ATI Comprehensive A RN VATI Exam
2025 Questions and Answers |100%
Solved
9. A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - ....ANSWER ...-Prepare the client for a
cesarean section
177. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of the following statements should the nurse document in
an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed
down
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,B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - ....ANSWER ...-
Client found lying on the floor near the bedside table
178. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to
the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement
of a Herrington rod - ....ANSWER ...-A 10-year-old client who has
pneumonia and is receiving respiratory treatments
179. A nurse is preparing to administer vancomycin to a client who has an infected
wound. The nurse should plan to monitor for which of the following adverse
reactions?
A. Hepatotoxicity
B. Ototoxicity
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,C. Hypercalcemia
D. Hypertension - ....ANSWER ...-Ototoxicity
180. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ....ANSWER ...-Thready pulse
1. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. 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 of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis -
....ANSWER ...-Inform the client of available community resources
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, 2. A nurse in an emergency department is assessing a client who has a nasal
fracture. Which of the following findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ....ANSWER ...-Clear fluid drainage from the
nares
3. A nurse in an urgent care clinic is collecting admission history from a client who
is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize
that which of the following clinical findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ....ANSWER ...-Profuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
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2025 Questions and Answers |100%
Solved
9. A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - ....ANSWER ...-Prepare the client for a
cesarean section
177. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of the following statements should the nurse document in
an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed
down
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - ....ANSWER ...-
Client found lying on the floor near the bedside table
178. A charge nurse on a pediatric unit is making assignments for a float nurse
from the medical unit. Which of the following clients is appropriate to assign to
the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular
septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement
of a Herrington rod - ....ANSWER ...-A 10-year-old client who has
pneumonia and is receiving respiratory treatments
179. A nurse is preparing to administer vancomycin to a client who has an infected
wound. The nurse should plan to monitor for which of the following adverse
reactions?
A. Hepatotoxicity
B. Ototoxicity
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,C. Hypercalcemia
D. Hypertension - ....ANSWER ...-Ototoxicity
180. A nurse is assessing an infant who has water intoxication. Which of the
following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ....ANSWER ...-Thready pulse
1. A home health nurse is conducting an initial home visit for a client who has
terminal breast cancer. 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 of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis -
....ANSWER ...-Inform the client of available community resources
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, 2. A nurse in an emergency department is assessing a client who has a nasal
fracture. Which of the following findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ....ANSWER ...-Clear fluid drainage from the
nares
3. A nurse in an urgent care clinic is collecting admission history from a client who
is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize
that which of the following clinical findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ....ANSWER ...-Profuse milky white discharge
4. A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
