1
ATI RN COMPREHENSIVE ONLINE PRACTICE 2019 A
WITH NGN WITH SPECIFIC QUESTIONS STRUCTURED
FROM SCREENSHOTS EXAM
A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast
for 24 hr. Which of the following assessment findings should the nurse identify as the priority?
A.) the client reports leg itching under the cast around the mid-upper thigh area
B.) The client reports increased pain when the leg is lowered below the level of the heart
C.) The client's cast became wet during a sponge bath
D.) The client's heel is reddened and tender CORRECT ANSWER- D.) The client's heel is
reddened and tender
A nurse working on a medical-surgical unit receives a telephone call requesting the status of a
client from an individual who identifies themself as the client's parent. Which of the following
actions should the nurse take?
A.) Ask the caller for verification of their identity
B.) Give the caller limited information about the client
C.) transfer the phone call to the client's room
D.) Inform the caller that they should obtain permission from the client's provider CORRECT
ANSWER- A.) Ask the Caller for verification of their identity
A charge nurse is observing a newly licensed nurse performing a physical assessment on a client.
Which of the following actions by the nurse indicates that the charge nurse should intervene?
A.) While performing a breast examination, the newly licensed nurse discusses techniques of
breast self-examination with the client.
B.) The newly licensed nurse writes detailed notes while performing the head-to-toe assessment.
C.) The newly licensed nurse uses a penlight to assess for changes in the contour of the body.
D.) The newly licensed nurse uses the dorsal surface of the hand to assess skin temperature.
CORRECT ANSWER- B.)The newly licensed nurse writes detailed notes while performing the
head-to-toe assessment.
A nurse receives a request from a client to review the information in his medical record.
Which of the following responses should the the nurse give?
,2
A.) "There's a protocol for reviewing your medical record, and I can initiate the
process."
B.)"The medical record has a lot of medical terminology, and it might be difficult for you
to
understand."
C.)"You should really talk to your provider if you have any questions about your
treatment."
D.) "Some parts of your medical record are restricted, but I can show you the parts that you
are
allowed to see." CORRECT ANSWER- A.) "There's a protocol for reviewing your
medical
record, and I can initiate the process."
A nurse is teaching a group of guardians about child safety measures. Which of the following
statements by a guardian indicates an understanding of the teaching?
A.)"I will make sure my 4-year-old child wears a helmet when using a skateboard."
B.) "I should have my child avoid sun exposure between 10 am and 2 pm."
C.) "I can give my 2-year-old child a whole hotdog on a bun."
D.) "When my infant is in the carrier, I will place it on a raised, flat surface whenever possible."
CORRECT ANSWER- B.)"I should have my child avoid sun exposure between 10 am and 2
pm."
A nurse in a provider's office is caring for a client who has a new diagnosis of type 2 diabetes
mellitus
Nurses' Notes 0800:
Client has a 2 cm x 3 cm (0.79 in x 1.18 in) vascular ulcer noted on right ankle. Site cleaned with
0.9% sodium chloride and dressing covered with hydrogel foam. Capillary refill greater than 5
seconds bilaterally. Dorsalis pedis pulses 1+ bilaterally.
Education provided to the client about wound care and diet to control glucose levels.
Laboratory Results 0830:
Glucos e 175 mg/dL (74 to 106 mg/dL)HbA1c 9% (less than 7%)WBC count 9,500/mm3 (5,000
to 10,000/mm3)Hct 44% (42% to 52%)Hgb 15 g/dL (14 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to
5.0 mEq/L)
The client is at risk for developing
,3
a.) dysrhythmias
b.) delayed wound healing
c.) anemia
due to
a. glucose level
b. potassium level
c. hematocrit level CORRECT ANSWER- The client is at risk for developing b.) delayed
wound healing
due to a.) glucose level
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an
abdominal wound. Which of the following precautions should the nurse implement.
A.)Airborne
B.) Droplet
C.)Contact
D.) Protective environment CORRECT ANSWER- C.)Contact
A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess
the client for which of the following conditions prior to starting the procedure?
