ATI COMPREHENSIVE PRACTISE QUIZ
x x x
1 .A xnurse xis xassessing xa x x xclient xwho xreceived x2 xunits xof xpacked xRBCs x48
xhours xago. xWhich xof xthe xfollowing xfindings xshould xindicate xto xthe xnurse xthat xthe
xtherapy xhas xbeen xeffective? x
Hemoglobin x14.9 xg/dl x
The xnurse xshould xidentify xthat xpacked xRBCs xare xadministered xto xclients xwho xhave
xa xdecreased xlevel xof xhemoglobin xor xhematocrit. xThis xhemoglobin xlevel xis xwithin
xthe xexpected xreference xrange xof x14 xto x18 xg/dl xfor xmales xand x12 xto x16 xg/dl xfor
xfemales, xindicating xthe xtherapy xhas xbeen xeffective. x
x
2 .A xnurse xworking xin xa xn xemergency xdepartment xis xtriaging xfour xclients.
xWhich xof xthe xfollowing xclients xshould xthe xnurse xrecommend xfor xtreatment xfirst? x
A xmiddle xadult xclient xwho xhas xunstable xvital xsigns. x
Using xthe xstable xversus xunstable xapproach xto xclient xcare, xthe xnurse xshould
xrecommend xpriority xtreatment xfor xthe xclient xwho xhas xunstable xvital xsigns xbecause
xthis xclient xrequires ximmediate xtreatment xto xreduce xthe xrisk xof xfurther xinjury xor
xpossible xdeath. x
x
3. A xnurse xis xcaring xfor xa xclient xwho xhas xfluid xvolume xoverload. xWhich xof xthe
xfollowing xtasks xshould xthe xnurse xdelegate xto xthe xCNA? x
Measure xthe xclient’s xdaily xweight x
It xis xwithin xthe xCNAs xrange xof xfunction xto xmeasure xa xclient’s xdaily xweight, xso xthe
xnurse xshould xdelegate xthis xtask xto xthem. x
x
4. A xnurse xis xpreparing xto xadminister xmannitol x0.2g/kg xIV xbolus xover x5 xmin xas xa
xtest xdose xto xa xclient xwho xhas xsevere xoliguria. xThe xclient xweighs x198lb. xWhat xis
xthe xamount xin xgrams xthe xnurse xshould xadminister? x
18 xg x
x
5. A xnurse xis xconducting xa x x xphysical xexamination xfor xan xadolescent xand xis
xassessing xthe xrange xof xmotion xof xthe xlegs. xWhich xof xthe xfollowing ximages
xindicates xthe xadolescent xis xabducting xthe xhip xjoint? x
In xthe xcorrect ximage, xthe xadolescent xis xabduction xthe xhip xjoint xby xmoving xthe xleg
xaway xfrom xthe xmidline xof xthe xbody. x
x
6. A xnurse xis xcaring xfor xa xclient x xwho xhas xhyperthyroidism. xWhich xof xthe
xfollowing xfindings xshould xthe xnurse xexpect? x
Tremors x
Tremors xare xa xmanifestation xof xhyperthyroidism, xalong xwith xtachycardia,
xdiaphoresis, xweight xloss, xinsomnia, xand xexophthalmia. x
x
,7. A xnurse xis xassessing xa x x xschool-aged xchild xwho xhas xbacterial xmeningitis. xWhich
xof xthe xfollowing xfindings xshould xthe xnurse xexpect? x
Nuchal xrigidity x
This xis xa xmanifestation xof xbacterial xmeningitis. x
x
8. A xnurse xis xassessing xa x x xnewborn’s xheart xrate. xWhich xof xthe xfollowing xactions
xshould xthe xnurse xtake? x
Auscultate xthe xapical xpulse xat xleast x1 xmin. x
The xnurse xshould xauscultate xthe xapical xpulse xto xobtain xan xaccurate xassessment xof
xheart xrate xand xrhythm. xAuscultation xof xa xnewborn’s xheart xsounds xcan xbe xdifficult
xbecause xof xthe xrapid xrate xand xthe xtransmission xof xrespiratory xsounds. x
x
9. A xnurse xis xpreparing xto xassist xwith xa xthoracentesis xfor xa xclient xwho xhas
xpleurisy.
