ATI - Comprehensive Final Study Guide
Q&A rated A
A nurse is teaching the parent of a child who has severe reactive airway disease
about glucocorticoid therapy. The parent asks why her child has to inhale the
medication instead of taking it orally. Which of the following information should
the nurse provide the parent? - correct answer ✅Oral glucocorticoids are more
like to slow linear growth in children. (Chronic use of oral glucocorticoids in high
doses by children can result in decreased linear growth. Inhaled glucocorticoids
deliver the anti-inflammatory agent directly to the local target area (pts airways)
resulting in an decreased risk for adrenal suppression).
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device (IUD). Which of the following information
should the nurse provide the client? - correct answer ✅"Your risk of ectopic
pregnancy increases with an IUD." [An IUD is a family planning device the provider
inserts through the cervix into the uterus to prevent pregnancy. The IUD works by
changing the lining of the uterus and fallopian tubes, making fertilization in the
uterus more difficult. Consequently, an IUD increases the risk for ectopic
pregnancy.]
A nurse is assessing a preschooler who has recurrent and persistent otitis media.
When obtaining the child's history from her parent, which of the following
questions should the nurse ask? - correct answer ✅"Does anyone smoke around
or in the same house as your child?" [Otitis media is an infection of the middle ear.
Passive smoking promotes adherence of respiratory pathogens to the lining of the
middle ear space. It also prolongs the inflammation and impedes drainage from
the ear.]
A nurse is providing teaching to a client who has a new prescription for sertraline.
The client asks the nurse if he should continue to take St. John's wort for
depression. Which of the following instructions should the nurse give the client? -
correct answer ✅Stop taking the herbal supplement while taking the medication.
,ATI - Comprehensive Final Study Guide
Q&A rated A
[Taking the antidepressant sertraline and the herbal supplement St. John's wort
together puts the client at risk for serotonin syndrome.]
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma.
Which of the following assessments is the nurse's priority? - correct answer
✅Pulmonary function [The nurse should apply the safety and risk reduction
priority-setting framework. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there are several risks
to client safety, the one posing the greatest threat is the highest priority. The
nurse should use Maslow's Hierarchy of needs, the ABC priority-setting
framework, or nursing knowledge to identify which risk poses the greatest threat
to the client. Bleomycin can cause severe lung injury, including pneumonitis and
pulmonary fibrosis, and it affects a significant percentage of clients receiving this
medication; therefore, pulmonary function is the priority assessment.]
A nurse is teaching a client how to use an albuterol metered dose inhaler. After
removing the cap from the inhaler and shaking the canister, identify the sequence
of instructions the nurse should give the client. (Move the steps into the box on
the right, placing them in the selected order of performance. Use all the steps.) -
correct answer ✅1. The client should hold the mouthpiece 2-4 cm (1-2 in) from
his mouth 2. Tilt his head back slightly, and then open his mouth 3. Next, he
should depress the medication canister while taking a deep breath to facilitate
delivery of the medication through the airway 4. After holding his breath for 10
seconds, the client should resume his usual breathing pattern.
A nurse is reviewing the laboratory report for a client who has chronic kidney
disease (CKD). The nurse finds the following laboratory test results: potassium 6.8
mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL.
Which of the following findings is the priority for the nurse to report to the
provider? - correct answer ✅Hyperkalemia [The nurse should apply the urgent
,ATI - Comprehensive Final Study Guide
Q&A rated A
versus nonurgent priority-setting framework when caring for this client. Using this
framework, the nurse should consider urgent needs the priority need because
they pose more of a threat to the client. The nurse may also need to use Maslow's
hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to
identify which finding is the most urgent. Therefore, hyperkalemia, which can
cause life-threatening cardiac dysrhythmias, is the priority for the nurse to report
to the provider.
A nurse is facilitating a group discussion with preschool teachers about child
abuse. Which of the following data should the nurse use as a common example of
a suggestive finding? - correct answer ✅Arm cast for a spiral fracture of the
forearm [Spiral fractures occur from twisting of an extremity. In most instances,
spiral fractures of the arm result from an abusive injury.]
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the
pediatric unit. The nurse has limited experience with children. Which of the
following actions should the nurse manager take? - correct answer ✅Assign a
unit nurse to act as a resource to act as a resource for the medical-surgical nurse.
