ATI RN Comprehensive
A nurse is assessing a client who has stage II pressure injury. Which of the following wound
characteristics should the nurse expect? - AnswerThe nurse should expect partial-thickness skin loss or
blister formation.
A community health nurse is preparing a health education program for a local rural community. Which of
the following actions should the nurse plan to take first? - AnswerIdentify health related issues within
the community.
Rationale: The first action the nurse should take when using the nursing process is to assess the clients
living in the community to identify prevalent health problems.
A client is receiving Lorazepam IV for panic attacks and develops a respiratory rate of 6/min and a blood
pressure of 90/44 mm Hg. Which of the following medications should the nurse anticipate
administering? - AnswerFlumazenil
Rationale: The nurse should anticipate administering Flumazenil, a competitive benzodiazepine receptor
antagonist, to reverse the sedative effects of lorazepam. In addition, the nurse should continue to
support the client's respiration's with a bag-valve mask.
A nurse is teaching the parents of a toddler about snacks. Which of the following foods should the nurse
recommend? - AnswerDiced steamed carrots.
Rationale: these are a safe food choice for toddlers because they are soft and do not present a choking
hazard.
A community health nurse is preforming triage tagging following a mass casualty accident. On which of
the following clients should the nurse place a black tag? - AnswerA client who has significant head
trauma and agonal respirations.
Rationale: Black tags are for those who are not likely to recover or will require extensive resources for
care.
A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse
should identify which of the following clients as having a nationally notifiable infectious condition? -
AnswerAn adolescent client who has foodborne botulism.
A nurse is caring for a client who vomits on a reusable bp cuff. Which of the following actions should the
nurse should take? - AnswerPlace the BP cuff in a labeled bag to send it for decontamination.
A nurse is assessing a client who has stage II pressure injury. Which of the following wound
characteristics should the nurse expect? - AnswerThe nurse should expect partial-thickness skin loss or
blister formation.
A community health nurse is preparing a health education program for a local rural community. Which of
the following actions should the nurse plan to take first? - AnswerIdentify health related issues within
the community.
Rationale: The first action the nurse should take when using the nursing process is to assess the clients
living in the community to identify prevalent health problems.
A client is receiving Lorazepam IV for panic attacks and develops a respiratory rate of 6/min and a blood
pressure of 90/44 mm Hg. Which of the following medications should the nurse anticipate
administering? - AnswerFlumazenil
Rationale: The nurse should anticipate administering Flumazenil, a competitive benzodiazepine receptor
antagonist, to reverse the sedative effects of lorazepam. In addition, the nurse should continue to
support the client's respiration's with a bag-valve mask.
A nurse is teaching the parents of a toddler about snacks. Which of the following foods should the nurse
recommend? - AnswerDiced steamed carrots.
Rationale: these are a safe food choice for toddlers because they are soft and do not present a choking
hazard.
A community health nurse is preforming triage tagging following a mass casualty accident. On which of
the following clients should the nurse place a black tag? - AnswerA client who has significant head
trauma and agonal respirations.
Rationale: Black tags are for those who are not likely to recover or will require extensive resources for
care.
A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse
should identify which of the following clients as having a nationally notifiable infectious condition? -
AnswerAn adolescent client who has foodborne botulism.
A nurse is caring for a client who vomits on a reusable bp cuff. Which of the following actions should the
nurse should take? - AnswerPlace the BP cuff in a labeled bag to send it for decontamination.
