ATI COMPREHENSIVE B EXAM
QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Patient refused a newly opened fentanyl patch. Which of the following actions should
the nurse take? - ANSWER: Ask another nurse to witness the disposal of the new
patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values
are aPTT 98 seconds and INR 1.8 - ANSWER Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one
eye . Which indicates the client has a detached retina - ANSWER Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement .
finding to report to provider - ANSWER Irritability when being held. signifies increased
ICP
Assessing a newborn heart rate follow actions the nurse should take - ANSWER
Auscultate the apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally
evacuating the stool - ANSWER Insert a lubricated gloved finger and advance along the
rectal wall.
Dietary teaching for a new prescription of phenelzine - ANSWER Broccoli, Yogurt,
Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report
should the nurse document in the client's medical record? - ANSWER Time the
medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first? - ANSWER A 10-year old child who is awaiting surgery for an
appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a
ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ANSWER
Have grab bars installed around your bathtub and toilet.
QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Patient refused a newly opened fentanyl patch. Which of the following actions should
the nurse take? - ANSWER: Ask another nurse to witness the disposal of the new
patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values
are aPTT 98 seconds and INR 1.8 - ANSWER Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one
eye . Which indicates the client has a detached retina - ANSWER Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement .
finding to report to provider - ANSWER Irritability when being held. signifies increased
ICP
Assessing a newborn heart rate follow actions the nurse should take - ANSWER
Auscultate the apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally
evacuating the stool - ANSWER Insert a lubricated gloved finger and advance along the
rectal wall.
Dietary teaching for a new prescription of phenelzine - ANSWER Broccoli, Yogurt,
Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report
should the nurse document in the client's medical record? - ANSWER Time the
medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first? - ANSWER A 10-year old child who is awaiting surgery for an
appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a
ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ANSWER
Have grab bars installed around your bathtub and toilet.
