ATI comprehensive final exam With Comprehensive
Explanations and Solutions FROM CERTIFIED
SOURCES FROM ALL OVER THE WORLD WITH
MULTIPLE QUESTIONS AND THE CORRECT
ANSWERS
A nurse manager is planning an audit to measure the quality of care on the unit. Which of
the
following is the most appropriate source for the nurse to consult?
a. Nursing manager colleagues
b. Evidence-based practice data
c. Hospital administrators
d. Protocols in other hospitals - CORRECT ANSWER- -b. Evidence-based practice data
A nurse is caring for a client who had gastric bypass surgery 1 week ago and has signs of
early
dumping syndrome. Which of the following findings should the nurse expect? (Select all
that apply)
a. Facial flushing
b. Syncope
c. Diaphoresis
d. Vertigo
e. Bradycardia - CORRECT ANSWER- -b. Syncope
d. Vertigo
A nurse is caring for a client who is experiencing mild anxiety. Which of the following
findings
,should the nurse expect?
a. feelings of dread
b. rapid speech
c. purposeless activity
d. heightened perceptual field - CORRECT ANSWER- -d. heightened perceptual field
A nurse is delegating tasks to an assistive personnel. Which of the following instructions
demonstrates appropriate communication of the task?
a. "Take a blood glucose fingerstick on the client in room 102 before breakfast and then
place the
glucometer into the docking station."
b. "Obtain a blood pressure reading from the client in room 116 after lunch and report a
systolic
level less than 90."
c. "Assist the client in room 110 to ambulate once around the unit and stop if she gets short
of
breath."
d. "Turn the client in room 126 to prevent pressure areas on his hip bones." - CORRECT
ANSWER- -b. "Obtain a blood pressure reading from the client in room 116 after lunch and
report a systolic
level less than 90."
A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased
blood
pressure. The nurse should recognize that these findings are potential manifestations of
which of the
following?
a. Nicotine withdrawal
, b. Heroin intoxication
c. Alcohol withdrawal
d. Amphetamine intoxication - CORRECT ANSWER- -b. Heroin intoxication
A nurse is assessing an older adult client who had a stroke. Which of the following findings
should
the nurse recognize as an indication of dysphagia?
a. Abnormal movements of the mouth
b. Inability to stand without assistance
c. Paralysis of the right arm
d. Loss of appetite - CORRECT ANSWER- -a. Abnormal movements of the mouth
*A nurse is providing preoperative teaching to a client who will use PCA morphine sulfate
following surgery. Which of the following information should the nurse include?
a. The client should notify the nurse when administering a dose of the medication.
b. The client can administer a dose of medication every 6 to 8 min.
c. The client should be cautious to avoid overmedication (OD).
d. Family members can administer a dose the client. - CORRECT ANSWER- -b. The client
can administer a dose of medication every 6 to 8 min.
A nurse is assisting the provider with a paracentesis for a client who has ascites. Following
collection of the specimen, which of the following actions should the nurse take next
a. Document the procedure.
b. Measure the drainage.
c. Record the color of the drainage.
d. Label the specimen. - CORRECT ANSWER- -d. Label the specimen.
Explanations and Solutions FROM CERTIFIED
SOURCES FROM ALL OVER THE WORLD WITH
MULTIPLE QUESTIONS AND THE CORRECT
ANSWERS
A nurse manager is planning an audit to measure the quality of care on the unit. Which of
the
following is the most appropriate source for the nurse to consult?
a. Nursing manager colleagues
b. Evidence-based practice data
c. Hospital administrators
d. Protocols in other hospitals - CORRECT ANSWER- -b. Evidence-based practice data
A nurse is caring for a client who had gastric bypass surgery 1 week ago and has signs of
early
dumping syndrome. Which of the following findings should the nurse expect? (Select all
that apply)
a. Facial flushing
b. Syncope
c. Diaphoresis
d. Vertigo
e. Bradycardia - CORRECT ANSWER- -b. Syncope
d. Vertigo
A nurse is caring for a client who is experiencing mild anxiety. Which of the following
findings
,should the nurse expect?
a. feelings of dread
b. rapid speech
c. purposeless activity
d. heightened perceptual field - CORRECT ANSWER- -d. heightened perceptual field
A nurse is delegating tasks to an assistive personnel. Which of the following instructions
demonstrates appropriate communication of the task?
a. "Take a blood glucose fingerstick on the client in room 102 before breakfast and then
place the
glucometer into the docking station."
b. "Obtain a blood pressure reading from the client in room 116 after lunch and report a
systolic
level less than 90."
c. "Assist the client in room 110 to ambulate once around the unit and stop if she gets short
of
breath."
d. "Turn the client in room 126 to prevent pressure areas on his hip bones." - CORRECT
ANSWER- -b. "Obtain a blood pressure reading from the client in room 116 after lunch and
report a systolic
level less than 90."
A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased
blood
pressure. The nurse should recognize that these findings are potential manifestations of
which of the
following?
a. Nicotine withdrawal
, b. Heroin intoxication
c. Alcohol withdrawal
d. Amphetamine intoxication - CORRECT ANSWER- -b. Heroin intoxication
A nurse is assessing an older adult client who had a stroke. Which of the following findings
should
the nurse recognize as an indication of dysphagia?
a. Abnormal movements of the mouth
b. Inability to stand without assistance
c. Paralysis of the right arm
d. Loss of appetite - CORRECT ANSWER- -a. Abnormal movements of the mouth
*A nurse is providing preoperative teaching to a client who will use PCA morphine sulfate
following surgery. Which of the following information should the nurse include?
a. The client should notify the nurse when administering a dose of the medication.
b. The client can administer a dose of medication every 6 to 8 min.
c. The client should be cautious to avoid overmedication (OD).
d. Family members can administer a dose the client. - CORRECT ANSWER- -b. The client
can administer a dose of medication every 6 to 8 min.
A nurse is assisting the provider with a paracentesis for a client who has ascites. Following
collection of the specimen, which of the following actions should the nurse take next
a. Document the procedure.
b. Measure the drainage.
c. Record the color of the drainage.
d. Label the specimen. - CORRECT ANSWER- -d. Label the specimen.