ATI comprehensive practice Form A ,B and C Final EXAM
2026-2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following
statements by the client should indicate and immediate concern for the nurse?
A. "I am allergic to morphine."
B. "I take antacids several times a day."
C. "I had a blood clot in my leg several years ago."
D. "It hurts to take a deep breath." - answer>>B. "I take antacids several times a day."
A nurse is caring for a client who is to receive thrombolytic therapy. Which of the following factors
should the nurse recognize as a contraindication to the therapy?
A. Hip arthroplasty 2 weeks ago
B. Elevated sedimentation rate
C. Incident of exercise-induced asthma
D. 1 week ago Elevated platelet count - answer>>A. Hip arthroplasty 2 weeks ago
A nurse is assessing a client following a gunshot wound to the chest. For which of the following findings
should the nurse monitor to detect a pneumothorax? SATA
A. Tachypnea
B. Deviation of the trachea
C. Bradycardia
D. Decreased use of accessory muscles
E. Pleuritic pain - answer>>A. Tachypnea
B. Deviation of the trachea
E. Pleuritic pain
,A nurse is reviewing the prescriptions for a client who has a pneumothorax. Which of the following
actions should the nurse perform first?
A. Assess the client's pain.
B. Obtain a large-bore IV needle for decompression.
C. Administer lorazepam.
D. Prepare for chest tube insertion. - answer>>B. Obtain a large-bore IV needle for decompression.
A nurse is reviewing discharge instructions for a client who experienced a pneumothorax. Which for the
following statement should the nurse use when teaching the client?
A. "Notify the provider if you experience weakness."
B. "You should be able to return to work in 1 week."
C. "You need to wear a mask when in crowded areas."
D. "Notify your provider if you experience a productive cough." - answer>>D. "Notify your provider if
you experience a productive cough."
A nurse in the emergency department is assessing a client who has a suspected flail chest. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Dyspnea
E. Paradoxic chest movement - answer>>B. Cyanosis
C. Hypotension
D. Dyspnea
E. Paradoxic chest movement
A nurse in the emergency department is assessing a client who was in a motor vehicle crash. Findings
include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart
rate 124/min, respirations 38/min, temperature 38.6 C (101.4 F), and SaO2 92% on room air. Which of
the following actions should the nurse take first?
,A. Obtain a chest ex-ray.
B. Prepare for chest tube insertion.
C. Administer oxygen via high-flow mask.
D. Initiate IV access. - answer>>C. Administer oxygen via high-flow mask.
A nurse is orientation a newly licensed nurse on the purpose of administering vecuronium to a client
who has acute respiratory distress syndrome (ARDS). Which of the following statements by the newly
licensed nurse indicates understanding of the teaching?
A. "This medication is given to treat infection."
B. "This medication is given to facilitate ventilation."
C. "This medication is given to decrease inflammation."
D. "This medication is given to reduce anxiety." - answer>>B. "This medication is given to facilitate
ventilation."
A nurse is reviewing the health records of five clients. Which of the following clients are at risk for
developing acute respiratory distress syndrome? SATA
A. A client who experienced a near-drowning incident
B. A client following coronary artery bypass graft surgery
C. A client who has a Hg 15.1
D. A client who has dysphagia
E. A client who experienced a drug overdose - answer>>A. A client who experienced a near-drowning
incident
B. A client following coronary artery bypass graft surgery
D. A client who has dysphagia
E. A client who experienced a drug overdose
A nurse is planning care for a client who has severe respiratory distress system (SARS). Which of the
following actions should be included in the plan of care for this client? SATA
A. Administer antibiotics.
B. Provide O2
, C. Administer bronchodilators.
D. Administer antiviral meds
E. Maintain ventilatory support. - answer>>B. Provide O2
C. Administer bronchodilators.
E. Maintain ventilatory support.
A nurse is caring for a client who is receiving vecuronium for acute respiratory distress syndrome.
Which of the following medications should the nurse anticipate administering with this medication?
SATA
A. Fentanyl
B. Furosemide
C. Midazolam
D. Famotidine
E> Dexamethasone - answer>>A. Fentanyl
C. Midazolam
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for
hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates
effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal spaced after the line is placed."
D. "A chest x-ray is needed to verify placement after the procedure." - answer>>D. "A chest x-ray is
needed to verify placement after the procedure."
A nursing planning care for a school-age child who is 4 hr postoperative following perforated
appendicitis. Which of the following actions should the nurse include?
A. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)
B. Give cromolyn nebulizer solution every 6 hr (for asthma)
C. Apply a warm compress to the operative site every 4 hr
2026-2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following
statements by the client should indicate and immediate concern for the nurse?
