NGN ATI COMPREHENSIVE EXAM 2023-2024
180 QUESTIONS AND CORRECTLY VERIFIED
ANSWERS |A+ GRADED|
The nurse is caring for a client who has histrionic personality disorder.
Which of thefollowing findings should the nurse expect?
a. Repeated acts of unlawful Behavior
b. Suspicious demeanor
c. Seductive Behavior
d. Lack of remorse
A nurse in a prenatal Clinic is teaching a client about non
pharmacological pain management during labor. Which of the following
statements by the client indicates anunderstanding of the teaching?
a. My nurse can teach me biofeedback at the beginning of labor-
biofeedback would betaught earlier to control other pain, not pain of labor
b. A transcutaneous electrical nerve stimulator will help with pelvic
pressure- This wouldmess with the readings of the pt and baby
c. The nurse will initiate acupuncture when I arrive at the unit - Needles during
labor no.
d. I can use my ultrasound picture as a focal point during contractions
A nurse is assessing a client Telemetry strip. Which of the following
findings should thenurse report to the provider?
,a. Heart rate 98 per minute - wnr
b. ST segment elevations_ Remember this could possibly lead to infarctions
c. 2 PVCs per minute
d. Widened P wave
A nurse is observing a newly licensed nurse who is administering Total
parenteral Nutritiontpn to a client. Which of the following actions by the newly
licensed nurse indicates a need for the nurse to intervene?
a. Plans for a check of the clients fingerstick glucose every 6 hours
b. Schedules a bag and tubing change for 24 hours after the start of the infusion-
ok
c. Uses the tpn IV tubing to administer the clients next dose of antibiotic
d. Increases the tpn infusion rate each hour until the prescribed rate is achieved
A nurse is teaching a newly licensed nurse about therapeutic techniques to use
when leadinga group on a mental health unit. which of the following group
facilitation techniques should the nurse include in the teaching?
a. Yield in situations of conflict to maintain group Harmony - If conflict
arises it is yourresponsibility to contain it
b. Share personal opinions to help influence the group's values -your focus is
having groupshare their personal thoughts and feelings to facilitate discussion
c. Use modeling to help the clients improve their interpersonal skills
d. Measure the accomplishments of the group against a previous group - no
comparison
A nurse is assessing a client's respirations which of the following actions
should the nursetake?
a. Assess respirations before counting radial pulsations -either or is fine
b. Multiply the number of respirations in 15 seconds by 4 - short way
to do it, notnecessarily the right way
c. Inform the client that has breaths will be counted- may raise or lower
,breath rate due tofear
d. Count respirations for 1 minute if the rhythm is irregular
A client’s partner tells a staff nurse that he overhears laboratory staff
discussing the result ofthe clients biopsy report while on the elevator. Which of the
following actions should the nurse take?
a. Report the information to the charge nurse
b. review confidentiality policies with laboratory employees- would be
the job of theFacility manager or someone who audits or teaches HIPAA
stuff
c. contact the laboratory manager regarding the situation - you are not high
enough up thechain to do that
d. Notify the facilities legal department - no need to go that far
A nurse is assessing a client who requests an oral contraceptive. Which of the
following findings in the client’s medical history should the nurse identify as a
contraindication for the useof a combination oral contraceptive?
a. Concurrent use of levothyroxine
b. Allergy to penicillin
c. Recurrent urinary tract infections
d. Migraines with aura
Rationale: MN RM 10.0 Ch.1 p.6; Exacerbates conditions affected by fluid retention,
such as
migraine, epilepsy, asthma, kidney, or heart disease.
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?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
d. Arrange for client transportation to follow-up
appointmentsRationale 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?
a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “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
a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtime
c. 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?
a. The client is experiencing an adverse reaction to rifampin
b. 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
180 QUESTIONS AND CORRECTLY VERIFIED
ANSWERS |A+ GRADED|
The nurse is caring for a client who has histrionic personality disorder.
Which of thefollowing findings should the nurse expect?
a. Repeated acts of unlawful Behavior
b. Suspicious demeanor
c. Seductive Behavior
d. Lack of remorse
A nurse in a prenatal Clinic is teaching a client about non
pharmacological pain management during labor. Which of the following
statements by the client indicates anunderstanding of the teaching?
a. My nurse can teach me biofeedback at the beginning of labor-
biofeedback would betaught earlier to control other pain, not pain of labor
b. A transcutaneous electrical nerve stimulator will help with pelvic
pressure- This wouldmess with the readings of the pt and baby
c. The nurse will initiate acupuncture when I arrive at the unit - Needles during
labor no.
d. I can use my ultrasound picture as a focal point during contractions
A nurse is assessing a client Telemetry strip. Which of the following
findings should thenurse report to the provider?
,a. Heart rate 98 per minute - wnr
b. ST segment elevations_ Remember this could possibly lead to infarctions
c. 2 PVCs per minute
d. Widened P wave
A nurse is observing a newly licensed nurse who is administering Total
parenteral Nutritiontpn to a client. Which of the following actions by the newly
licensed nurse indicates a need for the nurse to intervene?
a. Plans for a check of the clients fingerstick glucose every 6 hours
b. Schedules a bag and tubing change for 24 hours after the start of the infusion-
ok
c. Uses the tpn IV tubing to administer the clients next dose of antibiotic
d. Increases the tpn infusion rate each hour until the prescribed rate is achieved
A nurse is teaching a newly licensed nurse about therapeutic techniques to use
when leadinga group on a mental health unit. which of the following group
facilitation techniques should the nurse include in the teaching?
a. Yield in situations of conflict to maintain group Harmony - If conflict
arises it is yourresponsibility to contain it
b. Share personal opinions to help influence the group's values -your focus is
having groupshare their personal thoughts and feelings to facilitate discussion
c. Use modeling to help the clients improve their interpersonal skills
d. Measure the accomplishments of the group against a previous group - no
comparison
A nurse is assessing a client's respirations which of the following actions
should the nursetake?
a. Assess respirations before counting radial pulsations -either or is fine
b. Multiply the number of respirations in 15 seconds by 4 - short way
to do it, notnecessarily the right way
c. Inform the client that has breaths will be counted- may raise or lower
,breath rate due tofear
d. Count respirations for 1 minute if the rhythm is irregular
A client’s partner tells a staff nurse that he overhears laboratory staff
discussing the result ofthe clients biopsy report while on the elevator. Which of the
following actions should the nurse take?
a. Report the information to the charge nurse
b. review confidentiality policies with laboratory employees- would be
the job of theFacility manager or someone who audits or teaches HIPAA
stuff
c. contact the laboratory manager regarding the situation - you are not high
enough up thechain to do that
d. Notify the facilities legal department - no need to go that far
A nurse is assessing a client who requests an oral contraceptive. Which of the
following findings in the client’s medical history should the nurse identify as a
contraindication for the useof a combination oral contraceptive?
a. Concurrent use of levothyroxine
b. Allergy to penicillin
c. Recurrent urinary tract infections
d. Migraines with aura
Rationale: MN RM 10.0 Ch.1 p.6; Exacerbates conditions affected by fluid retention,
such as
migraine, epilepsy, asthma, kidney, or heart disease.
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?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
d. Arrange for client transportation to follow-up
appointmentsRationale 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?
a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “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
a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtime
c. 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?
a. The client is experiencing an adverse reaction to rifampin
b. 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
