ATI COMPREHENSIVE WITH NGN EXAM
ATI COMPREHENSIVE WITH NGN
EXAM STUDY GUIDE. GRADED
A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
➢ A nurse is caring for a client who has bipolar disorder and is experiencing acute
mania. The nurse obtained a verbal prescription for restraints. Which of the following
should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes
➢ A nursing planning care for a school-age child who is 4 hr postoperative
following perforated appendicitis. Which of the following actions should the nurse
include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
➢ Anurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. Aclient who has sinus arrhythmia and is receiving cardiac monitoring
b. Aclient who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. Aclient who has epidural analgesia and weakness in the lower extremities
d. Aclient who has a hip fracture and a new onset of tachypnea
,ATI COMPREHENSIVE WITH NGN EXAM
➢ A nurse is preparing to apply a transdermal nicotine patch for a client.
Which of the following actions should the nurse tak e?
a. Shave hairy areas of skin prior to application ( apply to hairless, clean &
dry areas to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately)
d. Remove the previous patch and place it in a tissue (fold patch in half
with sticky sides pressed together)
➢ A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
d. A client who received a pain medication 30 min ago for postoperative pain
➢ A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
,ATI COMPREHENSIVE WITH NGN EXAM
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
➢ A nurse is reviewing the laboratory results for a client who has Cushing’s
disease. The nurse should expect the client to have an increase in which of the
following laboratory values?
a. Serum glucose level- increased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
. 8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of the following actions should
the nurse take? a. Position the client
supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
Calcium gluconate is given for magnesium sulfate toxicity. Always have an
injectable form of calcium gluconate available when administering magnesium
sulfate by IV.
9. A charge nurse is teaching new staff members about factors that increase
a client’s risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
Risk factors also include: past history of aggression, poor impulse control, and
violence. Comorbidity that leads to acts of violence (psychotic delusions,
command hallucinations, violent angry reactions with cognitive disorders).
Individual Assessment for Violence
, ATI COMPREHENSIVE WITH NGN EXAM
10. A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap AWAY
from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
ATI COMPREHENSIVE WITH NGN
EXAM STUDY GUIDE. GRADED
A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
UPDATE
➢ A nurse is caring for a client who has bipolar disorder and is experiencing acute
mania. The nurse obtained a verbal prescription for restraints. Which of the following
should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes
➢ A nursing planning care for a school-age child who is 4 hr postoperative
following perforated appendicitis. Which of the following actions should the nurse
include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
➢ Anurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. Aclient who has sinus arrhythmia and is receiving cardiac monitoring
b. Aclient who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. Aclient who has epidural analgesia and weakness in the lower extremities
d. Aclient who has a hip fracture and a new onset of tachypnea
,ATI COMPREHENSIVE WITH NGN EXAM
➢ A nurse is preparing to apply a transdermal nicotine patch for a client.
Which of the following actions should the nurse tak e?
a. Shave hairy areas of skin prior to application ( apply to hairless, clean &
dry areas to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately)
d. Remove the previous patch and place it in a tissue (fold patch in half
with sticky sides pressed together)
➢ A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
d. A client who received a pain medication 30 min ago for postoperative pain
➢ A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
,ATI COMPREHENSIVE WITH NGN EXAM
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
➢ A nurse is reviewing the laboratory results for a client who has Cushing’s
disease. The nurse should expect the client to have an increase in which of the
following laboratory values?
a. Serum glucose level- increased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
. 8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of the following actions should
the nurse take? a. Position the client
supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
Calcium gluconate is given for magnesium sulfate toxicity. Always have an
injectable form of calcium gluconate available when administering magnesium
sulfate by IV.
9. A charge nurse is teaching new staff members about factors that increase
a client’s risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
Risk factors also include: past history of aggression, poor impulse control, and
violence. Comorbidity that leads to acts of violence (psychotic delusions,
command hallucinations, violent angry reactions with cognitive disorders).
Individual Assessment for Violence
, ATI COMPREHENSIVE WITH NGN EXAM
10. A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap AWAY
from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
