ATI COMPREHENSIVE ASSESSMENT B
125 LATEST UPDATED QUESTIONS AND
ANSWERS WITH RATIONALE 2024
1. A nurse manager is planning to use a democratic leadership style
with the nurses on the unit. Which of the following actions by the
nurse manager demonstrates a democratic leadership style? a. Avoids
initiating change
b. Seeks input from the other nurses
c. Makes decisions quickly
d. Limits the amount of feedback to the staff: b. Seeks input from the
other nurses A nurse manager who uses a democratic leadership style
includes members of the team when making decisions and encourages
staff members to participate in the decision-making process.
a. A nurse manager who avoids initiating change is demonstrating a
laissez-faire leadership style.
c. A nurse manager who makes decisions quickly is relying on their
own judgment and is not seeking input from others. This action
demonstrates an autocratic leadership style.
,d. A nurse manager who limits the amount of feedback to the staff is
demonstrating a laissez-faire leadership style.
2. A nurse is providing discharge instructions about newborn care to a
client who is postpartum. Which of the following statements indicates
to the nurse that the client understands the teaching? (Select all that
apply.)
"I will breastfeed my baby on a schedule of every 4 hours."
"I will bathe my baby daily."
"I will place my baby on her stomach for sleeping."
"I will cover my baby's body when I wash her hair."
"I will use the bulb syringe first in her mouth and then in her nose.": --
"I will cover my baby's body when I wash her hair" is correct. Newborns
are highly susceptible to heat loss. The client should wrap the newborn
in a towel when washing the hair to minimize heat loss.
--"I will use the bulb syringe first in her mouth and then in her nose" is
correct. The client should suction the newborn's mouth first to remove
secretions that the newborn could aspirate when suctioning the nares.
--------------------------------------------------------------
"I will breastfeed my baby on a schedule of every 4 hours" is incorrect.
The client should respond to the newborn's cues for feeding at least eight
,to 12 times in a 24-hr period. Strict feeding schedules can result in
inadequate nutrition for the newborn. "I will bathe my baby daily" is
incorrect. Daily bathing can disrupt the integrity of the newborn's skin.
The client should bathe the newborn every 2 to 3 days and cleanse the
face and diaper area daily.
"I will place my baby on her stomach for sleeping" is incorrect. The client
should place the newborn on her back when sleeping to decrease the risk
of suffocation or sudden infant death syndrome.
3. A nurse is preparing to administer insulin to a client via a pen
device. Which of the following actions should the nurse take?
a. Hold the insulin pen device perpendicular to the client's skin to
inject the medication.
b. Shake the insulin pen device prior to injecting the medication.
c. Withdraw the insulin from the pen device into an insulin syringe.
d. Hold the pen device in place for 3 seconds after injecting the
insulin.: a. Hold the insulin pen device perpendicular to the client's
skin to inject the medication. The nurse should hold the insulin pen
perpendicular to the client's skin to inject the medication, which
ensures the insulin enters the subcutaneous tissue.
, b. The nurse should not shake the pen prior to use. This will allow air
bubbles to form in the pen cartridge, which can lead to an inaccurate
dose of insulin being administered.
c. The nurse should not withdraw insulin from the pen, because this
can allow air bubbles to form in the pen cartridge. The insulin pen is
used to administer insulin.
d. The nurse should hold the pen in place briefly for 6 to 10 seconds
after injecting the insulin into the subcutaneous skin to ensure that the
insulin is received.
4. A nurse in a community center is providing an educational session
to a group of clients about ovarian cancer. Which of the following
manifestations of ovarian cancer should the nurse include in the
teaching? a. Diarrhea
b. Urinary retention
c. Purulent discharge
d. Abdominal bloating: d. Abdominal bloating
The nurse should include the presence of abdominal bloating as an early
manifestation of ovarian cancer. Other manifestations include an
increase in abdominal girth, pelvic or abdominal pain, early satiety, and
urinary frequency or urgency.
