gATI gCOMPREHENSIVE g
1. A gnurse gis gcaring gfor ga gclient gwho ghas gbipolar gdisorder gand gis
gexperiencing gacute gmania. gThe gnurse gobtained ga gverbal gprescription gfor
grestraints. gWhich gof gthe gfollowing gshould gthe gactions gthe gnurse gtake?
A. Request ga grenewal gof gthe gprescription gevery g8 ghr.
B. Check gthe gclient’s gperipheral gpulse grate gevery g30 gmin
C. Obtain ga gprescription gfor grestraint gwithin g4 ghr.
D. Document gthe gclient’s gcondition gevery g15 gminutes
2. A gnursing gplanning gcare gfor ga gschool-age gchild gwho gis g4 ghr
gpostoperative gfollowing gperforated gappendicitis. gWhich gof gthe gfollowing
gactions gshould gthe gnurse ginclude gin gthe gplan gof gcare?
a. Offer gsmall gamounts gof gclear gliquids g6 ghr gfollowing gsurgery g(assess gfor
ggag greflex gfirst)
b. Give gcromolyn gnebulizer gsolution gevery g6 ghr g(for gasthma)
c. Apply ga gwarm gcompress gto gthe goperative gsite gevery g4 ghr
d. g g Administer ganalgesics gon ga gscheduled gbasis gfor gthe gfirst g24 ghr
,3. A gnurse gis greceiving gchange-of-shift greport gfor ga ggroup gof gclients.
gWhich gof gthe gfollowing gclients gshould gthe gnurse gplan gto gassess gfirst?
a. A gclient gwho ghas gsinus garrhythmia gand gis greceiving gcardiac gmonitoring
b. A gclient gwho ghas gdiabetes gmellitus gand ga ghemoglobin gA1C gof g6.8%
c. A gclient gwho ghas gepidural ganalgesia gand gweakness gin gthe glower
gextremities
d. g g A gclient gwho ghas ga ghip gfracture gand ga gnew gonset gof gtachypnea
4. A gnurse gis gpreparing gto gapply ga gtransdermal gnicotine gpatch gfor ga
gclient. gWhich gof gthe gfollowing gactions gshould gthe gnurse gtak ge?
a. g g Shave ghairy gareas gof gskin gprior gto gapplication g(apply gto ghairless,
gclean g& gdry gareas gto gpromote gabsorption; gavoid goily gor gbroken gskin)
b. g g Wear ggloves gto gapply gthe gpatch gto gthe gclient’s gskin
c. Apply gthe gpatch gwithin g1 ghr gof gremoving git gfrom gthe gprotective gpouch
g(apply gimmediately)
d. Remove gthe gprevious gpatch gand gplace git gin ga gtissue g(fold gpatch gin
ghalf gwith gsticky gsides gpressed gtogether)
5. A gnurse ghas gjust greceived gchange-of-shift greport gfor gfour gclients.
gWhich gof gthe gfollowing gclients gshould gthe gnurse gassess gfirst?
a. g g g A gclient gwho gwas gjust ggiven ga gglass gof gorange gjuice gfor ga glow
gblood gglucose glevel
b. A gclient gwho gis gschedule gfor ga gprocedure gin g1 ghr g(can gwait)
,c. A gclient gwho ghas g100 gmL gfluid gremaining gin ghis gIV gbag g(can gwait)
d. A gclient gwho greceived ga gpain gmedication g30 gmin gago gfor gpostoperative
gpain
6. A gnurse gis gcaring gfor ga gclient gwho gis greceiving gintermittent genteral
gtube gfeedings. gWhich gof gthe gfollowing gplaces gthe gclient gat grisk gfor
gaspiration?
a. A ghistory gof ggastroesophageal greflux gdisease
b. Receiving ga ghigh gosmolarity gformula
c. Sitting gin ga ghigh-Fowler’s gposition gduring gthe gfeeding
d. A gresidual gof g65 gmL g1hr gpostprandial
7. A gnurse gis greviewing gthe glaboratory gresults gfor ga gclient gwho ghas
gCushing’s gdisease. gThe gnurse gshould gexpect gthe gclient gto ghave gan gincrease
gin gwhich gof gthe gfollowing glaboratory gvalues? ga. g g g Serum gglucose
glevel- gincreased g
, b. Serum gcalcium glevel-decreased
c. Lymphocyte gcount- gdecreased gimmune gsystem.
d. Serum gpotassium glevel- gdecreased
. g8. g A gnurse gis gcaring gfor ga gclient gwho ghas gsevere gpreeclampsia gand
gis greceiving gmagnesium gsulfate gintravenously. gThe gnurse gdiscontinues gthe
gmagnesium gsulfate gafter gthe gclient gdisplaces gtoxicity. gWhich gof gthe
gfollowing gactions gshould gthe gnurse gtake?
a. Position gthe gclient gsupine
b. Prepare gan gIV gbolus gof gdextrose g5% gin gwater
c. Administer gmethylergonovine gIM
d. Administer gcalcium ggluconate gIV
Calcium ggluconate gis ggiven gfor gmagnesium gsulfate gtoxicity. gAlways ghave gan
ginjectable gform gof gcalcium ggluconate gavailable gwhen gadministering gmagnesium
gsulfate gby gIV.
9. A gcharge gnurse gis gteaching gnew gstaff gmembers gabout gfactors gthat
gincrease ga gclient’s grisk gto gbecome gviolent. gWhich gof gthe gfollowing grisk
gfactors gshould gthe gnurse ginclude gas gthe gbest gpredictor gof gfuture gviolence?
a. Experiencing gdelusions
b. Male ggender
1. A gnurse gis gcaring gfor ga gclient gwho ghas gbipolar gdisorder gand gis
gexperiencing gacute gmania. gThe gnurse gobtained ga gverbal gprescription gfor
grestraints. gWhich gof gthe gfollowing gshould gthe gactions gthe gnurse gtake?
