ATI RN Comprehensive Online Practice 2019 B
r r r r r r
=
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hrsago.
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Which of the following findings should indicate to the nurse that the therapy ha
r r r r r r r r r r r r r
s been effective?
r r
A. Hemoglobin 14.9 g/dL r r
B. Potassium 4.1 r
C. Sodium chloride 140 r r
D. Ammonia 31: A.Hemoglobin 14.9 g/dL r r r r
2. A nurse working in an emergency department is triaging four clients. Whi
r r r r r r r r r r r
ch of the following clients should the nurse recommend for treatmentfirst?:
r r r r r r r r r r r r
A middle adult client who has unstable vital signs.
r r r r r r r r
3. A nurse is caring for a client who has fluid volume overload. Which of thefollo
r r r r r r r r r r r r r r r
wing tasks should the nurse delegate t o the CNA?: Measure the client'sdaily wei
r r r r r r r r r r r r r r
ght
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min asa tes
r r r r r r r r r r r r r r r
t dose to a client who has severe oliguria. The client weighs 198lb. What is t he am
r r r r r r r r r r r r r r r r r
ount in grams the nurse should administer?: 18g
r r r r r r r
5. A nurse is conduction a physical examination for an adolescent and is asse
r r r r r r r r r r r r
ssing the range of motion of the legs. W hich of the following images indicates t
r r r r r r r r r r r r r r r
he adolescent is abducting the hip joint?: In the correct image, theadolescent is a
r r r r r r r r r r r r r r
bduction the hip joint by moving the leg away from the midline of the body.
r r r r r r r r r r r r r r
6. A nurse is caring for a client who has hyperthyroidism. Which of thefoll
r r r r r r r r r r r r r
owing findings should the nurse expect?: Tremors
r r r r r r
7. A nurse is assessing a school-
r r r r r
aged child who has bacterial meningitis.Which of the following findings sho
r r r r r r r r r r r
uld the nurse expect?: Nuchal rigidity
r r r r r
8. Anurse is assessing a newborn's heart rate.Which of the following actionssho
r r r r r r r r r r r r
uld the nurse take?: Auscultate the apical pulse at least 1 min.
r r r r r r r r r r r
9. A nurse is preparing to assist with a thoracentesis for a client who has pleuri
r r r r r r r r r r r r r r
sy. The nurse should plan to perform which of the following actions?-
r r r r r r r r r r r
: Instruct the client to avoid coughing during the procedure.
r r r r r r r r r
10. A nurse in the ED is a ssessing a preschooler who has a facial laceration.The
r r r r r r r r r r r r r r r r
nurse should identify which of the following findings as a potential indication o
r r r r r r r r r r r r
f child sexual abuse?: The child exhibits discomfort while walking.
r r r r r r r r r
11. A nurse is preparing to teach about dietary management to a client whohas
r r r r r r r r r r r r r r
Crohn's disease and an enteroenteric f istula. Which of the following nutrients
r r r r r r r r r r r r
should the nurse instruct the client to decrease in their diet?: Fiber
r r r r r r r r r r r
1r/r15
, ATI RN Comprehensive Online Practice 2019 B
r r r r r r
=
12. A nurse is caring for a client who has a prescription for a continuous passiv
r r r r r r r r r r r r r r
e motion (CPM) machine following a total knee arthroplasty. Which ofthe follow
r r r r r r r r r r r r
ing actions should the nurse take?: Turn off the CPM machine duringmealtime.
r r r r r r r r r r r r
13. A nurse is preparing to initiate IV access for an older adult client. Whichof t
r r r r r r r r r r r r r r r
he following sites should the nurse select when initiating the IV for the client?:
r r r r r r r r r r r r r r
Radial vein of the inner arm. r r r r r
14. A nurse is developing a client education program a bout osteoporosis for older
r r r r r r r r r r r r r
adult clients.The nurse should include which of the following variablesas a risk f
r r r r r r r r r r r r r r
actor for osteoporosis?: Sedentary lifestyle.
r r r r
15. A nurse in an ED is caring for a child who has a fever and fluid-
r r r r r r r r r r r r r r r
filled vesicles on the trunk and extremities. Which of the following interventio
r r r r r r r r r r r
nsshould the nurse identify as the priority?: Initiate transmission-based precau-
r r r r r r r r r r
tions
r
16. A nurse is caring for a client who has a clogged percutaneous gastros-
r r r r r r r r r r r r
tomy feeding tube. Which of the following actions should the nurse take first?
r r r r r r r r r r r r r
: Change the position of the client.