The xnurse xshould xplan xto xperform xwhich xof xthe xfollowing xactions? x
Instruct xthe xclient xto xavoid xcoughing xduring xthe xprocedure. x
It xis ximportant xfor xthe xnurse xto xremind xthe xclient xto xavoid xcoughing xand xto xlie xstill
xduring xa xthoracentesis xto xavoid xpuncturing xthe xpleura. x
x
10. A xnurse xin xthe xED xis xassessing xa xpreschooler xwho xhas xa xfacial xlaceration.
xThe xnurse xshould xidentify xwhich xof xthe xfollowing x xfindings xas xa xpotential
xindication xof xchild xsexual xabuse? x
The xchild xexhibits xdiscomfort xwhile xwalking. x
The xnurse xshould xidentify xthis xfinding xas xa xpotential xindication xof xchild xsexual
xabuse. x
x
11. A xnurse xis xpreparing xto xteach xabout xdietary xmanagement xto xa xclient xwho
xhas xCrohn’s xdisease xand xan xentero xenteric xfistula. xWhich xof xthe xfollowing
xnutrients xshould xthe xnurse xinstruct xthe xclient xto xdecrease xin xtheir xdiet? x
Fiber x
The xnurse xshould xinstruct xthe xclient xto xconsume xa xlow-fiber xdiet xto xreduce xdiarrhea
xand xinflammation. x
x
12. A xnurse xis xcaring xfor xa xclient xwho xhas xa xprescription xfor xa xcontinuous
xpassive xmotion x(CPM) xmachine xfollowing xa x x xtotal xknee xarthroplasty. xWhich xof
xthe xfollowing xactions xshould xthe xnurse xtake? x
Turn xoff xthe xCPM xmachine xduring xmealtime. x
This xpromotes xclient xcomfort xand xdietary xintake. x
x
13. A xnurse xis xpreparing xto xinitiate xIV xaccess xfor xan xolder xadult xclient. xWhich
xof xthefollowing xsites xshould xthe xnurse xselect xwhen xinitiating xthe xIV xfor xthe
xclient? x
, Radial xvein xof xthe xinner xarm. x
This xsite xwill xhave xadequate xsubcutaneous xtissue x
x
14. A xnurse xis xdeveloping xa xclient xeducation xprogram xa xbout xosteoporosis xfor
xolder xadult xclients. xThe xnurse xshould xinclude xwhich xof xthe xfollowing xvariables
xas xa xrisk xfactor xfor xosteoporosis? x
Sedentary xlifestyle. x
This xis xa xrisk xfactor xfor xosteoporosis. xThe xnurse xshould xencourage xolder xadult
xclients xto xengage xin xweight-bearing xexercises xbecause xthey xwill xpromote xbone
xhealth xby xincreasing xcalcium xand xphosphorus xlevels. x
x
15. A xnurse xin xan xED xis xcaring xfor xa xchild xwho xhas xa xfever xand xfluid-filled
xvesicles xon xthe xtrunk xand xextremities. xWhich xof xthe xfollowing xinterventions
xshould xthe xnurse xidentify xas xthe xpriority? x
Initiate xtransmission-based xprecautions x
When xusing xthe xurgent xversus xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthe xpriority xaction xis xto xinitiate xtransmission-based xprecautions xfor
xthe xchild. xThe xchild xmost xlikely xhas xvaricella. x Therefore, xthe xnurse xshould xisolate
xthe xchild xto xprevent xthe xspread xof xthe xinfection. x
x
16. A xnurse xis xcaring xfor xa xclient xwho xhas xa xclogged xpercutaneous xgastrostomy
xfeeding xtube. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake xfirst? x
Change xthe xposition xof xthe xclient. x
When xproviding xclient xcare, xthe xnurse xshould xuse xthe xleast xrestrictive xintervention
xfirst. xTherefore, xthe xnurse xshould xreposition xthe xclient xto xremove xany xkinks xin xthe
xtube, xwhich xcan xlead xto xclogging. xIf xthis xmethod xis xunsuccessful, xthe xnurse xshould
xattempt xto xflush xor xaspirate xthe xclient’s xtube xto xremove xthe xclog. x
x
17. A xhome xhealth xcare xnurse xis xdeveloping xa xteaching xplan xfor xa xclient xwho
xhas xa xnew xileostomy. x
Which xof xthe xfollowing xinstructions xshould xthe xnurse xinclude? x
Empty xthe xappliance xwhen xit xis xone-third xto xone-half xfull. x
The xileostomy xpouch xshould xbe xemptied xwhen xit xis xone-third xto xone-half xfull xto
xprevent xstool xleakage xand xskin xirritation. x
x
18. A xnurse xis xreviewing xthe xlaboratory xreport xof xa xclient xwho xhas xend-stage
xkidney xdisease xand xreceived xhemodialysis x24 xyr xago. xWhich xof xthe xfollowing
xlab xvalues xshould xthe xnurse xreport xto xthe xprovider? x
Sodium x148 xmEq/L x
The xnurse xshould xreport xthis xsodium xlevel xbecause xit xis xa xbove xthe xexpected
xreference xrange xof x136 xto x145 xmEq/L, xindicating xhypernatremia. xClients xwho xhave
xkidney xdisease xoften xretain xsodium xand xrequire xsodium-restricted xdiets. x
x
x x x
1 .A xnurse xis xassessing xa x x xclient xwho xreceived x2 xunits xof xpacked xRBCs x48
xhours xago. xWhich xof xthe xfollowing xfindings xshould xindicate xto xthe xnurse xthat xthe
xtherapy xhas xbeen xeffective? x
Hemoglobin x14.9 xg/dl x
The xnurse xshould xidentify xthat xpacked xRBCs xare xadministered xto xclients xwho xhave
xa xdecreased xlevel xof xhemoglobin xor xhematocrit. xThis xhemoglobin xlevel xis xwithin
xthe xexpected xreference xrange xof x14 xto x18 xg/dl xfor xmales xand x12 xto x16 xg/dl xfor
xfemales, xindicating xthe xtherapy xhas xbeen xeffective. x
x
2 .A xnurse xworking xin xa xn xemergency xdepartment xis xtriaging xfour xclients.
