ATI RN Comprehensive Practice A 2023
A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should
initiate a request for high-frequency chest compression vest in response to which of the
following parent statements?
"My child doesn't like to sit still for nebulizer treatments."
"I think that my child has been running a fever over the last couple of days."
"My child has only a small amount of mucus after percussion therapy."
"I am concerned about my child's future participation in team sports." - ANS"My child has only a
small amount of mucus after percussion therapy."
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify
with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. - ANSApply a cold pack to the client's
ankle for 30 min every hour.
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse
report to the provider?
Slightly blue hands and feet
Respiratory rate 40/min
Axillary temperature 36.2C (97.2F)
Apical pulse 136/min - ANSAxillary temperature 36.2C (97.2F)
A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ due to ____. - ANSThe client is at risk for developing
HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA.
A nurse is caring for a school-age child.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than
,1 disease process. - ANSADHD- Hyperreactivity to sensory input, Interrupting others, Losing
necessary things, Intellectual impairment
ID- Impaired language skills, Intellectual impairment
A nurse is caring for a newly admitted client.
Select 2 findings that require immediate follow-up. - ANSHemoglobin
Platelet count
A nurse is caring for a newborn.
Complete the following sentence by using the list of options.
The nurse should plan to first assess the newborn's ______followed by the newborn's_______.
- ANSThe nurse should plan to first assess the newborn's RESPIRATORY RATE followed by
the newborn's HEART RATE.
A nurse is caring for a client who is 24 hr postoperative following a cesarean birth.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ as evidenced by _____. - ANSThe client is at risk for
developing SEIZURES as evidenced by BLOOD PRESSURE.
A nurse on a medical-surgical unit is caring for a client who is postoperative following an
emergency appendectomy.
Complete the diagram. - ANSPotential condition:
Varicose veins
Actions to take:
Elevate the extremity
Apply graduated compression stockings
Parameters to monitor:
Edema of right lower extremity
Pruritis of right lower extremity
A nurse on a mental health unit is caring for a client.
For each potential provider's prescription, click to specify if the potential prescription is
anticipated or contraindicated. - ANSAnticipated:
, Initiate suicide precautions
Potassium 40 mEq PO daily
Contraindicated:
Low-sodium diet
Fluoxetine 20 mg PO daily
A nurse is caring for a client in the emergency department (ED).
The nurse is planning care for the client. Select the 5 actions the nurse should plan to take. -
ANS-Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
-Initiate seizure precautions
-Administer chlordiazepoxide
-Administer thiamine
-Maintain a low-stimulation environment
A nurse is caring for a client in the inpatient psychiatric unit.
Based on the assessment findings, which of the following actions should the nurse take? Select
all that apply. - ANS-Ensure the client does not have access to sharp objects
-Observe the client swallow all prescribed medications
-Assess the client's method of lethality
-Provide one-on-one observation
A nurse is caring for a client during a follow up visit at a gastrointestinal clinic.
For each assessment finding, click to specify if the assessment findings are consistent with
Crohn's disease, ulcerative colitis, peritonitis. Each finding may support more than one disease
process. - ANSBowel pattern: Crohns disease
Weight: Crohns disease, Ulcerative colitis
Heart rate: Peritonitis
WBC: Crohns disease, Ulcerative colitis, Peritonitis
Temperature: Crohns disease, Ulcerative colitis, Peritonitis
Abdominal pain location: Crohns disease
Albumin level: Crohns disease, Ulcerative colitis
A nurse is planning care for a client who has a deficit with cranial nerve (CN) II. Which of the
following actions should the nurse plan to take?
Keep the client resting in bed.
Ask the client to restate directions.
Clear objects from the clients walking area.
Evaluate the clients ability to swallow. - ANSClear objects from the clients walking area.
A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should
initiate a request for high-frequency chest compression vest in response to which of the
following parent statements?
"My child doesn't like to sit still for nebulizer treatments."
"I think that my child has been running a fever over the last couple of days."
"My child has only a small amount of mucus after percussion therapy."
"I am concerned about my child's future participation in team sports." - ANS"My child has only a
small amount of mucus after percussion therapy."
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify
with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. - ANSApply a cold pack to the client's
ankle for 30 min every hour.
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse
report to the provider?
Slightly blue hands and feet
Respiratory rate 40/min
Axillary temperature 36.2C (97.2F)
Apical pulse 136/min - ANSAxillary temperature 36.2C (97.2F)
A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ due to ____. - ANSThe client is at risk for developing
HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA.
A nurse is caring for a school-age child.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than
,1 disease process. - ANSADHD- Hyperreactivity to sensory input, Interrupting others, Losing
necessary things, Intellectual impairment
ID- Impaired language skills, Intellectual impairment
A nurse is caring for a newly admitted client.
Select 2 findings that require immediate follow-up. - ANSHemoglobin
Platelet count
A nurse is caring for a newborn.
Complete the following sentence by using the list of options.
The nurse should plan to first assess the newborn's ______followed by the newborn's_______.
- ANSThe nurse should plan to first assess the newborn's RESPIRATORY RATE followed by
the newborn's HEART RATE.
A nurse is caring for a client who is 24 hr postoperative following a cesarean birth.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ as evidenced by _____. - ANSThe client is at risk for
developing SEIZURES as evidenced by BLOOD PRESSURE.
A nurse on a medical-surgical unit is caring for a client who is postoperative following an
emergency appendectomy.
Complete the diagram. - ANSPotential condition:
Varicose veins
Actions to take:
Elevate the extremity
Apply graduated compression stockings
Parameters to monitor:
Edema of right lower extremity
Pruritis of right lower extremity
A nurse on a mental health unit is caring for a client.
For each potential provider's prescription, click to specify if the potential prescription is
anticipated or contraindicated. - ANSAnticipated:
, Initiate suicide precautions
Potassium 40 mEq PO daily
Contraindicated:
Low-sodium diet
Fluoxetine 20 mg PO daily
A nurse is caring for a client in the emergency department (ED).
The nurse is planning care for the client. Select the 5 actions the nurse should plan to take. -
ANS-Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
-Initiate seizure precautions
-Administer chlordiazepoxide
-Administer thiamine
-Maintain a low-stimulation environment
A nurse is caring for a client in the inpatient psychiatric unit.
Based on the assessment findings, which of the following actions should the nurse take? Select
all that apply. - ANS-Ensure the client does not have access to sharp objects
-Observe the client swallow all prescribed medications
-Assess the client's method of lethality
-Provide one-on-one observation
A nurse is caring for a client during a follow up visit at a gastrointestinal clinic.
For each assessment finding, click to specify if the assessment findings are consistent with
Crohn's disease, ulcerative colitis, peritonitis. Each finding may support more than one disease
process. - ANSBowel pattern: Crohns disease
Weight: Crohns disease, Ulcerative colitis
Heart rate: Peritonitis
WBC: Crohns disease, Ulcerative colitis, Peritonitis
Temperature: Crohns disease, Ulcerative colitis, Peritonitis
Abdominal pain location: Crohns disease
Albumin level: Crohns disease, Ulcerative colitis
A nurse is planning care for a client who has a deficit with cranial nerve (CN) II. Which of the
following actions should the nurse plan to take?
Keep the client resting in bed.
Ask the client to restate directions.
Clear objects from the clients walking area.
Evaluate the clients ability to swallow. - ANSClear objects from the clients walking area.
