©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
ATI Comprehensive Test A Exam
Questions and Answers 100% Solved
A nurse is caring for a client who has a terminal illness and requests no
lifesaving measures if he experiences cardiac arrest. Which of the following
statements should the nurse make?
A. "You will need to draft a health care proxy so a designee can make this
decision for you."
B. "I will provide you with information about medical treatment to include in
your living will."
C. "Your provider determines if you should have lifesaving measures if your
heart stops."a
D. "I will make sure that no one performs any lifesaving measures if your
heart stops." - ✔✔B. "I will provide you with information about medical
treatment to include in your living will."
- A health care proxy is not necessary if the client is alert and able to
document his own wishes in a living will.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
- the client decides and documents these decisions in a living will or
verbally informs the provider.
A nurse on a medical surgical unit is caring for a client prior to a surgical
procedure. Which of the following should indicate to the nurse that the
client has the ability to sign the informed consent?
A. The client's partner tells the nurse that the client understands the
procedure.
B. The nurse locates the provider's prescription for the surgical procedure.
C. The nurse witnesses the provider's explanation of the procedure.
D. The client is able to accurately describe the upcoming procedure. -
✔✔D. The client is able to accurately describe the upcoming procedure.
- the nurse cannot assume that the client understands the information the
provider gave.
A community health nurse is performing disaster triage tagging following a
disaster. On which of the following clients should the nurse place a black
tag?
A. A client who is alert and has a 2.5 cm (1 in) laceration on the forehead
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
B. A client who has significant head trauma and agonal respirations
C. A client who has an open fracture of the right forearm
D. A client who is unconscious and has a rapid, thready radial pulse -
✔✔B. A client who has significant head trauma and agonal respirations
- because this client is likely not to recover or will require extensive
resources for care.
disaster triage tag system - ✔✔- green tag on a client who is alert and
has a 2.5 cm (1 in) laceration on the forehead because this client has an
injury that is nonurgent.
- a yellow tag on a client who has an open fracture of the right forearm
because this client has a major injury that requires attention within 30 min
to 2 hr.
- a red tag on a client who is unconscious and has a rapid, thready radial
pulse because this client has a life-threatening injury and requires
immediate treatment.
A nurse is assessing an older adult client who has delirium. Which of the
following manifestations should the nurse expect?
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
A. Projecting blame
B. Excessive clinging
C. Rapid speech
D. Social awkwardness - ✔✔C. Rapid speech
- exhibit rapid, inappropriate, incoherent, and rambling speech patterns.
- paranoid personality disorder project blame.
- dependent personality disorder demonstrate excessively clinging
behavior.
- schizotypal personality disorder exhibit social awkwardness.
A nurse is assessing a client who is experiencing automatic dysreflexia.
Which of the following findings should the nurse expect? Select all that
apply
A. Nystagmus
B. Facial flushing
C. Diplopia
D. Nasal congestion
E. Headache - ✔✔B. Facial flushing
ATI Comprehensive Test A Exam
Questions and Answers 100% Solved
A nurse is caring for a client who has a terminal illness and requests no
lifesaving measures if he experiences cardiac arrest. Which of the following
statements should the nurse make?
A. "You will need to draft a health care proxy so a designee can make this
decision for you."
B. "I will provide you with information about medical treatment to include in
your living will."
C. "Your provider determines if you should have lifesaving measures if your
heart stops."a
D. "I will make sure that no one performs any lifesaving measures if your
heart stops." - ✔✔B. "I will provide you with information about medical
treatment to include in your living will."
- A health care proxy is not necessary if the client is alert and able to
document his own wishes in a living will.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
- the client decides and documents these decisions in a living will or
verbally informs the provider.
A nurse on a medical surgical unit is caring for a client prior to a surgical
procedure. Which of the following should indicate to the nurse that the
client has the ability to sign the informed consent?
A. The client's partner tells the nurse that the client understands the
procedure.
B. The nurse locates the provider's prescription for the surgical procedure.
C. The nurse witnesses the provider's explanation of the procedure.
D. The client is able to accurately describe the upcoming procedure. -
✔✔D. The client is able to accurately describe the upcoming procedure.
- the nurse cannot assume that the client understands the information the
provider gave.
A community health nurse is performing disaster triage tagging following a
disaster. On which of the following clients should the nurse place a black
tag?
A. A client who is alert and has a 2.5 cm (1 in) laceration on the forehead
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
B. A client who has significant head trauma and agonal respirations
C. A client who has an open fracture of the right forearm
D. A client who is unconscious and has a rapid, thready radial pulse -
✔✔B. A client who has significant head trauma and agonal respirations
- because this client is likely not to recover or will require extensive
resources for care.
disaster triage tag system - ✔✔- green tag on a client who is alert and
has a 2.5 cm (1 in) laceration on the forehead because this client has an
injury that is nonurgent.
- a yellow tag on a client who has an open fracture of the right forearm
because this client has a major injury that requires attention within 30 min
to 2 hr.
- a red tag on a client who is unconscious and has a rapid, thready radial
pulse because this client has a life-threatening injury and requires
immediate treatment.
A nurse is assessing an older adult client who has delirium. Which of the
following manifestations should the nurse expect?
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
A. Projecting blame
B. Excessive clinging
C. Rapid speech
D. Social awkwardness - ✔✔C. Rapid speech
- exhibit rapid, inappropriate, incoherent, and rambling speech patterns.
- paranoid personality disorder project blame.
- dependent personality disorder demonstrate excessively clinging
behavior.
- schizotypal personality disorder exhibit social awkwardness.
A nurse is assessing a client who is experiencing automatic dysreflexia.
Which of the following findings should the nurse expect? Select all that
apply
A. Nystagmus
B. Facial flushing
C. Diplopia
D. Nasal congestion
E. Headache - ✔✔B. Facial flushing
