ATI COMPREHENSIVE EXAMS FULL PACK/ ATI LEADERSHIP PROCTORED ALL EXAMS GRADED A/ ATI MEDSURG ALL EXAMS WITH COMPLETE SOLUTION/ATI FUNDAMENTALS COMPLETE SET EXAMS/ATI PHARMACOLOGY PROCTORED ASSESSMENT SOLUTION PACK FINALS/RN COMPREHENSIVE PREDICT

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Thenurse obtained a verbal prescription for restraints. Which of the following should the actions thenurse take? Request a renewal of the prescription every 8 hr. Check the client‘s peripheral pulse rate every 30 min Obtain a prescription for restraint within 4 hr. Document the client‘s condition every 15 minutes A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan ofcare? Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first) Give cromolyn nebulizer solution every 6 hr (for asthma) Apply a warm compress to the operative site every 4 hr Administer analgesics on a scheduled basis for the first 24 hr A nurse is receiving change-of-shift report for a group of clients. Which of the followingclients should the nurse plan to assess first? A client who has sinus arrhythmia and is receiving cardiac monitoring A client who has diabetes mellitus and a hemoglobin A1C of 6.8% A client who has epidural analgesia and weakness in the lower extremities A client who has a hip fracture and a new onset of tachypnea A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse tak e? Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to promote absorption; avoid oily or broken skin) Wear gloves to apply the patch to the client‟s skin Apply the patch within 1 hr of removing it from the protective pouch (apply immediately) Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together) A nurse has just received change-of-shift report for four clients. Which of the followingclients should the nurse assess first? A client who was just given a glass of orange juice for a low blood glucose level A client who is schedule for a procedure in 1 hr (can wait) A client who has 100 mL fluid remaining in his IV bag (can wait) A client who received a pain medication 30 min ago for postoperative pain A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which ofthe following places the client at risk for aspiration? A history of gastroesophageal reflux disease Receiving a high osmolarity formula Sitting in a high-Fowler‘s position during the feeding A residual of 65 mL 1hr postprandial A nurse is reviewing the laboratory results for a client who has Cushing‘s disease. The nurse should expect the client to have an increase in which of the following laboratory values?a. Serum glucose level- increased Serum calcium level-decreased Lymphocyte count- decreased immune system. Serum potassium level- decreased . 8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesiumsulfate intravenously. The nurse discontinues the magnesium sulfate after the client displacestoxicity. Which of the following actions should the nurse take? Position the client supine Prepare an IV bolus of dextrose 5% in water Administer methylergonovine IM Administer calcium gluconate IV Calcium gluconate is given for magnesium sulfate toxicity. Always have an injectable form of calcium gluconate available when administering magnesium sulfate by IV. A charge nurse is teaching new staff members about factors that increase a client‘s risk to become violent. Which of the following risk factors should the nurse include as the best predictorof future violence? Experiencing delusions Male gender Previous violent behavior A history of being in prison Risk factors also include: past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders). Individual Assessment for Violence A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field? Place the cap from the solution sterile side up on clean surface Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body'sfirst Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm(1- inch) border around any sterile drape or wrap that is considered contaminated. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; shouldbe ABOVE waist level A nurse is providing teaching to an older adult client about methods to promote nighttimesleep. Which of the following instructions should the nurse include? Eat a light snack before bedtime Stay in bed at least 1 hr if unable to fall asleep Take a 1 hr nap during the day Perform exercises prior to bedtime A home health nurse is preparing for an initial visit with an older adult client who livesalone. Which of the following actions should the nurse take first? Educate the client about current medical diagnosis Refer the client to a meal delivery program Identify environmental hazards in the home Arrange for client transportation to follow-up appointments Rationale Priority: Assess first. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client? ―Can you tell me who visited you today?‖ “What high school did you graduate from ―Can you list your current medications?‖ ―What did you have for breakfast yesterday?