Answer: C. “Bullying can lead to an increase in staff absences.”
Question: 13 of 30
A nurse is caring for a newly admitted client to the medical unit and documents the client's
current clinical manifestations. The nurse also reviews the client's admission history and physical.
Which step of Layer 3 of the Clinical Judgment Model is the nurse completing?
A. Recognizing cues
B. Prioritizing hypotheses
C. Generating solutions
D. Taking action
Answer: A. Recognizing cues
Question: 14 of 30
A nurse observes that a client's family member is becoming upset with a staff member and is
voicing concerns about unsatisfactory nursing care. The nurse should take which of the following
actions to de-escalate the situation between the client and staff?
A. Come back to the client's room later.
B. Call the provider to manage the situation.
C. Ask the family member to discuss their concerns.
D. Tell the family member to leave.
Answer: C. Ask the family member to discuss their concerns.
Question: 15 of 30
A nurse is reviewing four articles for an evidence-based practice project on the medical-surgical
unit. Which of the following sources of evidence should the nurse consider the most reliable?
A. The results of a non-randomized control trial performed by an independent lab
B. A scholarly journal article presenting the consensus viewpoint of five neurology experts
C. The results of a randomized control trial performed by a government agency
D. A quality of life study containing firsthand reports from clients using a medication
Answer: C. The results of a randomized control trial performed by a government agency
Question: 16 of 30
A nurse is caring for a group of clients. Which of the following actions by the nurse is an example
of the nursing process step of analysis?
A. The nurse administers acetaminophen to a client who has a temperature of 38.9°C (102°F) and
is diaphoretic.
B. The nurse listens to the lung sounds of a client who has pneumonia and is coughing.
C. The nurse reviews the laboratory results of a client who experienced blood loss and is
hypotensive.
D. The nurse determines the client's understanding of diabetic teaching by having them
demonstrate how to perform a blood glucose test.
Answer: C. The nurse reviews the laboratory results of a client who experienced blood loss and is
hypotensive.
Question: 17 of 30
A nurse is discussing the Quality and Safety Education for Nurses (QSEN) project with a newly
licensed nurse. Which of the following examples should the nurse provide that addresses quality
improvement?
A. A nurse considers the client's cultural background along with their values and beliefs when
developing a plan of care.
B. A nurse participates in clinical rounds to ensure continuity of care.
C. A nurse is a member of the electronic health record task force to update the technology
platform.
D. A nurse collects data regarding the handwashing techniques used by members of the health
care team.
Answer: D. A nurse collects data regarding the handwashing techniques used by members of the
health care team.
Question: 18 of 30
A nurse is caring for a client who is receiving treatment for cancer. The client States, “I don't
think I want to treat my cancer anymore.” The nurse should make which of the following
statements to validate the client's right of autonomy?
A. “I hope that your family approves of your decision.”
B. “I will notify the provider of your decision.”
C. “I will make a referral for a mental health consultation.”
D. “I would not recommend discontinuing treatment.”
Answer: B. “I will notify the provider of your decision.”
Question: 19 of 30
A nurse is discussing evidence-based practice with a newly licensed nurse. Which of the
following statements should the nurse include in the discussion?
A. “The use of evidence-based practice supports practices based in tradition.”
B. “The use of evidence-based practice improves client satisfaction.”
C. “The use of evidence-based practice increases overall health care costs.”
D. “The use of evidence-based practice is limited to critical care procedures.”
Answer: B. “The use of evidence-based practice improves client satisfaction.”
Question: 20 of 30
A nurse is preparing to discharge a client who has several new prescriptions. The client states, “I
don't think I can afford to buy all of these medications. “Which of the following responses by the
nurse demonstrates advocacy to promote the client's health?
A. “I will be sure to involve the social worker in your discharge planning.”
B. “There are lots of pharmacies in the city that have competitive pricing.”
C. “I’m sure you will find a way to get the medications.”
D. “You might be able to negotiate prices of the medications with your insurance company.”
Answer: A. “I will be sure to involve the social worker in your discharge planning.”
Question: 21 of 30
A nurse is presenting a poster on burnout to a group of newly licensed nurses. Which of the
following points should the nurse include in their presentation?
