MEDSTUDY.COM
ATI Leadership & Management ACTUAL EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
(MOST TESTED QUESTIONS WITH VERIFIED
ANSWERS)
a nurse is assessing a client who has Cushing's disease. Which of the
following findings should the nurse expect?
a. muscle atrophy
M
b. ataxia
c. weight loss
d. hypotension - CORRECT ANSWER a. muscle atrophy
ED
a nurse is caring fro a clinet who has DKA. Which of the following
should the nurse plan to administer
a. 240 mL (8oz) of orange juice
b. 1 ampule of 50% dextrose IV bolus
ST
c. NPH insulin 60 units subq
D. regular insulin 20 units IV bolus - CORRECT ANSWER D. regular
insulin 20 units IV bolus
U
A nurse is providing teaching to a client who has esophageal cancer
and is to undergo radiation therapy. Which of the following statements
D
should the nurse identify as an indication that the client understand
the teaching?
a. I will wash the ink markings off the radiations area after each
Y
treatment
b. I will use my hands rather than a washcloth to clean the radiation
area
c. I will be able to be out in the sun 1 month after my radiation
treatment are over
d. I will use a heating pad on my neck if it becomes sore during the
radiation therapy - CORRECT ANSWER B i will use my hands rather
than a washcloth to clean the radiation area
,MEDSTUDY.COM
a nurse is caring for a client who has amymtrophic lateral sclerosis
(ALS) and is being admitted tot he hospital with pneumonia. Which of
the following assessment findings is the nurses priority?
a. temp 38.4 (101.1)
b. increased respiratory secretions
c. fluid intake of 200 mL in the prior 8 hr
d. limited range of motion - CORRECT ANSWER B. increased
respiratory secretions
a nurse is caring for a client who has pneumothorax and a closed-
chest drainage system. Which of the following findings is an indication
M
of lung re-expansion? - CORRECT ANSWER bubbling in the water seal
chamber has ceased
ED
a home health nurse is providing teaching to a client who has a stage
1 pressure ulcer on the greater trochanter of his left hip. Which of the
following instructions should the nurse include in the teaching? -
CORRECT ANSWER Change position every hour
ST
a nurse is caring for a newly admitted client who has gastric
hemorrhage and is going into shock. Identify the sequence of actions
the nurse should take. - CORRECT ANSWER 1. admin oxygen
2. initiate IV therapy
U
3. NG tube
4. admin ranitidine
D
a nurse is admin packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction? -
Y
CORRECT ANSWER low back pain and apprehension
a home health nurse is assigned to a client who has recently
discharged from a rehab center after experiencing a right-hemisperic
CVA. Which of the following neurologic deficits should the nurse
expect to find when assessing the client? - CORRECT ANSWER
Visual spatial deficits
Left hemianopsia
one-sided neglect
,MEDSTUDY.COM
a nurse in a providers office is assessing a client who has
hypertension and take propranolol. Which of the following findings
should indicate to the nurse that the client is experiencing an adverse
reaction to this medication? - CORRECT ANSWER report of night
cough
a nurse is preparing to admin amikacin 500mg by intermittent IV bolus
to a client. Available is amikacin 500 mg in dextrose 5% in water 200
mL to infuse over 30 min. The nurse shuol set the IV pump to deliver
how many mL/hr? - CORRECT ANSWER 400 mL/hr
M
a nurse is reviewing the health record of a client who is scheduled for
allergy skin testing the nurse should postpone the testing and report
to the provider which of the following findings? - CORRECT ANSWER
ED
current medications
A nurse is assessing a clientt who is postop following a transurethral
resection of the prostate (TURP) and notes clots in the clients
indwelling urinary catheter and decrease in urinary output. Which of
ST
the following actions should the nurse take? - CORRECT ANSWER
irrigate the indwelling urinary catheter
