Comprehensive ATI Practice A – Questions and
Answers Latest Updated 2024/2025 (100% Correct) Anurse v vis vassessing va v v client vwho vreceived v2
... [Show More] units v of v vpacked vRBCs v48 hrs v vago. vWhich vof vthe
v following vfindings vshould vindicate vto the v vnurse that v the v vtherapy has v vbeen veffective?
Hemoglobin 14.9 v vg/dL
The nurse v vshould videntify that v packed v RBCs v va vre vadministered vto clients v vwho vhave va
v decreased level v of v hemoglobin v vor vhematocrit. This v vh vemoglobin vlevel isv vwithin vthe
v expected reference v vrange vof 14v vto 18v vg/dLfor v males v vand v12 tov 16v vg/dLfor v vfemales, v vindicating
vthe vtherapy has v vbeen effective. v
Anurse v vworking v in va nv vemergency vdepartment vis vtriaging vfour vclients. Which v vof vthe following v
v clients vshould vthe vnurse vrecommend vfor vtreatment vfirst?
Amiddle v vadult client v vwho has v vunstable vital v vsigns.
Using vthe vstable vs vunstable vapproach vt vo client v vcare, vthe nurse v vshould vrecommend
v priority treatment v vfor vthe client v vwho vhas vu vnstable vital signs v vbecause this v vclient vrequires
v immediate treatment v tov reduce v vthe vrisk of v vfurther injury v vo vr possible v death. v
Anurse v vis vcaring vfor av vc lient v vwho vhas vfluid volume voverload. vWhich vof the v vfollowing vtasks should v
v the vnurse vdelegate vt ov vthe vCNA?
Measure the v vclient’s vdaily vweight
It vis vwithin vthe vCNAs vrange vof vfunction vto vmeasure va client’s v vdaily weight, v vso vthe vnurse
v should delegate v vthis task v tov them. v
Anurse v vis vpreparing vt vo vadminister vmannitol v0.2g/kg vIV bolus v vover v5 min v vas va vtest vdose vto va v client
vwho vhas vsevere voliguria.The v vclient vweighs v198lb. vWhat vis vt vhe vamount v in vgrams the v vnurse
Comprehensive ATI Practice A – Questions and
Answers Latest Updated 2024/2025 (100% Correct)
v should administer? v
18 vg
A nurse v vis vconduction va v physical vexamination vfor van vadolescent vand v is vassessing vthe vrange vof
v motion vof vthe vlegs. vW vhich vof vthe v following vimages vindicates vthe vadolescent vis vabducting vthe vhip
v joint?
In the v vcorrect image, v the v vadolescent isv vabduction vthe hip v vjoint vby vmoving the v leg v vaway v vfrom the v
vmidline vof the v vbody.
Anurse v vis vcaring vfor va vc lient v vwho vhas vhyperthyroidism. vWhich vof vthe vfollowing vfindings vshould
v the nurse v vexpect?
Tremors
Tremors are v av manifestation v vof hyperthyroidism, v valong vwith tachycardia, v diaphoresis, v v vweight
vloss, vinsomnia, and v exophthalmia. v
Anurse v vis vassessing va v v school-aged vchild vwho vhas vbacterial vmeningitis. vWhich vof vthe vfollowing
v findings vshould vthe vn vurse expect? v
Nuchal rigidity v
This isv av vmanifestation of v vbacterial meningitis. v
Anurse v vis vassessing va v v newborn’s vheart vrate. vWhich vof vthe vfollowing vactions vshould vthe nurse v
v take?
Auscultate the v apical v pulse v vat least v v1 vmin.
The nurse v vshould vauscultate the v vapical pulse v vto obtain v van vaccurate vassessment vof vheart v vrate
vand vrhythm.Auscultation v vof av vnewborn’s vheart sounds v can v vbe vdifficult because v of v v the
vrapid vrate vand the v vtransmission vof vrespiratory sounds. v
Anurse v vis vpreparing vt ov vassist vwith va vthoracentesis vfor va client v vwho vhas vpleurisy. The v vnurse
v should vplan vto vperform vwhich vof v the vfollowing vactions?
Instruct the v vclient vto avoid v vcoughing during v vthe vprocedure.
It vis vimportant vfor vthe vnurse vto remind v vthe vclient vto avoid v vcoughing vand vto liev vstill during v va v
vthoracentesis tov avoid v vpuncturing the v vpleura.
Anurse v vin vthe vED vis va vssessing va vpreschooler vwho vhas va facial v vlaceration. The v vnurse vshould
v identify which v vof the v vf ollowing v vfindings vas av vpotential indication v vof child v vsexual abuse? v
The child v vexhibits discomfort v while v vwalking.
The nurse v vshould videntify this v vfinding vas va potential v indication v vof child v vsexual vabuse.
Anurse v vis vpreparing vt vo vteach vabout vdietary management v vto va vclient vwho vhas vCrohn’s vdisease
v and van venteroenteric vf istula. v vWhich vof vthe vfollowing vnutrients vshould vthe vnurse vinstruct the v vclient
v to vdecrease vin vtheir vd viet?
Fiber
The nurse v vshould vinstruct the v client v tov vconsume va low-fiber v vdiet tov vreduce vdiarrhea vand
v inflammation.
