ATI COMPREHENSIVE FINAL EXAM
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 th
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ATI COMPREHENSIVE FINAL EXAM
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?
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?
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?
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?
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?
A nurse is teaching a client how to use an albuterol metered dose inhaler. After removing the cap from the inhaler and shaking the canister, identify the sequence of instructions the nurse should give the client. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
A nurse is reviewing the laboratory report for a client who has chronic kidney disease (CKD). The nurse finds the 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?
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?
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?
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?
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?
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?
A nurse isproviding teaching to a school-age child who has just had a fiberglass cast application following a lower-extremity fracture. Which of the following instructions should the nurse give the child and his parents about care during the first 48 hr?
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?
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?
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?
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?
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?
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?
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?
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 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 this client?
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?
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?
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings should the nurse expect?
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?
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?
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?
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 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?
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?
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 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.)
A provider tells a client who reports practicing Hinduism that at 12-weeks of gestation she needs more protein in her diet and suggests 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?
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?
A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and a myocardial infarction (MI). Which of the following manifestations should the nurse identify as indications of an MI? (Select all that apply.)
A nurse is preparing an older adult client who had a transient ischemic attack (TIA) for discharge. The nurse should teach the client to monitor which of the following parameters at home?
A nurse delegates a licensed practical nurse (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?
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?
A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation 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?
A nurse is providing teaching to the parents of a childwho has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia?
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?
A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse’s priority?
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 due to an increase in which of the following parameters?
A nurse is teaching a client who has a spinal cord injury to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?
A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which of the following statements indicates that the client understands the precautions he must take at home?
A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has had a subtotal thyroidectomy. Which of the following equipment should the nurse have available at the bedside for this client?
A nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is to begin treatment for systemic manifestations. Which of the following types of medications should the nurse plan to administer?
A nurse in the emergency department is caring for a group of clients who all have an odor of alcohol on their breath and multiple injuries to the head and extremities. Which of the following clients should the nurse assess first?
A charge nurse is coordinating the evacuation of clients from a facility following a bomb threat. Which of the following actions should the nurse take when implementing the evacuation process?
A nurse is admitting a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After completing the admission history, which of the following actions should the nurse plan to take?
A nurse is providing teaching to the parents of a child who has a new prescription of lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider?
A nurse is evaluating the injection site for a client who had a Mantoux skin test 48 hr ago. The nurse finds 10 mm of induration with slight redness. Which of the following conclusions should the nurse make?
A nurse is caring for an adolescent client who gave birth to a stillborn preterm fetus. The client is crying and says to the nurse, "Why did this happen to me?" Which of the following responses should the nurse make?
A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include?
A nurse in a substance use disorder program is interacting with a client. Which of the following statements indicates that the client is using intellectualization as a way of coping with the anxiety of admission?
A charge nurse on a pediatric unit receives the laboratory results for several clients. Which of the following results should the nurse report to the provider?
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBCs). Which of the following findings should the nurse identify as an indication of an acute intravascular hemolytic reaction?
A nurse is providing discharge teaching to parents whose infant has had a ventriculo-peritoneal shunt placement for the treatment of hydrocephalus. Which of the following statements by the parents indicates an understanding of the teaching?
A nurse is assessing a client who has multidrug-resistant tuberculosis and takes ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication?
A nurse is caring for a client who has borderline personality disorder and is expressing concern about needing prolonged hospitalization. Which of the following statements should the nurse make?
A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor?
A nurse is providing teaching to a client who has type 2 diabetes mellitus. The client states, "I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse make?
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following statements by the AP should indicate that further teaching is required?
A nurse is assessing a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider?
A nurse is planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse plan for this client?
A nurse in the emergency department is caring for a client who has Addison’s disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent Addisonian crisis, the nurse should prepare to administer which of the following medications?
A nurse in a provider’s office is talking with an older adult client who reports having trouble sleeping. Which of the following statements should the nurse identify as a possible cause for the client’s sleeping difficulties?
A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication for the use of this medication?
A nurse is caring for an infant who has a cleft palate. The parents ask the nurse how long they should wait before he should have corrective surgery. The nurse should explain that the parents should wait no longer than 6 to 12 months to prevent which of the following outcomes?
A nurse in an acute care facility is implementing the facility’s disaster plan following a flood in the community. Which of the following actions should the nurse take?
A nurse is teaching the parent of a child who has type 1 diabetes mellitus how to manage the child’s disorder during illness, such as colds. Which of the following statements by the parent indicates an understanding of the teaching?
A nurse is caring for a group of clients in a long-term care facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. Which of the following actions should the nurse take first?
A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization?
A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first?
A nurse is caring for a client who spent the past several minutes mumbling about being "doomed to die" and is now pacing in an increasingly agitated and angry manner. Which of the following actions should the nurse take first?
