ATI SKILLS MODULE 3.0 COMPLETE
ASSESSMENT PACK 2026 QUESTIONS AND
FULL SOLUTIONS GRADED A+
⩥ If a patient 24 hours p/o refuses to ambulate, what should you do
first? Answer: -assess pain
-THEN you can educate, turn patient, give PRN analgesic
⩥ What happens during true labor? Answer: -cervix transitions to
anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
⩥ What are common side effects of amitryptiline (antidepressant)?
Answer: -dry mouth and constipation (eat fiber and chew gum) and
BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
⩥ What should you do for diabetes insipidus? Answer: -monitor increase
urine output (polyuria->over 4 L/day)
-monitor tachycardia
,-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
⩥ What should you do to minimize risk of increased ICP? Answer: -
place client in quiet environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
⩥ What should you do for a client who recently got a stoma and can't
afford it d/t lack of insurance? Answer: -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
⩥ What should you teach for myasthenia gravis patients? Answer: -cut
food into small bites and eat slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins after meal
-weigh self daily
-take anticholinesterase meds 45-60 mins before meals (NOT
anticholinergics)
-choose snacks high in calories
,-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c
compromised resp muscles
⩥ What should you do for clients who have rheumatoid arthritis and are
in pain? Answer: -allow frequent rest periods throughout the day
-recommend warm showers, not baths to prevent falls
-apply ice to reduce inflammation
-don't do morning ADLs until pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
⩥ What should you give a toddler who has infectious gastroenteritis?
Answer: -initiate oral rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it
doesn't have electrolytes
⩥ What should you do if the client vomits on a reusable BP cuff?
Answer: -send it off in a labeled bag for contamination
-DONT throw it away
-rinse in cold water immediately after
-use chlorine bleach to clean blood spills
⩥ What does petechiae over the chest after a lower leg injury mean?
Answer: -at risk for fat embolism syndrome
, -PRIORITY FINDING
⩥ What is important about newborn safety? Answer: -set hot water
heater temp at 120 degree F or below
-DONT sleep with blanket
-make sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing until 2
⩥ What is within the LVN scope? Assistive personnel? Answer: -LVN:
insert NG tube
-AP scope: prepare bed, obtain stool sample
⩥ What should you instruct the client of a newborn baby regarding
motor vehicle safety? Answer: -place baby at 45 degree angle
-rear facing until 2 year old
-place blanket over baby AFTER harness is set
-secure retainer clip at level of baby's armpit
⩥ What about a physicial assessment is wrong? Answer: -SHOULDNT
write detailed notes
⩥ What are the steps of trach care for a child? Answer: 1. Take out inner
cannula
ASSESSMENT PACK 2026 QUESTIONS AND
FULL SOLUTIONS GRADED A+
⩥ If a patient 24 hours p/o refuses to ambulate, what should you do
first? Answer: -assess pain
-THEN you can educate, turn patient, give PRN analgesic
⩥ What happens during true labor? Answer: -cervix transitions to
anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
⩥ What are common side effects of amitryptiline (antidepressant)?
Answer: -dry mouth and constipation (eat fiber and chew gum) and
BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
⩥ What should you do for diabetes insipidus? Answer: -monitor increase
urine output (polyuria->over 4 L/day)
-monitor tachycardia
,-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
⩥ What should you do to minimize risk of increased ICP? Answer: -
place client in quiet environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
⩥ What should you do for a client who recently got a stoma and can't
afford it d/t lack of insurance? Answer: -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
⩥ What should you teach for myasthenia gravis patients? Answer: -cut
food into small bites and eat slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins after meal
-weigh self daily
-take anticholinesterase meds 45-60 mins before meals (NOT
anticholinergics)
-choose snacks high in calories
,-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c
compromised resp muscles
⩥ What should you do for clients who have rheumatoid arthritis and are
in pain? Answer: -allow frequent rest periods throughout the day
-recommend warm showers, not baths to prevent falls
-apply ice to reduce inflammation
-don't do morning ADLs until pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
⩥ What should you give a toddler who has infectious gastroenteritis?
Answer: -initiate oral rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it
doesn't have electrolytes
⩥ What should you do if the client vomits on a reusable BP cuff?
Answer: -send it off in a labeled bag for contamination
-DONT throw it away
-rinse in cold water immediately after
-use chlorine bleach to clean blood spills
⩥ What does petechiae over the chest after a lower leg injury mean?
Answer: -at risk for fat embolism syndrome
, -PRIORITY FINDING
⩥ What is important about newborn safety? Answer: -set hot water
heater temp at 120 degree F or below
-DONT sleep with blanket
-make sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing until 2
⩥ What is within the LVN scope? Assistive personnel? Answer: -LVN:
insert NG tube
-AP scope: prepare bed, obtain stool sample
⩥ What should you instruct the client of a newborn baby regarding
motor vehicle safety? Answer: -place baby at 45 degree angle
-rear facing until 2 year old
-place blanket over baby AFTER harness is set
-secure retainer clip at level of baby's armpit
⩥ What about a physicial assessment is wrong? Answer: -SHOULDNT
write detailed notes
⩥ What are the steps of trach care for a child? Answer: 1. Take out inner
cannula
