ATI RN Comprehensive Exam Version 1 | Questions and Answers | Latest 2022/2023
1. A nurse is providing discharge instructions about engorgement for a
... [Show More] client who has decided not to breastfeed. Which of the following statement by the clients indicates a need for further instruction by the nurse?
A. "I will apply cold compresses to my breasts."
B. "I will manually express breast milk."
C. "I can wear a support bra."
D. "I can take a mild analgesic."
2. A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should recognize that these findings are potential manifestations of which of the following?
A. Alcohol withdrawal
B. Heroin intoxication
C. Amphetamine intoxication
D. Nicotine withdrawal
3. A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client. Which of the following is the safest site for the nurse to use?
A. Rectus femoris
B. Dorsogluteal
C. Ventrogluteal
D. Vastus lateralis
4. A nurse is preparing to discharge a client who is to be transferred to a long-term care facility. The nurse recognizes that which of the following actions is a breach of client confidentiality?
A. Providing a verbal report of the client's status to a paramedic performing the transfer
B. Leaving a phone message for the provider regarding the status of the client's transfer
C. Faxing the client's medical records to the long-term care facility
D. Discussing the client's reaction to the transfer with another staff nurse
5. A nurse from the State Health Department is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the CDC?
A. Staphylococcus aureus
B. Lyme disease
C. Herpes simplex virus 2
D. Candida albicans
6. A nurse is assessing an older adult client who has a prescription for celecoxib (Celebrex) daily. Which of the following clinical findings demonstrates the medication is effective?
A. Decrease in pain
B. Reduction in fever
A. Absence of bruising
B. Relief of GI distress
7. A nurse is working in the emergency department. Which of the following triaged clients should the nurse assess first?
A. An older adult client who has a blood glucose of 250 mg/dL and numbness in both feet
B. A client who reports urinary frequency, burning and hematuria
C. A client who has a headache and a blood pressure of 180/104 mm Hg
D. An older adult client who has had vomiting and diarrhea for 2 days
8. A nurse is planning care for an adolescent who has chronic renal failure. Which of the following actions should the nurse include in the plan of care?
A. Ensure increased fluid intake
B. Restrict protein intake to the RDA
C. Provide a diet high in potassium
D. Encourage a diet high in calcium
9. A nurse is observing bonding between a client and her newborn. Which of the following actions by the client will require the nurse to intervene?
A. Asking the father to change the newborn's diaper.
B. Requesting the nurse take the newborn to the nursery so she can rest
C. Viewing the newborn's actions to be uncooperative
D. Holding the newborn in an en face position
10. A nurse is caring for a male adolescent client who has heart failure. Based on the client's chart findings, which of the following actions should the nurse plan to take? (Click on the "Exhibit" button below to review the chart. There are three tabs that contain separate categories of data.)
A. Withhold digoxin (Lanoxin).
B. Withhold spironolactone (Aldactone).
C. Administer ferrous sulfate (Feosol)
D. Administer furosemide (Lasix).
11. A nurse is caring for a client undergoing chemotherapy treatments. The client tells the nurse he no longer wishes to undergo chemotherapy. Which of the following statements by the nurse is appropriate?
A. "You have the right to make that choice."
B. "You should talk with other clients undergoing chemotherapy before making this decisions."
C. "Have you talked with the chaplain about your decision to stop chemotherapy?"
D. "You will need to discuss your decision with your family."
12. A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit?
A. Increased cellular metabolism
B. Vasodilation
C. Systemic anesthetic effect
D. Decreased capillary permeability
13. A nurse is admitting an older adult client to a medical-surgical unit. Which of the following findings should the nurse report as an indicator of possible abuse?
A. Senile lentigo are present on the hands and forearms.
B. Chafing is present on the client's lower legs
C. The client requests medication for abdominal pain.
D. The client reports frequent disagreements with her daughter.
14. A nurse is reviewing the results of an ABG performed on a client with chronic emphysema. Which of the following results suggests the need for further treatment?
A. HCO3 level of 25 mEq/L
B. pH level of 7.37
C. PaO2 level of 89 mm Hg
D. PaCO2 level of 55 mm HG
15. A nurse is teaching a client about a new prescription for lisinopril (Zestril). Which of the following should the nurse include in the teaching?
A. Monitor for increased urination
B. Anticipate a dry cough
C. Monitor pulse rate daily
D. Increase intake of green leafy, vegetables.
16. A nurse assesses an older adult client with decreased caloric intake and weight loss. Which of the following findings should the nurse report to the provider immediately?
A. The client reports a burning sensation in the epigastric area.
B. The client experiences a drop in oxygen saturation to 91% while eating
C. The client reports abdominal pain at a 5 on a scale of 0 to 10
D. The client experiences coughing and wheezing after eating.
17. A nurse is assessing a client who has the following vital signs: oral temperature 37.2 o (99o), apical pulse rate 80/min, radial pulse rate 62/min, respiratory rate 16/min, and blood pressure 132/40 mm Hg. What is the client's pulse pressure?
A. 92 is the pulse pressure_ mm Hg [Show Less]