ATI EXAM 23 QUESSTIONS & ANSWERS
The client has a decreased level of energy - ANSWERA nurse is caring for a client who has a recent
diagnosis of a terminal illness. The nurse should identify which of the following as an indication of
hopelessness?
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - ANSWERA nurse is preparing to collect data on a preschooler.
Which of the following behaviors by the child indicates that he is ready to cooperate? (SATA-3)
A client who has schizo and is having command hallucinations - ANSWERA nurse on a mental health unit
is planning care for a group of clients. Which of the following clients should the nurse see first?
"Let me show how to swaddle and cuddle him, then try." - ANSWERA nurse is caring for a client who
recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do
anything right. What should I do?" Which of the following responses should the nurse make?
Keep the finger in dependent position - ANSWERA nurse is using a glucometer to measure a client's
capillary blood glucose level. Which of the following actions should the nurse take?
Naproxen - ANSWERA nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that
which of the following otc meds interact adversely w clopidogrel?
Check for pain w passive movement of the affected extremity - ANSWERA nurse is collecting data from a
client who has a long leg cast that was applied 2 days ago. The client's foot is pale w a weak pedal pulse
and the client reports foot numbness. Which of the following actions should the nurse take first?
Somnolence - ANSWERA nurse in a providers office is reinforcing teaching about cigarette smoking w a
client. Which of the following adverse effects should the nurse include in the teaching?
A client who is attempting to hurt himself or others - ANSWERA nurse is contributing to the
development of an in-service program for mental health nursing staff. The nurse should include that the
staff can medicate a client against his will, without a court hearing in which of the following situations?
"Monitor for muscle weakness while taking the medication" - ANSWERA nurse is reinforcing teaching
with a client who has a new prescription for digoxin. Which of the following instructions should the
nurse include in the teaching?
A social worker who's assigned an involuntary committed school-age client - ANSWERA charge nurse is
discussing confidentiality requirements w a newly licensed nurse when sharing a client's medical info.
Which of the following individuals should the charge nurse identify as appropriate with whom to share
client info?
Urine protein plus - ANSWERA nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider?
, O2 sat 89% - ANSWERA nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring immediate intervention?
Blurred vision - ANSWERA nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should the nurse
report to the provider immediately?
Elevate the client's HOB - ANSWERA nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first?
Glycoslated Hemoglobin - ANSWERA nurse is reinforcing teaching on a client who has diabetes mellitus.
Which of the following lab tests is most accurate of blood glucose effective management?
Tells a client he will lose his phone privileges if he does not take his medication - ANSWERA nurse charge
on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the
newly licensed nurse should the supervising nurse intervene?
Oral suction equipment - ANSWERA nurse is supervising an AP obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's room?
Encourage client to be assertive - ANSWERA nurse is reinforcing discharge teaching with a family of a
client who has dependent personality disorder. What action should the nurse take?
"You should avoid crossing your legs for 3 months" - ANSWERA nurse is reinforcing discharge teaching
with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse
indicate?
Eat a small meal every 2-3 hr - ANSWERA nurse is reinforcing dietary teaching with a client who has
hyperemesis gravidarum. Which of the following instructions should the nurse include in the teaching?
"I should take this medication in the morning and at night" - ANSWERA nurse is reinforcing teaching with
a client who has GERD and a prescription for ranitidine. Which of the following statements by the client
indicates and understanding of the teaching?
Airborne - ANSWERA nurse is assisting with the admission of a client who has pulmonary tb. Which of
the following types of isolation precautions should the nurse include?
"Perform pulmonary hygiene 1 hr before meals" - ANSWERA nurse is reinforcing discharge teaching with
a client who has COPD and reports problems with maintaining adequate nutrition. Which of the
following instructions should the nurse include?
Reduced fat in stools - ANSWERA nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effects of the
treatment?
The psychiatric staff not the FBI. They're here to help you - ANSWERA nurse is caring for a client who has
paranoid schizo and believes that she is being followed by FBI agents who are pretending to be the
psychiatric staff. Which of the following responses should the nurse make?
Ensure the weights are hanging freely - ANSWERA nurse is assisting in the care of a client who has a
fractured femur and is in Buck's traction, which of the following actions should the nurse take?