xWhich xof xthe xfollowing xclients xshould xthe xnurse xrecommend xfor xtreatment xfirst? x
A xmiddle xadult xclient xwho xhas xunstable xvital xsigns. x
Using xthe xstable xversus xunstable xapproach xto xclient xcare, xthe xnurse xshould
xrecommend xpriority xtreatment xfor xthe xclient xwho xhas xunstable xvital xsigns xbecause
xthis xclient xrequires ximmediate xtreatment xto xreduce xthe xrisk xof xfurther xinjury xor
xpossible xdeath. x
x
3. A xnurse xis xcaring xfor xa xclient xwho xhas xfluid xvolume xoverload. xWhich xof xthe
xfollowing xtasks xshould xthe xnurse xdelegate xto xthe xCNA? x
Measure xthe xclient’s xdaily xweight x
It xis xwithin xthe xCNAs xrange xof xfunction xto xmeasure xa xclient’s xdaily xweight, xso xthe
xnurse xshould xdelegate xthis xtask xto xthem. x
x
4. A xnurse xis xpreparing xto xadminister xmannitol x0.2g/kg xIV xbolus xover x5 xmin xas xa
xtest xdose xto xa xclient xwho xhas xsevere xoliguria. xThe xclient xweighs x198lb. xWhat xis
xthe xamount xin xgrams xthe xnurse xshould xadminister? x
18 xg x
x
5. A xnurse xis xconducting xa x x xphysical xexamination xfor xan xadolescent xand xis
xassessing xthe xrange xof xmotion xof xthe xlegs. xWhich xof xthe xfollowing ximages
xindicates xthe xadolescent xis xabducting xthe xhip xjoint? x
In xthe xcorrect ximage, xthe xadolescent xis xabduction xthe xhip xjoint xby xmoving xthe xleg
xaway xfrom xthe xmidline xof xthe xbody. x
x
6. A xnurse xis xcaring xfor xa xclient x xwho xhas xhyperthyroidism. xWhich xof xthe
xfollowing xfindings xshould xthe xnurse xexpect? x
Tremors x
Tremors xare xa xmanifestation xof xhyperthyroidism, xalong xwith xtachycardia,
xdiaphoresis, xweight xloss, xinsomnia, xand xexophthalmia. x
x
,7. A xnurse xis xassessing xa x x xschool-aged xchild xwho xhas xbacterial xmeningitis. xWhich
xof xthe xfollowing xfindings xshould xthe xnurse xexpect? x
Nuchal xrigidity x
This xis xa xmanifestation xof xbacterial xmeningitis. x
x
8. A xnurse xis xassessing xa x x xnewborn’s xheart xrate. xWhich xof xthe xfollowing xactions
xshould xthe xnurse xtake? x
Auscultate xthe xapical xpulse xat xleast x1 xmin. x
The xnurse xshould xauscultate xthe xapical xpulse xto xobtain xan xaccurate xassessment xof
xheart xrate xand xrhythm. xAuscultation xof xa xnewborn’s xheart xsounds xcan xbe xdifficult
xbecause xof xthe xrapid xrate xand xthe xtransmission xof xrespiratory xsounds. x
x
9. A xnurse xis xpreparing xto xassist xwith xa xthoracentesis xfor xa xclient xwho xhas
xpleurisy.
