ATI Comprehensive Exam QUESTIONS
AND ANSWERS GRADED A
a nurse is caring for a client who has given informed consent for ECT. Just before the
procedure, the client tells the nurse she is considering not going forward with the
treatment. which of the following statements by the nurse is appropriate? - ANSWER
==you don't have to go through with the treatment
while performing a routine assessment, a nurses notices fraying on the electrical cord of
a client's CPM device. Which of the following actions should the nurse take first? -
ANSWER ==remove the device from the room
a nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. which of the following actions should the nurse take? - ANSWER
==count the current number of unit doses available in the medication dispensing system
a nurse performing a change-of-shift assessment. which of the following clients has the
priority finding? - ANSWER ==2 hr post cast placement and 2+ pitting edema and
pallor
a nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding of
the teaching? - ANSWER ==i will take the sustained-release methylphenidate every
morning
a nurse in the emergency department is assessing a client who has a major depressive
disorder. which of the following actions should the nurse take first? - ANSWER
==implement seizure precautions for the client
a nurse is completing an admission assessment for a client who has narcissistic
personality disorder. which of the following should the nurse expect? - ANSWER
==preoccupied with aging
a nurse is planning care for a group of clients and is working with one LPN and one AP.
which of the following actions should the nurse take first to manage her time effectively -
ANSWER ==determine goals of the day
,a nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. which of the following actions should the
nurse include in the plan? - ANSWER ==measure the client's urine output every hour
a nurse is caring for a group of clients. which of the following should the nurse expect to
heal by primary intention? - ANSWER ==approximated surgical incision
a nurse in an acute mental health facility is prioritizing care for multiple clients. Which of
the following clients should the nurse see first? - ANSWER ==client taking clozapine
to treat schizophrenia and reports sore throat
a nurse is caring for a client who has an implanted venous access port. Which of the
following should the nurse use to assess the port? - ANSWER ==noncoring needle
a nurse is caring for a client who has pneumonia and tells the nurse, "i feel like an
elephant is sitting on my chest" the client is weak and unable to walk. after the nurse
indicates chest pain protocol, which of the following is the priority diagnostic test? -
ANSWER ==12 lead ecg
a nurse is assessing the growth and development of a 3 y/o child. which of the following
questions should the nurse ask the parent to determine if the child is exhibiting typical
developmental expectations? - ANSWER ==can your child ride a tricycle?
a nurse is preparing to assess fetal heart tones for a client who is at 12 weeks gestation.
which of the following actions should the nurse take? - ANSWER ==position the
ultrasound stethoscope above the symphysis pubis to assess the FHR
a nurse is assessing a client who has a chest tube with a water seal drainage system.
upon assessment, the nurse notes tidaling in the water seal. which of the following is an
explanation for the tidaling? - ANSWER ==the system is working properly
a charge nurse on a medical surgical unit is assisting with the emergency response plan
following an external disaster in the community. in anticipation of multiple client
admissions, which of the following current clients should the nurse recommend for early
discharge? - ANSWER ==a client who is receiving heparin for DVT
a nurse is caring for a client who has ESRD. the client's adult child asks the nurse about
becoming a living kidney donor for her father. which of the following conditions in the
child's medical history should the nurse identify as a contraindication to the procedure? -
ANSWER ==HTN
, a nurse is caring for a client who is 3 days postpartum. which of the following
assessment findings should the nurse expect? - ANSWER ==lochia serosa and
fundus 4cm below the umbilicus
a nurse is caring for a child who has cystic fibrosis and requires postural drainage.
which of the following actions should the nurse take - ANSWER ==perform the
procedure twice a day
a home care nurse is making a follow up visit with a client who has COPD and is using
a compresses oxygen system in his home. which of the following actions should the
nurse take? - ANSWER ==place the oxygen tank away away from curtains or drapes
a nurse is caring for a new client who has bacterial meningitis. which of the following
actions should the nurse take? - ANSWER ==implement seizure precautions
a nurse is reviewing the preadmission lab test results of a client who is to undergo hip
arthroplasty in 2 days. which of the following results should the nurse report to the
provider? - ANSWER ==K 3.3 mEq/L
a nurse is caring for a client who has undergone a modified radical mastectomy. the
client has a closed-suction drain. which of the following actions should the nurse take? -
ANSWER ==reset the vacuum by compressing the container
a nurse is receiving change of shift report for four clients. which of the following clients
should the nurse assess first? - ANSWER ==leukemia and platelet level of
95,000/mm3
a nurse is developing plan of care for a newborn mother tested positive for heroin during
pregnancy. newborn is experiencing neonatal abstinence syndrome. which of the
following actions should the nurse include in the plan? - ANSWER ==minimize noise
in the newborn's environment
nutritional teaching for an adult who has seizure disorder and a new prescription for
phenytoin. which of the following instructions by the nurse is appropriate? - ANSWER
==increase your intake of vitamin D while taking this medication
a nurse is assessing a client who presents to the L&D reporting the onset of
contractions. which of the following findings should the nurse identify as a
manifestations of false labor? - ANSWER ==intermittent painless contractions
a nurse is caring for a client who has Cdif. which of the following actions should the
nurse take? - ANSWER ==change gloves after contact with infectious material, and
wear a gown when providing care
AND ANSWERS GRADED A
a nurse is caring for a client who has given informed consent for ECT. Just before the
procedure, the client tells the nurse she is considering not going forward with the
treatment. which of the following statements by the nurse is appropriate? - ANSWER
==you don't have to go through with the treatment
while performing a routine assessment, a nurses notices fraying on the electrical cord of
a client's CPM device. Which of the following actions should the nurse take first? -
ANSWER ==remove the device from the room
a nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. which of the following actions should the nurse take? - ANSWER
==count the current number of unit doses available in the medication dispensing system
a nurse performing a change-of-shift assessment. which of the following clients has the
priority finding? - ANSWER ==2 hr post cast placement and 2+ pitting edema and
pallor
a nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding of
the teaching? - ANSWER ==i will take the sustained-release methylphenidate every
morning
a nurse in the emergency department is assessing a client who has a major depressive
disorder. which of the following actions should the nurse take first? - ANSWER
==implement seizure precautions for the client
a nurse is completing an admission assessment for a client who has narcissistic
personality disorder. which of the following should the nurse expect? - ANSWER
==preoccupied with aging
a nurse is planning care for a group of clients and is working with one LPN and one AP.
