ATI Comprehensive Practice Test B V1
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority?
- Assist with deep breathing and coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism?
- "I told my doctor that I would like to start a support group for other women who are
sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
- Monitor the client's mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD?
-The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize
the following clients is using dissociation as a defense mechanism?
- A client who was abused as a child describes the abuse as if it happened to someone
else
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes
mellitus. The nurse should instruct the client to monitor for which of the following
findings as a manifestation of hypoglycemia?
- irritability
A nurse in an outpatient mental health clinic is caring for four clients. The nurse
should recognize that which of the following clients is effectively using sublimation
as a defense mechanism?
- A client who channels their energy into a new hobby following the loss of their job
,A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an indication
that the family understands home hospice care?
- "We can expect the hospice nurse to provide support for us after our mother's death"
A nurse is caring for a client who has active tuberculosis. Which of the following
actions should the nurse take?
- Assign the client to a private room with negative air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is
schedule for a 3 hour oral glucose tolerance test. Which of the following instructions
should the nurse include in the teaching?
- "You will need to fast the night before the test"
A nurse on a pediatric unit has received change of shift report for four children.
Which of the following children should the nurse assess first?
- A 10 year old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
A nurse in a community center is providing an education session to a group of clients
about ovarian cancer. Which of the following manifestations of ovarian cancer should
the nurse include in the teaching?
- Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate
(conscious) sedation. The client suddenly becomes restless and reports feeling
lightheaded. Which of the following actions should the nurse take?
- Check the client's oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
- A middle adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with a
short leg cast in place and a new prescription for crutches. The client is non-weight
, bearing for 6 weeks. Which of the following instructions should the nurse include in
the teaching?
- Use a three-point gait
A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client?
- Radial vein of the inner arm
A nurse is planning to delegate client care tasks to an AP. Which of the following
tasks should the nurse plan to delegate to the AP?
- Perform gastrostomy feedings through a client's established gastrostomy tube
A nurse is caring for a newborn immediately after delivery. Which of the following
interventions should the nurse implement to prevent heat loss by conduction?
- Use a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion. Which
of the following laboratory tests should the nurse review prior to adjusting the client's
heparin?
- aPTT
A nurse administers an incorrect dose of medication to a client. The nurse recognized
the error immediately and completes and incident report. Which of the following
facts related to the incident should the nurse document in the client's medical record?
- Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching?
- "I will make sure my child receives a yearly influenza immunization"
A nurse is caring for a client 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 every hour
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority?
- Assist with deep breathing and coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism?
- "I told my doctor that I would like to start a support group for other women who are
sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
- Monitor the client's mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD?
-The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize
the following clients is using dissociation as a defense mechanism?
- A client who was abused as a child describes the abuse as if it happened to someone
else
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes
mellitus. The nurse should instruct the client to monitor for which of the following
findings as a manifestation of hypoglycemia?
- irritability
A nurse in an outpatient mental health clinic is caring for four clients. The nurse
should recognize that which of the following clients is effectively using sublimation
as a defense mechanism?
- A client who channels their energy into a new hobby following the loss of their job
,A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an indication
that the family understands home hospice care?
- "We can expect the hospice nurse to provide support for us after our mother's death"
A nurse is caring for a client who has active tuberculosis. Which of the following
actions should the nurse take?
- Assign the client to a private room with negative air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is
schedule for a 3 hour oral glucose tolerance test. Which of the following instructions
should the nurse include in the teaching?
- "You will need to fast the night before the test"
A nurse on a pediatric unit has received change of shift report for four children.
Which of the following children should the nurse assess first?
- A 10 year old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
A nurse in a community center is providing an education session to a group of clients
about ovarian cancer. Which of the following manifestations of ovarian cancer should
the nurse include in the teaching?
- Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate
(conscious) sedation. The client suddenly becomes restless and reports feeling
lightheaded. Which of the following actions should the nurse take?
- Check the client's oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
- A middle adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with a
short leg cast in place and a new prescription for crutches. The client is non-weight
, bearing for 6 weeks. Which of the following instructions should the nurse include in
the teaching?
- Use a three-point gait
A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client?
- Radial vein of the inner arm
A nurse is planning to delegate client care tasks to an AP. Which of the following
tasks should the nurse plan to delegate to the AP?
- Perform gastrostomy feedings through a client's established gastrostomy tube
A nurse is caring for a newborn immediately after delivery. Which of the following
interventions should the nurse implement to prevent heat loss by conduction?
- Use a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion. Which
of the following laboratory tests should the nurse review prior to adjusting the client's
heparin?
- aPTT
A nurse administers an incorrect dose of medication to a client. The nurse recognized
the error immediately and completes and incident report. Which of the following
facts related to the incident should the nurse document in the client's medical record?
- Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching?
- "I will make sure my child receives a yearly influenza immunization"
A nurse is caring for a client 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 every hour