125 LATEST UPDATED QUESTIONS AND
ANSWERS WITH RATIONALE 2024
1. A nurse manager is planning to use a democratic leadership style
with the nurses on the unit. Which of the following actions by the
nurse manager demonstrates a democratic leadership style? a. Avoids
initiating change
b. Seeks input from the other nurses
c. Makes decisions quickly
d. Limits the amount of feedback to the staff: b. Seeks input from the
other nurses A nurse manager who uses a democratic leadership style
includes members of the team when making decisions and encourages
staff members to participate in the decision-making process.
a. A nurse manager who avoids initiating change is demonstrating a
laissez-faire leadership style.
c. A nurse manager who makes decisions quickly is relying on their
own judgment and is not seeking input from others. This action
demonstrates an autocratic leadership style.
,d. A nurse manager who limits the amount of feedback to the staff is
demonstrating a laissez-faire leadership style.
2. A nurse is providing discharge instructions about newborn care to a
client who is postpartum. Which of the following statements indicates
to the nurse that the client understands the teaching? (Select all that
apply.)
"I will breastfeed my baby on a schedule of every 4 hours."
"I will bathe my baby daily."
"I will place my baby on her stomach for sleeping."
"I will cover my baby's body when I wash her hair."
"I will use the bulb syringe first in her mouth and then in her nose.": --
"I will cover my baby's body when I wash her hair" is correct. Newborns
are highly susceptible to heat loss. The client should wrap the newborn
in a towel when washing the hair to minimize heat loss.
--"I will use the bulb syringe first in her mouth and then in her nose" is
correct. The client should suction the newborn's mouth first to remove
secretions that the newborn could aspirate when suctioning the nares.
--------------------------------------------------------------
"I will breastfeed my baby on a schedule of every 4 hours" is incorrect.
The client should respond to the newborn's cues for feeding at least eight
,to 12 times in a 24-hr period. Strict feeding schedules can result in
inadequate nutrition for the newborn. "I will bathe my baby daily" is
incorrect. Daily bathing can disrupt the integrity of the newborn's skin.
The client should bathe the newborn every 2 to 3 days and cleanse the
face and diaper area daily.
"I will place my baby on her stomach for sleeping" is incorrect. The client
should place the newborn on her back when sleeping to decrease the risk
of suffocation or sudden infant death syndrome.
3. A nurse is preparing to administer insulin to a client via a pen
device. Which of the following actions should the nurse take?
a. Hold the insulin pen device perpendicular to the client's skin to
inject the medication.
b. Shake the insulin pen device prior to injecting the medication.
c. Withdraw the insulin from the pen device into an insulin syringe.
d. Hold the pen device in place for 3 seconds after injecting the
insulin.: a. Hold the insulin pen device perpendicular to the client's
skin to inject the medication. The nurse should hold the insulin pen
perpendicular to the client's skin to inject the medication, which
ensures the insulin enters the subcutaneous tissue.
, b. The nurse should not shake the pen prior to use. This will allow air
bubbles to form in the pen cartridge, which can lead to an inaccurate
dose of insulin being administered.
c. The nurse should not withdraw insulin from the pen, because this
can allow air bubbles to form in the pen cartridge. The insulin pen is
used to administer insulin.
d. The nurse should hold the pen in place briefly for 6 to 10 seconds
after injecting the insulin into the subcutaneous skin to ensure that the
insulin is received.
4. A nurse in a community center is providing an educational session
to a group of clients about ovarian cancer. Which of the following
manifestations of ovarian cancer should the nurse include in the
teaching? a. Diarrhea
b. Urinary retention
c. Purulent discharge
d. Abdominal bloating: d. Abdominal bloating
The nurse should include the presence of abdominal bloating as an early
manifestation of ovarian cancer. Other manifestations include an
increase in abdominal girth, pelvic or abdominal pain, early satiety, and
urinary frequency or urgency.
