ATI PRACTICE EXAM COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is administering an otic medication to an older adult
client. Which of the following actions should the nurse take to
ensure that the medication reaches the inner ear?
a) press gently on the tragus of the clients ear
b) pack a small piece of cotton deep into the clients ear canal
c) move the clients auricle down and back toward her head
d) tilt the clients head backward for 5 min.
Answer: a) press gently on the tragus of the clients ear
◉ A nurse on a medical-surgical unit is caring for a client who has a
new prescription for wrist restraints. Which of the following should
the nurse take?
a) pad the clients wrist before applying the restraints
b) evaluate the clients circulation every 8hr after application
c) remove the restraints every 4hr to evaluate the clients status
d) secure the restraint ties to the beds side rails.
Answer: a) pad the clients wrist before applying the restraints
,◉ A nurse is admitting a new client. Which of the following actions
should the nurse take while performing medication reconciliation?
a) verify the clients name on their identification bracelet with the
medication administration record
b) call the pharmacy to determine whether the clients medications
are available
c) compare the clients home medications with the providers
prescriptions
d) place the clients home medication bottles in a secure location.
Answer: c) compare the clients home medications with the
providers prescriptions
◉ A nurse is planning care for a client who has had a stroke,
resulting in aphasia and dysphagia. Which of the following tasks
should the nurse assign to the UAP? Select all that apply
a) assist the client with a partial bed bath
b) measure the clients BP after the nurse administers an
antihypertensive medication
c) test the clients swallowing ability by providing thickened liquids
d) use a communication board to ask what the client wants for lunch
e) irrigate the clients indwelling urinary catheter.
,Answer: a) assist the client with a partial bed bath
b) measure the clients BP after the nurse administers an
antihypertensive medication
d) use a communication board to ask what the client wants for lunch
◉ A nurse is using an open irrigation technique to irrigate a clients
indwelling catheter. Which of the following actions should the nurse
take?
a) place the client in a side-lying position
b) instill 15 mL of irrigation fluid into the catheter with each flush
c) subtract the amount of irritant used from the clients urine output
d) perform the irrigation using a 20 mL syringe.
Answer: c) subtract the amount of irritant used from the clients
urine output
◉ A home health nurse is performing a follow-up visit for a client
who has a gastrostomy tube through which they receive intermittent
feedings and medications. The client has recently developed
diarrhea. Which of the following findings should the nurse identify
as a possible cause of the diarrhea?
a) the client is receiving formula at room temperature
b) the feedings infuse at a slow, continuous drip over 8 hr each night
, c) the clients caregiver washes out the feeding bag with warm water
once every 24 hr
d) the clients caregiver flushes the tube with water before and after
administering medications.
Answer: c) the clients caregiver washes out the feeding bag with
warm water once every 24 hr
Feeding bags should be washed out after each feeding and replaced
with a new feeding bag every 24 hr to prevent bacterial
contamination
◉ A nurse is initiating a protective environment for a client who has
had an allogenic stem cell transplant. Which of the following
precautions should the nurse plan for this client?
a) make sure the clients room has at least six air exchanges per hour
b) make sure the client wears a mask when outside her room if there
is construction in the area
c) place the client in a private room with negative-pressure airflow
d) wear an N95 respirator when giving the client direct care.
Answer: b) make sure the client wears a mask when outside her
room if there is construction in the area
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is administering an otic medication to an older adult
client. Which of the following actions should the nurse take to
ensure that the medication reaches the inner ear?
a) press gently on the tragus of the clients ear
b) pack a small piece of cotton deep into the clients ear canal
c) move the clients auricle down and back toward her head
d) tilt the clients head backward for 5 min.
Answer: a) press gently on the tragus of the clients ear
◉ A nurse on a medical-surgical unit is caring for a client who has a
new prescription for wrist restraints. Which of the following should
the nurse take?
a) pad the clients wrist before applying the restraints
b) evaluate the clients circulation every 8hr after application
c) remove the restraints every 4hr to evaluate the clients status
d) secure the restraint ties to the beds side rails.
Answer: a) pad the clients wrist before applying the restraints
,◉ A nurse is admitting a new client. Which of the following actions
should the nurse take while performing medication reconciliation?
a) verify the clients name on their identification bracelet with the
medication administration record
b) call the pharmacy to determine whether the clients medications
are available
c) compare the clients home medications with the providers
prescriptions
d) place the clients home medication bottles in a secure location.
Answer: c) compare the clients home medications with the
providers prescriptions
◉ A nurse is planning care for a client who has had a stroke,
resulting in aphasia and dysphagia. Which of the following tasks
should the nurse assign to the UAP? Select all that apply
a) assist the client with a partial bed bath
b) measure the clients BP after the nurse administers an
antihypertensive medication
c) test the clients swallowing ability by providing thickened liquids
d) use a communication board to ask what the client wants for lunch
e) irrigate the clients indwelling urinary catheter.
,Answer: a) assist the client with a partial bed bath
b) measure the clients BP after the nurse administers an
antihypertensive medication
d) use a communication board to ask what the client wants for lunch
◉ A nurse is using an open irrigation technique to irrigate a clients
indwelling catheter. Which of the following actions should the nurse
take?
a) place the client in a side-lying position
b) instill 15 mL of irrigation fluid into the catheter with each flush
c) subtract the amount of irritant used from the clients urine output
d) perform the irrigation using a 20 mL syringe.
Answer: c) subtract the amount of irritant used from the clients
urine output
◉ A home health nurse is performing a follow-up visit for a client
who has a gastrostomy tube through which they receive intermittent
feedings and medications. The client has recently developed
diarrhea. Which of the following findings should the nurse identify
as a possible cause of the diarrhea?
a) the client is receiving formula at room temperature
b) the feedings infuse at a slow, continuous drip over 8 hr each night
, c) the clients caregiver washes out the feeding bag with warm water
once every 24 hr
d) the clients caregiver flushes the tube with water before and after
administering medications.
Answer: c) the clients caregiver washes out the feeding bag with
warm water once every 24 hr
Feeding bags should be washed out after each feeding and replaced
with a new feeding bag every 24 hr to prevent bacterial
contamination
◉ A nurse is initiating a protective environment for a client who has
had an allogenic stem cell transplant. Which of the following
precautions should the nurse plan for this client?
a) make sure the clients room has at least six air exchanges per hour
b) make sure the client wears a mask when outside her room if there
is construction in the area
c) place the client in a private room with negative-pressure airflow
d) wear an N95 respirator when giving the client direct care.
Answer: b) make sure the client wears a mask when outside her
room if there is construction in the area
