ATI Comprehensive Final Exam 2024 Questions and Answers
1. A nurse is preparing to administer an IM injection to a client. Which of the following is the preferred
site for an adult?
• A. Vastus lateralis
• B. Ventrogluteal
• C. Deltoid
• D. Dorsogluteal
2. A nurse is caring for a client with a stage III pressure ulcer. Which of the following interventions is
appropriate?
• A. Apply a transparent film dressing.
• B. Use a hydrocolloid dressing.
• C. Pack the wound with a moistened saline dressing.
• D. Leave the wound open to air.
3. A client receiving warfarin therapy has an INR of 5.2. Which of the following actions should the
nurse take?
• A. Administer the next dose as prescribed.
• B. Increase the client’s intake of green leafy vegetables.
• C. Prepare to administer vitamin K.
• D. Request an order for heparin.
4. A client is experiencing acute shortness of breath. Which of the following actions should the nurse
perform first?
• A. Administer a bronchodilator.
• B. Elevate the head of the bed.
• C. Check the client’s oxygen saturation.
• D. Call the provider.
,5. A nurse is educating a client about self-administration of insulin. Which of the following statements
indicates understanding?
• A. “I will inject insulin into the same spot every time.”
• B. “I will shake the insulin vial before drawing up the dose.”
• C. “I will inject the insulin at a 45- to 90-degree angle.”
• D. “I will mix all types of insulin in the same syringe.”
6. A client with type 1 diabetes reports feeling shaky and sweaty. Which of the following is the nurse’s
priority intervention?
• A. Check the client’s blood glucose.
• B. Administer 1 mg of glucagon IM.
• C. Provide the client with 8 oz of orange juice.
• D. Notify the provider.
7. A nurse is teaching a client about home care following cataract surgery. Which of the following
statements indicates a need for further teaching?
• A. “I will avoid lifting heavy objects.”
• B. “I will wear an eye shield while sleeping.”
• C. “I will bend over to tie my shoes.”
• D. “I will avoid straining during bowel movements.”
8. A client with dehydration has a urine specific gravity of 1.035. Which of the following actions should
the nurse take?
• A. Encourage the client to drink more fluids.
• B. Administer diuretics as prescribed.
• C. Restrict oral fluid intake.
• D. Collect another urine sample for culture.
9. A nurse is caring for a client prescribed digoxin. Which of the following findings indicates digoxin
toxicity?
, • A. Tachycardia
• B. Visual disturbances
• C. Hypertension
• D. Constipation
10. A nurse is assessing a client who reports chest pain unrelieved by rest. Which of the following
findings is most concerning?
• A. Pain radiating to the jaw.
• B. Mild dyspnea.
• C. A blood pressure of 140/90 mmHg.
• D. Heart rate of 88 beats/min.
11. A client receiving morphine sulfate for pain control is drowsy and has a respiratory rate of 10
breaths/min. Which of the following actions should the nurse take first?
• A. Administer oxygen.
• B. Stop the morphine infusion.
• C. Prepare to administer naloxone.
• D. Notify the provider.
12. A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which of the following
isolation precautions should the nurse implement?
• A. Contact precautions
• B. Droplet precautions
• C. Airborne precautions
• D. Protective environment precautions
13. A nurse is preparing to administer a potassium chloride IV infusion to a client. Which of the
following actions should the nurse take?
• A. Administer the infusion rapidly.
• B. Dilute the medication before infusion.
1. A nurse is preparing to administer an IM injection to a client. Which of the following is the preferred
site for an adult?
• A. Vastus lateralis
• B. Ventrogluteal
• C. Deltoid
• D. Dorsogluteal
2. A nurse is caring for a client with a stage III pressure ulcer. Which of the following interventions is
appropriate?
• A. Apply a transparent film dressing.
• B. Use a hydrocolloid dressing.
• C. Pack the wound with a moistened saline dressing.
• D. Leave the wound open to air.
3. A client receiving warfarin therapy has an INR of 5.2. Which of the following actions should the
nurse take?
• A. Administer the next dose as prescribed.
• B. Increase the client’s intake of green leafy vegetables.
• C. Prepare to administer vitamin K.
• D. Request an order for heparin.
4. A client is experiencing acute shortness of breath. Which of the following actions should the nurse
perform first?
• A. Administer a bronchodilator.
• B. Elevate the head of the bed.
• C. Check the client’s oxygen saturation.
• D. Call the provider.
,5. A nurse is educating a client about self-administration of insulin. Which of the following statements
indicates understanding?
• A. “I will inject insulin into the same spot every time.”
• B. “I will shake the insulin vial before drawing up the dose.”
• C. “I will inject the insulin at a 45- to 90-degree angle.”
• D. “I will mix all types of insulin in the same syringe.”
6. A client with type 1 diabetes reports feeling shaky and sweaty. Which of the following is the nurse’s
priority intervention?
• A. Check the client’s blood glucose.
• B. Administer 1 mg of glucagon IM.
• C. Provide the client with 8 oz of orange juice.
• D. Notify the provider.
7. A nurse is teaching a client about home care following cataract surgery. Which of the following
statements indicates a need for further teaching?
• A. “I will avoid lifting heavy objects.”
• B. “I will wear an eye shield while sleeping.”
• C. “I will bend over to tie my shoes.”
• D. “I will avoid straining during bowel movements.”
8. A client with dehydration has a urine specific gravity of 1.035. Which of the following actions should
the nurse take?
• A. Encourage the client to drink more fluids.
• B. Administer diuretics as prescribed.
• C. Restrict oral fluid intake.
• D. Collect another urine sample for culture.
9. A nurse is caring for a client prescribed digoxin. Which of the following findings indicates digoxin
toxicity?
, • A. Tachycardia
• B. Visual disturbances
• C. Hypertension
• D. Constipation
10. A nurse is assessing a client who reports chest pain unrelieved by rest. Which of the following
findings is most concerning?
• A. Pain radiating to the jaw.
• B. Mild dyspnea.
• C. A blood pressure of 140/90 mmHg.
• D. Heart rate of 88 beats/min.
11. A client receiving morphine sulfate for pain control is drowsy and has a respiratory rate of 10
breaths/min. Which of the following actions should the nurse take first?
• A. Administer oxygen.
• B. Stop the morphine infusion.
• C. Prepare to administer naloxone.
• D. Notify the provider.
12. A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which of the following
isolation precautions should the nurse implement?
• A. Contact precautions
• B. Droplet precautions
• C. Airborne precautions
• D. Protective environment precautions
13. A nurse is preparing to administer a potassium chloride IV infusion to a client. Which of the
following actions should the nurse take?
• A. Administer the infusion rapidly.
• B. Dilute the medication before infusion.