A.) Ketonuria
B.)Fecal impaction
C.)Latex allergy
D.)Tachycardia CORRECT ANSWER- C.)Latex allergy
A nurse is providing discharge teaching to a client following a cataract extraction. Which of the
following statements by the client indicates an understanding of the teaching?
A.)"I can resume my daily aspirin therapy."
B.)"I will contact my provider if my eye feels itchy."
C.)"I will bend at my knees when picking an object up off the floor."
D.) "It's okay for me to pick up my grandchild who weighs 20 pounds." CORRECT ANSWER-
C.) "I will bend at my knees when picking an object up off the floor."
A nurse is teaching a client who is to start taking misoprostol and currently is on long-term
therapy with NSAIDs for arthritis. The nurse should provide the client with which of the
, 4
following information?
A.) Increase intake of fluids and fiber to prevent constipation
B.) Complete a serum pregnancy test before taking the medication
C.) This medication coats stomach ulcers so that they can heal
D.) Take a magnesium-containing antacid along with this medication CORRECT ANSWER- B.)
Complete a serum pregnancy test before taking the medication
A nurse is teaching a client who has a new prescription for digoxin about manifestations of
toxicity. Which of the following findings should the nurse include in the teaching?
A.) Constipation
B.) Nausea
C.) Wheezing
D.) Muscle rigidity CORRECT ANSWER- B.) Nausea
A nurse is assessing a client who has obstructive sleep apnea. For which of the following
complications should the nurse monitor?
A.) weight
loss
B.) urinary
retention
C.)
hypertension
D.) hypoglycemia
CORRECT
ANSWER- C.)
Hypertension
A m nurse is providing Teaching to a parent of a child who has a permanent tracheostomy tube.
Identify the sequence of steps the parent should follow to perform tracheostomy care.
Steps:
1.) clean the stoma with 0.9% sodium chloride irrigation
2.) remove the inner cannula
3.) change the tracheostomy collar
4.) remove soiled dressing CORRECT ANSWER- 2.) Remove the Inner Cannula
ATI RN COMPREHENSIVE ONLINE PRACTICE 2019 A
WITH NGN WITH SPECIFIC QUESTIONS STRUCTURED
FROM SCREENSHOTS EXAM
A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast
for 24 hr. Which of the following assessment findings should the nurse identify as the priority?
A.) the client reports leg itching under the cast around the mid-upper thigh area
B.) The client reports increased pain when the leg is lowered below the level of the heart
C.) The client's cast became wet during a sponge bath
D.) The client's heel is reddened and tender CORRECT ANSWER- D.) The client's heel is
reddened and tender
A nurse working on a medical-surgical unit receives a telephone call requesting the status of a
client from an individual who identifies themself as the client's parent. Which of the following
actions should the nurse take?
A.) Ask the caller for verification of their identity
B.) Give the caller limited information about the client
C.) transfer the phone call to the client's room
D.) Inform the caller that they should obtain permission from the client's provider CORRECT
ANSWER- A.) Ask the Caller for verification of their identity
A charge nurse is observing a newly licensed nurse performing a physical assessment on a client.
Which of the following actions by the nurse indicates that the charge nurse should intervene?
A.) While performing a breast examination, the newly licensed nurse discusses techniques of
breast self-examination with the client.
B.) The newly licensed nurse writes detailed notes while performing the head-to-toe assessment.
C.) The newly licensed nurse uses a penlight to assess for changes in the contour of the body.
D.) The newly licensed nurse uses the dorsal surface of the hand to assess skin temperature.
CORRECT ANSWER- B.)The newly licensed nurse writes detailed notes while performing the
head-to-toe assessment.
A nurse receives a request from a client to review the information in his medical record.
Which of the following responses should the the nurse give?
,2
A.) "There's a protocol for reviewing your medical record, and I can initiate the
process."
B.)"The medical record has a lot of medical terminology, and it might be difficult for you
to
understand."
C.)"You should really talk to your provider if you have any questions about your
treatment."