‖ A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which ofthe following goals should the nurse include in the teaching HbA1c level greater than 8%- 6.5 - 8 is the target reference. > Blood glucose level greater than 200 mg/dL at bedtime Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMICd. HbA1c level less than 7% A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures and has a new prescription for isoniazid and rifampin. Which of the following shouldthe nurse conclude if the client develops ataxia and incoordination? The client is experiencing an adverse reaction to rifampin The client‘s seizure disorder is no longer under controlc. The client is showing evidence of phenytoin toxicity d. The client is having adverse effects due to combination antimicrobial therapy A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the following manifestations requires immediate action by the nurse? Increase in frequency of swallowing→ may indicate bleeding Moderate sanguineous drainage on the drip pad Bruising to the face→ side effect Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale ―Requires immediate action‖ choose the worst possibility that could lead to. ABC A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give scheduled doses of acetaminophen every 6 hr b. Monitor the child‟s cardiac status Administer antibiotics via intermittent IV bolus for 24 hr Provide stimulation with children of the same age in the playroom A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco? Use of tobacco might lead to alcohol and drug abuse Smoking in adolescence increases the risk of developing lung cancer later in lifec. Use of tobacco decreases the level of athletic ability d. Smoking in adolescence increases the risk of lifelong addiction A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for this client? Total bilirubin Urine ketones Serum potassium- diuretic that retains potassium= hyperkalemic risk Platelet count Rationale ATI PDF p: 146 Pharm Complications: hyperkalemia A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of thisrole? “I will let the client know that I am available as the interpreter.” ―I will receive a small fee for interpreting for this client.‖ ―I am glad I‘m available today, but when I‘m not, you can use a family member.‖ ―I will let the client know that an interpreter is unavailable during the night shift.‖ A nurse is performing assessments on newborns in the nursery. Which of the following findings should the nurse report to the provider? A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal A 16 hour old new newborn who has yet to pass meconium- you got 24 hours to passstool c, A 2 day old newborn who has a small amount of blood tinged vaginal discharge d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? Pain pallor pulselessness paresthesia A client who is 1 hr postoperative and has hypoactive bowel sounds A client who has fractured left tibia and pallor in the affected extremity A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses A client who has a elevated AST level following administration of azithromycin A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effects should the nurse instruct the client to report tothe provider? Weight gain Dry mouth→ anticholinergic effects Sedation → s/s neuroleptic malignant syndrome??>> life threatening Shuffling gait →A/E EPS: is an indication of parkinsonism and should be reported to t A nurse is planning discharge teaching about cord care for the parents of a newborn which ofthe following instructions should the nurse plan to include in the teaching? P . 177 ch 26 Clean the base of the cord with hydrogen peroxide daily- only with tub and sponge baths The cord stump will fall off in 5 days- about 10 - 14 days Contact the provider if the cord stump turns black Keep the cord stump dry until it falls off Rationale: cord usually falls out within 7 to 10 days. Clean with soap and water. Cord is expected to turn black and dry. A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client? a. White flour tortillas Wheat crackers Canned barley soup A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings should the nurse expect? All or nothing thinking Euphoric mood d. Hypochondriasis ( anxiety disorder) A nurse is caring for a client who is immobile which of the following interventions is appropriate to prevent contracture? Align a trochanter wedge between the clients legs Place a towel roll under the clients neck d. Position a pillow under the client's knees A public health nurse working in a rural area is developing a program to improve health forthe local population. Which of the following actions should the nurse plan to take? Provide anticipatory guidance classes to parents through public schools Have a nurse from the outside the community provide health lectures at the countyhospital Encourage rural residents to focus health spending on tertiary health interventions Launch a media campaign to increase awareness about industrial pollution A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? Below the knee amputation → ESI Level 1 10cm (4 in) laceration → ESI Level 4 Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity dislocationthen level 1. 