ATI Comprehensive 1 (Test 2019 A) Questions
with Correct Answers 2025
S/S of a hemolytic transfusion reaction - CORRECT ANSWER -low back pain, tachycardia, hypotension
WhatZvaccine is safe to administer to a client who is pregnant? - CORRECT ANSWER -Tdap (between 27-
36 weeks)
What is Sims' position? - CORRECT ANSWER -Client is side-lying with flexion of hip and knee
What are some potential causes of fixed, dilated pupils? - CORRECT ANSWER -
Brain aneurysm, brain tumor, cerebral edema head trauma, increased intracranial pressure, intracranial h
emorrhage, stroke
What is incidence proportion? - CORRECT ANSWER -
The proportion of an unaffected population that becomes affected in a specified time period
WhatZis prevalence proportion? -ZCORRECT ANSWER -
# of people affected by something in relation to # of people in population
What action does meconium staining of amniotic fluid necessitate? - CORRECT ANSWER -
Prepare equipment needed for newborn resuscitation (in case of aspiration). Endotracheal suctioning is r
ecommended if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after d
elivery.
Photosensitivity vs photophobia? - CORRECT ANSWERZ-Photosensitivity: LightZirritates skin
Photophobia: Light irritates eyes
A nurse is developingZan educational program about bioterrorism and smallpox. The nurse should include
in the teaching that theZsmallpoxZrash is expected to first appear where? - CORRECT ANSWER -
On the face
When should ACE inhibitors be taken in relation to meals? - CORRECT ANSWER -
1 hour before or 2 hours after meals
,What is the moro reflex and when should it disappear? - CORRECT ANSWER -Startle reflex-
elicited by striking the surface next to newborn to startle him/her which causes abduction and extension
of arms. Reflex dissipates after 4 mo (continued presence is associated with neurological disorder)
At what age should an infant be allowed to try finger foods? - CORRECT ANSWER -Self-
feeding finger foods such as crackers atZaround 6 mo of age
How long should an infant receive breast milkZor iron-fortified formula? - CORRECT ANSWER -
Until 1 year of age
What is open-angle glaucoma? - CORRECT ANSWER -
Damage to optic nerve from increased pressure from overproduction of fluid =>Zpainless ipsilateral dilate
d pupil, gradual tunnel vision, optic disc cupping
*Open-angle: angel where iris meets cornea is as wide as it should be; it's normal
What are the APGAR score ranges? - CORRECT ANSWER -0, 1, or 2 score in each of 5 categories.
1. skin color (pink all over)
2. heart rate (>100/min.)
3. respiratory effort (good, strong cry)
4. muscle tone (well-flexed extremities)
5. reflex irritability (responds to stimulation with cry, cough or sneeze)
0-3 severe distress
4-6 moderate distress
7-10 no distress
WhatZis closed-angle glaucoma? -ZCORRECT ANSWER -
Glaucoma in which the irisZdilates and pushes against the lens of theZeyes, disrupting flow of aqueous hu
,mor into the anterior chamber. This pressure in the posterior chamber then pushes the peripheral iris for
ward and blocks the angle causingZintraocular eye pressure to damage optic nerve
**ONLY KIND THAT CAUSESZPAIN
What is meperidine (Demerol)? - CORRECT ANSWER -Opioid for moderate-to-severe pain.
Which group is most at risk for developing Hep A? -ZCORRECT ANSWER -
Children and youngZadults b/c itZis acquire through feces, bile, and blood of infected agents and they get i
t from school, poor hygiene, hand-to-mouth contact, or another form of close contact
What is buprenorphine? - CORRECT ANSWER -- Opioid "partial" agonist
-Binds toZopioid receptors, causing partial activation, but notZenough to experience "high" or euphoria
-Also acts indirectly as an opioid antagonist, blocking effects of other opioids
Can estrogen-containingZbirth control pills be taken while breastfeeding? - CORRECT ANSWER -
No. Estrogen-
containing birth control pills, implants, patches, and vaginal rings should not be taken d/t risk of inhibitin
g breast milk production
WhatZis the normal urine osmolality value? - CORRECT ANSWER -50-1200 mOsm/kg
WhatZhappens to pupils during opioid toxicity? - CORRECT ANSWER -Pinpoint
WhatZdoes the maternal serum alpha-fetoprotein screen for? - CORRECT ANSWER -
Open neural tube defects which takesZplace 16-18 weeks of gestation
Vaso-occlusive crisis - CORRECT ANSWER -Ischemia and pain caused by sickle-
shaped red blood cells that obstruct blood flow to a portion of the body.