r r r r r r
17. A home health care nurse is developing a teaching plan for a client whohas
r r r r r r r r r r r r r r r
a new ileostomy. Which of the following i nstructions should the nurse include
r r r r r r r r r r r r
?: Empty the appliance when it is one-third to one-half full.
r r r r r r r r r r
18. A nurse is reviewing the laboratory report of a client who has end-
r r r r r r r r r r r r
stagekidney disease and received hemodialysis 24 yr ago. Which of the following
r r r r r r r r r r r r r
lab values should the nurse report to the provider?: Sodium 148 mEq/L
r r r r r r r r r r r
19. A nurse is caring for four clients. Which of the following tasks should the n
r r r r r r r r r r r r r r
urse delegate to a CNA?: Arrange the lunch tray for a client who has a hipfracture
r r r r r r r r r r r r r r r r
20. A nurse is preparing a client for a paracentesis. Which of the followingacti
r r r r r r r r r r r r r
ons should the nurse take?: Instruct the client to void.
r r r r r r r r r
21. A nurse has received change of shift report on four assigned clients. For w
r r r r r r r r r r r r r
hich of the following clients should the nurse intervene to prevent a potential f
r r r r r r r r r r r r r
ood and medication interaction?: A client who is receiving an MAOIand is requesti
r r r r r r r r r r r r r
ng a cheeseburger for dinner.
r r r r
22. A nurse is planning care for a client who has rheumatoid arthritis and hasmo
r r r r r r r r r r r r r r
derate to severe pain in multiple joints.W hich of the following actions
r r r r r r r r r r r r
2r/r15
, ATI RN Comprehensive Online Practice 2019 B
r r r r r r
=
should the nurse plan to take?: Allow for frequent rest periods throughout theday
r r r r r r r r r r r r r
23. A nurse is caring for a c lient who is receiving continuous bladder irri-
r r r r r r r r r r r r r
gation following a transurethral resection of the prostate. The client reports bla
r r r r r r r r r r r r
dder spasms, and the nurse observes a decreased u rinary output. Whichof the f
r r r r r r r r r r r r r r
ollowing action should the nurse take?: Irrigate the catheter with 0.9%sodium chl
r r r r r r r r r r r r
oride irrigation. r
24. A nurse is assessing a client who has COPD. Which of the followingfind
r r r r r r r r r r r r r
ings should the nurse expect?: pH 7.31
r r r r r r
25. A nurse in a community center is providing an educational session to agrou
r r r r r r r r r r r r r
p of clients about ovarian cancer. Which of the following manifestationsof ovari
r r r r r r r r r r r r
an cancer should the nurse include in the teaching?: Abdominal bloating
r r r r r r r r r r
26. A nurse is caring for a c lient who has active TB. Which of the followingacti
r r r r r r r r r r r r r r r r
ons should the nurse plan to take to prevent the transmission of the disease?:
r r r r r r r r r r r r r
Have the client wear a surgical mask while being transported outsidethe room.
r r r r r r r r r r r r r
27. A nurse is caring for a g roup of clients. Which of the following clientssho
r r r r r r r r r r r r r r r
uld the nurse attend to first?: An older adult client who is anxious and attempting
r r r r r r r r r r r r r r r
to pull out an IV line.
r r r r r
28. An RN is observing an LPN and a CNA move a client up in bed. For whichof the
r r r r r r r r r r r r r r r r r r r
following situations should the nurse intervene?: The LPN and the CNA grasp the cli
r r r r r r r r r r r r r
ent under his arms to lift him up in bed.T
r r r r r r r r r r
29. A nurse is preparing t o administer insulin to a client via a pen device.Whi
r r r r r r r r r r r r r r r
ch of the following actions should the nurse take?: Hold the insulin pendevice p
r r r r r r r r r r r r r r
erpendicular to the client's skin to inject the medication r r r r r r r r
30. A nurse is caring for a c lient who has immunosuppression and a contin
r r r r r r r r r r r r r
uous IV infusion.Which of the following actions should the nursetake?: Mo
r r r r r r r r r r r r
nitor the client's mouth every 8 hr.
r r r r r r
31. A nurse is providing t eaching about advance directives to a middle-
r r r r r r r r r r r
agedadult client.Which of the following client responses indicates an understan
r r r r r r r r r r r
d-ing of the teaching?: "I can designate my partner as my health care surrogate."
r r r r r r r r r r r r r r
32. Anurse is assessing a client following a vaginal deliveryand notes heavyloc
r r r r r r r r r r r r r
hia and a boggy fundus. Which of t he following medications should thenurse
r r r r r r r r r r r r r r
expect to administer?: Oxytocin r r r
3r/r15
r r r r r r
=
1. A nurse is assessing a client who received 2 units of packed RBCs 48 hrsago.
r r r r r r r r r r r r r r r r
Which of the following findings should indicate to the nurse that the therapy ha
r r r r r r r r r r r r r
s been effective?