A. Request ga grenewal gof gthe gprescription gevery g8 ghr.
B. Check gthe gclient’s gperipheral gpulse grate gevery g30 gmin
C. Obtain ga gprescription gfor grestraint gwithin g4 ghr.
D. Document gthe gclient’s gcondition gevery g15 gminutes
2. A gnursing gplanning gcare gfor ga gschool-age gchild gwho gis g4 ghr
gpostoperative gfollowing gperforated gappendicitis. gWhich gof gthe gfollowing
gactions gshould gthe gnurse ginclude gin gthe gplan gof gcare?
a. Offer gsmall gamounts gof gclear gliquids g6 ghr gfollowing gsurgery g(assess gfor
ggag greflex gfirst)
b. Give gcromolyn gnebulizer gsolution gevery g6 ghr g(for gasthma)
c. Apply ga gwarm gcompress gto gthe goperative gsite gevery g4 ghr
d. g g Administer ganalgesics gon ga gscheduled gbasis gfor gthe gfirst g24 ghr
,3. A gnurse gis greceiving gchange-of-shift greport gfor ga ggroup gof gclients.
gWhich gof gthe gfollowing gclients gshould gthe gnurse gplan gto gassess gfirst?
a. A gclient gwho ghas gsinus garrhythmia gand gis greceiving gcardiac gmonitoring
b. A gclient gwho ghas gdiabetes gmellitus gand ga ghemoglobin gA1C gof g6.8%
c. A gclient gwho ghas gepidural ganalgesia gand gweakness gin gthe glower
gextremities
d. g g A gclient gwho ghas ga ghip gfracture gand ga gnew gonset gof gtachypnea
4. A gnurse gis gpreparing gto gapply ga gtransdermal gnicotine gpatch gfor ga
gclient. gWhich gof gthe gfollowing gactions gshould gthe gnurse gtak ge?
a. g g Shave ghairy gareas gof gskin gprior gto gapplication g(apply gto ghairless,
gclean g& gdry gareas gto gpromote gabsorption; gavoid goily gor gbroken gskin)
b. g g Wear ggloves gto gapply gthe gpatch gto gthe gclient’s gskin
c. Apply gthe gpatch gwithin g1 ghr gof gremoving git gfrom gthe gprotective gpouch
g(apply gimmediately)
d. Remove gthe gprevious gpatch gand gplace git gin ga gtissue g(fold gpatch gin
ghalf gwith gsticky gsides gpressed gtogether)
5. A gnurse ghas gjust greceived gchange-of-shift greport gfor gfour gclients.
gWhich gof gthe gfollowing gclients gshould gthe gnurse gassess gfirst?
a. g g g A gclient gwho gwas gjust ggiven ga gglass gof gorange gjuice gfor ga glow
gblood gglucose glevel
b. A gclient gwho gis gschedule gfor ga gprocedure gin g1 ghr g(can gwait)
,c. A gclient gwho ghas g100 gmL gfluid gremaining gin ghis gIV gbag g(can gwait)
d. A gclient gwho greceived ga gpain gmedication g30 gmin gago gfor gpostoperative
gpain
6. A gnurse gis gcaring gfor ga gclient gwho gis greceiving gintermittent genteral
gtube gfeedings. gWhich gof gthe gfollowing gplaces gthe gclient gat grisk gfor
gaspiration?
a. A ghistory gof ggastroesophageal greflux gdisease
b. Receiving ga ghigh gosmolarity gformula
c. Sitting gin ga ghigh-Fowler’s gposition gduring gthe gfeeding
d. A gresidual gof g65 gmL g1hr gpostprandial
7. A gnurse gis greviewing gthe glaboratory gresults gfor ga gclient gwho ghas
gCushing’s gdisease. gThe gnurse gshould gexpect gthe gclient gto ghave gan gincrease
gin gwhich gof gthe gfollowing glaboratory gvalues? ga. g g g Serum gglucose
glevel- gincreased g
, b. Serum gcalcium glevel-decreased
c. Lymphocyte gcount- gdecreased gimmune gsystem.
d. Serum gpotassium glevel- gdecreased
. g8. g A gnurse gis gcaring gfor ga gclient gwho ghas gsevere gpreeclampsia gand
gis greceiving gmagnesium gsulfate gintravenously. gThe gnurse gdiscontinues gthe
gmagnesium gsulfate gafter gthe gclient gdisplaces gtoxicity. gWhich gof gthe
gfollowing gactions gshould gthe gnurse gtake?
a. Position gthe gclient gsupine
b. Prepare gan gIV gbolus gof gdextrose g5% gin gwater
c. Administer gmethylergonovine gIM
d. Administer gcalcium ggluconate gIV
Calcium ggluconate gis ggiven gfor gmagnesium gsulfate gtoxicity. gAlways ghave gan
ginjectable gform gof gcalcium ggluconate gavailable gwhen gadministering gmagnesium
gsulfate gby gIV.
9. A gcharge gnurse gis gteaching gnew gstaff gmembers gabout gfactors gthat
gincrease ga gclient’s grisk gto gbecome gviolent. gWhich gof gthe gfollowing grisk
gfactors gshould gthe gnurse ginclude gas gthe gbest gpredictor gof gfuture gviolence?
a. Experiencing gdelusions
b. Male ggender
