ATI Comprehensive A RN VATI
1. A client with terminal breast cancer receives a first home visit from a home health nurse. The
client has two school-age children and a limited support system. Which of the following is the
priority nursing action?
A. Inform the client about community resources that are available. B. Help the client locate
child care options. C. Set the client's short-term objectives. D. Ask the client about their
understanding of the diagnosis - ANS-Inform the client of available community resources
10. A newborn who has reached full term is being cared for by a nurse right after birth. Which
of the following actions should the nurse take first?
A. Apply erythromycin eye ointment to the infant's eyes. B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the infant - ANS- Dry the infant 100. Following the insertion of a subclavian
nontunneled percutaneous central venous catheter, a nurse is providing care to a patient.
Ringer's lactate is prescribed for intravenous infusion at a rate of 150 milliliters per hour by the
provider. Which of the following should the nurse do before starting the infusion? A. Apply
oxygen at 3 L/min per nasal cannula
B. Read the report from the chest x-ray. C. Flush the catheter with sterile water
D. Obtain a peripheral blood glucose level - ANS-Review the chest x-ray report
101. A new patient's care is being planned by a nurse. Which of the following interventions
should the nurse plan to take first?
A. Set up IV access for the patient. B. Administer pain medication to the client
C. Send the client to radiology for a CT scan
D. For the client, insert an NG tube; administer pain medication through the ANS. 102. A
four-month-old infant is the subject of a vision examination by a community health nurse. When
shining a light source into the infant's visual field, which of the following is an expected finding?
A. The infant's eyes turn toward the light
B. The baby turns his head away from the light. C. The infant's gaze is still fixed on the
ground. D. The infant closes their eyes - ANS-The infant closes their eyes
103. During an IV urography, a nurse is keeping an eye on a patient. Which of the client
reports is the most important finding? A. Mouth taste of metallic B. Fullness in the abdomen C.
Feeling warm and flushed D. Lip swelling - ANS-Lip swelling 104. A nurse is reviewing the
history and physical of a client who has right ventricular heart failure. Which one of the following
is an anticipated result? A. Creptius
B. elevated pressure in the pulmonary artery C. Hepatosplenomegaly
D. Confusion - ANS-Hepatosplenomegaly
105. A client and their family are being taught about home hospice care by a nurse. The nurse
should include which of the following information in the instruction. A. Hospice care improves
quality of life through palliative care
B. Hospice care provides 24 hr, in home care
, C. Hospice care is intended to postpone death
D. Hospice care encourages the family to coordinate health care services - ANS-Hospice care
improves quality of life through palliative care
106. A nurse is preparing to administer eye drops to a client. Which of the following nursing
procedures is best? A. Have the client tilt her head slightly so that the medication enters the
nasolacrimal duct
B. Wash any excess fluid away gently from the inner canthus to the outside of the eyelid along
the margin. C. Use aseptic technique and drop the medication into the conjunctival sac
D. Use an aseptic method to apply the prescribed number of drops to the cornea. Place the
medication in the conjunctival sac. 107. A nurse suspects another nurse is chemically impaired
during their shift. Which of the following is an appropriate action for the nurse to take?
A. Report to the nurse manager
B. Set up a time to meet with the nurse
C. Assume care of the nurse's assigned clients
D. Ask another staff nurse to confirm the suspicion - ANS-Report to the nurse manager
108. A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a
prescription for pancrelipase. Which of the following should the nurse include in the teaching?
A. Take on an empty stomach
B. Take one hour before eating. C. Take 1 hr after meals
D. Take with meals - ANS-Take with meals
109. A nurse manager is instructing the nursing staff on how to use client restraints
appropriately. Which of the following should the nurse include? (Select all relevant options) A.
The provider should renew the prescription for restraints every 48 hr
B. The nurse should pad the bony prominences
C. The nurse should tie the restraints using a square knot
D. The nurse should remove the restraints every 2 hr
E. The provider's prescription should include the type of restraint to use - ANS-Answer: B, D, E
11. A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood - ANS-Clients who
have a history of viral hepatitis are unable to donate blood
110. A nurse is preparing a client for surgery and has just administered the preoperative
injection. The nurse ought to take which of the following actions? A. Take the client to the
bathroom to void
B. Ask the client to verify the surgical site
C. Examine exercises for coughing and deep breathing. D. Raise the bed's side rails -
ANS-Raise the bed's side rails 111. A Pavlik harness is being demonstrated to the parent of an
infant with hip developmental dysplasia by a nurse. Which of the following instructions should
the nurse include?
A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
, C. Maintain the child in a prone position while the harness is in place
D. Once per day, gently massage the straps' skin - ANS- 112. A charge nurse is teaching a
group of unit nurses about the policy for clients who have a history of methicillin-resistant
Staphylococcus aureus. Which of the following information should the nurse include?
