ATI COMPREHENSIVE TEST B EXAM
QUESTIONS WITH CORRECT SOLUTION
A Nurse Is Caring For A Client Who Had Abdominal Surgery 24 Hours Ago.
Which Of The Following Actions Is The Priority?
A. Assess Fluid Intake Every 24 Hours
B. Ambulate Three Times A Day
C. Assist With Deep Breathing And Coughing
D. Monitor The Incision Site For Findings Of Infection - Answerc
The Priority Action The Nurse Should Take When Using The Airway, Breathing,
Circulation Approach To Client Care Is To Assist The Client With Deep
Breathing And Coughing, Which Reduces The Risk For Postoperative
Pneumonia.
A Nurse Is Talking With A Client Who Has Stage Iv Breast Cancer. The Nurse
Should Recognize Which Of The Following Statements By The Client As A
Constructive Use Of A Defense Mechanism?
A. I Have Experienced Physical Discomfort When Intimate With My Partner Since
My Diagnosis
B. I Wish Other Women Would Stop Socializing With My Partner
C. I Told My Doctor That I Would Like To Start A Support Group For Other
Women Who Are Sick In My Community
D. I Used To Mistrust My Doctor, But Now I Know That She Is The Best One
To Care For Me During My Illness - Answerc
This Statement Indicates That The Client Is Using The Constructive Defense
Mechanism Sublimation By Devising A Socially Acceptable Alternative To
,Facing A Reality That She Does Not Wish To Accept.
A Nurse Is Caring For A Client Who Has Immunosuppression And A
Continuous Iv Infusion. Which Of The Following Actions Should The Nurse
Take?
A. Assess The Clients Iv Site Every 8 Hours
B. Check The Clients Wbc Count Every 48 Hours
C. Monitor The Clients Mouth Every 8 Hours
D. Change The Clients Iv Tubing Every 48 Hours – Answerc
A Nurse Is Caring For A 2-Month-Old Infant Who Has Hirschsprung Disease
(Hd). Which Of The Following Areas Should The Nurse Assess For
Manifestations Of Hd?
A. Eyes Area
B. Chest Area
C. Lower Abdominal Area - Answerc
Hirschsprung Disease Is A Condition That Affects The Large Intestine (Colon)
And Causes Problems With Passing Stool. This Is Present At Birth (Congenital)
As A Result Of Missing Nerve Cells In The Muscle Of The Baby's Colon
A Nurse At A Mental Health Clinic Is Caring For Four Clients. The Nurse
Should Recognize That Which Of The Following Clients Is Using Dissociation
As A Defense Mechanism?
A. A Client Forgets To Buy Their Partner A Birthday Gift After A Disagreement
B. A Client Who Was Abused As A Child Describes The Abuse As If It Happened To
Someone Else.
C. A Client Who Is Shorter Than Average Is Verbally Assertive With Coworkers
,D. A Client States That They Did Not Get A Job Promotion Because The
Boss Did Not Like Them – Answerb
A Nurse Is Providing Teaching To A Client Who Has A New Diagnosis Of Type
1 Diabetes Mellitus. The Nurse Should Instruct The Client To Monitor For Which
Of The Following Findings As A Manifestation Of Hypoglycemia?
A. Irritability
B. Increased Urination
C. Vomiting
D. Facial Flushing – Answera
A Nurse In An Outpatient Mental Health Clinic Is Caring For Four Clients. The
Nurse Should Recognize That Which Of The Following Clients Is Effectively
Using Sublimation As A Defense Mechanism?
A. A Client Who Transfers Their Anger About Their Job Onto Their Family And
Then Apologizes
B. A Client Who Misses Provider Appointments Because They Say They Are Too
Busy
C. A Client Who Channels Their Energy Into A New Hobby Following The Loss Of
Their Job
D. A Client Whose Partner Died 4 Years Ago Sets A Place For Him At Dinner Each
Night - Answerc
The Nurse Should Identify That This Client Is Using The Defense Mechanism
Of Sublimation By Channeling Negative Feelings Over The Loss Of Their Job
Into A New Hobby.
A Hospice Nurse Is Consulting With A Client And Her Family About Receiving
Home Services. Which Of The Following Statements Should The Nurse Identify
As An Indication That The Family Understands Home Hospice Care?
, A. "We Can Expect The Hospice Nurse To Provide Support For Us After Our
Mother's Death."
B. A Hospice Nurse Will Come To The House Each Time Our Mother Needs Pain
Medication
C. Now That My Mother Is Receiving Hospice Services, We Will Not Be Able To
Get Respite Care
D. Hospice Care Focuses On Arranging Treatment That Will Prolong Our Mother's
Life - Answera
Hospice Care Includes Bereavement Services After A Family Member's Death.
A Nurse Is Caring For A Client Who Has Active Pulmonary Tuberculosis.
Which Of The Following Actions Should The Nurse Take?
A. Wear A Surgical Mask When Providing Client Care
B. Have Visitors Maintain A Distance Of 1.8m (6 Feet) From The Client
C. Restrict Fresh Flowers From The Clients Room
D. Assign The Client To A Private Room With Negative Air Pressure - Answerd
A Nurse Is Providing Teaching To A Client Who Is At 24 Weeks Of Gestation
And Is Scheduled For A 3-Hr Oral Glucose Tolerance Test. Which Of The
Following Instructions Should The Nurse Include In The Teaching?
A. Limit Your Fat Intake For 72 Hours Before The Test
B. You Will Need To Fast The Night Before The Test
C. We Will Collect A Urine Sample The Day After Testing
D. A Blood Sample Will Be Collected Every 15 Minutes During The Test - Answerb
A Nurse On A Pediatric Unit Has Received Change-Of-Shift Report For Four
Children. Which Of The Following Children Should The Nurse Assess First?