The xnurse xshould xplan xto xperform xwhich xof xthe xfollowing xactions? x
Instruct xthe xclient xto xavoid xcoughing xduring xthe xprocedure. x
It xis ximportant xfor xthe xnurse xto xremind xthe xclient xto xavoid xcoughing xand xto xlie xstill
xduring xa xthoracentesis xto xavoid xpuncturing xthe xpleura. x
x
10. A xnurse xin xthe xED xis xassessing xa xpreschooler xwho xhas xa xfacial xlaceration.
xThe xnurse xshould xidentify xwhich xof xthe xfollowing x xfindings xas xa xpotential
xindication xof xchild xsexual xabuse? x
The xchild xexhibits xdiscomfort xwhile xwalking. x
The xnurse xshould xidentify xthis xfinding xas xa xpotential xindication xof xchild xsexual
xabuse. x
x
11. A xnurse xis xpreparing xto xteach xabout xdietary xmanagement xto xa xclient xwho
xhas xCrohn’s xdisease xand xan xentero xenteric xfistula. xWhich xof xthe xfollowing
xnutrients xshould xthe xnurse xinstruct xthe xclient xto xdecrease xin xtheir xdiet? x
Fiber x
The xnurse xshould xinstruct xthe xclient xto xconsume xa xlow-fiber xdiet xto xreduce xdiarrhea
xand xinflammation. x
x
12. A xnurse xis xcaring xfor xa xclient xwho xhas xa xprescription xfor xa xcontinuous
xpassive xmotion x(CPM) xmachine xfollowing xa x x xtotal xknee xarthroplasty. xWhich xof
xthe xfollowing xactions xshould xthe xnurse xtake? x
Turn xoff xthe xCPM xmachine xduring xmealtime. x
This xpromotes xclient xcomfort xand xdietary xintake. x
x
13. A xnurse xis xpreparing xto xinitiate xIV xaccess xfor xan xolder xadult xclient. xWhich
xof xthefollowing xsites xshould xthe xnurse xselect xwhen xinitiating xthe xIV xfor xthe
xclient? x
, Radial xvein xof xthe xinner xarm. x
This xsite xwill xhave xadequate xsubcutaneous xtissue x
x
14. A xnurse xis xdeveloping xa xclient xeducation xprogram xa xbout xosteoporosis xfor
xolder xadult xclients. xThe xnurse xshould xinclude xwhich xof xthe xfollowing xvariables
xas xa xrisk xfactor xfor xosteoporosis? x
Sedentary xlifestyle. x
This xis xa xrisk xfactor xfor xosteoporosis. xThe xnurse xshould xencourage xolder xadult
xclients xto xengage xin xweight-bearing xexercises xbecause xthey xwill xpromote xbone
xhealth xby xincreasing xcalcium xand xphosphorus xlevels. x
x
15. A xnurse xin xan xED xis xcaring xfor xa xchild xwho xhas xa xfever xand xfluid-filled
xvesicles xon xthe xtrunk xand xextremities. xWhich xof xthe xfollowing xinterventions
xshould xthe xnurse xidentify xas xthe xpriority? x
Initiate xtransmission-based xprecautions x
When xusing xthe xurgent xversus xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthe xpriority xaction xis xto xinitiate xtransmission-based xprecautions xfor
xthe xchild. xThe xchild xmost xlikely xhas xvaricella. x Therefore, xthe xnurse xshould xisolate
xthe xchild xto xprevent xthe xspread xof xthe xinfection. x
x
16. A xnurse xis xcaring xfor xa xclient xwho xhas xa xclogged xpercutaneous xgastrostomy
xfeeding xtube. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake xfirst? x
Change xthe xposition xof xthe xclient. x
When xproviding xclient xcare, xthe xnurse xshould xuse xthe xleast xrestrictive xintervention
xfirst. xTherefore, xthe xnurse xshould xreposition xthe xclient xto xremove xany xkinks xin xthe
xtube, xwhich xcan xlead xto xclogging. xIf xthis xmethod xis xunsuccessful, xthe xnurse xshould
xattempt xto xflush xor xaspirate xthe xclient’s xtube xto xremove xthe xclog. x
x
17. A xhome xhealth xcare xnurse xis xdeveloping xa xteaching xplan xfor xa xclient xwho
xhas xa xnew xileostomy. x
Which xof xthe xfollowing xinstructions xshould xthe xnurse xinclude? x
Empty xthe xappliance xwhen xit xis xone-third xto xone-half xfull. x
The xileostomy xpouch xshould xbe xemptied xwhen xit xis xone-third xto xone-half xfull xto
xprevent xstool xleakage xand xskin xirritation. x
x
18. A xnurse xis xreviewing xthe xlaboratory xreport xof xa xclient xwho xhas xend-stage
xkidney xdisease xand xreceived xhemodialysis x24 xyr xago. xWhich xof xthe xfollowing
xlab xvalues xshould xthe xnurse xreport xto xthe xprovider? x
Sodium x148 xmEq/L x
The xnurse xshould xreport xthis xsodium xlevel xbecause xit xis xa xbove xthe xexpected
xreference xrange xof x136 xto x145 xmEq/L, xindicating xhypernatremia. xClients xwho xhave
xkidney xdisease xoften xretain xsodium xand xrequire xsodium-restricted xdiets. x
x
