ACTUAL ATI PN COMPREHENSIVE ONLINE PRACTICE 2023 A (A
NEW UPDAED VERSION 2024) REAL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (CORRECT
VERIFIED ANSWERS) |GUARANTEED PASS.
A nurse and a provider Office is assisting with the care of a client who has a new
diagnosis of type two diabetes mellitus. The client is at risk for developing _____
during to _____. - ANSWER: -delayed wound healing
-glucose levels
A nurse is assisting in the care of a client who is one day postoperative following a
total thyroidectomy. The client is the greatest risk for developing _____ as evidenced
by _____. - ANSWER: -hypocalcemia
-muscle spasms
A nurse in the emergency department is assisting in the care of a client. The nurse
should suspect the client is experiencing _____ as evidenced by the client's _____. -
ANSWER: -serotonin syndrome
-altered mental status
A nurse is caring for a client in an outpatient setting. The client is exhibiting
manifestations of _____ as evidenced by the client's drop _____. - ANSWER: -Heart
failure
-BNP level
A nurse is assisting with the care of an adolescent client in the emergency
department. For each finding click to specify if the finding is consistent with bacterial
meningitis or encephalitis. Each finding may support more than one disease process.
- ANSWER: -Bacterial Meningitis: fever, photophobia, pain, mental status, and rash
-Encephalitis: fever, pain, and mental status
A nurse is assisting in the care of a client who is postoperative following an
appendectomy. Which of the following client findings should the nurse report to the
charge nurse? - ANSWER: -pain
-nausea
-heart rate
-oxygen saturation
A nurse is assisting with the care of a client who is pregnant in the acute care setting.
The nurse should first address the client's _____, followed by the _____. - ANSWER: -
Respirations
-LOC
,A nurse in an urgent care setting is assisting with the care of a client. For each finding
click to specify if the finding requires follow-up or does not require follow up. -
ANSWER: -Requires follow-up: BP, Heart rate, HbA1c, and BMI
-Does not require follow-up: Sodium and BUN
A nurse is assisting with the admission of an older adult client. Which of the
following actions should the nurse take first? - ANSWER: complete a fall risk
assessment on the client
A nurse is reinforcing teaching about puberty with a group of prepubescent female
clients. Which of the following information should the nurse include in the teaching?
- ANSWER: you will likely gain weight before you start to get taller
A nurse is assisting with planning palliative care for a client who has stage IV cancer
and is in the active stage of dying. Which of the following interventions should the
nurse include in the plan of care? - ANSWER: administer atropine to reduce the
clients respiratory secretions
A nurse is collecting a urine specimen for a female client who has diabetes insipidus.
Which of the following findings should the nurse expect? - ANSWER: Urine specific
gravity of 1.002
A nurse is contributing to the plan of care for a client who has viral meningitis. Which
of the following interventions should the nurse include? - ANSWER: Place the client
in a private room.
A nurse is assisting with the care of a client who is postoperative following coronary
artery bypass surgery (CABG). The client is at greatest risk for developing _____ as
evidenced by _____. - ANSWER: -dysrhythmia
-Laboratory reports and muscle cramps
A nurse is assisting with the care of a client who is 24 hours postoperative following
a cesarean birth. The client is a risk for developing _____ as evidenced by _____. -
ANSWER: -seizures
-severe features of preeclampsia
A nurse is assisting with the care of a client. Complete the diagram by dragging from
the choices below to specify what condition the client is most likely experiencing, 2
actions the nurse should take to address the condition, and 2 parameters the nurse
should monitor to assess the client's progress. - ANSWER: Action 1:?
Action 2:?
Potential Condition: Somatic symptom disorder
Parameter to Monitor 1: Secondary gains from their illness
Parameter to Monitor 2: Physical manifestations
Upon recognizing and analyzing the client's assessment findings, such as joint pain
and physical inactivity, the nurse's priority hypothesis is that the client is most likely
, experiencing somatic symptom disorder. It is essential to generate solutions and take
actions by monitoring for both the presence of secondary gains from their illness and
the client's physical manifestations. Somatic symptom disorders are characterized by
the presence of many physical manifestations like dizziness, nausea, back pain, joint
pain, etc. The nurse should evaluate and monitor the client's vital signs and pain
level.
