MS ATI B QUESTIONS AND ANSWERS
A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to
which of the following foods can indicate a latex allergy?
Shellfish
Peanuts
Eggs
Avocados - CORRECT ANSWER✅✅Avocados
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to
certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - CORRECT ANSWER✅✅Actions to Take:
1. Administer morphine IV.
2. Ensure the client is NPO.
Potential Condition:
1. Cholecystitis
Parameters to Monitor:
1. Monitor the color of the client's stools
2. Monitor the client for dark urine.
A nurse is caring for a client who was just admitted from the emergency department (ED).
The client is most likely experiencing
(__1__) and (__2__) - CORRECT ANSWER✅✅1. Acute chest syndrome
2. pneumonia
,For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or
pneumonia. Each finding may support more than 1 disease process. - CORRECT
ANSWER✅✅Temperature - pneumonia
Breath sounds - emphysema, asthma, & pneumonia
Respiratory rate - emphysema, asthma, & pneumonia
Cough - emphysema, asthma, & pneumonia
Heart rate -
emphysema and pneumonia
ABG results -
emphysema and pneumonia
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching?
Select all that apply. - CORRECT ANSWER✅✅"I will need to do the breathing exercises every 1 to 2
hours after the surgery"
- Rationale:
The client should cough and deep breathe and use the incentive spirometer every 1 to 2 hr to reduce
the risk of postoperative complications, such as pneumonia.
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
- Rationale: For optimal control of postoperative pain, the client should request analgesic medication
before the pain becomes severe
"I will probably be going home with a walker"
,- Rationale: It can take 6 weeks for complete recovery from knee arthroplasty. Clients are often
discharged with the use of a walker and will advance to a cane or crutch 4 to 6 weeks following surgery.
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the
following statements made by the client reflects an understanding of the teaching?
"I will need to take antibiotics for 1 year."
"My partner will need to take an antiviral medication."
"My joints ache because I have Lyme disease."
"I bruise easily because I have Lyme disease." - CORRECT ANSWER✅✅"My joints ache because I have
Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three
stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms continue
throughout stage II and, by stage III, become chronic. Other chronic complications include memory
problems and fatigue.
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous.
Which of the following actions should the nurse take?
Monitor the client's INR daily.
Expel air bubbles when using a prefilled syringe.
Inject the medication into the anterolateral abdominal wall.
Massage the injection site after administration. - CORRECT ANSWER✅✅Inject the medication into the
anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse
should recognize that which of the following complications is associated with long-term mechanical
ventilation?
, Elevated blood pressure
Dehydration
Stress ulcers
Hypernatremia - CORRECT ANSWER✅✅Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels
of hydrochloric acid in the stomach. Stress ulcers increase the risk for systemic infection and require
pharmacological treatment.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following
findings should the nurse identify as the priority?
Report of sore throat
Report of memory loss
Alopecia
Mucositis - CORRECT ANSWER✅✅Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a report of a sore throat, which could be a manifestation of an infection. The client is
at risk for neutropenia due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the
nurse plan to administer?
240 mL (8 oz) of orange juice
1 ampule of 50% dextrose IV bolus
NPH insulin 60 units subcutaneous
Regular insulin 20 units IV bolus - CORRECT ANSWER✅✅Regular insulin 20 units IV bolus
A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to
which of the following foods can indicate a latex allergy?
Shellfish
Peanuts
Eggs
Avocados - CORRECT ANSWER✅✅Avocados
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to
certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - CORRECT ANSWER✅✅Actions to Take:
1. Administer morphine IV.
2. Ensure the client is NPO.
Potential Condition:
1. Cholecystitis
Parameters to Monitor:
1. Monitor the color of the client's stools
2. Monitor the client for dark urine.
A nurse is caring for a client who was just admitted from the emergency department (ED).
The client is most likely experiencing
(__1__) and (__2__) - CORRECT ANSWER✅✅1. Acute chest syndrome
2. pneumonia
,For each assessment finding, click to specify if the finding is consistent with emphysema, asthma, or
pneumonia. Each finding may support more than 1 disease process. - CORRECT
ANSWER✅✅Temperature - pneumonia
Breath sounds - emphysema, asthma, & pneumonia
Respiratory rate - emphysema, asthma, & pneumonia
Cough - emphysema, asthma, & pneumonia
Heart rate -
emphysema and pneumonia
ABG results -
emphysema and pneumonia
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching?
Select all that apply. - CORRECT ANSWER✅✅"I will need to do the breathing exercises every 1 to 2
hours after the surgery"
- Rationale:
The client should cough and deep breathe and use the incentive spirometer every 1 to 2 hr to reduce
the risk of postoperative complications, such as pneumonia.
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
- Rationale: For optimal control of postoperative pain, the client should request analgesic medication
before the pain becomes severe
"I will probably be going home with a walker"
,- Rationale: It can take 6 weeks for complete recovery from knee arthroplasty. Clients are often
discharged with the use of a walker and will advance to a cane or crutch 4 to 6 weeks following surgery.
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the
following statements made by the client reflects an understanding of the teaching?
"I will need to take antibiotics for 1 year."
"My partner will need to take an antiviral medication."
"My joints ache because I have Lyme disease."
"I bruise easily because I have Lyme disease." - CORRECT ANSWER✅✅"My joints ache because I have
Lyme disease."
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three
stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms continue
throughout stage II and, by stage III, become chronic. Other chronic complications include memory
problems and fatigue.
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous.
Which of the following actions should the nurse take?
Monitor the client's INR daily.
Expel air bubbles when using a prefilled syringe.
Inject the medication into the anterolateral abdominal wall.
Massage the injection site after administration. - CORRECT ANSWER✅✅Inject the medication into the
anterolateral abdominal wall.
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse
should recognize that which of the following complications is associated with long-term mechanical
ventilation?
, Elevated blood pressure
Dehydration
Stress ulcers
Hypernatremia - CORRECT ANSWER✅✅Stress ulcers
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated levels
of hydrochloric acid in the stomach. Stress ulcers increase the risk for systemic infection and require
pharmacological treatment.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following
findings should the nurse identify as the priority?
Report of sore throat
Report of memory loss
Alopecia
Mucositis - CORRECT ANSWER✅✅Report of sore throat
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a report of a sore throat, which could be a manifestation of an infection. The client is
at risk for neutropenia due to myelosuppression; therefore, an infection could lead to sepsis.
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the
nurse plan to administer?
240 mL (8 oz) of orange juice
1 ampule of 50% dextrose IV bolus
NPH insulin 60 units subcutaneous
Regular insulin 20 units IV bolus - CORRECT ANSWER✅✅Regular insulin 20 units IV bolus