A. A client who has a history of MRSA will need antibiotics
B. A client who has been infected with MRSA before may develop immunity to it. C. A client
who has a history of MRSA requires a protective environment
D. A client who has a history of MRSA can still transmit the infection - ANS-A client who has a
history of MRSA can still transmit the infection
113. The rising number of sexually transmitted infections in the community worries a public
health clinic nurse manager. The purpose of which of the following is to generate new ideas to
address the public health concern?
A. A brainstorming session with nurses
B. A community-wide program
C. Playing role with nurses D. Personal discussions with clients - ANS-A brainstorming
session with nurses
114. A nurse is checking laboratory results for a client. Which of the following results from the
laboratory indicates hypervolemia? A. Calcium 10 mg/dL in the blood B. Urine specific gravity
1.001
C. Serum sodium 138 mEq/L
D. Urine has a specific gravity of 1.001 and a pH of 6. 115. A nurse is teaching a group of
farmworkers who work with pesticide about minimizing exposure. The nurse should include
which of the following information in the instruction. A. Dress appropriately after working in the
field. B. Before going out into the field, apply petroleum jelly to the inside of the nostrils. C.
Wipe fruits and vegetables from the field with a dry cloth before consuming
D. After finishing work, take a hot shower for one hour. ANS: Change into new clothes after
working in the field. 116. A nurse is caring for a client who has cirrhosis of the liver. The nurse
ought to take which of the following actions? A. Monitor for abdominal ascites
B. Implement a low-carbohydrate diet
C. Examine serum levels of amylase. D. Place warm compresses on area of pruritus -
ANS-Monitor for abdominal ascites
117. A nurse is giving discharge instructions to a client who has a new ileostomy. When the
client says, the nurse should acknowledge that the instruction worked. A. Even after it has
healed, the size of my stoma will remain the same. B. My stoma constantly drains liquid fluid. C.
I will change my pouch system every 2 weeks
D. I will ensure that my medications are enteric coated - ANS-My stoma will drain liquid fluid
continuously
118. A nurse is planning care for a client who is postoperative following creation of an
arteriovenous fistula in the left arm. Which of the following actions should the nurse include in
the plan?
A. Every four hours, auscultate the client's left arm for a noise. B. Compare blood pressure in
both arms every 2 hr
1. A client with terminal breast cancer receives a first home visit from a home health nurse. The
client has two school-age children and a limited support system. Which of the following is the
priority nursing action?
A. Inform the client about community resources that are available. B. Help the client locate
child care options. C. Set the client's short-term objectives. D. Ask the client about their
understanding of the diagnosis - ANS-Inform the client of available community resources
10. A newborn who has reached full term is being cared for by a nurse right after birth. Which
of the following actions should the nurse take first?
A. Apply erythromycin eye ointment to the infant's eyes. B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the infant - ANS- Dry the infant 100. Following the insertion of a subclavian
nontunneled percutaneous central venous catheter, a nurse is providing care to a patient.
Ringer's lactate is prescribed for intravenous infusion at a rate of 150 milliliters per hour by the
provider. Which of the following should the nurse do before starting the infusion? A. Apply
oxygen at 3 L/min per nasal cannula
B. Read the report from the chest x-ray. C. Flush the catheter with sterile water
D. Obtain a peripheral blood glucose level - ANS-Review the chest x-ray report
101. A new patient's care is being planned by a nurse. Which of the following interventions
should the nurse plan to take first?
A. Set up IV access for the patient. B. Administer pain medication to the client
C. Send the client to radiology for a CT scan
D. For the client, insert an NG tube; administer pain medication through the ANS. 102. A
four-month-old infant is the subject of a vision examination by a community health nurse. When
shining a light source into the infant's visual field, which of the following is an expected finding?
A. The infant's eyes turn toward the light
B. The baby turns his head away from the light. C. The infant's gaze is still fixed on the
ground. D. The infant closes their eyes - ANS-The infant closes their eyes
103. During an IV urography, a nurse is keeping an eye on a patient. Which of the client
reports is the most important finding? A. Mouth taste of metallic B. Fullness in the abdomen C.
