RN Comprehensive Online Practice / Comprehensive ATI Practice
,9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first?
A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden
relief of pain. Can indicate peritonitis from a ruptured appendix.
10. Community health nurse providing teaching on home safety for older adults
Have grab bars installed around your bathtub and toilet.
11. School age child with scald burns on both hands and wrists suspected abuse
Contact child protective services.
12. Client who has acute blood loss following trauma refuses potentially life saving
blood transfusion
Explore the client's reasons fro refusing the treatment
13. Discussing common prenatal discomfort 20 weeks gestational
I will wear a supportive bra overnight
14. Discharge instructions to client to received home oxygen therapy
Wear clothing made with cotton fabrics while oxygen is in use.
15. Preparing an educational session about advocacy to a group of nurses
Advocacy is a leadership role that helps others to self actualize
16. Continuous bladder irrigation following transurethral resection of prostate. Bladder
spasms and decreased urinary output
Irrigate the catheter with 0.9% sodium chloride irrigation
17. Child with sickle cell anemia and is having a vaso-occlusive crisis
,Infuse IV fluids
18. Client teaching about the basal body temp method for birth control
Your body temperature might decrease slightly just prior to ovulation
19. Caring for a client who is unconscious and requires emergency medical procedures.
Unable to locate family to obtain consent
Proceed with provision of medical care
20. Client who has fluid volume overload. Which tasks can nurse delegate to UAP
Measure the client's daily weight
21. Checking for Chvostek's sign
The nurse should assess for a Chvostek's sign by tapping the client's facial nerve about an
inch in front of the tragus of the ear. Facial twitching is a positive finding that indicates
hypocalcemia.
22. Reviewing urinalysis report of client with acute glomerulonephritis expected
findings
Protein
23. Newly admitted child. Which of the following actions should the nurse include in the
plan
Administer high dose antibiotic therapy
24. Client with cancer deciding between two treatment plans
tell me more about your understanding of the options.
25. Caring for a client receiving hemodalysis with AV fistula
Auscultate the affected extremity for a bruit
26. Oncology unit nurse is administering doxorubicin to breast cancer patient
, Inspect the client's mucosa for petechiae every 8 hrs. This med causes thrombocytopenia
and increases the risk of bleeding
27. Hospice nurse consulting about receiving home services
We can expect the hospice nurse to provide support for us after our mother's death
28. Client with major depressive disorder has signed informed consetn for ECT. Client
states I'm not sure about this now I'm afraid it's too risky
You have the right to refuse to have the ECT even after you have agreed to it
29. Discharge instructions about newborn care to a client 2 days postpartum
I will cover my baby's body when I wash her hair. I will use the bulb syringe first in her
mouth and then in her nose.
30. Assigning task roles for group of clients in community mental health clinic. Which
should be assigned to group functioning the orienter
Noting the progress of the group toward assigned goals
31. Nurse must recommend clients for discharge in order to make room for several
critically injured clients from a local disaster
A client who has cellulitis and is receiving oral antibiotics every 8 hours.
32. Developing a client education program about osteoporosis for older adult clients
Sedentary lifestyle
33. Charge is providing educational session about infection control for a group of staff
on isolation precautions
A client who requires airborne precautions should be placed in a negative pressure airflow
room
34. Preparing to assist with a thoracentesis for a client who has pleurisy
,9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first?
A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden
relief of pain. Can indicate peritonitis from a ruptured appendix.
10. Community health nurse providing teaching on home safety for older adults
Have grab bars installed around your bathtub and toilet.
11. School age child with scald burns on both hands and wrists suspected abuse
Contact child protective services.
12. Client who has acute blood loss following trauma refuses potentially life saving
blood transfusion
Explore the client's reasons fro refusing the treatment
13. Discussing common prenatal discomfort 20 weeks gestational
I will wear a supportive bra overnight
14. Discharge instructions to client to received home oxygen therapy
Wear clothing made with cotton fabrics while oxygen is in use.
15. Preparing an educational session about advocacy to a group of nurses
Advocacy is a leadership role that helps others to self actualize
16. Continuous bladder irrigation following transurethral resection of prostate. Bladder
spasms and decreased urinary output
Irrigate the catheter with 0.9% sodium chloride irrigation
17. Child with sickle cell anemia and is having a vaso-occlusive crisis
,Infuse IV fluids
18. Client teaching about the basal body temp method for birth control
Your body temperature might decrease slightly just prior to ovulation
19. Caring for a client who is unconscious and requires emergency medical procedures.
Unable to locate family to obtain consent
Proceed with provision of medical care
20. Client who has fluid volume overload. Which tasks can nurse delegate to UAP
Measure the client's daily weight
21. Checking for Chvostek's sign
The nurse should assess for a Chvostek's sign by tapping the client's facial nerve about an
inch in front of the tragus of the ear. Facial twitching is a positive finding that indicates
hypocalcemia.
22. Reviewing urinalysis report of client with acute glomerulonephritis expected
findings
Protein
23. Newly admitted child. Which of the following actions should the nurse include in the
plan
Administer high dose antibiotic therapy
24. Client with cancer deciding between two treatment plans
tell me more about your understanding of the options.
25. Caring for a client receiving hemodalysis with AV fistula
Auscultate the affected extremity for a bruit
26. Oncology unit nurse is administering doxorubicin to breast cancer patient
, Inspect the client's mucosa for petechiae every 8 hrs. This med causes thrombocytopenia
and increases the risk of bleeding
27. Hospice nurse consulting about receiving home services
We can expect the hospice nurse to provide support for us after our mother's death
28. Client with major depressive disorder has signed informed consetn for ECT. Client
states I'm not sure about this now I'm afraid it's too risky
You have the right to refuse to have the ECT even after you have agreed to it
29. Discharge instructions about newborn care to a client 2 days postpartum
I will cover my baby's body when I wash her hair. I will use the bulb syringe first in her
mouth and then in her nose.
30. Assigning task roles for group of clients in community mental health clinic. Which
should be assigned to group functioning the orienter
Noting the progress of the group toward assigned goals
31. Nurse must recommend clients for discharge in order to make room for several
critically injured clients from a local disaster
A client who has cellulitis and is receiving oral antibiotics every 8 hours.
32. Developing a client education program about osteoporosis for older adult clients
Sedentary lifestyle
33. Charge is providing educational session about infection control for a group of staff
on isolation precautions
A client who requires airborne precautions should be placed in a negative pressure airflow
room
34. Preparing to assist with a thoracentesis for a client who has pleurisy
