ATI PROCTORED 2022/2023 (SOLVED) AND
CORRECTLY VERIFIED QUESTIONS & ANSWERS
LATEST UPDATE 2022/2023 GRADED A+ EXAM
with Questions and Answers/Plus a Rationale Updated
2026 A+/Instant Download PDF
EXAM COVERAGE
1. Fundamentals of Nursing: Patient Safety, Infection Control, and Hygiene
2. Medical-Surgical Nursing: Cardiovascular, Respiratory, and Endocrine Disorders
3. Pharmacology: Pharmacokinetics, Dosage Calculations, and Adverse Effects
4. Maternal-Newborn Nursing: Antepartum, Intrapartum, and Postpartum Care
5. Pediatric Nursing: Growth and Development, Acute and Chronic Conditions
6. Mental Health Nursing: Therapeutic Communication, Psychiatric Disorders, and Legal/Ethical
Issues
7. Leadership and Management: Triage, Delegation, and Quality Improvement
1. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of
the following actions should the nurse take to prevent a dislocation of the new prosthesis?
A. Instruct the client to flex the hip at a 90-degree angle when sitting.
B. Place an abduction pillow between the client’s legs when turning them in bed.
C. Encourage the client to cross their legs while sitting in a chair.
D. Elevate the head of the bed to 60 degrees.
Answer: B [Correct Answer]
, CORRECT ANSWER : B
Rationale: To prevent dislocation of a hip prosthesis, the hip should not be flexed beyond 90
degrees, and adduction must be prevented. An abduction pillow keeps the hip in the correct
alignment, preventing the hip from adducting across the midline. Options A, C, and D all
promote hip flexion or adduction, which increases the risk of dislocation.
2. A nurse is assessing a client who has a suspected myocardial infarction. Which of the following
laboratory findings should the nurse identify as the priority to report to the provider?
A. Elevated white blood cell count.
B. Elevated troponin I levels.
C. Decreased serum potassium levels.
D. Elevated blood urea nitrogen levels.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Troponin I is a cardiac-specific protein that is released into the bloodstream when
myocardial injury occurs. It is the gold standard for diagnosing a myocardial infarction. While
other findings are important, elevated troponin I is the specific indicator of cardiac muscle
damage requiring immediate intervention. Options A, C, and D are relevant but not as specific
or critical as a positive troponin result for cardiac ischemia.
3. A nurse is caring for a client who is receiving a continuous IV infusion of heparin. The client
exhibits signs of bleeding, and the nurse notes an aPTT of 120 seconds. Which of the following
actions should the nurse take?
A. Administer a dose of vitamin K.
B. Increase the rate of the heparin infusion.
C. Stop the heparin infusion and notify the provider.
D. Document the finding as a normal expected therapeutic range.
Answer: C [Correct Answer]
CORRECT ANSWER : C
Rationale: The normal aPTT is 30–40 seconds, and the therapeutic range for heparin therapy is
typically 1.5 to 2 times the control value (60–80 seconds). An aPTT of 120 seconds is
, dangerously high and puts the client at risk for hemorrhage; the infusion must be stopped
immediately. Vitamin K is the antidote for warfarin, not heparin; increasing the rate would
exacerbate the bleeding; the range is not therapeutic.
4. A nurse is planning care for a client who has a prescription for lithium carbonate. Which of the
following findings should the nurse monitor for as a sign of lithium toxicity?
A. Hyperactivity and rapid speech.
B. Coarse hand tremors and confusion.
C. Decreased thirst and urinary output.
D. Hypertension and tachycardia.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Coarse tremors, confusion, ataxia, and severe gastrointestinal upset are classic signs
of lithium toxicity due to the drug's narrow therapeutic index. Hyperactivity is a symptom of the
bipolar disorder being treated; lithium usually causes increased thirst (polydipsia) and polyuria,
not decreased; hypotension, not hypertension, is more commonly associated with toxicity.
5. A nurse is preparing to administer insulin glargine to a client with type 1 diabetes mellitus.
Which of the following describes the correct administration schedule for this medication?
