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NSG 4060 COMPREHENSIVE ATI PRACTICE B
WITH ACTUAL EXAM QUESTIONS AND ANSWERS
A nurse on a med surg unit is caring for a client who has a new diagnosis of terminal cancer.
The client tells the nurse that they would like to go home to be with family and loved ones.
Which of the following a ctions should the nurse take?
Make a referral for social services
As a client advocate, the nurse should support the client’s decisions and obtain a referral
for social services to ensure that the client’s needs a t home are met. Social services can
set up home care or hospice care services for the client i f needed.
A nurse is assessing a client who has a chest tube. Which of the following findings should the
nurse expect?
Occlusive dressing on the insertion site.
This prevents air from leaking and is an expected finding.
A nurse is preparing t o transfer a client who has had a stroke to a rehabilitation facility. The
client’s family tells the n urse they are concerned about the level of care the client will receive.
Which of the following a ctions should the nurse take?
Facilitate an interdisciplinary conference at the new facility for the family.
This will address the family’s concerns about providing optimal care for the client.
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline.
Which of the following s hould the nurse identify as an adverse effect of the medication?
Blurred vision
This is an adverse effect of amitriptyline and the provider should be notified.
A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements b y one of the staff nurses indicates an understanding
of isolation precautions?
“A client who requires airborne precautions should be placed in a negative-pressure
airflow room.”
Airborne precautions require a negative-pressure airflow room that has at least 6-12 air
exchanges each hour using a HEPA filtration system.
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A nurse is preparing t o administer a blood transfusion to a client. Which of the following
procedures should t he nurse follow to ensure proper client identification?
Verify the client and blood product information with another licensed nurse.
,3
The nurse should compare the blood product label against the medical record and the
client’s identification number with another nurse to ensure the correct blood product
is administered to the correct client.
A nurse in a mental h ealth clinic is assessing a client who h as a history of seeking counseling
for relationship problems. The client shows the nurse multiple superficial self-inflicted
lacerations on their f orearms. The nurse should identify these behaviors as characteristics of
which of the following personality disorders?
Borderline
The nurse should identify that clients who have borderline personality disorder tend to
be emotionally unstable, have troubled interpersonal relationships, and often engage in
harmful behaviors such as cutting, substance use, and suicidal ideation.
A nurse is caring for a c lient who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a step stool at home. Which of the following prescriptions should the nurse
clarify with the provider?
Apply a cold pack to the client’s ankle for 30 min/hr
The nurse should clarify a prescription for a cold pack to the client’s ankle because type
1 diabetes mellitus is a contradiction for receiving cold therapy. A client who has type 1
diabetes mellitus can have impaired circulation due to arteriosclerosis and a loss of
sensory perception due to neuropathy. Ice can further impair circulation.
A nurse is teaching a bout adverse effects with a client who is s tarting to take captopril. Which
of the following findings should the nurse identify a s an adverse effect of the medication to
report to the provider?
Cough
This is due to the buildup of bradykinin in the lungs. The client should report this to the
provider.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg. and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following
acid-base imbalances?
Respiratory acidosis
A client who has respiratory acidosis will have decreased pH below the expected
reference range of 7.35-7.45, an increased PaCO2 above the expected reference range
of 35-45 mm Hg, and an HCO3 within the expected reference range of 22-26 mEq/L.
A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6
months to treat juvenile i diopathic arthritis. Which of the following questions should the
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nurse ask to assess for an a dverse effect of this med?
“Have you had any stomach pain or bloody stools?”
NSG 4060 COMPREHENSIVE ATI PRACTICE B
WITH ACTUAL EXAM QUESTIONS AND ANSWERS
A nurse on a med surg unit is caring for a client who has a new diagnosis of terminal cancer.
The client tells the nurse that they would like to go home to be with family and loved ones.
Which of the following a ctions should the nurse take?
Make a referral for social services
As a client advocate, the nurse should support the client’s decisions and obtain a referral
for social services to ensure that the client’s needs a t home are met. Social services can
set up home care or hospice care services for the client i f needed.
A nurse is assessing a client who has a chest tube. Which of the following findings should the
nurse expect?
Occlusive dressing on the insertion site.
This prevents air from leaking and is an expected finding.
A nurse is preparing t o transfer a client who has had a stroke to a rehabilitation facility. The
client’s family tells the n urse they are concerned about the level of care the client will receive.
Which of the following a ctions should the nurse take?
Facilitate an interdisciplinary conference at the new facility for the family.
This will address the family’s concerns about providing optimal care for the client.
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline.
Which of the following s hould the nurse identify as an adverse effect of the medication?
Blurred vision
This is an adverse effect of amitriptyline and the provider should be notified.
A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements b y one of the staff nurses indicates an understanding
of isolation precautions?
“A client who requires airborne precautions should be placed in a negative-pressure
airflow room.”
Airborne precautions require a negative-pressure airflow room that has at least 6-12 air
exchanges each hour using a HEPA filtration system.
,2
A nurse is preparing t o administer a blood transfusion to a client. Which of the following
procedures should t he nurse follow to ensure proper client identification?
Verify the client and blood product information with another licensed nurse.
,3
The nurse should compare the blood product label against the medical record and the
client’s identification number with another nurse to ensure the correct blood product
is administered to the correct client.
A nurse in a mental h ealth clinic is assessing a client who h as a history of seeking counseling
for relationship problems. The client shows the nurse multiple superficial self-inflicted
lacerations on their f orearms. The nurse should identify these behaviors as characteristics of
which of the following personality disorders?
Borderline
The nurse should identify that clients who have borderline personality disorder tend to
be emotionally unstable, have troubled interpersonal relationships, and often engage in
harmful behaviors such as cutting, substance use, and suicidal ideation.
A nurse is caring for a c lient who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a step stool at home. Which of the following prescriptions should the nurse
clarify with the provider?
Apply a cold pack to the client’s ankle for 30 min/hr
The nurse should clarify a prescription for a cold pack to the client’s ankle because type
1 diabetes mellitus is a contradiction for receiving cold therapy. A client who has type 1
diabetes mellitus can have impaired circulation due to arteriosclerosis and a loss of
sensory perception due to neuropathy. Ice can further impair circulation.
A nurse is teaching a bout adverse effects with a client who is s tarting to take captopril. Which
of the following findings should the nurse identify a s an adverse effect of the medication to
report to the provider?
Cough
This is due to the buildup of bradykinin in the lungs. The client should report this to the
provider.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg. and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following
acid-base imbalances?
Respiratory acidosis
A client who has respiratory acidosis will have decreased pH below the expected
reference range of 7.35-7.45, an increased PaCO2 above the expected reference range
of 35-45 mm Hg, and an HCO3 within the expected reference range of 22-26 mEq/L.
A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6
months to treat juvenile i diopathic arthritis. Which of the following questions should the
, 4
nurse ask to assess for an a dverse effect of this med?
“Have you had any stomach pain or bloody stools?”
