RN COMPREHENSIVE ATI PROCTORED NEW 2024
LATEST QUESTIONS 180 QUESTIONS AND CCORRECT
DETAILED ANSWERS WITH RATIONALES (COMPLETE
SOLUTION)
A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis (LASIK)
surgery. The nurse should include in the teaching that which of the following is an adverse
effect of LASIK surgery? Dry eyes
Rationale: LASIK surgery is a procedure that can correct nearsightedness, farsightedness, and
astigmatism by changing the shape of the cornea. Adverse effects of LASIK surgery include
dryness of the eyes and blurred vision.
A nurse in a rehabilitation center is performing an assessment for a client who is recovering
from a left-hemisphere stroke. Which of the following findings should the nurse expect?
Difficulty with speech
Rationale: The left hemisphere of the brain is usually the dominant side and is responsible for
language. This is always true for right-handed clients and for the majority of left-handed clients.
Since this client is recovering from a left-hemisphere stroke, the nurse should anticipate that
the client will have aphasia and require speech therapy to establish communication.
A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the
following manifestations should the nurse expect? Swelling behind the affected ear
Rationale: Mastoiditis refers to an inflammation of the temporal bone behind the ear.
Manifestations of mastoiditis include swelling and pain behind the ear.
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? The client rigidly extends his arms.
Rationale: A client who exhibits a decerebrate posture rigidly extends and pronates his four
extremities and externally rotates his wrists. Decerebrate posturing indicates severe brain
stem injury and late neurologic decline.
A nurse is providing discharge teaching to a client who is postoperative following cataract
surgery and has an intraocular lens implant. Which of the following statements by the client
indicates an understanding of the instruction? I will avoid bending over.
Rationale: The nurse should instruct the client to avoid activities that can increase intraocular
pressure, such as lifting, bending, coughing, or performing the Valsalva maneuver. An increase
in intraocular pressure can result in intraocular hemorrhage.
A nurse is assessing a client who has a closed head injury and has received mannitol for
manifestations of increased intracranial pressure (ICP). Which of the following findings should
indicate to the nurse that the medication is having a therapeutic effect? The client's serum
osmolarity is 310 mOsm/L.
, Rationale: Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing water
out of the brain tissue. A serum osmolarity of 310 mOsm/L is desired. A decrease in cerebral
edema should result in a decrease in ICP.
A nurse is providing discharge teaching to a client who is postoperative following scleral
buckling to repair a detached retina. Which of the following instructions should the nurse
include in the teaching?
You should avoid reading for 1 week.
Rationale: The client should avoid reading and any activity that can cause rapid movement of
the eye because of the risk for detachment of the retina.
A nurse is assessing a client who has sustained a recent head injury. Which of the
following findings should the nurse recognize as a manifestation of increased intracranial
pressure? Widened pulse pressure
Rationale: A widening of pulse pressure, the difference between the systolic and diastolic
pressure, is a manifestation of increased intracranial pressure. Other manifestations include
pupil changes, change in the level of consciousness, and nausea and vomiting.
A nurse is providing teaching to a client who has a new diagnosis of migraine headaches
about interventions to reduce pain at the onset of a migraine. Which of the following
instructions should the nurse include in the teaching? Darken the lights.
Rationale: The nurse should instruct the client to lie down in a dark room to reduce migraine
pain.
A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis.
Which of the following supplies should the nurse place at the client's bedside table?
Oral-nasal suction equipment
Rationale: The client who has myasthenia gravis is at risk for aspiration because of progressive
weakness of the oropharyngeal muscles. Myasthenia gravis causes muscle weakness due to an
autoimmune disease that affects the acetylcholine receptors. The nurse should place oxygen
and oral-nasal suction equipment at the bedside in the event of aspiration or respiratory
distress.
A nurse is assessing a client who is unconscious and has a rhythmical breathing pattern of rapid
deep respirations, followed by rapid shallow respirations, alternating with periods of apnea.
The nurse should document that the client is experiencing which of the following types of
respirations? Cheyne-Stokes
Ratioale: Cheyne-Stokes respirations is a breathing pattern of deep to shallow breaths,
followed by a period of apnea. Cheyne-Stokes respirations can be the result of a drug
overdose or increased intracranial pressure and can precede death.
A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease. Which
of the following instructions should the nurse include in the teaching? Avoid sudden
movements
Rationale: Meniere's disease is a disorder of the inner ear affecting balance and hearing,
characterized by vertigo, hearing loss, and tinnitus. The nurse should instruct the client to
avoid sudden movements that can increase manifestations.