D.) "Some parts of your medical record are restricted, but I can show you the parts that you
are
allowed to see." CORRECT ANSWER- A.) "There's a protocol for reviewing your
medical
record, and I can initiate the process."
A nurse is teaching a group of guardians about child safety measures. Which of the following
statements by a guardian indicates an understanding of the teaching?
A.)"I will make sure my 4-year-old child wears a helmet when using a skateboard."
B.) "I should have my child avoid sun exposure between 10 am and 2 pm."
C.) "I can give my 2-year-old child a whole hotdog on a bun."
D.) "When my infant is in the carrier, I will place it on a raised, flat surface whenever possible."
CORRECT ANSWER- B.)"I should have my child avoid sun exposure between 10 am and 2
pm."
A nurse in a provider's office is caring for a client who has a new diagnosis of type 2 diabetes
mellitus
Nurses' Notes 0800:
Client has a 2 cm x 3 cm (0.79 in x 1.18 in) vascular ulcer noted on right ankle. Site cleaned with
0.9% sodium chloride and dressing covered with hydrogel foam. Capillary refill greater than 5
seconds bilaterally. Dorsalis pedis pulses 1+ bilaterally.
Education provided to the client about wound care and diet to control glucose levels.
Laboratory Results 0830:
Glucos e 175 mg/dL (74 to 106 mg/dL)HbA1c 9% (less than 7%)WBC count 9,500/mm3 (5,000
to 10,000/mm3)Hct 44% (42% to 52%)Hgb 15 g/dL (14 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to
5.0 mEq/L)
The client is at risk for developing
,3
a.) dysrhythmias
b.) delayed wound healing
c.) anemia
due to
a. glucose level
b. potassium level
c. hematocrit level CORRECT ANSWER- The client is at risk for developing b.) delayed
wound healing
due to a.) glucose level
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an
abdominal wound. Which of the following precautions should the nurse implement.
A.)Airborne
B.) Droplet
C.)Contact
D.) Protective environment CORRECT ANSWER- C.)Contact
A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess
the client for which of the following conditions prior to starting the procedure?
A.) Ketonuria
B.)Fecal impaction
C.)Latex allergy
D.)Tachycardia CORRECT ANSWER- C.)Latex allergy
A nurse is providing discharge teaching to a client following a cataract extraction. Which of the
following statements by the client indicates an understanding of the teaching?
A.)"I can resume my daily aspirin therapy."
B.)"I will contact my provider if my eye feels itchy."
C.)"I will bend at my knees when picking an object up off the floor."
D.) "It's okay for me to pick up my grandchild who weighs 20 pounds." CORRECT ANSWER-
C.) "I will bend at my knees when picking an object up off the floor."
A nurse is teaching a client who is to start taking misoprostol and currently is on long-term
therapy with NSAIDs for arthritis. The nurse should provide the client with which of the
, 4
following information?
A.) Increase intake of fluids and fiber to prevent constipation
B.) Complete a serum pregnancy test before taking the medication
C.) This medication coats stomach ulcers so that they can heal
D.) Take a magnesium-containing antacid along with this medication CORRECT ANSWER- B.)
Complete a serum pregnancy test before taking the medication
A nurse is teaching a client who has a new prescription for digoxin about manifestations of
toxicity. Which of the following findings should the nurse include in the teaching?
A.) Constipation
B.) Nausea
C.) Wheezing
D.) Muscle rigidity CORRECT ANSWER- B.) Nausea
A nurse is assessing a client who has obstructive sleep apnea. For which of the following
complications should the nurse monitor?
A.) weight
loss
B.) urinary
retention
C.)
hypertension
D.) hypoglycemia
CORRECT
ANSWER- C.)
Hypertension
A m nurse is providing Teaching to a parent of a child who has a permanent tracheostomy tube.
Identify the sequence of steps the parent should follow to perform tracheostomy care.
Steps:
1.) clean the stoma with 0.9% sodium chloride irrigation
2.) remove the inner cannula
3.) change the tracheostomy collar
4.) remove soiled dressing CORRECT ANSWER- 2.) Remove the Inner Cannula