[Assigning a nurse who usually works on the pediatric unit to work with the
medical-surgical nurse will provide consistent support]
A nurse is developing a plan of care for a client who has gastroesophageal reflux
disease (GERD). The nurse should plan to monitor the client for which of the
following complications? - correct answer ✅Aspiration [Aspiration is a common
complication of GERD, which results when the esophageal sphincter malfunctions,
allowing gastric acid and undigested food to back up into the esophagus. This
places the client at risk for aspiration. GERD causes effortless, uncontrolled
regurgitation whether the client is in an upright position or reclining. The most
common results of regurgitation are heartburn and indigestion; however,
, ATI - Comprehensive Final Study Guide
Q&A rated A
aspiration is also possible. Therefore, the nurse should monitor the client for
crackles in the lung fields, which is an indication of aspiration.]
A client at a routine prenatal care visit asks the nurse if it is common to develop
vaginal yeast infections during pregnancy. Which of the following responses
should the nurse make? - correct answer ✅"The hormonal changes of pregnancy
change the acidity of the vagina, making yeast infections more common." [This is
an information-seeking question; therefore, the therapeutic response is an answer
that provides the client with the information she requested.]
A community health nurse is performing client triage while participating in a
disaster drill. The nurse should recommend that which of the following clients
receives treatment first? - correct answer ✅Hemothorax [The nurse should apply
the survival potential priority-setting framework. The nurse should reserve the use
of this framework for mass casualty situations, when resources are scarce and he
must allocate resources to save the greatest number of lives. While it might seem
that the client least likely to survive should receive priority care, this is the client
who is the lowest priority. The nurse should assign the highest priority to the
client who has injuries that are severe but has the potential to survive with
treatment. Therefore, the nurse should recommend that the client who has a
hemothorax receive treatment first. A hemothorax is life-threatening, but with
chest-tube insertion and stabilization the client is likely to survive.
A nurse is providing teaching to a school-age child who has just had a fiberglass
cast application following lower extremity fracture. Which of the following
instructions should the nurse give the child and his parents about care during the
first 48 hours? - correct answer ✅"Keep the cast above the level of your heart."
[Immediately following the injury, and for at least the first 48 hours, the child
should keep the affected limb above the level of the heart to help prevent edema
and pain and to promote venous return.]
Q&A rated A
A nurse is teaching the parent of a child who has severe reactive airway disease
about glucocorticoid therapy. The parent asks why her child has to inhale the
medication instead of taking it orally. Which of the following information should
the nurse provide the parent? - correct answer ✅Oral glucocorticoids are more
like to slow linear growth in children. (Chronic use of oral glucocorticoids in high
doses by children can result in decreased linear growth. Inhaled glucocorticoids
deliver the anti-inflammatory agent directly to the local target area (pts airways)
resulting in an decreased risk for adrenal suppression).
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an intrauterine device (IUD). Which of the following information
should the nurse provide the client? - correct answer ✅"Your risk of ectopic
pregnancy increases with an IUD." [An IUD is a family planning device the provider
inserts through the cervix into the uterus to prevent pregnancy. The IUD works by
changing the lining of the uterus and fallopian tubes, making fertilization in the
uterus more difficult. Consequently, an IUD increases the risk for ectopic
pregnancy.]
A nurse is assessing a preschooler who has recurrent and persistent otitis media.
When obtaining the child's history from her parent, which of the following
questions should the nurse ask? - correct answer ✅"Does anyone smoke around
or in the same house as your child?" [Otitis media is an infection of the middle ear.
Passive smoking promotes adherence of respiratory pathogens to the lining of the
middle ear space. It also prolongs the inflammation and impedes drainage from
the ear.]
A nurse is providing teaching to a client who has a new prescription for sertraline.
The client asks the nurse if he should continue to take St. John's wort for
depression. Which of the following instructions should the nurse give the client? -
correct answer ✅Stop taking the herbal supplement while taking the medication.
,ATI - Comprehensive Final Study Guide
Q&A rated A
[Taking the antidepressant sertraline and the herbal supplement St. John's wort
together puts the client at risk for serotonin syndrome.]
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma.
Which of the following assessments is the nurse's priority? - correct answer
✅Pulmonary function [The nurse should apply the safety and risk reduction
priority-setting framework. This framework assigns priority to the factor or
situation posing the greatest safety risk to the client. When there are several risks
to client safety, the one posing the greatest threat is the highest priority. The
nurse should use Maslow's Hierarchy of needs, the ABC priority-setting
framework, or nursing knowledge to identify which risk poses the greatest threat
to the client. Bleomycin can cause severe lung injury, including pneumonitis and
pulmonary fibrosis, and it affects a significant percentage of clients receiving this
medication; therefore, pulmonary function is the priority assessment.]