r r
A. Hemoglobin 14.9 g/dL r r
B. Potassium 4.1 r
C. Sodium chloride 140 r r
D. Ammonia 31: A.Hemoglobin 14.9 g/dL r r r r
2. A nurse working in an emergency department is triaging four clients. Whi
r r r r r r r r r r r
ch of the following clients should the nurse recommend for treatmentfirst?:
r r r r r r r r r r r r
A middle adult client who has unstable vital signs.
r r r r r r r r
3. A nurse is caring for a client who has fluid volume overload. Which of thefollo
r r r r r r r r r r r r r r r
wing tasks should the nurse delegate t o the CNA?: Measure the client'sdaily wei
r r r r r r r r r r r r r r
ght
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min asa tes
r r r r r r r r r r r r r r r
t dose to a client who has severe oliguria. The client weighs 198lb. What is t he am
r r r r r r r r r r r r r r r r r
ount in grams the nurse should administer?: 18g
r r r r r r r
5. A nurse is conduction a physical examination for an adolescent and is asse
r r r r r r r r r r r r
ssing the range of motion of the legs. W hich of the following images indicates t
r r r r r r r r r r r r r r r
he adolescent is abducting the hip joint?: In the correct image, theadolescent is a
r r r r r r r r r r r r r r
bduction the hip joint by moving the leg away from the midline of the body.
r r r r r r r r r r r r r r
6. A nurse is caring for a client who has hyperthyroidism. Which of thefoll
r r r r r r r r r r r r r
owing findings should the nurse expect?: Tremors
r r r r r r
7. A nurse is assessing a school-
r r r r r
aged child who has bacterial meningitis.Which of the following findings sho
r r r r r r r r r r r
uld the nurse expect?: Nuchal rigidity
r r r r r
8. Anurse is assessing a newborn's heart rate.Which of the following actionssho
r r r r r r r r r r r r
uld the nurse take?: Auscultate the apical pulse at least 1 min.
r r r r r r r r r r r
9. A nurse is preparing to assist with a thoracentesis for a client who has pleuri
r r r r r r r r r r r r r r
sy. The nurse should plan to perform which of the following actions?-
r r r r r r r r r r r
: Instruct the client to avoid coughing during the procedure.
r r r r r r r r r
10. A nurse in the ED is a ssessing a preschooler who has a facial laceration.The
r r r r r r r r r r r r r r r r
nurse should identify which of the following findings as a potential indication o
r r r r r r r r r r r r
f child sexual abuse?: The child exhibits discomfort while walking.
r r r r r r r r r
11. A nurse is preparing to teach about dietary management to a client whohas
r r r r r r r r r r r r r r
Crohn's disease and an enteroenteric f istula. Which of the following nutrients
r r r r r r r r r r r r
should the nurse instruct the client to decrease in their diet?: Fiber
r r r r r r r r r r r
1r/r15
, ATI RN Comprehensive Online Practice 2019 B
r r r r r r
=
12. A nurse is caring for a client who has a prescription for a continuous passiv
r r r r r r r r r r r r r r
e motion (CPM) machine following a total knee arthroplasty. Which ofthe follow
r r r r r r r r r r r r
ing actions should the nurse take?: Turn off the CPM machine duringmealtime.
r r r r r r r r r r r r
13. A nurse is preparing to initiate IV access for an older adult client. Whichof t
r r r r r r r r r r r r r r r
he following sites should the nurse select when initiating the IV for the client?:
r r r r r r r r r r r r r r
Radial vein of the inner arm. r r r r r
14. A nurse is developing a client education program a bout osteoporosis for older
r r r r r r r r r r r r r
adult clients.The nurse should include which of the following variablesas a risk f
r r r r r r r r r r r r r r
actor for osteoporosis?: Sedentary lifestyle.
r r r r
15. A nurse in an ED is caring for a child who has a fever and fluid-
r r r r r r r r r r r r r r r
filled vesicles on the trunk and extremities. Which of the following interventio
r r r r r r r r r r r
nsshould the nurse identify as the priority?: Initiate transmission-based precau-
r r r r r r r r r r
tions
r
16. A nurse is caring for a client who has a clogged percutaneous gastros-
r r r r r r r r r r r r
tomy feeding tube. Which of the following actions should the nurse take first?
r r r r r r r r r r r r r
: Change the position of the client.