A nurse on a pediatric mental health unit is caring for a school-age child. Which of the following questions or statements should the nurse make to foster rapport and engage him in conversation?
A community health nurse is planning care for four high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse plan to care for first?
A client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. The nurse finds that the client has absent breath sounds on the left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client?
A nurse is teaching a client who has extensive deep partial- and full-thickness burns and requires a topical antimicrobial medication. The nurse should explain to the client that the goal of this medication therapy is to reduce which of the following outcomes?
A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?
A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling urinary catheter and a Jackson-Pratt drain in place. Which of the following findings should indicate that the client is developing a postoperative complication?
A nurse in the emergency department is caring for a child who has bruises that the nurse suspects are due to child abuse. Which of the following actions should the nurse take?
A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?
A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficileinfection. Which of the following interventions is the nurse’s priority?
A nurse in the emergency department is caring for an unaccompanied infant following a motor-vehicle crash. During assessment, the nurse notes that the infant's anterior fontanel is almost closed. She has six teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to her enters the room, says a few words, and is asking for "mama" and "dada." The nurse should make which of the following age assessments for this child?
A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. The low-pressure alarm on the ventilator sounds, indicating which of the following to the nurse?
A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. The nurse notes that her left leg has bruising, swelling, and displacement of the bones. Which of the following actions should the nurse take first?
A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the following findings indicates to the nurse that the client is developing dialysis disequilibrium syndrome (DDS)?
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the following client reports should the nurse identify as an expected physiologic adaptation to pregnancy?
A nurse in the emergency department is assessing a client who has deep, rapid respirations. Arterial blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following acid-base imbalances should the nurse identify and report to the provider?
A nurse is caring for a client during her first prenatal visit and notes that she is lactose intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client?
A nurse is planning to delegate the postoperative care of a client following an appendectomy. Which of the following actions should the nurse assign to an assistive personnel (AP)?
Record urinary output after emptying the indwelling urinary catheter.
Applying warm compresses to sore joints
Reading the newspaper
Don gloves when entering the room and use hand sanitizer when exiting.
Post a large calendar on the bulletin board.
A health care facility’s: Collect the staff's input about planning and implementing the change.
A nurse is providing teaching to a client:
A nurse is talking with a parent: "Use a stable, relaxing routine, such as a bath and story time, before bed."
A nurse is preparing to administer a feeding: Elevate the head of the bed.
A nurse manager notes that several staff: Send an e-mail to each nonadherent employee that includes a link to upcoming educational sessions.
A nurse is planning care for a client who has syndrome:
A nurse in an acute mental health facility is caring:
A nurse is caring for an older adult client who has:
A nurse at a family planning clinic:
A nurse is reviewing the lab data of a client who reports:
A nurse is admitting a client to the medical unit:
A nurse in a rehabilitation facility is observing an:
A nurse is planning teaching about secondary prevention:
A nurse in an emergency department is assessing an infant who has:
A nurse is providing teaching to a client who is scheduled"
A nurse manager notes several recent conflicts among:
A new resident provider asks the charge nurse:
A nurse is assessing a client who reports an acute:
A nurse in the emergency department is assessing a client who has pancreatitis:
A nurse is providing teaching to a client who is receiving:
A nurse is assessing a school-age child:
a nurse is discussing fire safety:
A nurse is providing discharge teaching:
A nurse is providing discharge teaching for a client:
A nurse on the antepartum unit:
A nurse is caring for a client who has regular occupational:
A nurse is assessing a child who has acute lymphocytic:
A nurse is observing a client who has schizophrenia:
A nurse is teaching a group of clients at a senior:
A nurse observes tachycardia, dyspnea, a cough:
A nurse is caring for a client who has a platelet count of 50,000
A nurse is teaching the parents of an infant about treatment:
A nurse is providing teaching to the family of a child who has autism:
A nurse is caring for a client who is at 38 weeks
A nurse is providing teaching to the parent of a toddler:
Results of enzyme-linked:
A nurse is caring for a client who has a terminal illness:
A nurse is teaching an assistive personnel (AP) about dietary:
A nurse is assigned to care for several clients who are postoperative:
A nurse is beginning her shift and reviewing:
A nurse is providing teaching to a client who has hypothyroidism:
A nurse is providing teaching to a client about a surgical procedure:
A nurse is talking with the parent of a 4-month-old:
A nurse is teaching a client who has hyperthyroidism about managing this disorder:
A nurse is assessing a client who is taking varenicline:
A nurse is assessing a client who is in the fourth stage of labor:
A nurse responds to a call from an assistive personnel:
A nurse on a mental health unit is caring for a client who has antisocial:
A nurse in an emergency department is reviewing laboratory:
A female client who has recurrent cystitis asks:
A nurse is caring for an infant who is experiencing dehydration:
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