A nurse is caringZfor a client who is 12 hours postop following a total hip arthroplasty. What med should t
he nurse administer? -ZCORRECT ANSWER -
, Enoxaparin b/c it inhibitsZantithrombin and thrombin which prevents DVTs (it acts immediately whereas
warfarin takes 1-7 days)
A nurse is teachinga client who has osteoporosis and a new prescription for alendronate. What instructio
n should the nurse give? - CORRECT ANSWER -
Sit upright for 30 min. after taking the med. to prevent esophagitis
How much weight should a woman gain during pregnancy? - CORRECT ANSWER -25-
35 lbs. It is primarily maternal tissue growth during 1st and 2nd trimesters and fetal tissue growth during
the 3rd trimester
A nurse is caringZfor a newly admitted newborn who isZlarge for gestational age. After 30 min, the newbor
n becomes jittery and lethargic with hypotonicZmuscles and a cry that is different from the time of admiss
ion. What should the nurse do? -ZCORRECT ANSWER -
Perform a heel stick to checkZthe newborn's glucose level.
AZnewborn who is large for gestational age is at riskZfor hypoglycemia. Jitteriness, lethargy, hypotonia, an
unusual cry, respiratory distress, poor feeding, and an unstable body temp. indicate hypoglycemia
How often and how long should contractions occur in early (latent) stage of labor? - CORRECT ANSWER -
5-30 min. and 30-45 seconds
AZnurse is caringZfor an infant who has gastroenteritis and is dehydrated. What characteristic places the in
fant at a higher risk of electrolyte imbalance compared to an adult client? -ZCORRECT ANSWER -
Longer intestinal tract. Compared to adults or older children, infants have a longer intestinal tract. This re
sults in greater fluid losses, especially through diarrhea.
What is the healthy BMI range? -ZCORRECT ANSWER -18.5-24.9 kg/m^2
At what point in pregnancy should a GBS be obtained? - CORRECT ANSWER -35-37 weeks gestation
Should be obtained vaginal/anal
GBS=group B streptococcus B-hemolytic culture
with Correct Answers 2025
S/S of a hemolytic transfusion reaction - CORRECT ANSWER -low back pain, tachycardia, hypotension
WhatZvaccine is safe to administer to a client who is pregnant? - CORRECT ANSWER -Tdap (between 27-
36 weeks)
What is Sims' position? - CORRECT ANSWER -Client is side-lying with flexion of hip and knee
What are some potential causes of fixed, dilated pupils? - CORRECT ANSWER -
Brain aneurysm, brain tumor, cerebral edema head trauma, increased intracranial pressure, intracranial h
emorrhage, stroke
What is incidence proportion? - CORRECT ANSWER -
The proportion of an unaffected population that becomes affected in a specified time period
WhatZis prevalence proportion? -ZCORRECT ANSWER -
# of people affected by something in relation to # of people in population
What action does meconium staining of amniotic fluid necessitate? - CORRECT ANSWER -
Prepare equipment needed for newborn resuscitation (in case of aspiration). Endotracheal suctioning is r
ecommended if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after d
elivery.
Photosensitivity vs photophobia? - CORRECT ANSWERZ-Photosensitivity: LightZirritates skin
Photophobia: Light irritates eyes
A nurse is developingZan educational program about bioterrorism and smallpox. The nurse should include
in the teaching that theZsmallpoxZrash is expected to first appear where? - CORRECT ANSWER -
On the face
When should ACE inhibitors be taken in relation to meals? - CORRECT ANSWER -
1 hour before or 2 hours after meals
,What is the moro reflex and when should it disappear? - CORRECT ANSWER -Startle reflex-
elicited by striking the surface next to newborn to startle him/her which causes abduction and extension
of arms. Reflex dissipates after 4 mo (continued presence is associated with neurological disorder)
At what age should an infant be allowed to try finger foods? - CORRECT ANSWER -Self-
feeding finger foods such as crackers atZaround 6 mo of age
How long should an infant receive breast milkZor iron-fortified formula? - CORRECT ANSWER -
Until 1 year of age
What is open-angle glaucoma? - CORRECT ANSWER -
Damage to optic nerve from increased pressure from overproduction of fluid =>Zpainless ipsilateral dilate
d pupil, gradual tunnel vision, optic disc cupping
*Open-angle: angel where iris meets cornea is as wide as it should be; it's normal
What are the APGAR score ranges? - CORRECT ANSWER -0, 1, or 2 score in each of 5 categories.
