FLORIDA ATI Comprehensive Final
Quiz,2024/2025 Form B and C(latest update)
. A nurse is admitting a client who has dementia to a long-term care
facility. The client tells the nurse that she lived in this facility years
ago and took care of all the residents by herself. The nurse should
document this as which of the following findings?
A. Confabulation
B. Agnosia
C. Projection
D. Perseveration
- ANSWER-A. Confabulation
.. A nurse is assessing a client who is 36 weeks of gestation. Which
of the following findings should the nurse report to the provider?
A. 3+ deep tendon reflexes
B. Protruding Hemorrhoids
C. Urinary Frequency (expected)
D. Supine Hypotension
- ANSWER-B. Protruding Hemorrhoids
. A nurse is caring for a client who has heart failure and is receiving
a continuous IV infusion of low dose dopamine. Which of the
following findings is the highest priority?
a. Erythema 5 cm (2in) above the IV site
b. Blood pressure 92/68 mm Hg -
c. Urine output 35mL/hr
d. Pedal pulse of +1 bilaterally
,- ANSWER-a. Erythema 5 cm (2in) above the IV site
. A nurse is caring for a client who is in a seclusion room following
violent behavior. The client continues to display aggressive behavior.
Which of the following actions should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy for the client's situation.
C. Confront the client about his behavior.
D. Speak assertively to the client.
- ANSWER-D. Speak assertively to the client.
. A nurse is providing dietary teaching to a guardian of a preschooler
who has a new diagnosis of celiac disease. Which of the following
statements by the guardian indicates an understanding of the
teaching?
A. "I will put my child on a gluten-free diet".
B. "I will administer digestive enzymes with meals and snacks". - CF
C. "Provide my child with some high fiber foods."
D. "I will give my child whole wheat toast and milk for breakfast"
- ANSWER-A. "I will put my child on a gluten-free diet".
. A nurse is providing teaching about patient-controlled analgesia
(PCA) to a client. Which of the following statements should the
nurse include in the teaching?
A. "The PCA will deliver a double dose of medication when you push
the button twice."
B. "You can adjust the amount of pain medication you receive by
pushing on the keypad."
C. "Continuous PCA infusion is designed to allow fluctuating plasma
medication levels."
,D. "You should push the button before physical activity to allow
maximum pain control."
- ANSWER-D. "You should push the button before physical activity
to allow maximum pain control."
. A nurse is reviewing the laboratory levels of a client who is having
elective surgery. Which of the following levels should the nurse
report to the provider?
a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal
b. BUN 16 mg/dL (Normal 10-20)
c. PT 12.2 seconds (Normal 11-14)
d. Fasting blood glucose 103 mg/dL
- ANSWER-a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal
.A nurse is admitting a client who has acute heart failure. Which of
the following prescriptions from the provider should the nurse
anticipate?
a. Administer enalapril 2.5 mg PO twice daily
b. Ambulate the client every 4 hr while awake(bedrest)
c. Provide the client with 4 g sodium diet(
d. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr
- ANSWER-a. Administer enalapril 2.5 mg PO twice daily
.A nurse is admitting an older adult client who is transferring from
another facility. The nurse notes pressure ulcers on the client's
coccyx and abrasions around the wrists. Which of the following
actions should the nurse take to address the suspicions of elder
abuse?
a. Inform the transferring agency of the client's condition.
b. Privately interview the client about her condition.
, c. Notify risk management
d. Contact the family regarding the client's condition.
- ANSWER-b. Privately interview the client about her condition.
.A nurse is teaching a client who has tuberculosis. Which of the
following statements should the nurse include in the teaching?
A. "You will need to continue to take the multi-medication regimen
for 4 months."
B. You will need to provide sputum samples every 4 weeks to
monitor the effectiveness of the medication
C. "You will need to remain hospitalized for treatment."
D. "You will need to wear a mask at all times."
- ANSWER-B. You will need to provide sputum samples every 4
weeks to monitor the effectiveness of the medication
. A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal prescription
for restraints. Which of the following should the actions the nurse
take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes
- ANSWER-D. Document the client's condition every 15 minutes
. A nurse is planning to administer vancomycin IV to a client. Which
of the following actions should the nurse take to reduce the risk of
an adverse reaction to the vancomycin?
