1
ATI RN COMPREHENSIVE ONLINE PRACTICE 2019 B
WITH NGN 150 QUESTIONS WITH CORRECT ANSWERS
GRADED A
A nurse has just received change-of-shift report on four clients. Which of the following clients
should the nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter CORRECT ANSWER- A client
who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is postoperative
with abdominal distention and no bowel sounds because these manifestations are indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more
than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others Impaired
language skills
y input
Hyperreactivity to sensor
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes First
visit:
A child is brought to the clinic accompanied by guardians. The guardians have received feedback
from the child's teacher that the child has become disinterested in schoolwork and has difficulty
paying attention during class. The child often loses their school supplies.
,2
The guardians report that the child demonstrates these behaviors at home as well. The child refuses to participate
in household chores, keeps their room untidy, does not clean up when told to, and is generally careless and
disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is improving at
paying attention during class and completing assignments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min Respiratory
rate 24/min Temperature 37.2° C
(99° F) SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min Respiratory
rate 22/min Temperature 37° C
(98.6° F) SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily with breakfast
CORRECT ANSWER- ADHD
Hyperreactivity to sensory input Losing
necessary things Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include losing
necessary things, interrupting others, intellectual impairment, and hyper reactivity to sensory
input.
In ADHD, the client often loses necessary things in daily life, such as pencils, erasers, and
books. The client often interrupts others and has difficulty waiting for their turn in conversation.
,3
The client might have an intellectual impairment, which can lead to poor academic performance and difficulties
with socialization. The client might exhibit hyperreactivity or hyporeactivity to stimuli.
A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements by one of the staff nurses indicates an understanding
of isolation precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
"A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A client who is immunocompromised should be placed in a negative-pressure airflow room."
CORRECT ANSWER- A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the
following isolation precautions for the client?
Droplet
Airborne
Contact
Protective environment CORRECT ANSWER- Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room
and wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet
particles.
A nurse in a community center is providing an educational session to a group of clients about ovarian cancer.
Which of the following manifestations of ovarian cancer should the nurse include in the teaching?
, 4
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating CORRECT ANSWER- Abdominal bloating
The nurse should include the presence of abdominal bloating as an early manifestation of ovarian
cancer. Other manifestations include an increase in abdominal girth, pelvic or abdominal pain,
early satiety, and urinary frequency or urgency.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg, and HCO3- of 25 mEq/L. The nurse should identify that the client has which of the
following acid-base imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis CORRECT ANSWER- Respiratory acidosis
A client who has respiratory acidosis will have a decreased pH below the expected reference range of 7.35 to 7.45,
an increased PaCO2 above the expected reference range of 35 to 45 mm Hg, and an HCO3- within the expected
reference range of 22 to 26 mEq/L.
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a
stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. CORRECT ANSWER- Apply a cold
pack to the client's ankle for 30 min every hour.
ATI RN COMPREHENSIVE ONLINE PRACTICE 2019 B
WITH NGN 150 QUESTIONS WITH CORRECT ANSWERS
GRADED A
A nurse has just received change-of-shift report on four clients. Which of the following clients
should the nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter CORRECT ANSWER- A client
who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is postoperative
with abdominal distention and no bowel sounds because these manifestations are indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more
than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others Impaired
language skills
y input
Hyperreactivity to sensor
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes First
visit:
A child is brought to the clinic accompanied by guardians. The guardians have received feedback
from the child's teacher that the child has become disinterested in schoolwork and has difficulty
paying attention during class. The child often loses their school supplies.
,2
The guardians report that the child demonstrates these behaviors at home as well. The child refuses to participate
in household chores, keeps their room untidy, does not clean up when told to, and is generally careless and
disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is improving at
paying attention during class and completing assignments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min Respiratory
rate 24/min Temperature 37.2° C
(99° F) SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min Respiratory
rate 22/min Temperature 37° C
(98.6° F) SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily with breakfast
CORRECT ANSWER- ADHD
Hyperreactivity to sensory input Losing
necessary things Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include losing
necessary things, interrupting others, intellectual impairment, and hyper reactivity to sensory
input.
In ADHD, the client often loses necessary things in daily life, such as pencils, erasers, and
books. The client often interrupts others and has difficulty waiting for their turn in conversation.
,3
The client might have an intellectual impairment, which can lead to poor academic performance and difficulties
with socialization. The client might exhibit hyperreactivity or hyporeactivity to stimuli.
A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements by one of the staff nurses indicates an understanding
of isolation precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
"A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A client who is immunocompromised should be placed in a negative-pressure airflow room."
CORRECT ANSWER- A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the
following isolation precautions for the client?
Droplet
Airborne
Contact
Protective environment CORRECT ANSWER- Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room
and wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet
particles.
A nurse in a community center is providing an educational session to a group of clients about ovarian cancer.
Which of the following manifestations of ovarian cancer should the nurse include in the teaching?
, 4
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating CORRECT ANSWER- Abdominal bloating
The nurse should include the presence of abdominal bloating as an early manifestation of ovarian
cancer. Other manifestations include an increase in abdominal girth, pelvic or abdominal pain,
early satiety, and urinary frequency or urgency.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg, and HCO3- of 25 mEq/L. The nurse should identify that the client has which of the
following acid-base imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis CORRECT ANSWER- Respiratory acidosis
A client who has respiratory acidosis will have a decreased pH below the expected reference range of 7.35 to 7.45,
an increased PaCO2 above the expected reference range of 35 to 45 mm Hg, and an HCO3- within the expected
reference range of 22 to 26 mEq/L.
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a
stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. CORRECT ANSWER- Apply a cold
pack to the client's ankle for 30 min every hour.
