ATI Final Exam Review / Ati
Final Review Exam
Questions 2024
A nurse is reviewing the laboratory test results for a client who is receiving
treatment for septicemia with a prolonged fever. Which of the following indicates
the client is developing dehydration? (Select all that apply.)
- Hct 55%
- Serum osmolarity 260 mOsm/kg
- Serum sodium 150 mEq/L
- Urine specific gravity 1.035
- Serum creatinine 0.6 mg/dL - ✔✔✔ANSWER-- Hct 55%
,- Serum sodium 150 mEq/L
- Urine specific gravity 1.035
A nurse is talking with parents of a preschooler who describe several issues that
concern them. Which of the following problems the parents verbalized should the
nurse identify as the priority for further assessment and intervention?
1. "Our son will only eat a few things, like burgers and bananas, and pretty much
refuses everything else."
2. "Our son has these temper tantrums every time we tell him to do something he
doesn't want
to do."
3. "We think our son truly believes that his toys have personalities and talk to him,
especially at night."
4. "We feel bad when we see our son trying so hard to button his shirt. We just tell
him this is something he'll just have to learn to do." - ✔✔✔ANSWER-2. "Our son
has these temper tantrums every time we tell him to do something he doesn't want
to do."
A nurse is talking with the father of a 4‑year‑old child who states that his daughter
goes to bed at 8:30 p.m. and wakes up at about 7:30 a.m., but she often lies in bed
talking to herself or gets up a few times before falling asleep 40 min later. At her
preschool, the children take a 2‑hr afternoon nap. Which of the following
recommendations should the nurse make to help improve the child's sleep
behavior?
1. Offer the child a snack of her favorite treat right before bedtime.
2. Allow the child to watch an extra 30 min of TV in the evening.
3. Change the child's bedtime to 9 p.m. on days she napped.
,4. Request that the preschool staff limit her nap time to 1 hr. - ✔✔✔ANSWER-3.
Change the child's bedtime to 9 p.m. on days she napped.
A charge nurse is leading a staff education session about caring for a client who has
hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further
teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." -
✔✔✔ANSWER-3. "Clients who have hypocalcemia are at risk for pathologic
fractures."
A client demonstrates anger when the nurse does not respond within 5 min of
ringing for the nurse. Which of the following is an appropriate response by the
nurse?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - ✔✔✔ANSWER-3. "It
must be frustrating. I have a few minutes now."
**therapeutic by acknowledging client's feelings**
, A client has an admission blood glucose reading of 260 mg/dL and no documented
history of diabetes mellitus. While the nurse reviews the client's medication
history, which of the following types of medications should alert the nurse to the
possibility that the client has developed an adverse effect of pharmacologic
therapy? (Select all that apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - ✔✔✔ANSWER-- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes
a red line extending outward from the insertion site. Which of the following actions
should the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
3. Discontinue the infusion.
4. Document the findings. - ✔✔✔ANSWER-3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the
client after anesthesia has been administered. Which of the following interventions
should be initiated?
Final Review Exam
Questions 2024
A nurse is reviewing the laboratory test results for a client who is receiving
treatment for septicemia with a prolonged fever. Which of the following indicates
the client is developing dehydration? (Select all that apply.)
- Hct 55%
- Serum osmolarity 260 mOsm/kg
- Serum sodium 150 mEq/L
- Urine specific gravity 1.035
- Serum creatinine 0.6 mg/dL - ✔✔✔ANSWER-- Hct 55%
,- Serum sodium 150 mEq/L
- Urine specific gravity 1.035
A nurse is talking with parents of a preschooler who describe several issues that
concern them. Which of the following problems the parents verbalized should the
nurse identify as the priority for further assessment and intervention?
1. "Our son will only eat a few things, like burgers and bananas, and pretty much
refuses everything else."
2. "Our son has these temper tantrums every time we tell him to do something he
doesn't want
to do."
3. "We think our son truly believes that his toys have personalities and talk to him,
especially at night."
4. "We feel bad when we see our son trying so hard to button his shirt. We just tell
him this is something he'll just have to learn to do." - ✔✔✔ANSWER-2. "Our son
has these temper tantrums every time we tell him to do something he doesn't want
to do."
A nurse is talking with the father of a 4‑year‑old child who states that his daughter
goes to bed at 8:30 p.m. and wakes up at about 7:30 a.m., but she often lies in bed
talking to herself or gets up a few times before falling asleep 40 min later. At her
preschool, the children take a 2‑hr afternoon nap. Which of the following
recommendations should the nurse make to help improve the child's sleep
behavior?
1. Offer the child a snack of her favorite treat right before bedtime.
2. Allow the child to watch an extra 30 min of TV in the evening.
3. Change the child's bedtime to 9 p.m. on days she napped.
,4. Request that the preschool staff limit her nap time to 1 hr. - ✔✔✔ANSWER-3.
Change the child's bedtime to 9 p.m. on days she napped.
A charge nurse is leading a staff education session about caring for a client who has
hypocalcemia.
Which of the following statements by a staff nurse indicates the need for further
teaching?
1. "I should monitor for hand spasms during blood pressure cuff inflation."
2. "Clients who have a vitamin D deficiency are at risk for hypocalcemia."
3. "Clients who have hypocalcemia are at risk for pathologic fractures."
4. "I should implement seizure precautions for a client who has hypocalcemia." -
✔✔✔ANSWER-3. "Clients who have hypocalcemia are at risk for pathologic
fractures."
A client demonstrates anger when the nurse does not respond within 5 min of
ringing for the nurse. Which of the following is an appropriate response by the
nurse?
1. "I'm sorry, but another client needed my attention."
2. "I arrived as soon as I could. What can I do for you?"
3. "It must be frustrating. I have a few minutes now."
4. "We had an emergency on the unit, but now I'm here." - ✔✔✔ANSWER-3. "It
must be frustrating. I have a few minutes now."
**therapeutic by acknowledging client's feelings**
, A client has an admission blood glucose reading of 260 mg/dL and no documented
history of diabetes mellitus. While the nurse reviews the client's medication
history, which of the following types of medications should alert the nurse to the
possibility that the client has developed an adverse effect of pharmacologic
therapy? (Select all that apply.)
- Diuretics
- Corticosteroids
- Oral anticoagulants
- Opioid analgesics
- Antipsychotics - ✔✔✔ANSWER-- Diuretics
- Corticosteroids
- Antipsychotics
A client is reporting pain at the insertion site of his IV catheter. The nurse observes
a red line extending outward from the insertion site. Which of the following actions
should the nurse take first?
1. Place a warm compress over the site
2. Restart the IV line at a different site.
3. Discontinue the infusion.
4. Document the findings. - ✔✔✔ANSWER-3. Discontinue the infusion.
**greatest risk = further injury to the vein; first action is to discontinue**
A client is scheduled for surgery. The intraoperative nurse finds a necklace on the
client after anesthesia has been administered. Which of the following interventions
should be initiated?
