RN VATI FUNDAMENTALS VIRTUAL ATI TEST 4
EXAM REVIEW SOLVED QUESTIONS WITH
ACCURATE ANSWERS
◉ A nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse report to the provider
immediately?
WBC 16,000/mm³
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F)
Answer: Board-like abdomen
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that a board-like abdomen is the priority
finding indicating peritonitis. The nurse should notify the provider
immediately.
,◉ A nurse is teaching a client who has gastroesophageal reflux
disease about ways to prevent reflux. Which of the following
information should the nurse include in the teaching?
Drink tomato juice with the breakfast meal.
Suck on peppermint when having indigestion.
Elevate the head of the bed 10 cm (4 in) using wooden blocks.
Plan to finish eating at least 3 hr before bedtime.
Answer: Plan to finish eating at least 3 hr before bedtime.
The nurse should encourage the client not to eat anything at least 3
hr before bedtime to prevent reflux.
◉ A nurse is teaching a client who has a deep-vein thrombosis about
a new prescription for warfarin. Which of the following client
statements indicates an understanding of the teaching?
"I will stop taking the medication immediately if I experience
nausea."
,"I should contact my provider if I notice a pink-tinged color to my
urine."
"I will increase my dietary intake of spinach."
"I will not be able to use an electric razor while I am taking this
medication."
Answer: "I should contact my provider if I notice a pink-tinged color
to my urine."
The nurse should instruct the client to monitor for blood in the
urine. The client should report a pink-tinged urine color to the
provider.
◉ A nurse is reviewing the urinalysis results of a client who has
completed a 14-day course of ciprofloxacin to treat pyelonephritis.
Which of the following values should indicate to the nurse that the
client has a continuing infection?
Negative nitrites
RBCs < 2
Positive leukocyte esterase
, Amber-colored urine
Answer: Positive leukocyte esterase
The nurse should identify that a positive leukocyte esterase test is an
indication of the presence of WBCs in the urine and the presence of
continued infection.
◉ A nurse is assessing a client for manifestations of grief after
having a colostomy for removal of colon cancer. Which of the
following findings indicates to the nurse that the client has accepted
the loss?
Becomes angry when it is time to perform colostomy care
Touches the colostomy stoma when the bag is changed
Looks away as the nurse empties the colostomy bag
Tells others that it will be nice to have a normal bowel movement
again
Answer: Touches the colostomy stoma when the bag is changed
EXAM REVIEW SOLVED QUESTIONS WITH
ACCURATE ANSWERS
◉ A nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse report to the provider
immediately?
WBC 16,000/mm³
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F)
Answer: Board-like abdomen
When using the urgent vs. nonurgent approach to client care, the
nurse should identify that a board-like abdomen is the priority
finding indicating peritonitis. The nurse should notify the provider
immediately.
,◉ A nurse is teaching a client who has gastroesophageal reflux
disease about ways to prevent reflux. Which of the following
information should the nurse include in the teaching?
Drink tomato juice with the breakfast meal.
Suck on peppermint when having indigestion.
Elevate the head of the bed 10 cm (4 in) using wooden blocks.
Plan to finish eating at least 3 hr before bedtime.
Answer: Plan to finish eating at least 3 hr before bedtime.
The nurse should encourage the client not to eat anything at least 3
hr before bedtime to prevent reflux.
◉ A nurse is teaching a client who has a deep-vein thrombosis about
a new prescription for warfarin. Which of the following client
statements indicates an understanding of the teaching?
"I will stop taking the medication immediately if I experience
nausea."
,"I should contact my provider if I notice a pink-tinged color to my
urine."
"I will increase my dietary intake of spinach."
"I will not be able to use an electric razor while I am taking this
medication."
Answer: "I should contact my provider if I notice a pink-tinged color
to my urine."
The nurse should instruct the client to monitor for blood in the
urine. The client should report a pink-tinged urine color to the
provider.
◉ A nurse is reviewing the urinalysis results of a client who has
completed a 14-day course of ciprofloxacin to treat pyelonephritis.
Which of the following values should indicate to the nurse that the
client has a continuing infection?
Negative nitrites
RBCs < 2
Positive leukocyte esterase
, Amber-colored urine
Answer: Positive leukocyte esterase
The nurse should identify that a positive leukocyte esterase test is an
indication of the presence of WBCs in the urine and the presence of
continued infection.
◉ A nurse is assessing a client for manifestations of grief after
having a colostomy for removal of colon cancer. Which of the
following findings indicates to the nurse that the client has accepted
the loss?
Becomes angry when it is time to perform colostomy care
Touches the colostomy stoma when the bag is changed
Looks away as the nurse empties the colostomy bag
Tells others that it will be nice to have a normal bowel movement
again
Answer: Touches the colostomy stoma when the bag is changed