QUESTIONS WITH CORRECT SOLUTION
A Nurse Is Caring For A Client Who Had Abdominal Surgery 24 Hours Ago.
Which Of The Following Actions Is The Priority?
A. Assess Fluid Intake Every 24 Hours
B. Ambulate Three Times A Day
C. Assist With Deep Breathing And Coughing
D. Monitor The Incision Site For Findings Of Infection - Answerc
The Priority Action The Nurse Should Take When Using The Airway, Breathing,
Circulation Approach To Client Care Is To Assist The Client With Deep
Breathing And Coughing, Which Reduces The Risk For Postoperative
Pneumonia.
A Nurse Is Talking With A Client Who Has Stage Iv Breast Cancer. The Nurse
Should Recognize Which Of The Following Statements By The Client As A
Constructive Use Of A Defense Mechanism?
A. I Have Experienced Physical Discomfort When Intimate With My Partner Since
My Diagnosis
B. I Wish Other Women Would Stop Socializing With My Partner
C. I Told My Doctor That I Would Like To Start A Support Group For Other
Women Who Are Sick In My Community
D. I Used To Mistrust My Doctor, But Now I Know That She Is The Best One
To Care For Me During My Illness - Answerc
This Statement Indicates That The Client Is Using The Constructive Defense
Mechanism Sublimation By Devising A Socially Acceptable Alternative To
,Facing A Reality That She Does Not Wish To Accept.
A Nurse Is Caring For A Client Who Has Immunosuppression And A
Continuous Iv Infusion. Which Of The Following Actions Should The Nurse
Take?
A. Assess The Clients Iv Site Every 8 Hours
B. Check The Clients Wbc Count Every 48 Hours
C. Monitor The Clients Mouth Every 8 Hours
D. Change The Clients Iv Tubing Every 48 Hours – Answerc
A Nurse Is Caring For A 2-Month-Old Infant Who Has Hirschsprung Disease
(Hd). Which Of The Following Areas Should The Nurse Assess For
Manifestations Of Hd?
A. Eyes Area
B. Chest Area
C. Lower Abdominal Area - Answerc
Hirschsprung Disease Is A Condition That Affects The Large Intestine (Colon)
And Causes Problems With Passing Stool. This Is Present At Birth (Congenital)
As A Result Of Missing Nerve Cells In The Muscle Of The Baby's Colon
A Nurse At A Mental Health Clinic Is Caring For Four Clients. The Nurse
Should Recognize That Which Of The Following Clients Is Using Dissociation
As A Defense Mechanism?
A. A Client Forgets To Buy Their Partner A Birthday Gift After A Disagreement
B. A Client Who Was Abused As A Child Describes The Abuse As If It Happened To
Someone Else.
C. A Client Who Is Shorter Than Average Is Verbally Assertive With Coworkers
,D. A Client States That They Did Not Get A Job Promotion Because The
Boss Did Not Like Them – Answerb
A Nurse Is Providing Teaching To A Client Who Has A New Diagnosis Of Type
1 Diabetes Mellitus. The Nurse Should Instruct The Client To Monitor For Which
Of The Following Findings As A Manifestation Of Hypoglycemia?
A. Irritability
B. Increased Urination
C. Vomiting
D. Facial Flushing – Answera
A Nurse In An Outpatient Mental Health Clinic Is Caring For Four Clients. The
Nurse Should Recognize That Which Of The Following Clients Is Effectively
Using Sublimation As A Defense Mechanism?
A. A Client Who Transfers Their Anger About Their Job Onto Their Family And
Then Apologizes
B. A Client Who Misses Provider Appointments Because They Say They Are Too
Busy
C. A Client Who Channels Their Energy Into A New Hobby Following The Loss Of
Their Job
D. A Client Whose Partner Died 4 Years Ago Sets A Place For Him At Dinner Each
Night - Answerc
The Nurse Should Identify That This Client Is Using The Defense Mechanism
Of Sublimation By Channeling Negative Feelings Over The Loss Of Their Job
Into A New Hobby.
A Hospice Nurse Is Consulting With A Client And Her Family About Receiving
Home Services. Which Of The Following Statements Should The Nurse Identify
As An Indication That The Family Understands Home Hospice Care?
, A. "We Can Expect The Hospice Nurse To Provide Support For Us After Our
Mother's Death."
B. A Hospice Nurse Will Come To The House Each Time Our Mother Needs Pain
Medication
C. Now That My Mother Is Receiving Hospice Services, We Will Not Be Able To
Get Respite Care
D. Hospice Care Focuses On Arranging Treatment That Will Prolong Our Mother's
Life - Answera
Hospice Care Includes Bereavement Services After A Family Member's Death.
A Nurse Is Caring For A Client Who Has Active Pulmonary Tuberculosis.
Which Of The Following Actions Should The Nurse Take?
A. Wear A Surgical Mask When Providing Client Care
B. Have Visitors Maintain A Distance Of 1.8m (6 Feet) From The Client
C. Restrict Fresh Flowers From The Clients Room
D. Assign The Client To A Private Room With Negative Air Pressure - Answerd
A Nurse Is Providing Teaching To A Client Who Is At 24 Weeks Of Gestation
And Is Scheduled For A 3-Hr Oral Glucose Tolerance Test. Which Of The
Following Instructions Should The Nurse Include In The Teaching?
A. Limit Your Fat Intake For 72 Hours Before The Test
B. You Will Need To Fast The Night Before The Test
C. We Will Collect A Urine Sample The Day After Testing
D. A Blood Sample Will Be Collected Every 15 Minutes During The Test - Answerb
A Nurse On A Pediatric Unit Has Received Change-Of-Shift Report For Four
Children. Which Of The Following Children Should The Nurse Assess First?