which of the following actions should the nurse take first to manage her time effectively -
ANSWER ==determine goals of the day
,a nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. which of the following actions should the
nurse include in the plan? - ANSWER ==measure the client's urine output every hour
a nurse is caring for a group of clients. which of the following should the nurse expect to
heal by primary intention? - ANSWER ==approximated surgical incision
a nurse in an acute mental health facility is prioritizing care for multiple clients. Which of
the following clients should the nurse see first? - ANSWER ==client taking clozapine
to treat schizophrenia and reports sore throat
a nurse is caring for a client who has an implanted venous access port. Which of the
following should the nurse use to assess the port? - ANSWER ==noncoring needle
a nurse is caring for a client who has pneumonia and tells the nurse, "i feel like an
elephant is sitting on my chest" the client is weak and unable to walk. after the nurse
indicates chest pain protocol, which of the following is the priority diagnostic test? -
ANSWER ==12 lead ecg
a nurse is assessing the growth and development of a 3 y/o child. which of the following
questions should the nurse ask the parent to determine if the child is exhibiting typical
developmental expectations? - ANSWER ==can your child ride a tricycle?
a nurse is preparing to assess fetal heart tones for a client who is at 12 weeks gestation.
which of the following actions should the nurse take? - ANSWER ==position the
ultrasound stethoscope above the symphysis pubis to assess the FHR
a nurse is assessing a client who has a chest tube with a water seal drainage system.
upon assessment, the nurse notes tidaling in the water seal. which of the following is an
explanation for the tidaling? - ANSWER ==the system is working properly
a charge nurse on a medical surgical unit is assisting with the emergency response plan
following an external disaster in the community. in anticipation of multiple client
admissions, which of the following current clients should the nurse recommend for early
discharge? - ANSWER ==a client who is receiving heparin for DVT
a nurse is caring for a client who has ESRD. the client's adult child asks the nurse about
becoming a living kidney donor for her father. which of the following conditions in the
child's medical history should the nurse identify as a contraindication to the procedure? -
ANSWER ==HTN
, a nurse is caring for a client who is 3 days postpartum. which of the following
assessment findings should the nurse expect? - ANSWER ==lochia serosa and
fundus 4cm below the umbilicus
a nurse is caring for a child who has cystic fibrosis and requires postural drainage.
which of the following actions should the nurse take - ANSWER ==perform the
procedure twice a day
a home care nurse is making a follow up visit with a client who has COPD and is using
a compresses oxygen system in his home. which of the following actions should the
nurse take? - ANSWER ==place the oxygen tank away away from curtains or drapes
a nurse is caring for a new client who has bacterial meningitis. which of the following
actions should the nurse take? - ANSWER ==implement seizure precautions
a nurse is reviewing the preadmission lab test results of a client who is to undergo hip
arthroplasty in 2 days. which of the following results should the nurse report to the
provider? - ANSWER ==K 3.3 mEq/L
a nurse is caring for a client who has undergone a modified radical mastectomy. the
client has a closed-suction drain. which of the following actions should the nurse take? -
ANSWER ==reset the vacuum by compressing the container
a nurse is receiving change of shift report for four clients. which of the following clients
should the nurse assess first? - ANSWER ==leukemia and platelet level of
95,000/mm3
a nurse is developing plan of care for a newborn mother tested positive for heroin during
pregnancy. newborn is experiencing neonatal abstinence syndrome. which of the
following actions should the nurse include in the plan? - ANSWER ==minimize noise
in the newborn's environment
nutritional teaching for an adult who has seizure disorder and a new prescription for
phenytoin. which of the following instructions by the nurse is appropriate? - ANSWER
==increase your intake of vitamin D while taking this medication
a nurse is assessing a client who presents to the L&D reporting the onset of
contractions. which of the following findings should the nurse identify as a
manifestations of false labor? - ANSWER ==intermittent painless contractions
a nurse is caring for a client who has Cdif. which of the following actions should the
nurse take? - ANSWER ==change gloves after contact with infectious material, and
wear a gown when providing care