A. It is administered 30 minutes before each meal.
B. It is administered once daily at the same time each day.
C. It is administered only when the client’s blood glucose is above 200 mg/dL.
D. It is administered intravenously during a hyperglycemic crisis.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Insulin glargine is a long-acting insulin with no peak, designed to provide a basal
level of insulin throughout the day. It must be administered at the same time each day, usually at
bedtime, to maintain consistent blood glucose control. Options A, C, and D are incorrect
because glargine is not a mealtime insulin (bolus), not a sliding scale medication, and never
administered IV.
, 6. A nurse is teaching a parent of a toddler about the management of a fever. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I will give my child aspirin if the fever is over 102 degrees."
B. "I will dress my child in lightweight clothing to help the fever dissipate."
C. "I will give my child a cold-water bath to quickly lower the temperature."
D. "I will withhold fluids to prevent the child from vomiting."
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Dressing a child in lightweight clothing allows for evaporative heat loss. Aspirin
should be avoided in children due to the risk of Reye syndrome. Cold-water baths can cause
shivering, which increases metabolic rate and raises temperature. Fluids are essential to prevent
dehydration during a fever.
7. A nurse is caring for a client who is in the third trimester of pregnancy and reports shortness of
breath. Which of the following is an appropriate action for the nurse?
A. Instruct the client to lie in a supine position.
B. Encourage the client to use extra pillows to sit upright.
C. Administer supplemental oxygen via a nasal cannula immediately.
D. Report the finding as a sign of pulmonary embolism.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Shortness of breath in the third trimester is often caused by the enlarging uterus
pushing on the diaphragm. Sitting upright or semi-Fowler’s position helps displace the uterus
and eases breathing. The supine position causes supine hypotensive syndrome; supplemental
oxygen is unnecessary unless O2 sats are low; this is a common physiological change, not a
pulmonary embolism.
8. A nurse is triaging clients following a mass casualty incident. Which of the following clients
should the nurse identify as the priority for care?
A. A client with a simple fracture of the femur.
CORRECTLY VERIFIED QUESTIONS & ANSWERS
LATEST UPDATE 2022/2023 GRADED A+ EXAM
with Questions and Answers/Plus a Rationale Updated
2026 A+/Instant Download PDF
EXAM COVERAGE
1. Fundamentals of Nursing: Patient Safety, Infection Control, and Hygiene
2. Medical-Surgical Nursing: Cardiovascular, Respiratory, and Endocrine Disorders
3. Pharmacology: Pharmacokinetics, Dosage Calculations, and Adverse Effects
4. Maternal-Newborn Nursing: Antepartum, Intrapartum, and Postpartum Care
5. Pediatric Nursing: Growth and Development, Acute and Chronic Conditions
6. Mental Health Nursing: Therapeutic Communication, Psychiatric Disorders, and Legal/Ethical
Issues
7. Leadership and Management: Triage, Delegation, and Quality Improvement
1. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of
the following actions should the nurse take to prevent a dislocation of the new prosthesis?
A. Instruct the client to flex the hip at a 90-degree angle when sitting.
B. Place an abduction pillow between the client’s legs when turning them in bed.
C. Encourage the client to cross their legs while sitting in a chair.
D. Elevate the head of the bed to 60 degrees.
Answer: B [Correct Answer]
, CORRECT ANSWER : B
Rationale: To prevent dislocation of a hip prosthesis, the hip should not be flexed beyond 90
degrees, and adduction must be prevented. An abduction pillow keeps the hip in the correct
alignment, preventing the hip from adducting across the midline. Options A, C, and D all
promote hip flexion or adduction, which increases the risk of dislocation.
2. A nurse is assessing a client who has a suspected myocardial infarction. Which of the following
laboratory findings should the nurse identify as the priority to report to the provider?