Quiz,2024/2025 Form B and C(latest update)
. A nurse is admitting a client who has dementia to a long-term care
facility. The client tells the nurse that she lived in this facility years
ago and took care of all the residents by herself. The nurse should
document this as which of the following findings?
A. Confabulation
B. Agnosia
C. Projection
D. Perseveration
- ANSWER-A. Confabulation
.. A nurse is assessing a client who is 36 weeks of gestation. Which
of the following findings should the nurse report to the provider?
A. 3+ deep tendon reflexes
B. Protruding Hemorrhoids
C. Urinary Frequency (expected)
D. Supine Hypotension
- ANSWER-B. Protruding Hemorrhoids
. A nurse is caring for a client who has heart failure and is receiving
a continuous IV infusion of low dose dopamine. Which of the
following findings is the highest priority?
a. Erythema 5 cm (2in) above the IV site
b. Blood pressure 92/68 mm Hg -
c. Urine output 35mL/hr
d. Pedal pulse of +1 bilaterally
,- ANSWER-a. Erythema 5 cm (2in) above the IV site
. A nurse is caring for a client who is in a seclusion room following
violent behavior. The client continues to display aggressive behavior.
Which of the following actions should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy for the client's situation.
C. Confront the client about his behavior.
D. Speak assertively to the client.
- ANSWER-D. Speak assertively to the client.
. A nurse is providing dietary teaching to a guardian of a preschooler
who has a new diagnosis of celiac disease. Which of the following
statements by the guardian indicates an understanding of the
teaching?
A. "I will put my child on a gluten-free diet".
B. "I will administer digestive enzymes with meals and snacks". - CF
C. "Provide my child with some high fiber foods."
D. "I will give my child whole wheat toast and milk for breakfast"
- ANSWER-A. "I will put my child on a gluten-free diet".
. A nurse is providing teaching about patient-controlled analgesia
(PCA) to a client. Which of the following statements should the
nurse include in the teaching?
A. "The PCA will deliver a double dose of medication when you push
the button twice."
B. "You can adjust the amount of pain medication you receive by
pushing on the keypad."
C. "Continuous PCA infusion is designed to allow fluctuating plasma
medication levels."
,D. "You should push the button before physical activity to allow
maximum pain control."
- ANSWER-D. "You should push the button before physical activity
to allow maximum pain control."
. A nurse is reviewing the laboratory levels of a client who is having
elective surgery. Which of the following levels should the nurse
report to the provider?
a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal
b. BUN 16 mg/dL (Normal 10-20)
c. PT 12.2 seconds (Normal 11-14)
d. Fasting blood glucose 103 mg/dL
- ANSWER-a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal
.A nurse is admitting a client who has acute heart failure. Which of
the following prescriptions from the provider should the nurse
anticipate?
a. Administer enalapril 2.5 mg PO twice daily
b. Ambulate the client every 4 hr while awake(bedrest)
c. Provide the client with 4 g sodium diet(
d. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr
- ANSWER-a. Administer enalapril 2.5 mg PO twice daily
.A nurse is admitting an older adult client who is transferring from
another facility. The nurse notes pressure ulcers on the client's
coccyx and abrasions around the wrists. Which of the following
actions should the nurse take to address the suspicions of elder
abuse?
a. Inform the transferring agency of the client's condition.
b. Privately interview the client about her condition.
, c. Notify risk management
d. Contact the family regarding the client's condition.
- ANSWER-b. Privately interview the client about her condition.
.A nurse is teaching a client who has tuberculosis. Which of the
following statements should the nurse include in the teaching?
A. "You will need to continue to take the multi-medication regimen
for 4 months."
B. You will need to provide sputum samples every 4 weeks to
monitor the effectiveness of the medication
C. "You will need to remain hospitalized for treatment."
D. "You will need to wear a mask at all times."
- ANSWER-B. You will need to provide sputum samples every 4
weeks to monitor the effectiveness of the medication
. A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal prescription
for restraints. Which of the following should the actions the nurse
take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes
- ANSWER-D. Document the client's condition every 15 minutes
. A nurse is planning to administer vancomycin IV to a client. Which
of the following actions should the nurse take to reduce the risk of
an adverse reaction to the vancomycin?
