ATI Comprehensive Assessment Form B Exam 2023 Questions and
Answers
1. A nurse is preparing to administer an IM injection to a client. Which of the following is the preferred
site for an adult?
A. Vastus lateralis
B. Ventrogluteal ⬛
C. Deltoid
D. Dorsogluteal
2. A nurse is caring for a client with a stage III pressure ulcer. Which of the following interventions is
appropriate?
A. Apply a transparent film dressing.
B. Use a hydrocolloid dressing.
C. Pack the wound with a moistened saline dressing. ⬛
D. Leave the wound open to air.
3. A client receiving warfarin therapy has an INR of 5.2. Which of the following actions should the
nurse take?
A. Administer the next dose as prescribed.
B. Increase the client’s intake of green leafy vegetables.
C. Prepare to administer vitamin K. ⬛
D. Request an order for heparin.
4. A client is experiencing acute shortness of breath. Which of the following actions should the nurse
perform first?
A. Administer a bronchodilator.
B. Elevate the head of the bed. ⬛
C. Check the client’s oxygen saturation.
D. Call the provider.
,5. A nurse is educating a client about self-administration of insulin. Which of the following statements
indicates understanding?
A. “I will inject insulin into the same spot every time.”
B. “I will shake the insulin vial before drawing up the dose.”
C. “I will inject the insulin at a 45- to 90-degree angle.” ⬛
D. “I will mix all types of insulin in the same syringe.”
6. A client with type 1 diabetes reports feeling shaky and sweaty. Which of the following is the nurse’s
priority intervention?
A. Check the client’s blood glucose. ⬛
B. Administer 1 mg of glucagon IM.
C. Provide the client with 8 oz of orange juice.
D. Notify the provider.
7. A nurse is teaching a client about home care following cataract surgery. Which of the following
statements indicates a need for further teaching?
A. “I will avoid lifting heavy objects.”
B. “I will wear an eye shield while sleeping.”
C. “I will bend over to tie my shoes.” ⬛
D. “I will avoid straining during bowel movements.”
8. A client with dehydration has a urine specific gravity of 1.035. Which of the following actions should
the nurse take?
A. Encourage the client to drink more fluids. ⬛
B. Administer diuretics as prescribed.
C. Restrict oral fluid intake.
D. Collect another urine sample for culture.
9. A nurse is caring for a client prescribed digoxin. Which of the following findings indicates digoxin
toxicity?
, A. Tachycardia
B. Visual disturbances ⬛
C. Hypertension
D. Constipation
10. A nurse is assessing a client who reports chest pain unrelieved by rest. Which of the following
findings is most concerning?
A. Pain radiating to the jaw. ⬛
B. Mild dyspnea.
C. A blood pressure of 140/90 mmHg.
D. Heart rate of 88 beats/min.
11. A client receiving morphine sulfate for pain control is drowsy and has a respiratory rate of 10
breaths/min. Which of the following actions should the nurse take first?
A. Administer oxygen.
B. Stop the morphine infusion. ⬛
C. Prepare to administer naloxone.
D. Notify the provider.
12. A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which of the following
isolation precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ⬛
D. Protective environment precautions
13. A nurse is preparing to administer a potassium chloride IV infusion to a client. Which of the
following actions should the nurse take?
A. Administer the infusion rapidly.
B. Dilute the medication before infusion. ⬛
Answers
1. A nurse is preparing to administer an IM injection to a client. Which of the following is the preferred
site for an adult?
A. Vastus lateralis
B. Ventrogluteal ⬛
C. Deltoid
D. Dorsogluteal
2. A nurse is caring for a client with a stage III pressure ulcer. Which of the following interventions is
appropriate?
A. Apply a transparent film dressing.
B. Use a hydrocolloid dressing.
C. Pack the wound with a moistened saline dressing. ⬛
D. Leave the wound open to air.
3. A client receiving warfarin therapy has an INR of 5.2. Which of the following actions should the
nurse take?
A. Administer the next dose as prescribed.
B. Increase the client’s intake of green leafy vegetables.
C. Prepare to administer vitamin K. ⬛
D. Request an order for heparin.
4. A client is experiencing acute shortness of breath. Which of the following actions should the nurse
perform first?
A. Administer a bronchodilator.
B. Elevate the head of the bed. ⬛
C. Check the client’s oxygen saturation.
D. Call the provider.
,5. A nurse is educating a client about self-administration of insulin. Which of the following statements
indicates understanding?
A. “I will inject insulin into the same spot every time.”
B. “I will shake the insulin vial before drawing up the dose.”
C. “I will inject the insulin at a 45- to 90-degree angle.” ⬛
D. “I will mix all types of insulin in the same syringe.”
6. A client with type 1 diabetes reports feeling shaky and sweaty. Which of the following is the nurse’s
priority intervention?
A. Check the client’s blood glucose. ⬛
B. Administer 1 mg of glucagon IM.
C. Provide the client with 8 oz of orange juice.
D. Notify the provider.
7. A nurse is teaching a client about home care following cataract surgery. Which of the following
statements indicates a need for further teaching?
A. “I will avoid lifting heavy objects.”
B. “I will wear an eye shield while sleeping.”
C. “I will bend over to tie my shoes.” ⬛
D. “I will avoid straining during bowel movements.”
8. A client with dehydration has a urine specific gravity of 1.035. Which of the following actions should
the nurse take?
A. Encourage the client to drink more fluids. ⬛
B. Administer diuretics as prescribed.
C. Restrict oral fluid intake.
D. Collect another urine sample for culture.
9. A nurse is caring for a client prescribed digoxin. Which of the following findings indicates digoxin
toxicity?
, A. Tachycardia
B. Visual disturbances ⬛
C. Hypertension
D. Constipation
10. A nurse is assessing a client who reports chest pain unrelieved by rest. Which of the following
findings is most concerning?
A. Pain radiating to the jaw. ⬛
B. Mild dyspnea.
C. A blood pressure of 140/90 mmHg.
D. Heart rate of 88 beats/min.
11. A client receiving morphine sulfate for pain control is drowsy and has a respiratory rate of 10
breaths/min. Which of the following actions should the nurse take first?
A. Administer oxygen.
B. Stop the morphine infusion. ⬛
C. Prepare to administer naloxone.
D. Notify the provider.
12. A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which of the following
isolation precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ⬛
D. Protective environment precautions
13. A nurse is preparing to administer a potassium chloride IV infusion to a client. Which of the
following actions should the nurse take?
A. Administer the infusion rapidly.
B. Dilute the medication before infusion. ⬛