Review ATI Comprehensive Exam 2025(ACCURATE AND LATEST
UPDATE )FREQUENTLY TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS.
1. A nurse is performing assessments on newborns in the nursery. Which of the
following findings should the nurse report to the provider?
a. A two day old newborn who has a respiratory rate of 70
b. A 16 hour old new newborn who has yet to pass meconium
c. A 2 day old newborn who has a small amount of blood tinged vaginal discharge
d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
ANSWER-** a. RR of 70 is high, RR for newborn is 30 - 60 is normal
b. A 16 hour old new newborn who has yet to pass meconium- you got 24 hours to
pass stool
d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
2. A nurse on an acute unit has received change of shift report for 4 clients which
of the following clients should the nurse assess first?
a. A client who is 1 hr postoperative and has hypoactive bowel sounds
b. A client who has fractured left tibia and pallor in the affected extremity
c. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses
d. A client who has a elevated AST level following administration of azithromycin
ANSWER-b. A client who has fractured left tibia and pallor in the affected
extremity
** Pain pallor pulselessness paresthesia
,3. A nurse is providing discharge instructions to a client who has a new
prescription for haloperidol which of the following adverse effects should the nurse
instruct the client to report to the provider? a. Weight gain
b. Dry mouth
c. Sedation
d. Shuffling gait
ANSWER-d. Shuffling gait →A/E EPS: is an indication of
parkinsonism and should be reported to the PCP **
b. Dry mouth→ anticholinergic effects
c. Sedation → s/s neuroleptic malignant syndrome??>> life threatening
4. A nurse is planning discharge teaching about cord care for the parents of a
newborn which of the following instructions should the nurse plan to include in the
teaching? P . 177 ch 26
a. Clean the base of the cord with hydrogen peroxide daily
b. The cord stump will fall off in 5 days
c. Contact the provider if the cord stump turns black
d. Keep the cord stump dry until it falls off
ANSWER-d. Keep the cord stump dry until it falls off **
Rationale: cord usually falls out within 7 to 10 days. Clean with soap and water.
Cord is expected to turn black and dry
5. A nurse is teaching dietary guidelines to a client who has celiac disease which of
the following food choices is appropriate for the client?
,a. White flour tortillas
b. Potato pancakes
c. Wheat crackers
d. Canned barley soup
ANSWER-b. Potato pancakes
6. A nurse is working in acute care mental health facility is assessing a client who
has schizophrenia. Which of the following findings should the nurse expect?
a. All or nothing thinking
b. Euphoric mood
c. Disorganized speech
d. Hypochondriasis ( anxiety disorder)
ANSWER-c. Disorganized speech
7. A nurse is caring for a client who is immobile which of the following
interventions is appropriate to prevent contracture?
a. Align a trochanter wedge between the clients legs
b. Place a towel roll under the clients neck
c. Apply an orthotic to the clients foot
d. Position a pillow under the client's knees
ANSWER-c. Apply an orthotic to the clients foot
8. A public health nurse working in a rural area is developing a program to
improve health for the local population. Which of the following actions should the
nurse plan to take?
, a. Provide anticipatory guidance classes to parents through public schools
b. Have a nurse from the outside the community provide health lectures at the
county hospital
c. Encourage rural residents to focus health spending on tertiary health
interventions
d. Launch a media campaign to increase awareness about industrial pollution
ANSWER-a. Provide anticipatory guidance classes to parents through public
schools
9. A nurse in the emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of injuries
should the nurse assign the highest priority?
a. Below the knee amputation
b. 10cm (4 in) laceration
c. Fractured tibia
d. 95% full thickness body burn
ANSWER-A. Below the knee amputation → ESI Level 1
- 10cm (4 in) laceration → ESI Level 4
- Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity
dislocation then level 1.
- 95% full thickness body burn --> expectorant --> black triage
10. A nurse is preparing a change of shift report for an adult female client who is
postoperative. Which of the following client information should the nurse include
in the report? CONFIRMED
UPDATE )FREQUENTLY TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS.