A nurse is assisting in the care of a client who is one hour postpartum. Select the 6
actions the nurse should take. - ANSWER: -Firmly massage the uterine fundus
-Administer methylergonovine
-Weigh the perineal pads
-Provide emotional support
-Insert indwelling urinary catheter
-administer oxygen at 12 L/min via non rebreather face mask
A nurse is assisting in the care of a client who experienced a spinal cord injury (SCI).
Complete the diagram by dragging from the choices below, to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress.
- ANSWER: -Autonomic dysreflexia
-blood pressure
-noxious stimuli
-administer nifedipine or a nitrate
Upon collecting data, the nurse should recognize the client cues of high blood
pressure, headache, face and neck warm to the touch, and constipation. The nurse
should recognize that the client is likely experiencing autonomic dysreflexia, and that
it is important to generate solutions and take actions that will decrease the client's
blood pressure and noxious stimuli. Therefore, the nurse should prepare to
administer nifedipine or a nitrate to decrease the client's blood pressure and check
for bladder distention, which may be contributing to visceral stimuli. The nurse
should monitor the client's blood pressure every 10 to 15 min and monitor vision for
changes caused by autonomic dysreflexia, such as blurred vision.
A nurse in an outpatient setting is assisting with the care of a client. Complete the
diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition,
and 2 parameters the nurse should monitor to assess the client's progress. -
ANSWER: -Pyelonephritis
-administer antibiotics
-encourage fluid intake
-Monitor fever
-Monitor BUN levels
Upon collecting data, the nurse should recognize the client cues of elevated
temperature, recent history of UTI, flank pain, nocturia, and urinary frequency and
urgency as indicators that the client is most likely experiencing pyelonephritis and
NEW UPDAED VERSION 2024) REAL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (CORRECT
VERIFIED ANSWERS) |GUARANTEED PASS.
A nurse and a provider Office is assisting with the care of a client who has a new
diagnosis of type two diabetes mellitus. The client is at risk for developing _____
during to _____. - ANSWER: -delayed wound healing
-glucose levels
A nurse is assisting in the care of a client who is one day postoperative following a
total thyroidectomy. The client is the greatest risk for developing _____ as evidenced
by _____. - ANSWER: -hypocalcemia
-muscle spasms
A nurse in the emergency department is assisting in the care of a client. The nurse
should suspect the client is experiencing _____ as evidenced by the client's _____. -
ANSWER: -serotonin syndrome
-altered mental status
A nurse is caring for a client in an outpatient setting. The client is exhibiting
manifestations of _____ as evidenced by the client's drop _____. - ANSWER: -Heart
failure
-BNP level
A nurse is assisting with the care of an adolescent client in the emergency
department. For each finding click to specify if the finding is consistent with bacterial
meningitis or encephalitis. Each finding may support more than one disease process.
- ANSWER: -Bacterial Meningitis: fever, photophobia, pain, mental status, and rash
-Encephalitis: fever, pain, and mental status
A nurse is assisting in the care of a client who is postoperative following an
appendectomy. Which of the following client findings should the nurse report to the
charge nurse? - ANSWER: -pain
-nausea
-heart rate
-oxygen saturation
A nurse is assisting with the care of a client who is pregnant in the acute care setting.
The nurse should first address the client's _____, followed by the _____. - ANSWER: -
Respirations
-LOC
,A nurse in an urgent care setting is assisting with the care of a client. For each finding
click to specify if the finding requires follow-up or does not require follow up. -
ANSWER: -Requires follow-up: BP, Heart rate, HbA1c, and BMI
-Does not require follow-up: Sodium and BUN
A nurse is assisting with the admission of an older adult client. Which of the
following actions should the nurse take first? - ANSWER: complete a fall risk
assessment on the client
A nurse is reinforcing teaching about puberty with a group of prepubescent female
clients. Which of the following information should the nurse include in the teaching?