The client has a decreased level of energy - ANSWERA nurse is caring for a client who has a recent
diagnosis of a terminal illness. The nurse should identify which of the following as an indication of
hopelessness?
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - ANSWERA nurse is preparing to collect data on a preschooler.
Which of the following behaviors by the child indicates that he is ready to cooperate? (SATA-3)
A client who has schizo and is having command hallucinations - ANSWERA nurse on a mental health unit
is planning care for a group of clients. Which of the following clients should the nurse see first?
"Let me show how to swaddle and cuddle him, then try." - ANSWERA nurse is caring for a client who
recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do
anything right. What should I do?" Which of the following responses should the nurse make?
Keep the finger in dependent position - ANSWERA nurse is using a glucometer to measure a client's
capillary blood glucose level. Which of the following actions should the nurse take?
Naproxen - ANSWERA nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that
which of the following otc meds interact adversely w clopidogrel?
Check for pain w passive movement of the affected extremity - ANSWERA nurse is collecting data from a
client who has a long leg cast that was applied 2 days ago. The client's foot is pale w a weak pedal pulse
and the client reports foot numbness. Which of the following actions should the nurse take first?
Somnolence - ANSWERA nurse in a providers office is reinforcing teaching about cigarette smoking w a
client. Which of the following adverse effects should the nurse include in the teaching?
A client who is attempting to hurt himself or others - ANSWERA nurse is contributing to the
development of an in-service program for mental health nursing staff. The nurse should include that the
staff can medicate a client against his will, without a court hearing in which of the following situations?
"Monitor for muscle weakness while taking the medication" - ANSWERA nurse is reinforcing teaching
with a client who has a new prescription for digoxin. Which of the following instructions should the
nurse include in the teaching?
A social worker who's assigned an involuntary committed school-age client - ANSWERA charge nurse is
discussing confidentiality requirements w a newly licensed nurse when sharing a client's medical info.
Which of the following individuals should the charge nurse identify as appropriate with whom to share
client info?
Urine protein plus - ANSWERA nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider?
, O2 sat 89% - ANSWERA nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring immediate intervention?
Blurred vision - ANSWERA nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings should the nurse
report to the provider immediately?
Elevate the client's HOB - ANSWERA nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first?
Glycoslated Hemoglobin - ANSWERA nurse is reinforcing teaching on a client who has diabetes mellitus.
Which of the following lab tests is most accurate of blood glucose effective management?
Tells a client he will lose his phone privileges if he does not take his medication - ANSWERA nurse charge
on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the
newly licensed nurse should the supervising nurse intervene?
Oral suction equipment - ANSWERA nurse is supervising an AP obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's room?
Encourage client to be assertive - ANSWERA nurse is reinforcing discharge teaching with a family of a
client who has dependent personality disorder. What action should the nurse take?
"You should avoid crossing your legs for 3 months" - ANSWERA nurse is reinforcing discharge teaching
with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse
indicate?
Eat a small meal every 2-3 hr - ANSWERA nurse is reinforcing dietary teaching with a client who has
hyperemesis gravidarum. Which of the following instructions should the nurse include in the teaching?
"I should take this medication in the morning and at night" - ANSWERA nurse is reinforcing teaching with
a client who has GERD and a prescription for ranitidine. Which of the following statements by the client
indicates and understanding of the teaching?
Airborne - ANSWERA nurse is assisting with the admission of a client who has pulmonary tb. Which of
the following types of isolation precautions should the nurse include?
"Perform pulmonary hygiene 1 hr before meals" - ANSWERA nurse is reinforcing discharge teaching with
a client who has COPD and reports problems with maintaining adequate nutrition. Which of the
following instructions should the nurse include?
Reduced fat in stools - ANSWERA nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effects of the
treatment?
The psychiatric staff not the FBI. They're here to help you - ANSWERA nurse is caring for a client who has
paranoid schizo and believes that she is being followed by FBI agents who are pretending to be the
psychiatric staff. Which of the following responses should the nurse make?
Ensure the weights are hanging freely - ANSWERA nurse is assisting in the care of a client who has a
fractured femur and is in Buck's traction, which of the following actions should the nurse take?