A. Lack of sleep is a risk factor for burnout.
B. Burnout has similar manifestations in all nurses.
C. Burnout is usually recognized within the first few days.
D. The nurse should transfer to another unit if they experience burnout.
Answer: A. Lack of sleep is a risk factor for burnout.
Question: 22 of 30
A nurse at a same-day surgery facility meets with a client postoperatively treated for a torn
meniscus in the left knee. The client requires a recovery plan to rehabilitate. Which of the
following steps should the nurse take to advocate for the client?
A. Provide instructions on emergency care for the client's condition.
B. Provide a nutrition plan to adjust the client's eating habits.
C. Note the client's preinjury manifestations to help plan the client's care needs.
D. Provide the client with a referral to a facility that offers physical therapy.
Answer: D. Provide the client with a referral to a facility that offers physical therapy.
Question: 23 of 30
A nurse is working with a client who has limited income and requires a prescription for a costly
medication. Which of the following factors should the nurse take into consideration to meet the
needs of this client?
A. The client's access to health insurance
B. The client's social support network
C. The client's nutritional status
D. The client's life expectancy
Answer: A. The client's access to health insurance
Question: 24 of 30
A nurse manager is discussing the implications of a nursing shortage with a newly licensed nurse.
Which of the following statements by the nurse manager is correct?
A. “Over the next few years, the shortage of nurses will decrease.”
B. “A high client-to-nurse ratio can increase client mortality rates.”
C. “COVID-19 has had little to no effect on the nursing shortage.”
D. “The number of nurses retiring should decrease over the next 10 years.”
Answer: B. “A high client-to-nurse ratio can increase client mortality rates.”
Question: 25 of 30
A registered nurse is caring for a client who has stage 2 cervical cancer and has developed
pneumonia. Which of the following actions should the nurse take to promote coordination of care
and improve client outcomes?
A. Review the American Nurses Association (ANA) position on governance structures.
B. Add a social worker to the client's team.
C. Delegate high-risk tasks to the licensed practical nurse (LPN).
D. Incorporate interdisciplinary team (IDT) bedside rounding.
Answer: D. Incorporate interdisciplinary team (IDT) bedside rounding.
Question: 26 of 30
A nurse is discussing moral distress with members of the health care team. Which of the
following points should the nurse include in their discussion as an example of moral distress?
A. A lack of self-care activities
B. Inadequate staffing
C. Mandatory overtime
D. An assignment with increased client acuity
Answer: B. Inadequate staffing
Question: 27 of 30
The family of a client who died sues the hospital for wrongful death and names a nurse, along
with several other providers, in the lawsuit. In which of the following circumstances would the
nurse most likely be legally liable?
A. The nurse did not have access to potentially life-saving technology.
B. The nurse did not follow the steps of the nursing process.
C. The nurse did not perform a self-evaluation after the incident.
D. The nurse did not have as many years of experience as the attending physician.
Answer: B. The nurse did not follow the steps of the nursing process.
Question: 28 of 30
A nurse observes a Surgeon mark the lower, right abdomen of a client who is about to undergo an
appendectomy. Which of the following National Patient Safety Goals does the surgeon's action
address?
A. Perform preprocedure verification processes.
B. Reduce the risk of health care-associated infections.
C. Improve accuracy of client identification.
D. Improve communication effectiveness among caregivers.
Answer: A. Perform preprocedure verification processes.
Question: 29 of 30
A nurse is caring for a client who practices Islam and has cancer. The client voices concern that
the treatment plan will interfere with their religious beliefs. By implementing the values and
ethics for interprofessional practice, the nurse would promote which of the following results?
A. The members of the medical team would respect the client's rights.
B. The client would receive a different medical team to provide their care.
C. The hospital would assign a care partner to advocate for the client.
D. The medical team would educate the client to help them prioritize treatment over their beliefs.
Answer: A. The members of the medical team would respect the client's rights.
Question: 30 of 30
A nurse is caring for a client who lives alone and is scheduled for a hip arthroplasty. Which of the
following roles should the nurse suggest to the client's interprofessional collaboration team to aid
in postsurgical treatment?
A. The client's choice of a care partner
B. A nurse researcher investigating postoperative infections
C. An anesthesiologist
D. A speech therapist
Answer: A. The client's choice of a care partner
