ATI Comprehensive Practice B
A nurse is preparing to teach about dietary management to a client who has Crohn's disease and
an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to
decrease in their diet? Fiber >>> The nurse should instruct the client who has Crohn's disease
and an enteroenteric fistula to consume a low-fiber diet to reduce diarrhea and inflammation.
A nurse is updating the plan of care for a client who is 48 hr postoperative following a
laryngectomy and is unable to speak. Which of the following actions should the nurse plan to
take first? Determine the client's reading skills >>> The first action the nurse should take
when using the nursing process is to assess the client. By determining the client's level of reading
skills and cognition, the nurse can best provide the client with a variety of customized techniques
to practice and use after verbal skills are lost.
A nurse is providing teaching to the guardians of a newborn about measures to prevent SIDS.
Which of the following guardian statements indicates an understanding of the teaching? "I will
not allow anyone to smoke near my baby." >>> This statement by the guardian indicates an
understanding of the nurse's instructions. Research indicates a strong correlation between
exposure to cigarettes smoke and the occurrence of SIDS.
A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and
reports nausea and vomiting for the past 2 days. Which of the following findings should the
nurse expect? Urine specific gravity 1.052 >>> The nurse should recognize this urine specific
gravity is significantly elevated above the expected reference range of 1.005 to 1.030. An
increased urine specific gravity indicates dehydration from vomiting.
A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. Which of the following actions should the nurse plan to take? Allow
for frequent rest periods throughout the day >>> The nurse should encourage clients who have
rheumatoid arthritis to balance rest with exercise to maintain muscle strength, joint function, and
range of motion.
A nurse is caring for a client who has hyperthyroidism. Which of the following findings should
the nurse expect? Tremors >>> Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care? "We can expect the hospice nurse to provide support for us after our
mother's death." >>> Hospice care includes bereavement services after a family member's death.
A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following
findings should the nurse identify as an indication that the medication is effective?Decreased
hallucinations >>> The nurse should recognize that chlorpromazine is an antipsychotic
medication administered to decrease hallucinations and other manifestations of schizophrenia.
A charge nurse notices that one of the nurses on the shift frequently violates unit policies by
taking an extended amount of time for break. Which of the following statements should the
charge nurse make to address this conflict? "I would like to talk to you about the unit policies
regarding break time." >>> The charge nurse is dealing with the conflict in a cooperative,
, positive manner by using this statement to open the conversation in a nonthreatening way. The
focus is on the length of the break time and is not a personal affront.
A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a
central line. Which of the following information should the nurse include in the teaching? "I will
need to measure your weight daily." >>> The nurse should instruct the client that daily weight
measurement is a necessary part of administering nutrition through a central line to avoid fluid
overload and monitor for adequate weight gain.
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline.
Which of the following findings should the nurse identify as an adverse effect of the medication?
Blurred vision >>> The nurse should identify blurred vision as an adverse effect of
amitriptyline and notify the provider. Other adverse effects include constipation, urinary
retention, and dry mouth.
A nurse is caring for a client who has a prescription for a continuous passive motion machine
following a total knee arthroplasty. Which of the following actions should the nurse take? Turn
off the CPM machine during mealtime >>> The nurse should turn off the CPM machine during
meals to promote client comfort and dietary intake.
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? A client who channels their energy into a new hobby following the loss of their
job >>> The nurse should identify that this client is using the defense mechanism of sublimation
by channeling negative feelings over the loss of their job into a new hobby.
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize
which of the following statements by the client as a constructive use of a defense mechanism?
"I told my doctor that I would like to start a support group for other women who are sick
in my community." >>> This statement indicates that the client is using the constructive defense
mechanism sublimation by devising a socially acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is providing education to the parent of a school-age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching? "I will make
sure my child receives a yearly influenza immunization." >>> Children who have asthma should
be immunized and protected from infections.
A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation.
The client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?Check the client's oxygen saturation level >>> Restlessness and
lightheadedness are indications of hypoxia.
A nurse on an inpatient mental health unit is monitoring a visit between a client who has a
history of aggressive behavior and the client's partner. Which of the following observations
should the nurse identify as an indication for potential violence? The client is pacing around
the chair in which their partner is sitting >>> Hyperactivity and pacing indicates that this client
is at risk for violent behavior. The nurse should assess the situation further and attempt to de-
escalate the situation by speaking to the client in a low, calm voice using short sentences.
An antepartum nurse is caring for four clients. For which of the following clients should the
nurse initiate seizure precautions? A client who is at 33 weeks of gestation and has severe
gestational hypertension >>> The nurse should initiate seizure precautions for a client who has
severe gestational hypertension because an extremely elevated blood pressure in an antepartum
client can trigger seizure activity. The nurse should provide the client with a quiet, darkened
A nurse is preparing to teach about dietary management to a client who has Crohn's disease and
an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to
decrease in their diet? Fiber >>> The nurse should instruct the client who has Crohn's disease
and an enteroenteric fistula to consume a low-fiber diet to reduce diarrhea and inflammation.