1. skin color (pink all over)
2. heart rate (>100/min.)
3. respiratory effort (good, strong cry)
4. muscle tone (well-flexed extremities)
5. reflex irritability (responds to stimulation with cry, cough or sneeze)
0-3 severe distress
4-6 moderate distress
7-10 no distress
WhatZis closed-angle glaucoma? -ZCORRECT ANSWER -
Glaucoma in which the irisZdilates and pushes against the lens of theZeyes, disrupting flow of aqueous hu
,mor into the anterior chamber. This pressure in the posterior chamber then pushes the peripheral iris for
ward and blocks the angle causingZintraocular eye pressure to damage optic nerve
**ONLY KIND THAT CAUSESZPAIN
What is meperidine (Demerol)? - CORRECT ANSWER -Opioid for moderate-to-severe pain.
Which group is most at risk for developing Hep A? -ZCORRECT ANSWER -
Children and youngZadults b/c itZis acquire through feces, bile, and blood of infected agents and they get i
t from school, poor hygiene, hand-to-mouth contact, or another form of close contact
What is buprenorphine? - CORRECT ANSWER -- Opioid "partial" agonist
-Binds toZopioid receptors, causing partial activation, but notZenough to experience "high" or euphoria
-Also acts indirectly as an opioid antagonist, blocking effects of other opioids
Can estrogen-containingZbirth control pills be taken while breastfeeding? - CORRECT ANSWER -
No. Estrogen-
containing birth control pills, implants, patches, and vaginal rings should not be taken d/t risk of inhibitin
g breast milk production
WhatZis the normal urine osmolality value? - CORRECT ANSWER -50-1200 mOsm/kg
WhatZhappens to pupils during opioid toxicity? - CORRECT ANSWER -Pinpoint
WhatZdoes the maternal serum alpha-fetoprotein screen for? - CORRECT ANSWER -
Open neural tube defects which takesZplace 16-18 weeks of gestation
Vaso-occlusive crisis - CORRECT ANSWER -Ischemia and pain caused by sickle-
shaped red blood cells that obstruct blood flow to a portion of the body.
A nurse is caringZfor a client who is 12 hours postop following a total hip arthroplasty. What med should t
he nurse administer? -ZCORRECT ANSWER -
, Enoxaparin b/c it inhibitsZantithrombin and thrombin which prevents DVTs (it acts immediately whereas
warfarin takes 1-7 days)
A nurse is teachinga client who has osteoporosis and a new prescription for alendronate. What instructio
n should the nurse give? - CORRECT ANSWER -
Sit upright for 30 min. after taking the med. to prevent esophagitis
How much weight should a woman gain during pregnancy? - CORRECT ANSWER -25-
35 lbs. It is primarily maternal tissue growth during 1st and 2nd trimesters and fetal tissue growth during
the 3rd trimester
A nurse is caringZfor a newly admitted newborn who isZlarge for gestational age. After 30 min, the newbor
n becomes jittery and lethargic with hypotonicZmuscles and a cry that is different from the time of admiss
ion. What should the nurse do? -ZCORRECT ANSWER -
Perform a heel stick to checkZthe newborn's glucose level.
AZnewborn who is large for gestational age is at riskZfor hypoglycemia. Jitteriness, lethargy, hypotonia, an
unusual cry, respiratory distress, poor feeding, and an unstable body temp. indicate hypoglycemia
How often and how long should contractions occur in early (latent) stage of labor? - CORRECT ANSWER -
5-30 min. and 30-45 seconds
AZnurse is caringZfor an infant who has gastroenteritis and is dehydrated. What characteristic places the in
fant at a higher risk of electrolyte imbalance compared to an adult client? -ZCORRECT ANSWER -
Longer intestinal tract. Compared to adults or older children, infants have a longer intestinal tract. This re
sults in greater fluid losses, especially through diarrhea.
What is the healthy BMI range? -ZCORRECT ANSWER -18.5-24.9 kg/m^2
At what point in pregnancy should a GBS be obtained? - CORRECT ANSWER -35-37 weeks gestation
Should be obtained vaginal/anal
GBS=group B streptococcus B-hemolytic culture