a nurse is providing teaching to a client who has hypertension and a
U
new prescription for verapamil. Which of the following statements by
the client indicates an understanding of the teaching - CORRECT
ANSWER I will count my heart beats before taking this medication
D
an older adult client is brought to an ED by a family member. Which of
Y
the following assessment findings should cause the nurse to suspect
that the client has hypertonic dehydration? - CORRECT ANSWER
Urine specific gravity is 1.045
a nurse is receiving report on a client who is postop following an open
repair of Zenker's diverticulum/ The nurse should anticipate the
surgical incision to be in which of the following locations? - CORRECT
ANSWER A- near the throat
, MEDSTUDY.COM
a nurse is assessing a client following IV urography. Which of the
following findings is the priority? - CORRECT ANSWER swollen lips
a nurse is preparing to admin a unit of packed RBCs to a client. which
of the following actions should the nurse take? - CORRECT ANSWER
remain with the client for the first 15 min of the infusion
a nurse is reviewing the lab report of a client who is receiving
nonsurgical treatment for Cushing's disease. Which of the following
lab findings should the nurse identify as a positive outcome of the
treatment? - CORRECT ANSWER Decreased sodium
M
A nurse is providing discharge instructions to a client following an
upper gastrointestinal series with barium contrast. Which of the
ED
following info should the nurse provide? - CORRECT ANSWER
Increase fluid intake
a nurse is caring for a client who has cervical spinal cord injury
sustained 1 month ago. which of the following manifestations
ST
indicates that the client is experiencing autonomic dysreflexia? -
CORRECT ANSWER Heart rate 52/min
a Nurse is providing teaching to a client who is at risk for developing
U
type 1 diabetes mellitus. the nurse should inform the client that which
of the following manifestations indicate diabetes? - CORRECT
ANSWER polyuria
D
polydipsia
neuropathy
Y
a nurse is planning to irrigate and dress a clean, granulating wound for
a client who has a pressure ulcer. Which of the following actions
should the nurse take? - CORRECT ANSWER Use 30 mL syringe
a nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following prescribed medications
should the nurse instruct the client to withhold for 48 hr prior to
cardioversion? - CORRECT ANSWER Digoxin
ATI Leadership & Management ACTUAL EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
(MOST TESTED QUESTIONS WITH VERIFIED
ANSWERS)
a nurse is assessing a client who has Cushing's disease. Which of the
following findings should the nurse expect?
a. muscle atrophy
M
b. ataxia
c. weight loss
d. hypotension - CORRECT ANSWER a. muscle atrophy
ED
a nurse is caring fro a clinet who has DKA. Which of the following
should the nurse plan to administer
a. 240 mL (8oz) of orange juice
b. 1 ampule of 50% dextrose IV bolus
ST
c. NPH insulin 60 units subq
D. regular insulin 20 units IV bolus - CORRECT ANSWER D. regular
insulin 20 units IV bolus
U
A nurse is providing teaching to a client who has esophageal cancer
and is to undergo radiation therapy. Which of the following statements
D
should the nurse identify as an indication that the client understand
the teaching?
a. I will wash the ink markings off the radiations area after each
Y
treatment
b. I will use my hands rather than a washcloth to clean the radiation
area
c. I will be able to be out in the sun 1 month after my radiation
treatment are over
d. I will use a heating pad on my neck if it becomes sore during the
radiation therapy - CORRECT ANSWER B i will use my hands rather
than a washcloth to clean the radiation area
,MEDSTUDY.COM
a nurse is caring for a client who has amymtrophic lateral sclerosis
(ALS) and is being admitted tot he hospital with pneumonia. Which of
the following assessment findings is the nurses priority?
