Page 1 of 75
ATI COMPREHENSIVE NCLEX REVIEW PRACTICE
QUESTIONS AND ANSWERS FOR EXAM PREPARATION
>> Endometiral infection usually occurs - correct answer-with a prolonged rupture of
membranes, not vacuum-assisted births.
>> Intenstinal gas is a common side effect of
- correct answer- clients following a cesarean birth
>> Cervical lacerations are common complications from
- correct answer- vacuum-assisted birth are rare but can include perineal, vaginal, or cervical
lacerations
>> When a client is experiencing a wound evisceration...
- correct answer- the nurse should initially stay with the client and call for help. Next, the nurse
should place saline-soaked gauze on the exposed bowels to keep the internal organs moist. The
nurse should then place the client in a supine position with his hips and knees bent to relieve
pressure from the open wound. Last, the nurse should take the client's vital signs to assess for
changes in hemodynamics.
>> Valproic acid can cause
- correct answer- hepatic toxicity
>> continuous passive motion (CPM) machine
- correct answer- Turn of the CPM machine during meals to promote comfort and dietary intake.
-The affected extremity should maintain neutral alignment.
, Page 2 of 75
>> Heparin
- correct answer- is an anticoagulant that inhibits the conversation of prothrombin to thrombin.
Patients on an anticoagulant drug such as heparin are at an increased risk of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-tinged urine.
>> Correct method for walking upstairs with crutches
- correct answer- 1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3. If not allowed to place weight on the "affected" leg, hop up with the "unaffected" leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected" leg.
5.Remember, the "unaffected" leg goes up first and the crutches move with the "affected" leg.
>> Droplet precautions
- correct answer- DROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
, Page 3 of 75
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
>> Airborne precautions:
- correct answer- AIRBORNE: "My Chicken Hez TB"
-Measles
-Chicken pox
-Herpes zoster
-TB
Management: neg. pressure room, private room, mask, n-95 for TB.
-A private room
-Masks or respiratory protection devices for caregivers and visitors.
-An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is known or
suspected to have TB.
-Negative pressure airflow exchange in the room of at least six exchanges per hour.
>> Contact precautions
- correct answer- CONTACT: "MRS WEE"
, Page 4 of 75
-MRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staph)
-Wound infections
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
VRSA - contact and airborne precautions (private room, door closed, negative pressure)
-A private room or a room with other clients with the same infection.
-Gloves and gowns worn by the caregivers and visitors.
>> Stage I pressure ulcer
- correct answer- Intact skin with an area of persistent, nonblanchable redness, typically over a
bony prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is swollen
and has congestion, with possible discomfort at the site. With darker skin tones, the ulcer may
appear blue or purple.
>> Stage II pressure ulcer
- correct answer- Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is
visible and superficial and may appear as an abrasion, blister, or shallow crater. Edema persists,
and the ulcer may become infected, possibly with pain and scant drainage.
>> Stage III pressure ulcer
- correct answer- Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The
ulcer may extend down to, but not through, underlying fascia. The ulcer appears as a deep
ATI COMPREHENSIVE NCLEX REVIEW PRACTICE
QUESTIONS AND ANSWERS FOR EXAM PREPARATION
>> Endometiral infection usually occurs - correct answer-with a prolonged rupture of
membranes, not vacuum-assisted births.
>> Intenstinal gas is a common side effect of
- correct answer- clients following a cesarean birth
>> Cervical lacerations are common complications from
- correct answer- vacuum-assisted birth are rare but can include perineal, vaginal, or cervical
lacerations
>> When a client is experiencing a wound evisceration...
- correct answer- the nurse should initially stay with the client and call for help. Next, the nurse
should place saline-soaked gauze on the exposed bowels to keep the internal organs moist. The
nurse should then place the client in a supine position with his hips and knees bent to relieve
pressure from the open wound. Last, the nurse should take the client's vital signs to assess for
changes in hemodynamics.
>> Valproic acid can cause
- correct answer- hepatic toxicity
>> continuous passive motion (CPM) machine
- correct answer- Turn of the CPM machine during meals to promote comfort and dietary intake.
-The affected extremity should maintain neutral alignment.
, Page 2 of 75
>> Heparin
- correct answer- is an anticoagulant that inhibits the conversation of prothrombin to thrombin.
Patients on an anticoagulant drug such as heparin are at an increased risk of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-tinged urine.
>> Correct method for walking upstairs with crutches
- correct answer- 1. Hold to rail with one hand and crutches with the other hand.
2. Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3. If not allowed to place weight on the "affected" leg, hop up with the "unaffected" leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected" leg.
5.Remember, the "unaffected" leg goes up first and the crutches move with the "affected" leg.
>> Droplet precautions
- correct answer- DROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
, Page 3 of 75
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
>> Airborne precautions:
- correct answer- AIRBORNE: "My Chicken Hez TB"
-Measles
-Chicken pox
-Herpes zoster
-TB
Management: neg. pressure room, private room, mask, n-95 for TB.
-A private room
-Masks or respiratory protection devices for caregivers and visitors.
-An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is known or
suspected to have TB.
-Negative pressure airflow exchange in the room of at least six exchanges per hour.
>> Contact precautions
- correct answer- CONTACT: "MRS WEE"
, Page 4 of 75
-MRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staph)
-Wound infections
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
VRSA - contact and airborne precautions (private room, door closed, negative pressure)
-A private room or a room with other clients with the same infection.
-Gloves and gowns worn by the caregivers and visitors.
>> Stage I pressure ulcer
- correct answer- Intact skin with an area of persistent, nonblanchable redness, typically over a
bony prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is swollen
and has congestion, with possible discomfort at the site. With darker skin tones, the ulcer may
appear blue or purple.
>> Stage II pressure ulcer
- correct answer- Partial-thickness skin loss involving the epidermis and the dermis. The ulcer is
visible and superficial and may appear as an abrasion, blister, or shallow crater. Edema persists,
and the ulcer may become infected, possibly with pain and scant drainage.
>> Stage III pressure ulcer
- correct answer- Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The
ulcer may extend down to, but not through, underlying fascia. The ulcer appears as a deep
