ATI - Comprehensive
Practice 2019 A
a case manager is reviewing the medical records of several clients. for which of the following
clients should the nurse request an interprofessional care conference? - A client who has
diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis
a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The
nurse expresses concern about having limited experience with monitoring chest tube drainage.
which of the following actions should the charge nurse take first to provide teaching about chest
tubes? - ask the nurse about their knowledge of the procedure
a charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube.
Which of the following actions by the newly licensed nurse indicates an understanding of the
procedure? - keeps the head of the bed elevated to 45 degrees for 1 hour after feedings
a charge nurse is observing a newly licensed nurse performing a physical assessment on a
client. which of the following actions by the nurse indicates that the charge nurse should
intervene? - the newly licensed nurse writes detailed notes while performing the head to toe
assessment
a charge nurse is planning an educational session for staff nurses about working with parents
whose terminally ill children are candidates for donating their organs. which of the following
information should the nurse plan to include? - the family can have the child in an open casket
without fearing that the organ donation might disfigure the child's body
a charge nurse is planning care for a client who has mechanical restraints in place. which of the
following interventions should the nurse include in the plan? - Provide a staff member to stay
with the client continuously
,can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs for adults,
every 3 hrs for 9-17 years and every hour for those younger
a charge nurse is preparing to administer 0900 medications and is told by the pharmacy staff
that the medications are not available. medication availability has been an ongoing problem,
and the charge nurse has previously discussed this issue with the pharmacy staff. which of the
following actions should the charge nurse take first? - inform the nurse manager of the issue
a charge nurse is teaching a newly licensed nurse how to identify true labor. which of the
following should the nurse include in the teaching? - the cervix transitions to an anterior position
contractions will be felt in the lower abdomen and back, intensity increases with ambulation,
cervix shortens and thins
a charge nurse observes a staff nurse document a dressing change in a client's chart that was
not performed. which of the following actions should the charge nurse take first? - gather more
information about the staff nurse's actions
a charge nurse overhears two staff nurses in the hallway discussing the nutritional status of a
client who has anorexia nervosa. which of the following actions should the charge nurse take? -
tell the nurses to stop the discussion
a client is receiving lorazepam IV for panic attacks and develops a respiratory rate of 6/min and
a blood pressure of 90/44 mm Hg. Which of the following medications should the nurse
anticipate administering? - flumazenil
a client who is 24 hours postoperative following abdominal surgery refuses to ambulate. which
of the following actions should the nurse take first? - ask the client to rate their pain level
, a clinic nurse is caring for a client who is in the first trimester of pregnancy. the client reports
using acupressure bands on both wrists. which of the following statements by the client
indicates that this therapy is having the desired effect? - "I have not vomited as much recently"
a community health nurse is assisting with the development of a disaster management plan. the
nurse should include which of the following nursing responsibilities in the disaster response
stage of the plan? - performing a rapid needs assessment
a community health nurse is performing triage tagging following a mass casualty incident. on
which of the following clients should the nurse place a black tag? - a client who has significant
head trauma and agonal respirations
a community health nurse is preparing a health education program for a local rural community.
which of the following actions should the nurse plan to take first? - identify health related issues
within the community
a community health nurse is reviewing the medical records of four newly diagnosed clients. The
nurse should identify which of the following clients as having a nationally notifiable infectious
condition? - an adolescent client who has foodborne botulism
a home health nurse is assessing a 2 week old newborn who has a birth weight of 3.64 kg (8lb)
and is being breastfed. which of the following findings indicates effective breastfeeding. - the
newborn has six to eight wet diapers per day
a home health nurse is planning care for an older adult client who has impaired vision. which of
the following interventions should the nurse include in the plan of care? - mark the edges of
stairs for contrast
should have vision testing done every year
a home health nurse is providing teaching about infection prevention to a client who has cancer
and is receiving chemotherapy. Which of the following statements by the client indicates an
understanding of the teaching? - I will walk for short distances throughout the day
Practice 2019 A
a case manager is reviewing the medical records of several clients. for which of the following
clients should the nurse request an interprofessional care conference? - A client who has
diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis
a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The
nurse expresses concern about having limited experience with monitoring chest tube drainage.
which of the following actions should the charge nurse take first to provide teaching about chest
tubes? - ask the nurse about their knowledge of the procedure
a charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube.