a. temp 38.4 (101.1)
b. increased respiratory secretions
c. fluid intake of 200 mL in the prior 8 hr
d. limited range of motion - CORRECT ANSWER B. increased
respiratory secretions
a nurse is caring for a client who has pneumothorax and a closed-
chest drainage system. Which of the following findings is an indication
M
of lung re-expansion? - CORRECT ANSWER bubbling in the water seal
chamber has ceased
ED
a home health nurse is providing teaching to a client who has a stage
1 pressure ulcer on the greater trochanter of his left hip. Which of the
following instructions should the nurse include in the teaching? -
CORRECT ANSWER Change position every hour
ST
a nurse is caring for a newly admitted client who has gastric
hemorrhage and is going into shock. Identify the sequence of actions
the nurse should take. - CORRECT ANSWER 1. admin oxygen
2. initiate IV therapy
U
3. NG tube
4. admin ranitidine
D
a nurse is admin packed RBCs to a client. Which of the following
assessment findings indicates a hemolytic transfusion reaction? -
Y
CORRECT ANSWER low back pain and apprehension
a home health nurse is assigned to a client who has recently
discharged from a rehab center after experiencing a right-hemisperic
CVA. Which of the following neurologic deficits should the nurse
expect to find when assessing the client? - CORRECT ANSWER
Visual spatial deficits
Left hemianopsia
one-sided neglect
,MEDSTUDY.COM
a nurse in a providers office is assessing a client who has
hypertension and take propranolol. Which of the following findings
should indicate to the nurse that the client is experiencing an adverse
reaction to this medication? - CORRECT ANSWER report of night
cough
a nurse is preparing to admin amikacin 500mg by intermittent IV bolus
to a client. Available is amikacin 500 mg in dextrose 5% in water 200
mL to infuse over 30 min. The nurse shuol set the IV pump to deliver
how many mL/hr? - CORRECT ANSWER 400 mL/hr
M
a nurse is reviewing the health record of a client who is scheduled for
allergy skin testing the nurse should postpone the testing and report
to the provider which of the following findings? - CORRECT ANSWER
ED
current medications
A nurse is assessing a clientt who is postop following a transurethral
resection of the prostate (TURP) and notes clots in the clients
indwelling urinary catheter and decrease in urinary output. Which of
ST
the following actions should the nurse take? - CORRECT ANSWER
irrigate the indwelling urinary catheter
a nurse is providing teaching to a client who has hypertension and a
U
new prescription for verapamil. Which of the following statements by
the client indicates an understanding of the teaching - CORRECT
ANSWER I will count my heart beats before taking this medication
D
an older adult client is brought to an ED by a family member. Which of
Y
the following assessment findings should cause the nurse to suspect
that the client has hypertonic dehydration? - CORRECT ANSWER
Urine specific gravity is 1.045
a nurse is receiving report on a client who is postop following an open
repair of Zenker's diverticulum/ The nurse should anticipate the
surgical incision to be in which of the following locations? - CORRECT
ANSWER A- near the throat
, MEDSTUDY.COM
a nurse is assessing a client following IV urography. Which of the
following findings is the priority? - CORRECT ANSWER swollen lips
a nurse is preparing to admin a unit of packed RBCs to a client. which
of the following actions should the nurse take? - CORRECT ANSWER
remain with the client for the first 15 min of the infusion
a nurse is reviewing the lab report of a client who is receiving
nonsurgical treatment for Cushing's disease. Which of the following
lab findings should the nurse identify as a positive outcome of the
treatment? - CORRECT ANSWER Decreased sodium
M
A nurse is providing discharge instructions to a client following an
upper gastrointestinal series with barium contrast. Which of the
ED
following info should the nurse provide? - CORRECT ANSWER
Increase fluid intake
a nurse is caring for a client who has cervical spinal cord injury
sustained 1 month ago. which of the following manifestations
ST
indicates that the client is experiencing autonomic dysreflexia? -
CORRECT ANSWER Heart rate 52/min
a Nurse is providing teaching to a client who is at risk for developing
U
type 1 diabetes mellitus. the nurse should inform the client that which
of the following manifestations indicate diabetes? - CORRECT
ANSWER polyuria
D
polydipsia
neuropathy
Y
a nurse is planning to irrigate and dress a clean, granulating wound for
a client who has a pressure ulcer. Which of the following actions
should the nurse take? - CORRECT ANSWER Use 30 mL syringe
a nurse is preparing a client who has supraventricular tachycardia for
elective cardioversion. Which of the following prescribed medications
should the nurse instruct the client to withhold for 48 hr prior to
cardioversion? - CORRECT ANSWER Digoxin