- ANSWER: you will likely gain weight before you start to get taller
A nurse is assisting with planning palliative care for a client who has stage IV cancer
and is in the active stage of dying. Which of the following interventions should the
nurse include in the plan of care? - ANSWER: administer atropine to reduce the
clients respiratory secretions
A nurse is collecting a urine specimen for a female client who has diabetes insipidus.
Which of the following findings should the nurse expect? - ANSWER: Urine specific
gravity of 1.002
A nurse is contributing to the plan of care for a client who has viral meningitis. Which
of the following interventions should the nurse include? - ANSWER: Place the client
in a private room.
A nurse is assisting with the care of a client who is postoperative following coronary
artery bypass surgery (CABG). The client is at greatest risk for developing _____ as
evidenced by _____. - ANSWER: -dysrhythmia
-Laboratory reports and muscle cramps
A nurse is assisting with the care of a client who is 24 hours postoperative following
a cesarean birth. The client is a risk for developing _____ as evidenced by _____. -
ANSWER: -seizures
-severe features of preeclampsia
A nurse is assisting with the care of a client. Complete the diagram by dragging from
the choices below to specify what condition the client is most likely experiencing, 2
actions the nurse should take to address the condition, and 2 parameters the nurse
should monitor to assess the client's progress. - ANSWER: Action 1:?
Action 2:?
Potential Condition: Somatic symptom disorder
Parameter to Monitor 1: Secondary gains from their illness
Parameter to Monitor 2: Physical manifestations
Upon recognizing and analyzing the client's assessment findings, such as joint pain
and physical inactivity, the nurse's priority hypothesis is that the client is most likely
, experiencing somatic symptom disorder. It is essential to generate solutions and take
actions by monitoring for both the presence of secondary gains from their illness and
the client's physical manifestations. Somatic symptom disorders are characterized by
the presence of many physical manifestations like dizziness, nausea, back pain, joint
pain, etc. The nurse should evaluate and monitor the client's vital signs and pain
level.
A nurse is assisting in the care of a client who is one hour postpartum. Select the 6
actions the nurse should take. - ANSWER: -Firmly massage the uterine fundus
-Administer methylergonovine
-Weigh the perineal pads
-Provide emotional support
-Insert indwelling urinary catheter
-administer oxygen at 12 L/min via non rebreather face mask
A nurse is assisting in the care of a client who experienced a spinal cord injury (SCI).
Complete the diagram by dragging from the choices below, to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress.
- ANSWER: -Autonomic dysreflexia
-blood pressure
-noxious stimuli
-administer nifedipine or a nitrate
Upon collecting data, the nurse should recognize the client cues of high blood
pressure, headache, face and neck warm to the touch, and constipation. The nurse
should recognize that the client is likely experiencing autonomic dysreflexia, and that
it is important to generate solutions and take actions that will decrease the client's
blood pressure and noxious stimuli. Therefore, the nurse should prepare to
administer nifedipine or a nitrate to decrease the client's blood pressure and check
for bladder distention, which may be contributing to visceral stimuli. The nurse
should monitor the client's blood pressure every 10 to 15 min and monitor vision for
changes caused by autonomic dysreflexia, such as blurred vision.
A nurse in an outpatient setting is assisting with the care of a client. Complete the
diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition,
and 2 parameters the nurse should monitor to assess the client's progress. -
ANSWER: -Pyelonephritis
-administer antibiotics
-encourage fluid intake
-Monitor fever
-Monitor BUN levels
Upon collecting data, the nurse should recognize the client cues of elevated
temperature, recent history of UTI, flank pain, nocturia, and urinary frequency and
urgency as indicators that the client is most likely experiencing pyelonephritis and