A. Elevated white blood cell count.
B. Elevated troponin I levels.
C. Decreased serum potassium levels.
D. Elevated blood urea nitrogen levels.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Troponin I is a cardiac-specific protein that is released into the bloodstream when
myocardial injury occurs. It is the gold standard for diagnosing a myocardial infarction. While
other findings are important, elevated troponin I is the specific indicator of cardiac muscle
damage requiring immediate intervention. Options A, C, and D are relevant but not as specific
or critical as a positive troponin result for cardiac ischemia.
3. A nurse is caring for a client who is receiving a continuous IV infusion of heparin. The client
exhibits signs of bleeding, and the nurse notes an aPTT of 120 seconds. Which of the following
actions should the nurse take?
A. Administer a dose of vitamin K.
B. Increase the rate of the heparin infusion.
C. Stop the heparin infusion and notify the provider.
D. Document the finding as a normal expected therapeutic range.
Answer: C [Correct Answer]
CORRECT ANSWER : C
Rationale: The normal aPTT is 30–40 seconds, and the therapeutic range for heparin therapy is
typically 1.5 to 2 times the control value (60–80 seconds). An aPTT of 120 seconds is
, dangerously high and puts the client at risk for hemorrhage; the infusion must be stopped
immediately. Vitamin K is the antidote for warfarin, not heparin; increasing the rate would
exacerbate the bleeding; the range is not therapeutic.
4. A nurse is planning care for a client who has a prescription for lithium carbonate. Which of the
following findings should the nurse monitor for as a sign of lithium toxicity?
A. Hyperactivity and rapid speech.
B. Coarse hand tremors and confusion.
C. Decreased thirst and urinary output.
D. Hypertension and tachycardia.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Coarse tremors, confusion, ataxia, and severe gastrointestinal upset are classic signs
of lithium toxicity due to the drug's narrow therapeutic index. Hyperactivity is a symptom of the
bipolar disorder being treated; lithium usually causes increased thirst (polydipsia) and polyuria,
not decreased; hypotension, not hypertension, is more commonly associated with toxicity.
5. A nurse is preparing to administer insulin glargine to a client with type 1 diabetes mellitus.
Which of the following describes the correct administration schedule for this medication?
A. It is administered 30 minutes before each meal.
B. It is administered once daily at the same time each day.
C. It is administered only when the client’s blood glucose is above 200 mg/dL.
D. It is administered intravenously during a hyperglycemic crisis.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Insulin glargine is a long-acting insulin with no peak, designed to provide a basal
level of insulin throughout the day. It must be administered at the same time each day, usually at
bedtime, to maintain consistent blood glucose control. Options A, C, and D are incorrect
because glargine is not a mealtime insulin (bolus), not a sliding scale medication, and never
administered IV.
, 6. A nurse is teaching a parent of a toddler about the management of a fever. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I will give my child aspirin if the fever is over 102 degrees."
B. "I will dress my child in lightweight clothing to help the fever dissipate."
C. "I will give my child a cold-water bath to quickly lower the temperature."
D. "I will withhold fluids to prevent the child from vomiting."
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Dressing a child in lightweight clothing allows for evaporative heat loss. Aspirin
should be avoided in children due to the risk of Reye syndrome. Cold-water baths can cause
shivering, which increases metabolic rate and raises temperature. Fluids are essential to prevent
dehydration during a fever.
7. A nurse is caring for a client who is in the third trimester of pregnancy and reports shortness of
breath. Which of the following is an appropriate action for the nurse?
A. Instruct the client to lie in a supine position.
B. Encourage the client to use extra pillows to sit upright.
C. Administer supplemental oxygen via a nasal cannula immediately.
D. Report the finding as a sign of pulmonary embolism.
Answer: B [Correct Answer]
CORRECT ANSWER : B
Rationale: Shortness of breath in the third trimester is often caused by the enlarging uterus
pushing on the diaphragm. Sitting upright or semi-Fowler’s position helps displace the uterus
and eases breathing. The supine position causes supine hypotensive syndrome; supplemental
oxygen is unnecessary unless O2 sats are low; this is a common physiological change, not a
pulmonary embolism.
8. A nurse is triaging clients following a mass casualty incident. Which of the following clients
should the nurse identify as the priority for care?
A. A client with a simple fracture of the femur.