A nurse is updating the plan of care for a client who is 48 hr postoperative following a
laryngectomy and is unable to speak. Which of the following actions should the nurse plan to
take first? Determine the client's reading skills >>> The first action the nurse should take
when using the nursing process is to assess the client. By determining the client's level of reading
skills and cognition, the nurse can best provide the client with a variety of customized techniques
to practice and use after verbal skills are lost.
A nurse is providing teaching to the guardians of a newborn about measures to prevent SIDS.
Which of the following guardian statements indicates an understanding of the teaching? "I will
not allow anyone to smoke near my baby." >>> This statement by the guardian indicates an
understanding of the nurse's instructions. Research indicates a strong correlation between
exposure to cigarettes smoke and the occurrence of SIDS.
A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and
reports nausea and vomiting for the past 2 days. Which of the following findings should the
nurse expect? Urine specific gravity 1.052 >>> The nurse should recognize this urine specific
gravity is significantly elevated above the expected reference range of 1.005 to 1.030. An
increased urine specific gravity indicates dehydration from vomiting.
A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. Which of the following actions should the nurse plan to take? Allow
for frequent rest periods throughout the day >>> The nurse should encourage clients who have
rheumatoid arthritis to balance rest with exercise to maintain muscle strength, joint function, and
range of motion.
A nurse is caring for a client who has hyperthyroidism. Which of the following findings should
the nurse expect? Tremors >>> Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care? "We can expect the hospice nurse to provide support for us after our
mother's death." >>> Hospice care includes bereavement services after a family member's death.
A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following
findings should the nurse identify as an indication that the medication is effective?Decreased
hallucinations >>> The nurse should recognize that chlorpromazine is an antipsychotic
medication administered to decrease hallucinations and other manifestations of schizophrenia.
A charge nurse notices that one of the nurses on the shift frequently violates unit policies by
taking an extended amount of time for break. Which of the following statements should the
charge nurse make to address this conflict? "I would like to talk to you about the unit policies
regarding break time." >>> The charge nurse is dealing with the conflict in a cooperative,
, positive manner by using this statement to open the conversation in a nonthreatening way. The
focus is on the length of the break time and is not a personal affront.
A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a
central line. Which of the following information should the nurse include in the teaching? "I will
need to measure your weight daily." >>> The nurse should instruct the client that daily weight
measurement is a necessary part of administering nutrition through a central line to avoid fluid
overload and monitor for adequate weight gain.
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline.
Which of the following findings should the nurse identify as an adverse effect of the medication?
Blurred vision >>> The nurse should identify blurred vision as an adverse effect of
amitriptyline and notify the provider. Other adverse effects include constipation, urinary
retention, and dry mouth.
A nurse is caring for a client who has a prescription for a continuous passive motion machine
following a total knee arthroplasty. Which of the following actions should the nurse take? Turn
off the CPM machine during mealtime >>> The nurse should turn off the CPM machine during
meals to promote client comfort and dietary intake.
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? A client who channels their energy into a new hobby following the loss of their
job >>> The nurse should identify that this client is using the defense mechanism of sublimation
by channeling negative feelings over the loss of their job into a new hobby.
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize
which of the following statements by the client as a constructive use of a defense mechanism?
"I told my doctor that I would like to start a support group for other women who are sick
in my community." >>> This statement indicates that the client is using the constructive defense
mechanism sublimation by devising a socially acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is providing education to the parent of a school-age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching? "I will make
sure my child receives a yearly influenza immunization." >>> Children who have asthma should
be immunized and protected from infections.
A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation.
The client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?Check the client's oxygen saturation level >>> Restlessness and
lightheadedness are indications of hypoxia.
A nurse on an inpatient mental health unit is monitoring a visit between a client who has a
history of aggressive behavior and the client's partner. Which of the following observations
should the nurse identify as an indication for potential violence? The client is pacing around
the chair in which their partner is sitting >>> Hyperactivity and pacing indicates that this client
is at risk for violent behavior. The nurse should assess the situation further and attempt to de-
escalate the situation by speaking to the client in a low, calm voice using short sentences.
An antepartum nurse is caring for four clients. For which of the following clients should the
nurse initiate seizure precautions? A client who is at 33 weeks of gestation and has severe
gestational hypertension >>> The nurse should initiate seizure precautions for a client who has
severe gestational hypertension because an extremely elevated blood pressure in an antepartum
client can trigger seizure activity. The nurse should provide the client with a quiet, darkened