r r r r r r
17. A home health care nurse is developing a teaching plan for a client whohas
r r r r r r r r r r r r r r r
a new ileostomy. Which of the following i nstructions should the nurse include
r r r r r r r r r r r r
?: Empty the appliance when it is one-third to one-half full.
r r r r r r r r r r
18. A nurse is reviewing the laboratory report of a client who has end-
r r r r r r r r r r r r
stagekidney disease and received hemodialysis 24 yr ago. Which of the following
r r r r r r r r r r r r r
lab values should the nurse report to the provider?: Sodium 148 mEq/L
r r r r r r r r r r r
19. A nurse is caring for four clients. Which of the following tasks should the n
r r r r r r r r r r r r r r
urse delegate to a CNA?: Arrange the lunch tray for a client who has a hipfracture
r r r r r r r r r r r r r r r r
20. A nurse is preparing a client for a paracentesis. Which of the followingacti
r r r r r r r r r r r r r
ons should the nurse take?: Instruct the client to void.
r r r r r r r r r
21. A nurse has received change of shift report on four assigned clients. For w
r r r r r r r r r r r r r
hich of the following clients should the nurse intervene to prevent a potential f
r r r r r r r r r r r r r
ood and medication interaction?: A client who is receiving an MAOIand is requesti
r r r r r r r r r r r r r
ng a cheeseburger for dinner.
r r r r
22. A nurse is planning care for a client who has rheumatoid arthritis and hasmo
r r r r r r r r r r r r r r
derate to severe pain in multiple joints.W hich of the following actions
r r r r r r r r r r r r
2r/r15
, ATI RN Comprehensive Online Practice 2019 B
r r r r r r
=
should the nurse plan to take?: Allow for frequent rest periods throughout theday
r r r r r r r r r r r r r
23. A nurse is caring for a c lient who is receiving continuous bladder irri-
r r r r r r r r r r r r r
gation following a transurethral resection of the prostate. The client reports bla
r r r r r r r r r r r r
dder spasms, and the nurse observes a decreased u rinary output. Whichof the f
r r r r r r r r r r r r r r
ollowing action should the nurse take?: Irrigate the catheter with 0.9%sodium chl
r r r r r r r r r r r r
oride irrigation. r
24. A nurse is assessing a client who has COPD. Which of the followingfind
r r r r r r r r r r r r r
ings should the nurse expect?: pH 7.31
r r r r r r
25. A nurse in a community center is providing an educational session to agrou
r r r r r r r r r r r r r
p of clients about ovarian cancer. Which of the following manifestationsof ovari
r r r r r r r r r r r r
an cancer should the nurse include in the teaching?: Abdominal bloating
r r r r r r r r r r
26. A nurse is caring for a c lient who has active TB. Which of the followingacti
r r r r r r r r r r r r r r r r
ons should the nurse plan to take to prevent the transmission of the disease?:
r r r r r r r r r r r r r
Have the client wear a surgical mask while being transported outsidethe room.
r r r r r r r r r r r r r
27. A nurse is caring for a g roup of clients. Which of the following clientssho
r r r r r r r r r r r r r r r
uld the nurse attend to first?: An older adult client who is anxious and attempting
r r r r r r r r r r r r r r r
to pull out an IV line.
r r r r r
28. An RN is observing an LPN and a CNA move a client up in bed. For whichof the
r r r r r r r r r r r r r r r r r r r
following situations should the nurse intervene?: The LPN and the CNA grasp the cli
r r r r r r r r r r r r r
ent under his arms to lift him up in bed.T
r r r r r r r r r r
29. A nurse is preparing t o administer insulin to a client via a pen device.Whi
r r r r r r r r r r r r r r r
ch of the following actions should the nurse take?: Hold the insulin pendevice p
r r r r r r r r r r r r r r
erpendicular to the client's skin to inject the medication r r r r r r r r
30. A nurse is caring for a c lient who has immunosuppression and a contin
r r r r r r r r r r r r r
uous IV infusion.Which of the following actions should the nursetake?: Mo
r r r r r r r r r r r r
nitor the client's mouth every 8 hr.
r r r r r r
31. A nurse is providing t eaching about advance directives to a middle-
r r r r r r r r r r r
agedadult client.Which of the following client responses indicates an understan
r r r r r r r r r r r
d-ing of the teaching?: "I can designate my partner as my health care surrogate."
r r r r r r r r r r r r r r
32. Anurse is assessing a client following a vaginal deliveryand notes heavyloc
r r r r r r r r r r r r r
hia and a boggy fundus. Which of t he following medications should thenurse
r r r r r r r r r r r r r r
expect to administer?: Oxytocin r r r
3r/r15