A. "I am allergic to morphine."
B. "I take antacids several times a day."
C. "I had a blood clot in my leg several years ago."
D. "It hurts to take a deep breath." - answer>>B. "I take antacids several times a day."
A nurse is caring for a client who is to receive thrombolytic therapy. Which of the following factors
should the nurse recognize as a contraindication to the therapy?
A. Hip arthroplasty 2 weeks ago
B. Elevated sedimentation rate
C. Incident of exercise-induced asthma
D. 1 week ago Elevated platelet count - answer>>A. Hip arthroplasty 2 weeks ago
A nurse is assessing a client following a gunshot wound to the chest. For which of the following findings
should the nurse monitor to detect a pneumothorax? SATA
A. Tachypnea
B. Deviation of the trachea
C. Bradycardia
D. Decreased use of accessory muscles
E. Pleuritic pain - answer>>A. Tachypnea
B. Deviation of the trachea
E. Pleuritic pain
,A nurse is reviewing the prescriptions for a client who has a pneumothorax. Which of the following
actions should the nurse perform first?
A. Assess the client's pain.
B. Obtain a large-bore IV needle for decompression.
C. Administer lorazepam.
D. Prepare for chest tube insertion. - answer>>B. Obtain a large-bore IV needle for decompression.
A nurse is reviewing discharge instructions for a client who experienced a pneumothorax. Which for the
following statement should the nurse use when teaching the client?
A. "Notify the provider if you experience weakness."
B. "You should be able to return to work in 1 week."
C. "You need to wear a mask when in crowded areas."
D. "Notify your provider if you experience a productive cough." - answer>>D. "Notify your provider if
you experience a productive cough."
A nurse in the emergency department is assessing a client who has a suspected flail chest. Which of the
following findings should the nurse expect? (Select all that apply.)
A. Bradycardia
B. Cyanosis
C. Hypotension
D. Dyspnea
E. Paradoxic chest movement - answer>>B. Cyanosis
C. Hypotension
D. Dyspnea
E. Paradoxic chest movement
A nurse in the emergency department is assessing a client who was in a motor vehicle crash. Findings
include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart
rate 124/min, respirations 38/min, temperature 38.6 C (101.4 F), and SaO2 92% on room air. Which of
the following actions should the nurse take first?
,A. Obtain a chest ex-ray.
B. Prepare for chest tube insertion.
C. Administer oxygen via high-flow mask.
D. Initiate IV access. - answer>>C. Administer oxygen via high-flow mask.
A nurse is orientation a newly licensed nurse on the purpose of administering vecuronium to a client
who has acute respiratory distress syndrome (ARDS). Which of the following statements by the newly
licensed nurse indicates understanding of the teaching?
A. "This medication is given to treat infection."
B. "This medication is given to facilitate ventilation."
C. "This medication is given to decrease inflammation."
D. "This medication is given to reduce anxiety." - answer>>B. "This medication is given to facilitate
ventilation."
A nurse is reviewing the health records of five clients. Which of the following clients are at risk for
developing acute respiratory distress syndrome? SATA
A. A client who experienced a near-drowning incident
B. A client following coronary artery bypass graft surgery
C. A client who has a Hg 15.1
D. A client who has dysphagia
E. A client who experienced a drug overdose - answer>>A. A client who experienced a near-drowning
incident
B. A client following coronary artery bypass graft surgery
D. A client who has dysphagia
E. A client who experienced a drug overdose
A nurse is planning care for a client who has severe respiratory distress system (SARS). Which of the
following actions should be included in the plan of care for this client? SATA
A. Administer antibiotics.
B. Provide O2
, C. Administer bronchodilators.
D. Administer antiviral meds
E. Maintain ventilatory support. - answer>>B. Provide O2
C. Administer bronchodilators.
E. Maintain ventilatory support.
A nurse is caring for a client who is receiving vecuronium for acute respiratory distress syndrome.
Which of the following medications should the nurse anticipate administering with this medication?
SATA
A. Fentanyl
B. Furosemide
C. Midazolam
D. Famotidine
E> Dexamethasone - answer>>A. Fentanyl
C. Midazolam
A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for
hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates
effectiveness of the teaching?
A. "Air should be instilled into the monitoring system prior to the procedure."
B. "The client should be positioned on the left side during the procedure."
C. "The transducer should be level with the second intercostal spaced after the line is placed."
D. "A chest x-ray is needed to verify placement after the procedure." - answer>>D. "A chest x-ray is
needed to verify placement after the procedure."
A nursing planning care for a school-age child who is 4 hr postoperative following perforated
appendicitis. Which of the following actions should the nurse include?
A. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)
B. Give cromolyn nebulizer solution every 6 hr (for asthma)
C. Apply a warm compress to the operative site every 4 hr
