ATI comprehensive final
A nurse is providing teaching to a client who has come to the family planning clinic requesting
an IUD. Which of the following information should the nurse provide the client? - ANS "Your risk
for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When
obtaining the child's history from her parent, which of the following questions should the nurse
ask? - ANS "Does anyone smoke around or in the same house as your child?"
A nurse is teaching the parent of a child who has severe reactive airway disease about
glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of
taking it orally. Which of the following information should the nurse provide the parent? - ANS
Oral glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for sertraline. The client
asks the nurse if he should continue to take St. John's wort for depression. Which of the
following instructions should the nurse give the client? - ANS Stop taking the herbal supplement
while taking the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the
following assessments is the nurses priority? - ANS Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose inhaler. After removing the
cap from the inhaler and shaking the canister, identify the sequence of instructions the nurse
should give the client. - ANS 1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of the
medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the
following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate
4.8. Which of the following findings is the priority for the nurse to report to the provider? - ANS
Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of
the following data should the nurse use as a common example of a suggestive finding? - ANS
Arm cast for a spiral fracture of the forearm
, Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit.
The nurse has limited experience with children. Which of the following actions should the nurse
manager take? - ANS Assign a unit nurse to act as a resource for the medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has GERD. The nurses
should suggest monitoring the client for which of the following complications? - ANS Aspiration
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast
infections during pregnancy. Which of the following responses should the nurse make? - ANS
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections
more common."
A community health nurse is preforming client triage while participating in a disaster drill. The
nurse should recommend that which of the following clients receives treatment first? - ANS
Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a fiberglass cast
application follow a lower extremity fracture. Which of the following instructions should the nurse
reinforced with the child and his parents about care during the first 48 hours? - ANS Keep the
cast above the level of your heart
A nurse is collecting data from a toddler who has aids. The nurse should identify which of the
following findings as an indication infection? - ANS Candidiasis
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the
following findings should indicate to the nurse that the AAA is expanding? - ANS Report of
sudden severe back pain
A nurse is reinforcing discharge teaching to a client who does not speak the same language as
the nurse. The clients neighbor, who speaks to the clients native language and the nurses,
arrives to drive the client home. Which of the following actions should the nurse take? - ANS
Obtain the services of an interpreter
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea.
Which of the following actions should the nurse take first? - ANS Stop the medication infusion.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a
surgical procedure in the morning. The child has been crying despite his parents presence at his
bedside. The nurse should recommend engaging the child in therapeutic play for the care plan
because it offers which of the following benefits? - ANS Allows the child to manipulate toy
medical equipment
A nurse is providing teaching to a client who has come to the family planning clinic requesting
an IUD. Which of the following information should the nurse provide the client? - ANS "Your risk
for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When
obtaining the child's history from her parent, which of the following questions should the nurse
ask? - ANS "Does anyone smoke around or in the same house as your child?"
A nurse is teaching the parent of a child who has severe reactive airway disease about
glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of
taking it orally. Which of the following information should the nurse provide the parent? - ANS
Oral glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for sertraline. The client
asks the nurse if he should continue to take St. John's wort for depression. Which of the
following instructions should the nurse give the client? - ANS Stop taking the herbal supplement
while taking the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the
following assessments is the nurses priority? - ANS Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose inhaler. After removing the
cap from the inhaler and shaking the canister, identify the sequence of instructions the nurse
should give the client. - ANS 1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of the
medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the
following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate
4.8. Which of the following findings is the priority for the nurse to report to the provider? - ANS
Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of
the following data should the nurse use as a common example of a suggestive finding? - ANS
Arm cast for a spiral fracture of the forearm
, Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit.
The nurse has limited experience with children. Which of the following actions should the nurse
manager take? - ANS Assign a unit nurse to act as a resource for the medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has GERD. The nurses
should suggest monitoring the client for which of the following complications? - ANS Aspiration
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast
infections during pregnancy. Which of the following responses should the nurse make? - ANS
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections
more common."
A community health nurse is preforming client triage while participating in a disaster drill. The
nurse should recommend that which of the following clients receives treatment first? - ANS
Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a fiberglass cast
application follow a lower extremity fracture. Which of the following instructions should the nurse
reinforced with the child and his parents about care during the first 48 hours? - ANS Keep the
cast above the level of your heart
A nurse is collecting data from a toddler who has aids. The nurse should identify which of the
following findings as an indication infection? - ANS Candidiasis
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the
following findings should indicate to the nurse that the AAA is expanding? - ANS Report of
sudden severe back pain
A nurse is reinforcing discharge teaching to a client who does not speak the same language as
the nurse. The clients neighbor, who speaks to the clients native language and the nurses,
arrives to drive the client home. Which of the following actions should the nurse take? - ANS
Obtain the services of an interpreter
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea.
Which of the following actions should the nurse take first? - ANS Stop the medication infusion.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a
surgical procedure in the morning. The child has been crying despite his parents presence at his
bedside. The nurse should recommend engaging the child in therapeutic play for the care plan
because it offers which of the following benefits? - ANS Allows the child to manipulate toy
medical equipment