Feeling warm and flushed D. Lip swelling - ANS-Lip swelling 104. A nurse is reviewing the
history and physical of a client who has right ventricular heart failure. Which one of the following
is an anticipated result? A. Creptius
B. elevated pressure in the pulmonary artery C. Hepatosplenomegaly
D. Confusion - ANS-Hepatosplenomegaly
105. A client and their family are being taught about home hospice care by a nurse. The nurse
should include which of the following information in the instruction. A. Hospice care improves
quality of life through palliative care
B. Hospice care provides 24 hr, in home care
, C. Hospice care is intended to postpone death
D. Hospice care encourages the family to coordinate health care services - ANS-Hospice care
improves quality of life through palliative care
106. A nurse is preparing to administer eye drops to a client. Which of the following nursing
procedures is best? A. Have the client tilt her head slightly so that the medication enters the
nasolacrimal duct
B. Wash any excess fluid away gently from the inner canthus to the outside of the eyelid along
the margin. C. Use aseptic technique and drop the medication into the conjunctival sac
D. Use an aseptic method to apply the prescribed number of drops to the cornea. Place the
medication in the conjunctival sac. 107. A nurse suspects another nurse is chemically impaired
during their shift. Which of the following is an appropriate action for the nurse to take?
A. Report to the nurse manager
B. Set up a time to meet with the nurse
C. Assume care of the nurse's assigned clients
D. Ask another staff nurse to confirm the suspicion - ANS-Report to the nurse manager
108. A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a
prescription for pancrelipase. Which of the following should the nurse include in the teaching?
A. Take on an empty stomach
B. Take one hour before eating. C. Take 1 hr after meals
D. Take with meals - ANS-Take with meals
109. A nurse manager is instructing the nursing staff on how to use client restraints
appropriately. Which of the following should the nurse include? (Select all relevant options) A.
The provider should renew the prescription for restraints every 48 hr
B. The nurse should pad the bony prominences
C. The nurse should tie the restraints using a square knot
D. The nurse should remove the restraints every 2 hr
E. The provider's prescription should include the type of restraint to use - ANS-Answer: B, D, E
11. A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood - ANS-Clients who
have a history of viral hepatitis are unable to donate blood
110. A nurse is preparing a client for surgery and has just administered the preoperative
injection. The nurse ought to take which of the following actions? A. Take the client to the
bathroom to void
B. Ask the client to verify the surgical site
C. Examine exercises for coughing and deep breathing. D. Raise the bed's side rails -
ANS-Raise the bed's side rails 111. A Pavlik harness is being demonstrated to the parent of an
infant with hip developmental dysplasia by a nurse. Which of the following instructions should
the nurse include?
A. Adjust the straps on the harness once per week
B. Use only ultra-thin diapers applied over the straps
, C. Maintain the child in a prone position while the harness is in place
D. Once per day, gently massage the straps' skin - ANS- 112. A charge nurse is teaching a
group of unit nurses about the policy for clients who have a history of methicillin-resistant
Staphylococcus aureus. Which of the following information should the nurse include?
A. A client who has a history of MRSA will need antibiotics
B. A client who has been infected with MRSA before may develop immunity to it. C. A client
who has a history of MRSA requires a protective environment
D. A client who has a history of MRSA can still transmit the infection - ANS-A client who has a
history of MRSA can still transmit the infection
113. The rising number of sexually transmitted infections in the community worries a public
health clinic nurse manager. The purpose of which of the following is to generate new ideas to
address the public health concern?
A. A brainstorming session with nurses
B. A community-wide program
C. Playing role with nurses D. Personal discussions with clients - ANS-A brainstorming
session with nurses
114. A nurse is checking laboratory results for a client. Which of the following results from the
laboratory indicates hypervolemia? A. Calcium 10 mg/dL in the blood B. Urine specific gravity
1.001
C. Serum sodium 138 mEq/L
D. Urine has a specific gravity of 1.001 and a pH of 6. 115. A nurse is teaching a group of
farmworkers who work with pesticide about minimizing exposure. The nurse should include
which of the following information in the instruction. A. Dress appropriately after working in the
field. B. Before going out into the field, apply petroleum jelly to the inside of the nostrils. C.
Wipe fruits and vegetables from the field with a dry cloth before consuming
D. After finishing work, take a hot shower for one hour. ANS: Change into new clothes after
working in the field. 116. A nurse is caring for a client who has cirrhosis of the liver. The nurse
ought to take which of the following actions? A. Monitor for abdominal ascites
B. Implement a low-carbohydrate diet
C. Examine serum levels of amylase. D. Place warm compresses on area of pruritus -
ANS-Monitor for abdominal ascites
117. A nurse is giving discharge instructions to a client who has a new ileostomy. When the
client says, the nurse should acknowledge that the instruction worked. A. Even after it has
healed, the size of my stoma will remain the same. B. My stoma constantly drains liquid fluid. C.
I will change my pouch system every 2 weeks
D. I will ensure that my medications are enteric coated - ANS-My stoma will drain liquid fluid
continuously
118. A nurse is planning care for a client who is postoperative following creation of an
arteriovenous fistula in the left arm. Which of the following actions should the nurse include in
the plan?
A. Every four hours, auscultate the client's left arm for a noise. B. Compare blood pressure in
both arms every 2 hr