1. A nurse is performing assessments on newborns in the nursery. Which of the
following findings should the nurse report to the provider?
a. A two day old newborn who has a respiratory rate of 70
b. A 16 hour old new newborn who has yet to pass meconium
c. A 2 day old newborn who has a small amount of blood tinged vaginal discharge
d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
ANSWER-** a. RR of 70 is high, RR for newborn is 30 - 60 is normal
b. A 16 hour old new newborn who has yet to pass meconium- you got 24 hours to
pass stool
d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
2. A nurse on an acute unit has received change of shift report for 4 clients which
of the following clients should the nurse assess first?
a. A client who is 1 hr postoperative and has hypoactive bowel sounds
b. A client who has fractured left tibia and pallor in the affected extremity
c. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses
d. A client who has a elevated AST level following administration of azithromycin
ANSWER-b. A client who has fractured left tibia and pallor in the affected
extremity
** Pain pallor pulselessness paresthesia
,3. A nurse is providing discharge instructions to a client who has a new
prescription for haloperidol which of the following adverse effects should the nurse
instruct the client to report to the provider? a. Weight gain
b. Dry mouth
c. Sedation
d. Shuffling gait
ANSWER-d. Shuffling gait →A/E EPS: is an indication of
parkinsonism and should be reported to the PCP **
b. Dry mouth→ anticholinergic effects
c. Sedation → s/s neuroleptic malignant syndrome??>> life threatening
4. A nurse is planning discharge teaching about cord care for the parents of a
newborn which of the following instructions should the nurse plan to include in the
teaching? P . 177 ch 26
a. Clean the base of the cord with hydrogen peroxide daily
b. The cord stump will fall off in 5 days
c. Contact the provider if the cord stump turns black
d. Keep the cord stump dry until it falls off
ANSWER-d. Keep the cord stump dry until it falls off **
Rationale: cord usually falls out within 7 to 10 days. Clean with soap and water.
Cord is expected to turn black and dry
5. A nurse is teaching dietary guidelines to a client who has celiac disease which of
the following food choices is appropriate for the client?
,a. White flour tortillas
b. Potato pancakes
c. Wheat crackers
d. Canned barley soup
ANSWER-b. Potato pancakes
6. A nurse is working in acute care mental health facility is assessing a client who
has schizophrenia. Which of the following findings should the nurse expect?
a. All or nothing thinking
b. Euphoric mood
c. Disorganized speech
d. Hypochondriasis ( anxiety disorder)
ANSWER-c. Disorganized speech
7. A nurse is caring for a client who is immobile which of the following
interventions is appropriate to prevent contracture?
a. Align a trochanter wedge between the clients legs
b. Place a towel roll under the clients neck
c. Apply an orthotic to the clients foot
d. Position a pillow under the client's knees
ANSWER-c. Apply an orthotic to the clients foot
8. A public health nurse working in a rural area is developing a program to
improve health for the local population. Which of the following actions should the
nurse plan to take?
, a. Provide anticipatory guidance classes to parents through public schools
b. Have a nurse from the outside the community provide health lectures at the
county hospital
c. Encourage rural residents to focus health spending on tertiary health
interventions
d. Launch a media campaign to increase awareness about industrial pollution
ANSWER-a. Provide anticipatory guidance classes to parents through public
schools
9. A nurse in the emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of injuries
should the nurse assign the highest priority?
a. Below the knee amputation
b. 10cm (4 in) laceration
c. Fractured tibia
d. 95% full thickness body burn
ANSWER-A. Below the knee amputation → ESI Level 1
- 10cm (4 in) laceration → ESI Level 4
- Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity
dislocation then level 1.
- 95% full thickness body burn --> expectorant --> black triage
10. A nurse is preparing a change of shift report for an adult female client who is
postoperative. Which of the following client information should the nurse include
in the report? CONFIRMED