Anurse v vis vcaring vfor va vc lient v vwho vhas va vprescription vfor va vcontinuous vpassive vmotion v (CPM)
v machine vfollowing va v v total vknee varthroplasty. Which v vof vthe following v vactions vshould vthe vnurse
v take?
Turn off v the v vCPM vmachine vduring vmealtime.
vThis promotes v client v vcomfort vand vdietary intake. v
Anurse v vis vpreparing vt ov vinitiate vIV access v vfor van volder vadult vclient. Which v vof vthe vfollowing vsites
v should vthe nurse v vselect vwhen vinitiating vthe vIV vfor vthe vclient?
Radial vein v vof vthe inner v arm. v
This site v vwill have v vadequate subcutaneous v vt issue. v
Anurse v vis vdeveloping va client v veducation vprogram av vbout vosteoporosis vfor volder adult v clients. v vThe
v nurse vshould vinclude vwhich vof v the following v variables vas av vrisk vfactor vfor vosteoporosis?
Sedentarylifestyle. v
This isv va risk v vfactor for v osteoporosis. v The v nurse v vshould vencourage older v vadult clients v vto
v engage vin vweight-bearing vexercises vbecause vt vhey vwill vpromote vbone vhealth vby
v increasing calcium v vand vphosphorus vlevels.
Anurse v vin van vED vis vcaring vfor va child v vwho vhas va vfever vand vfluid-filled vesicles von vthe vtrunk vand
v extremities. Which v vof vt hev vfollowing vinterventions vshould vthe vnurse videntify vas the v vpriority?
Initiatevtransmission-based precautions v
When using v vthe vurgent vsv vnonurgent vapproach tov client v vcare, vthe nurse v vshould vdetermine v vthat
vthe priority v action v vis tov initiate v transmission-based v vprecautions vfor vthe child. v The v v v child
vmost vlikely vhas varicella. v vTherefore, the v vnurse should v visolate the v vchild vto prevent v vthe
v spread of v vthe vinfection.
Anurse v vis vcaring vfor av vc lient v vwho vhas va vclogged vpercutaneous vgastrostomy vfeeding vtube. Which v
v of vthe vfollowing vactions vshould vthe vnurse vtake vfirst?
Change the v vposition of v the v vclient.
When providing v client v vcare, the v nurse v should v vuse the v least v restrictive v intervention v first. v
v Therefore, vthe nurse v vshould vreposition vthe vclient vto remove v vany vkinks vin vthe vtube, vwhich
v can lead v vto vclogging. Ifv this v vmethod vis unsuccessful, v tv vhe nurse v vshould vattempt tov flush v vor
v aspirate the v vclient’s vtube vto remove v vthe vclog.
Ahome v vhealth vcare vnurse vis vdeveloping va vteaching vplan vfor va vclient vwho vhas va vnew ileostomy. v
v Which vof vthe following v vi nstructions v vshould vthe nurse v vinclude?
Empty the v vappliance vwhen v it isv vone-third vt ov one-half v vfull.
The ileostomy v vpouch vshould vbe vemptied vwhen vit vis vo vne-third vto vone-half vfull tov prevent v v vstool
vleakage vand vskin virritation.
Anurse v vis vreviewing vthe vlaboratory report v vof va client v vwho vhas vend-stage vkidney vdisease vand
v received vhemodialysis v24 vyr vago. vWhich vof vthe vfollowing vlab values vshould vthe nurse v vreport vto
v the vprovider?
Sodium 148 v mEq/L v
The nurse v vshould vreport this v vsodium vlevel because v vit vis va vbove vthe expected v vreference
v range of v v136 vto 145 v vmEq/L, vindicating vhypernatremia. Clients v vwho vhave vkidney vdisease
v often retain v sodium v vand vrequire sodium-restricted v diets. v
Anurse v vis vcaring vfor four v vclients. Which v vof vthe vfollowing vtasks vshould vthe vnurse vdelegate vto va
v CNA?
Arrange vthe vlunch vtray vfor va client v vwho vhas va vhip vfracture.
Assisting va vclient vwith vmeals vis vwithin vthe vrange vof function v vof vthe vCNA.
Anurse v vis vpreparing va v v client vfor va paracentesis. v vWhich vof vthe vfollowing vactions vshould vthe
v nurse vtake?
Instruct the v client v vto void. v
The nurse v vshould vinstruct the v client v tov void vprior vto the v procedure v vbecause van vempty
v bladder decreases v vthe vrisk vof va vbladder vpuncture vand vminimizes vthe vclient’s vdiscomfort v vduring
vthe vprocedure.
Anurse v vhas vreceived vchange vof vshift report v von vfour assigned v vclients. For v vwhich vof vthe following v
v clients vshould vthe vnurse vintervene vto vprevent av vpotential vfood vand vmedication vinteraction?
Aclient v vwho vis receiving v van vMAOI vand vis vrequesting av vcheeseburger vfor dinner. v This v
v client’s vfood selection v contains v tyramine. v vClients prescribed v anv MAOI v vmust vrestrict the v
v intake of v foods v that v vcontain vtyramine due v vto adverse v veffects, such v vas hypertension. [Show Less]