ATI comprehensive final exam WITH MULTIPLE
QUESTIONS AND THE CORRECT ANSWERS With
Detailed Explanations and Answers With Thorough
Explanations and Correct Responses
The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is
a priority
finding by the nurse?
a) A pain score 7 on a scale of 0 to 10
b) Shortness of breath
c) New onset of a new enuresis
d) Priapism - CORRECT ANSWER- -b) Shortness of breath
Nurses caring for a client whose 1 day postop following a Hypophysectomy for the removal
of the
pituitary tumor. Which of the following findings requires further assessment by nurse?
a) Glascow scale score a 15
b) Blood drainage on initial dressing measuring 3 cm
c) Report of dry mouth
d) Urinary output greater than fluid intake - CORRECT ANSWER- -d) Urinary output greater
than fluid intake
A client with the left leg cast is using crutches for ambulation. The nurse recognizes client
needs further
instruction of the client
a) Flexes elbows at 30 degrees when using the handgrips
b) Maintains 3 to 4 finger width between the crutch pad and axilla
,c) Places the crutches 6 inches in front and side of each foot when standing.
d) Pushes up from a chair with crutches on the unaffected side. - CORRECT ANSWER- -b)
Maintains 3 to 4 finger width between the crutch pad and axilla
A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following
actions
should the nurse plan to take?
a) Use a designated stethoscope when caring for the toddler.
b) Wear an N95 respiratory mask while caring for the toddler.
c) Remove the disposable gown after leaving the toddler's room
d) Place the toddler in a room with negative air pressure. - CORRECT ANSWER- -a) Use a
designated stethoscope when caring for the toddler.
A nurse is admitting to a client to emergency department and initiates continuous cardiac
monitoring. Which of the following ECG with strips indicates sinus tachycardia? - CORRECT
ANSWER- -
A nurse is planning care for client to prevent complications of immobility. With the
following
actions should the nurse including the plan of care?
a) Massage lower extremities daily to prevent DVT
b) Limit intake of Food high in calcium to prevent renal calculi.
c) Encourage client to lie supine prevent constipation.
d) Remove anti embolism stockings for 3 hours each day to decreased skin breakdown. -
CORRECT ANSWER- -d) Remove anti embolism stockings for 3 hours each day to
decreased skin breakdown
, A nurse discovers that the wrong dosage of medication was given to client. When
determining
what action to take your should recognize that which of the following ethical principles
should be applied?
a) Utility
b) Paternalism
c) Veracity
d) Fidelity - CORRECT ANSWER- -c) Veracity
A nurse is review in the prescription for doxazosin with a client. Which of the following
should be
included in the teaching?
a) Decrease caloric intake to reduce weight gain.
b) Increased dietary fiber to prevent constipation.
c) Rise slowly when sitting up from bed.
d) Take this medication each morning. - CORRECT ANSWER- -c) Rise slowly when sitting up
from bed.
Addresses planning to provide teaching to young adult client who is insomnia. Which of the
following should the nurse include in the teaching?
a) Exercising an hour before bedtime
b) Take a short nap today
c) Keep bedroom cool at night
d) Consume a high carbohydrate snack at bedtime. - CORRECT ANSWER- -d) Consume a
high carbohydrate snack at bedtime.
A nurse is caring for client who has a stool culture that is positive for Clostridium difficile.
Which
QUESTIONS AND THE CORRECT ANSWERS With
Detailed Explanations and Answers With Thorough
Explanations and Correct Responses
The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is
a priority
finding by the nurse?
a) A pain score 7 on a scale of 0 to 10
b) Shortness of breath
c) New onset of a new enuresis
d) Priapism - CORRECT ANSWER- -b) Shortness of breath
Nurses caring for a client whose 1 day postop following a Hypophysectomy for the removal
of the
pituitary tumor. Which of the following findings requires further assessment by nurse?
a) Glascow scale score a 15
b) Blood drainage on initial dressing measuring 3 cm
c) Report of dry mouth
d) Urinary output greater than fluid intake - CORRECT ANSWER- -d) Urinary output greater
than fluid intake
A client with the left leg cast is using crutches for ambulation. The nurse recognizes client
needs further
instruction of the client
a) Flexes elbows at 30 degrees when using the handgrips
b) Maintains 3 to 4 finger width between the crutch pad and axilla
,c) Places the crutches 6 inches in front and side of each foot when standing.
d) Pushes up from a chair with crutches on the unaffected side. - CORRECT ANSWER- -b)
Maintains 3 to 4 finger width between the crutch pad and axilla
A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following
actions
should the nurse plan to take?
a) Use a designated stethoscope when caring for the toddler.
b) Wear an N95 respiratory mask while caring for the toddler.
c) Remove the disposable gown after leaving the toddler's room
d) Place the toddler in a room with negative air pressure. - CORRECT ANSWER- -a) Use a
designated stethoscope when caring for the toddler.
A nurse is admitting to a client to emergency department and initiates continuous cardiac
monitoring. Which of the following ECG with strips indicates sinus tachycardia? - CORRECT
ANSWER- -
A nurse is planning care for client to prevent complications of immobility. With the
following
actions should the nurse including the plan of care?
a) Massage lower extremities daily to prevent DVT
b) Limit intake of Food high in calcium to prevent renal calculi.
c) Encourage client to lie supine prevent constipation.
d) Remove anti embolism stockings for 3 hours each day to decreased skin breakdown. -
CORRECT ANSWER- -d) Remove anti embolism stockings for 3 hours each day to
decreased skin breakdown
, A nurse discovers that the wrong dosage of medication was given to client. When
determining
what action to take your should recognize that which of the following ethical principles
should be applied?
a) Utility
b) Paternalism
c) Veracity
d) Fidelity - CORRECT ANSWER- -c) Veracity
A nurse is review in the prescription for doxazosin with a client. Which of the following
should be
included in the teaching?
a) Decrease caloric intake to reduce weight gain.
b) Increased dietary fiber to prevent constipation.
c) Rise slowly when sitting up from bed.
d) Take this medication each morning. - CORRECT ANSWER- -c) Rise slowly when sitting up
from bed.
Addresses planning to provide teaching to young adult client who is insomnia. Which of the
following should the nurse include in the teaching?
a) Exercising an hour before bedtime
b) Take a short nap today
c) Keep bedroom cool at night
d) Consume a high carbohydrate snack at bedtime. - CORRECT ANSWER- -d) Consume a
high carbohydrate snack at bedtime.
A nurse is caring for client who has a stool culture that is positive for Clostridium difficile.
Which