Which of the following actions by the newly licensed nurse indicates an understanding of the
procedure? - keeps the head of the bed elevated to 45 degrees for 1 hour after feedings
a charge nurse is observing a newly licensed nurse performing a physical assessment on a
client. which of the following actions by the nurse indicates that the charge nurse should
intervene? - the newly licensed nurse writes detailed notes while performing the head to toe
assessment
a charge nurse is planning an educational session for staff nurses about working with parents
whose terminally ill children are candidates for donating their organs. which of the following
information should the nurse plan to include? - the family can have the child in an open casket
without fearing that the organ donation might disfigure the child's body
a charge nurse is planning care for a client who has mechanical restraints in place. which of the
following interventions should the nurse include in the plan? - Provide a staff member to stay
with the client continuously
,can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs for adults,
every 3 hrs for 9-17 years and every hour for those younger
a charge nurse is preparing to administer 0900 medications and is told by the pharmacy staff
that the medications are not available. medication availability has been an ongoing problem,
and the charge nurse has previously discussed this issue with the pharmacy staff. which of the
following actions should the charge nurse take first? - inform the nurse manager of the issue
a charge nurse is teaching a newly licensed nurse how to identify true labor. which of the
following should the nurse include in the teaching? - the cervix transitions to an anterior position
contractions will be felt in the lower abdomen and back, intensity increases with ambulation,
cervix shortens and thins
a charge nurse observes a staff nurse document a dressing change in a client's chart that was
not performed. which of the following actions should the charge nurse take first? - gather more
information about the staff nurse's actions
a charge nurse overhears two staff nurses in the hallway discussing the nutritional status of a
client who has anorexia nervosa. which of the following actions should the charge nurse take? -
tell the nurses to stop the discussion
a client is receiving lorazepam IV for panic attacks and develops a respiratory rate of 6/min and
a blood pressure of 90/44 mm Hg. Which of the following medications should the nurse
anticipate administering? - flumazenil
a client who is 24 hours postoperative following abdominal surgery refuses to ambulate. which
of the following actions should the nurse take first? - ask the client to rate their pain level
, a clinic nurse is caring for a client who is in the first trimester of pregnancy. the client reports
using acupressure bands on both wrists. which of the following statements by the client
indicates that this therapy is having the desired effect? - "I have not vomited as much recently"
a community health nurse is assisting with the development of a disaster management plan. the
nurse should include which of the following nursing responsibilities in the disaster response
stage of the plan? - performing a rapid needs assessment
a community health nurse is performing triage tagging following a mass casualty incident. on
which of the following clients should the nurse place a black tag? - a client who has significant
head trauma and agonal respirations
a community health nurse is preparing a health education program for a local rural community.
which of the following actions should the nurse plan to take first? - identify health related issues
within the community
a community health nurse is reviewing the medical records of four newly diagnosed clients. The
nurse should identify which of the following clients as having a nationally notifiable infectious
condition? - an adolescent client who has foodborne botulism
a home health nurse is assessing a 2 week old newborn who has a birth weight of 3.64 kg (8lb)
and is being breastfed. which of the following findings indicates effective breastfeeding. - the
newborn has six to eight wet diapers per day
a home health nurse is planning care for an older adult client who has impaired vision. which of
the following interventions should the nurse include in the plan of care? - mark the edges of
stairs for contrast
should have vision testing done every year
a home health nurse is providing teaching about infection prevention to a client who has cancer
and is receiving chemotherapy. Which of the following statements by the client indicates an
understanding of the teaching? - I will walk for short distances throughout the day
