ATI RN COMPREHENSIVE RETAKE 2019
WITH NGN EXAM
1. A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of
... [Show More] the following findings as an indication of a possible allergic
reaction to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension
2. A nurse on a mental health unit is caring for a client who has schizophrenia andis
experiencing auditory hallucinations telling them to hurt others. The client is
refusing to take anti-psychotic medication. Which of the following responses should
the nurse make?
A. “You should plan to take this medication for a few weeks.”
B. “You willregret it if you do not take this medication.”
C. “This medication will help you respond to the voices.
D. “This medication will help you stop the voices you are hearing.”
3. A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse
identify as increasing the client’s risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias
4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm
B. Platelets 150,000/mm
C. Aspartate aminotransferase 10
units/LD. Erythrocyte
sedimentation 75 mm/hr
5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation
via an endotracheal tube. Which of the following findings should thenurse identify as
an indication that suctioning has been effective?
A. Presence of a productive cough
B. Decreased peak inspiratory pressure
C. Thinning of mucous secretions
D. Flattening of the artificial airway cuff
6. A nurse is planning care for a client who has a chest tube. Which of the
following interventions should the nurse include in the plan? (SATA)
A. Maintain the collection chamber above the level of the
client’s waist.
B. Mark the drainage output on the collection chamber
hourly.
C. Clamp the chest tube every 2 hours to assess the amount of
drainage.
D. Add water to the water seal chamber as it evaporates.
E. Strip the chest tube vigorously to dislodge blood clots.
7. The nurse is reviewing a medical record of a client who has a prescription for
intermittent heat therapy for a foot injury. Which of the following findings should
the nurse identify as a contraindication to heat therapy?
A. Osteoarthritis
B. Peripheral neuropathy
C. Abdominal aortic aneurysm
D. Phlebitis
8. A charge nurse is recommending postpartum clients for discharge following a local
disaster. Which of the following client’s should the nurse recommend for dischargefirst?
A. A 15-year-old client who delivered via emergency cesarean birth 1 day ago
B. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg
C. A client who delivered precipitously and has a second-degree perineal laceration
9. A nurse is caring for a client who is in a seclusion room following violent
behavior. The client continues to display aggressive behavior. Which of the
following actions should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy forthe client’s situation.
C. Confront the client about his
behavior.
D. Speak assertively to the client.
10. A nurse is caring for a client who is immediately postoperative following an
adrenalectomy to treat Cushing’s disease. Which of the following actions is the
nurse’s priority?
A. Reposition the client for comfort every 2 hours
B. Observe for any indications of infection
C. Document amount and color of the incisional
drainage
D. Monitor the client’s fluid and electrolyte
status.
11. A nurse is caring for a client who is scheduled for a surgical procedure and states,“I
don’t want to have this surgery anymore.” Which of the following responses should
the nurse make?
A. “We can manage your care following the procedure without
complications.”
B. “You have the right to refuse the procedure.”
C. “Your doctor thinksthe surgery is necessary.”
D. “Let me review the procedure so you can understand what is going to happen.” [Show Less]