Nursing ATI Comprehensive Final 150 Questions with Correct Answers Provided 2023 Update Graded A++

Nursing ATI Comprehensive Final 150 Questions with Correct Answers Provided Graded A++ 1- A nurse is providing teaching to a client who has come to the family planning clinic requesting an intrauterine device (IUD). Which of the following information should the nurse provide the client? "Your risk for ectopic pregnancy increases with an IUD." 2- A nurse is assessing a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask? "Does anyone smoke around or in the same house as your child?" 3- A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent? Oral glucocorticoids are more like to slow linear growth in children. 4- A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? Stop taking the herbal supplement while taking the medication. 5- A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurse's priority? Pulmonary function 6- A nurse is reviewing the laboratory report for a client who has chronic kidney disease (CKD). The nurse finds the following laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL. Which of the following findings is the priority for the nurse to report to the provider? Hyperkalemia 7- A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following data should the nurse use as a common example of a suggestive finding? Arm cast for a spiral fracture of the forearm 8- Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. The nurse has limited experience with children. Which of the following actions should the nurse manager take? Assign a unit nurse to act as a resource to act as a resource for the medical-surgical nurse 9- A nurse is developing a plan of care for a client who has gastroesophageal reflux disease (GERD). The nurse should plan to monitor the client for which of the following complications? Aspiration 10- A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make? "The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common. 11- A community health nurse is performing client triage while participating in a disaster drill. The nurse should recommend that which of the following clients receives treatment first? Hemothorax 12- A nurse is providing teaching to a school-age child who has just had a fiberglass cast application following lower extremity fracture. Which of the following instructions should the nurse give the child and his parents about care during the first 48 hours? "Keep the cast above the level of your heart. 13- A nurse is assessing a toddler who has AIDS. The nurse should identify which of the following findings as an indication of an opportunistic infection? Candidiasis 14- A nurse is assessing a client who has an abdominal aortic aneurysm (AAA). Which of the following findings should indicate to the nurse that the AAA is expanding? Report of sudden, severe back pain 15- A nurse is providing discharge teaching to a client who does not speak the same language as the nurse. The client's neighbor, who speaks the client's native language and the nurse's, arrives to drive the client home. Which of the following actions should the nurse take? Obtain the services of an interpreter 16- A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of the following actions should the nurse take first? Stop the medication infusion 17- A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parent's presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan because it offers which of the following benefits? Allows the child to manipulate toy medical equipment 18- A nurse on a mental health unit is caring for a client who has depression. Which of the following actions should the nurse take to foster a therapeutic environment for this client? Build trust with the client by sitting quietly with him 19- A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? Temperature 20- A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client's medical record, the nurse notes a history of chronic obstructive pulmonary disease (COPD). Which of the following oxygen-delivery methods should the nurse plan to use for this client? A nasal cannula 21- A nurse is caring for a client who has dehydration and has developed hypovolemic shock. Which of the following laboratory values should the nurse expect for the client? Hct 55% 22- During a client care staff meeting, a nurse manager discusses potential problems with data security that affect confidential client information. Which of the following environments should the nurse manager identify as an acceptable area for discussing clients' information? Areas with no public access 23- A nurse is providing preoperative teaching for a client who will undergo laser-assisted in situ keratomileusis (LASIK) surgery. Which of the following information should the nurse include? "You might need glasses after surgery 24- A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings should the nurse expect? Prolonged Q-T intervals 25- A nurse is caring for a client who had a precipitous delivery. The nurse should identify which of the following assessments as the priority during the fourth stage of labor? Palpating the client's fundus 26- A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client's insomnia? The client watches television in her bed during the day. 27- A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements should indicate that the AP requires further teaching? "Its almost time for your appointment. Let me do your hair for you and brush your teeth. 28- A nurse in the labor and delivery suite is planning care for a group of four clients. Which of the following clients should the nurse see first? A client who is in active labor and has late decelerations on the fetal heart monitor's strip A nurse is teaching a client who has chronic kidney disease about predialysis dietary recommendations. The nurse should include information about restricting his intake of which of the following nutrients? Protein 29- A nurse participating in a community health fair is providing information to a client who has a BP of 150/90 mmHg during a blood pressure screening. Which of the following actions should the nurse take? Give the client a written record of his BP to bring to their provider. 30- A nurse on an oncology unit receives report at the beginning of her shift about four clients who are postoperative. Which of the following clients should the nurse see first? A client who is 2 days postoperative following a colectomy d/t colorectal cancer and has an ostomy bag full of bright red, bloody drainage. 31- A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (Select all that apply.) Sit with your back supported Keep your knees at hip level Use ergonomically designed computer keyboard 32- A provider tells a client who reports practicing Hinduism that at 12-weeks of gestation she needs more protein in her diet and suggest eating more meat. After the provider leaves the examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make? "Let's discuss other foods that are also high in protein that you could substitute for meat." 33- A nurse is preparing to administer medications to a client who is unconscious. The nurse should bring the medication administration record (MAR) to the client's bedside and perform which of the following verification procedures? Compare the medical record number and name on the MAR with the client's identification band. 34- A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and a myocardial infarction. Which of the following manifestations should the nurse identify as indications of an MI? (Select all that apply) Nause/Vomite Diaphoresis and dizziness Anxiety and feelings of doom 34- A nurse is preparing an older adult client who had a TIA for discharge. The nurse should teach the client to monitor which of the following parameters at home? Blood pressure 35- A nurse delegates a LPN to provide one-on-one observation for a client who requires suicide precautions. Which of the following actions by the LPN should indicate to the nurse that she requires further teaching? Ambulates the client's roommate while the client sleeps. 36- A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse include in the client's plan of care? Offering the client a diet high in fluid and fiber 37- A nurse is caring for a client who takes warfarin to treat chronic A-fib and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make? "It is likely that ginkgo biloba will interfere with the effectiveness of his other medications." 38- A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia? Patch the unaffected eye. 39- A nurse is assessing a 66-year-old client during a routine physical examination at her first clinic visit and does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at least 5 years since I had any immunizations." Which of the following responses should the nurse make? "Let's go ahead with giving you this immunization." 40- A nurse is admitting a client who has manifestations that suggest TB. Which of the following actions is the nurse's priority? Initiate airborne precautions. 41- A nurse is discussing medication administration for an older adult client with a newly licensed nurse. The nurse should identify that, due to physiological changes of aging, older adult clients might need dosage adjustments d/t an increase in which of the following parameters?