ATI RN COMPREHENSIVE 2019 A-with verified answers2022
1. A nurse is performing tracheostomy care for a client who is postop following a
laryngectomy.
... [Show More] Which of the following actionstake when suctioning the client’s airway?
a. Apply suction for 10 seconds
2. A nurse is preparing to administer a long acting insulin to a client who has DM. Which of
the following actions should the nurse take first?
a. Check the correct dose with another licensed nurse
3. A nurse is caring for an older adult client in the PACU following gen anesthesia. Which of
the following should the nurse report to the provider?
a. Audible stridor
4. A nurse is planning an educational session for staff nurses about working with parents
whose terminally ill children are candidates for donating their organs. Which of the
following information should the nurse plan to include?
a. The family can have the child in an open casket without fearing that the organ
donation might disfigure the child’s body.
5. Math 0.6mL
6. A nurse manager is planning to make changes to the current scheduling system on the
unit. To facilitate the staff’s acceptance of this change, which of the following actions
should the nurse manager take first?
a. Provide information aboutscheduling issuesto the staff
7. A nurse is assessing a client who is receiving a blood transfusion. Which of the following
findings should indicate to the nurse that the client is having a hemolytic transfusion
reaction?
a. Low back pain
8. A nurse is assessing a client who has macular degeneration. Which of the following
findings should the nurse expect?
a. Decreased central vision
9. A nurse who is working in a long-term care facility is assessing an adult client. Which of
the following findings places the client at risk for development of a pressure injury?
a. Recent weight loss
10. A nurse is teaching about TPN and IV lipid emulsion with a client who has an extensive
burn injury. Which of the following information should the nurse include?
a. “you will receive fingersticksfor blood glucose testing.”
11. A nurse is caring for a client who has dehydration secondary to nausea and vomiting.
The nurse should identify which of the following findings as an indication of fluid volume
deficit?
a. Orthostatic hypotension
12. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the second
stage of labor, the nurse observes early decelerations on the monitor tracing. Which of
the following actions should the nurse take?
a. Continue observing the fetal heart rate
13. A nurse is caring for a client who requires physical therapy following discharge. Which of
the following actions should the nurse take?
a. Involve the client in the selection of a physical therapy provider
14. A nurse is assessing a client who has sickle cell anemia. The nurse should identify which
of the following findings as a manifestation of vaso-occlusive crisis?
a. Hematuria
15. A nurse is teaching a group of guardians about child safety measures. Which of the
following statements by a guardian indicates an understanding of the teaching?
a. I should have my child avoid sun exposure between 10am and 2pm
16. A nurse is caring for four clients at the beginning of a shift. After receiving change of shift
report, which of the following clients should the nurse attend to first?
a. A client who is confused and has been attempting to get out of bed.
17. A nurse is assessing a client who has been taking lithium carbonate for the past month
to treat bipolar disorder. Which of the following assessment findings should the nurse
identify as the priority?
a. Confusion
18. A nurse manager is on a planning committee to develop an emergency preparedness
plan. The nurse should recommend that which of the following actions takes place first
when implementing an emergency preparedness plan?
a. Notify the incident commander
19. A nurse is planning care for a client who is receiving hemodialysis via an established AV
fistula in the right arm. Which of the following interventions should the nurse include in
the client’s plan of care?
a. Auscultate the affected extremity for a bruit
20. A nurse receives a request from a client to review the information in his medical record.
Which of the following responses should the nurse give?
a. There is a protocol for reviewing your medical record, and I can initiate the
process
21. A nurse is assessing a client who has OSA. For which of the following complications
should the nurse monitor?
a. Hypertension
22. Math heparin 0.5
23. A nurse in an ED is assessing a client who reports taking MDMA. Which of the following
should the nurse expect?
a. Diaphoresis
24. A nurse is caring for a client who has a terminal illness and requests no lifesaving
measure if a cardiac arrests occurs. Which of the following statements should the nurse
make?
a. I will provide you with information about medical treatment to include in your
living will
25. A nurse is administering cyclophosphamide orally to a school-aged child who has
neuroblastoma. Which of the following actionsshould nurse take when administering
this medication?
a. Maintain hydration with liberal fluid intake
26. A nurse is reviewing the UA report of a client who has glomerulonephritis. Which of the
following findings should the nurse expect?
a. Protein
27. A nurse is providing colostomy care for a client using a two piece pouching system.
Which of the following actions should the nurse take?
a. Place the skin barrier over the stoma and hold it for 30 seconds
28. A nurse is administering meds to a client who has a percutaneous gastrostomy tube for
enteral feedings. Which of the following actions should the nurse take to prevent
clogging of the tube?
a. Flush the clients gastrostomy tube with 30 mL of water before administering the
medication
29. A night shift nurse is giving change of shift report to the day shift nurse who is ready for
discharge. Which of the following information is the priority for the nurse to
communicate to the oncoming nurse?
a. The client needs assistance when transferring from the bed to a wheelchair
30. A nurse is planning teaching about allowable foods for a client who has a history of uric
acid-based urinary calculi formation. Which of the following food should the nurse
include in the teaching?
a. Oranges
31. An RN is planning care for a group of clients and is working with a LPN and AP. Which of
the following tasks should the RN delegate to the LPN?
a. Insertion of nasogastric tube
32. A nurse is caring for a newborn who has HSV. Which of the n=following isolation
precautions should the nurse initiate?
a. Contact
33. A nurse is performing gastric lavage for a client who has GI bleeding and an NG tube in
place. Which of the following actions should the nurse take?
a. Use NS for irrigation of the NG tube
34. A nurse is providing discharge instructionsto a client following total hip arthroplasty.
Which of the following instructions should the nurse include?
a. Install a raised toilet seat at home
35. A nurse is reviewing lab findings of a client who is experiencing chest pain. The nurse
should identify that an elevation in which of the following lab values indication cellular
injury of myocardial tissue?
a. Troponin
36. A nurse is talking with the partner of a client who attempted suicide. Which of the
following statements by the client’s partner should the nurse identify as the priority?
a. My husband doesn’t know that I’ve already moved out and filed for divorce
37. A nurse is interviewing a client who is now without a home due to a natural disaster.
After ensuring the client’ssafety, which of the following actionsshould the nurse take
first?
a. Determine the client’s perception of the personal impact of the crisis
38. An AP and a nurse are turning a client onto the right side. Which of the following actions
by the AP requires the nurse to intervene?
a. places a pillow under the client’s right arm
39. a community health nurse is performing triage tagging following a mass casualty
incident. On which of the following clients should the nurse place a black tag [Show Less]