A nurse is teaching a client how to use an albuterol metered dose inhaler. After
removing the cap from the inhaler and shaking the canister, identify the sequence
of instructions the nurse should give the client. (Move the steps into the box on
the right, placing them in the selected order of performance. Use all the steps.) -
correct answer ✅1. The client should hold the mouthpiece 2-4 cm (1-2 in) from
his mouth 2. Tilt his head back slightly, and then open his mouth 3. Next, he
should depress the medication canister while taking a deep breath to facilitate
delivery of the medication through the airway 4. After holding his breath for 10
seconds, the client should resume his usual breathing pattern.
A nurse is reviewing the laboratory report for a client who has chronic kidney
disease (CKD). The nurse finds the following laboratory test results: potassium 6.8
mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL.
Which of the following findings is the priority for the nurse to report to the
provider? - correct answer ✅Hyperkalemia [The nurse should apply the urgent
,ATI - Comprehensive Final Study Guide
Q&A rated A
versus nonurgent priority-setting framework when caring for this client. Using this
framework, the nurse should consider urgent needs the priority need because
they pose more of a threat to the client. The nurse may also need to use Maslow's
hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to
identify which finding is the most urgent. Therefore, hyperkalemia, which can
cause life-threatening cardiac dysrhythmias, is the priority for the nurse to report
to the provider.
A nurse is facilitating a group discussion with preschool teachers about child
abuse. Which of the following data should the nurse use as a common example of
a suggestive finding? - correct answer ✅Arm cast for a spiral fracture of the
forearm [Spiral fractures occur from twisting of an extremity. In most instances,
spiral fractures of the arm result from an abusive injury.]
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the
pediatric unit. The nurse has limited experience with children. Which of the
following actions should the nurse manager take? - correct answer ✅Assign a
unit nurse to act as a resource to act as a resource for the medical-surgical nurse.
[Assigning a nurse who usually works on the pediatric unit to work with the
medical-surgical nurse will provide consistent support]
A nurse is developing a plan of care for a client who has gastroesophageal reflux
disease (GERD). The nurse should plan to monitor the client for which of the
following complications? - correct answer ✅Aspiration [Aspiration is a common
complication of GERD, which results when the esophageal sphincter malfunctions,
allowing gastric acid and undigested food to back up into the esophagus. This
places the client at risk for aspiration. GERD causes effortless, uncontrolled
regurgitation whether the client is in an upright position or reclining. The most
common results of regurgitation are heartburn and indigestion; however,
, ATI - Comprehensive Final Study Guide
Q&A rated A
aspiration is also possible. Therefore, the nurse should monitor the client for
crackles in the lung fields, which is an indication of aspiration.]
A client at a routine prenatal care visit asks the nurse if it is common to develop
vaginal yeast infections during pregnancy. Which of the following responses
should the nurse make? - correct answer ✅"The hormonal changes of pregnancy
change the acidity of the vagina, making yeast infections more common." [This is
an information-seeking question; therefore, the therapeutic response is an answer
that provides the client with the information she requested.]
A community health nurse is performing client triage while participating in a
disaster drill. The nurse should recommend that which of the following clients
receives treatment first? - correct answer ✅Hemothorax [The nurse should apply
the survival potential priority-setting framework. The nurse should reserve the use
of this framework for mass casualty situations, when resources are scarce and he
must allocate resources to save the greatest number of lives. While it might seem
that the client least likely to survive should receive priority care, this is the client
who is the lowest priority. The nurse should assign the highest priority to the
client who has injuries that are severe but has the potential to survive with
treatment. Therefore, the nurse should recommend that the client who has a
hemothorax receive treatment first. A hemothorax is life-threatening, but with
chest-tube insertion and stabilization the client is likely to survive.
A nurse is providing teaching to a school-age child who has just had a fiberglass
cast application following lower extremity fracture. Which of the following
instructions should the nurse give the child and his parents about care during the
first 48 hours? - correct answer ✅"Keep the cast above the level of your heart."
[Immediately following the injury, and for at least the first 48 hours, the child
should keep the affected limb above the level of the heart to help prevent edema
and pain and to promote venous return.]