95% full thickness body burn → A nurse is preparing a change of shift report for an adult female client who is postoperative. Which of the following client information should the nurse include in the report? CONFIRMED a. Hgb 12.8 g/dl - 12- 16 Potassium 4.2 meq/l 3.5 - 5.0 meq RBC 4.4 million/mm3 Platelets 100,000/mm3 - 150,000 - 300,000 risk for bleeding A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding? Iron 90 mcg/dl Prealbumin 10 mcg/dl (normal: 16-40) Serum creatinine 0.8 mg/dl c. Apply an orthotic to the clients foot c. Disorganized speech b. Potato pancakes a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal range a. You may breastfeed unless your nipples are cracked or bleeding. Calcium 9.5 mg/dl A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift.Which of the following client assignments should the nurse delegate to the LPN? A client who has fractured a femur yesterday and is expecting SOB A client who sustained a concussion and has unequal pupils A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. The nurse notes early deceleration on the fetal heart rate monitor . Which of the following nursing actions should the nurse take ? p . 88 ch 13 maternity Stop the oxytocin infusion Perform a vaginal examination Initiate an amnioinfusion A nurse is conducting an initial assessment of a client and noticed a discrepancy between the clients current IV infusion and the information received during the shift report. Which of the following actions should the nurse take? a. Complete an incident report and place it in the client's medical record. Contact the charge nurse to see if the prescription was changed. Submit a written warning for the nurse involved in the incident. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine ? FAsting blood glucose 100 mg/dl Hgb 14 g/Dl Heart rate 58/min ATI PHARM 116 Complications A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C.The client asks the nurse if she will be able to breastfeed. Which of the following responses by the nurse is appropriate? You must use a breast pump to provide breast milk. You must use nipple shield when breastfeeding. You may breastfeed after your baby develops his antibiotics. a. A client who is postoperative following a bowel resection with an NGT set to continuous suction a. Continue the monitor the fetal heart rate- - Not a problem- absent or late are a problem however CONFIRMED b. Compare the current infusion with the prescription in the client's medication record. d. Initiate seizure precautions a. Document the client's conditions every 15 minutes B. C. Let's talk about your mom‟s cancer and how things will progress from here. Tell me how you are feeling about your mom dying. A nurse is caring for a client who has returned to the medical-surgical unit following a transurethral resection of the prostate. Which of the following should the nurse identify as priority nursing assessment after reviewing the clients information? Exhibit. b. Skin turgor d. Bowel sounds A nurse is caring for a client who has hyperthermia .Which of the following actions for the nurse to take ? Submerge the adolescent feet in ice water Cover the adolescent with a thermal blanket → if hypothermia. Administer oral acetaminophen A nurse manager is updating protocols for belt restraints. Which of the following guidelines should the nurse include. Attach the restraints to the beds side rails Request a PRN restraints prescription for clients who are aggressive Remove the client restraints every 4 hours A nurse in emergency department is caring for a client who has full thickness burn of the thorax and upper torso. After securing the client's airway, which of the following is the nurse's priority intervention? P. 482 ch 75 CONFIRMED Providing pain management Offering emotional support Preventing infection A nurse is caring for a client who has cancer and is being transferred to hospice care. The client‘s daughter tells the nurse, ―I‘m not sure what to say to my mom if she asks me about dying.‖ which of the following responses by the nurse is appropriate? (SATA) A. Hospice will take good care of your mom, so I wouldn‘t worry about that. D. Tell her not to worry. She still has plenty of time left. d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd spacing a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the brain ? c. Deep-tendon reflexes c. A client who received a Mantoux test 48 hours ago and has induration a. You have the right to decide who receives information - a. 7.5% b. Pour water from a squeeze bottle over the client‟s perineal area. a. Avoid hot tub while wearing the patch Rationale: Therapeutic communication A nurse is reviewing the medical records of four clients. The nurse should identify that whichof the following client findings follow up care? A client who is taking bumetanide and has potassium level of 3.6 mEq/L (normal) A client who is scheduled for colonoscopy and taking sodium phosphate d. A client who is taking warfarin and has INR of 1.8 (normal if taking warfarin) A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first? Implement the nursing process Schedule a time for the home visit Contact the family by phone ! A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with his partner. Which of the following is an appropriateresponse for the nurse to make? Your partner can be a great source of support for you at this time Is there a reason you don‘t want your partner to know about your procedure? The provider will be tactful when talking to your partner A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb)from an original weight of 9o.7 (200 lb). The nurse should identify the weight of the following total percentage? b. 15% c. 8.1% d. 13.3%