LATEST QUESTIONS 180 QUESTIONS AND CCORRECT
DETAILED ANSWERS WITH RATIONALES (COMPLETE
SOLUTION)
A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis (LASIK)
surgery. The nurse should include in the teaching that which of the following is an adverse
effect of LASIK surgery? Dry eyes
Rationale: LASIK surgery is a procedure that can correct nearsightedness, farsightedness, and
astigmatism by changing the shape of the cornea. Adverse effects of LASIK surgery include
dryness of the eyes and blurred vision.
A nurse in a rehabilitation center is performing an assessment for a client who is recovering
from a left-hemisphere stroke. Which of the following findings should the nurse expect?
Difficulty with speech
Rationale: The left hemisphere of the brain is usually the dominant side and is responsible for
language. This is always true for right-handed clients and for the majority of left-handed clients.
Since this client is recovering from a left-hemisphere stroke, the nurse should anticipate that
the client will have aphasia and require speech therapy to establish communication.
A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the
following manifestations should the nurse expect? Swelling behind the affected ear
Rationale: Mastoiditis refers to an inflammation of the temporal bone behind the ear.
Manifestations of mastoiditis include swelling and pain behind the ear.
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? The client rigidly extends his arms.
Rationale: A client who exhibits a decerebrate posture rigidly extends and pronates his four
extremities and externally rotates his wrists. Decerebrate posturing indicates severe brain
stem injury and late neurologic decline.
A nurse is providing discharge teaching to a client who is postoperative following cataract
surgery and has an intraocular lens implant. Which of the following statements by the client
indicates an understanding of the instruction? I will avoid bending over.
Rationale: The nurse should instruct the client to avoid activities that can increase intraocular
pressure, such as lifting, bending, coughing, or performing the Valsalva maneuver. An increase
in intraocular pressure can result in intraocular hemorrhage.
A nurse is assessing a client who has a closed head injury and has received mannitol for
manifestations of increased intracranial pressure (ICP). Which of the following findings should
indicate to the nurse that the medication is having a therapeutic effect? The client's serum
osmolarity is 310 mOsm/L.
, Rationale: Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing water
out of the brain tissue. A serum osmolarity of 310 mOsm/L is desired. A decrease in cerebral
edema should result in a decrease in ICP.
A nurse is providing discharge teaching to a client who is postoperative following scleral
buckling to repair a detached retina. Which of the following instructions should the nurse
include in the teaching?
You should avoid reading for 1 week.
Rationale: The client should avoid reading and any activity that can cause rapid movement of
the eye because of the risk for detachment of the retina.
A nurse is assessing a client who has sustained a recent head injury. Which of the
following findings should the nurse recognize as a manifestation of increased intracranial
pressure? Widened pulse pressure
Rationale: A widening of pulse pressure, the difference between the systolic and diastolic
pressure, is a manifestation of increased intracranial pressure. Other manifestations include
pupil changes, change in the level of consciousness, and nausea and vomiting.
A nurse is providing teaching to a client who has a new diagnosis of migraine headaches
about interventions to reduce pain at the onset of a migraine. Which of the following
instructions should the nurse include in the teaching? Darken the lights.
Rationale: The nurse should instruct the client to lie down in a dark room to reduce migraine
pain.
A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis.
Which of the following supplies should the nurse place at the client's bedside table?
Oral-nasal suction equipment
Rationale: The client who has myasthenia gravis is at risk for aspiration because of progressive
weakness of the oropharyngeal muscles. Myasthenia gravis causes muscle weakness due to an
autoimmune disease that affects the acetylcholine receptors. The nurse should place oxygen
and oral-nasal suction equipment at the bedside in the event of aspiration or respiratory
distress.
A nurse is assessing a client who is unconscious and has a rhythmical breathing pattern of rapid
deep respirations, followed by rapid shallow respirations, alternating with periods of apnea.
The nurse should document that the client is experiencing which of the following types of
respirations? Cheyne-Stokes
Ratioale: Cheyne-Stokes respirations is a breathing pattern of deep to shallow breaths,
followed by a period of apnea. Cheyne-Stokes respirations can be the result of a drug
overdose or increased intracranial pressure and can precede death.
A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease. Which
of the following instructions should the nurse include in the teaching? Avoid sudden
movements
Rationale: Meniere's disease is a disorder of the inner ear affecting balance and hearing,
characterized by vertigo, hearing loss, and tinnitus. The nurse should instruct the client to
avoid sudden movements that can increase manifestations.
