ATI COMPREHENSIVE EXAM
Version-1
, a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
8. A nurse is reviewing assessment data from several clients. For which of the following
clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24(18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
9. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
10. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of
the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
11. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following screening tests at
16 weeks of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
12. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of
the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
,13. A nurse in acute care mental health facility is participating in a medication-education group.
The leader of the group uses a laissez-faire leadership style. Which of the following actions
should the nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions are called for
b. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regarding their
medications
d. The leader has group members vote on what they would like to learn about during
the session
14. A nurse is providing teaching about digoxin administration to the parents of a toddler who
has heart failure. Which of the following statements should the nurse include in the
teaching?
a. “You can add the medication to a half-cup of your child’s favorite juice.”
b. “Repeat the dose if your child vomits within 1 hour after taking medication.” X
c. “Limit your child’s potassium intake while she is taking this medication.”
d. “Have your child drink a small glass of water after swallowing the medication.”
15. A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok.
d. Smoked salmon
TYRAMINE!
16. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the
nurse include in the client’s dietary plan? (Round to the nearest whole number)
a. 68
17. A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
b. Withdraw the client’s TV privileges if he does not attend group therapy
c. Encourage the client to take frequent rest periods
d. Place the client in seclusion when he exhibits signs of anxiety
18. A parish nurse is leading a support group for clients whose family members have
committed suicide. Which of the following strategies should the nurse plan to use during
the group session?
a. Initiate a discussion with clients about ways to cope with changes in family
dynamics
b. Encourage clients to establish a timeline for their own grieving process
c. Discourage clients from sharing negative aspects of their relationship with the
deceased persons
d. Assist clients in identifying ways suicide could have been prevented
19. A nurse manager observes two staff nurses reviewing the computer records of a client who
is not under their care. Which of the following actions should the nurse manager take first?
a. Instruct the nurses to close the client’s computer record
, b. Request the nurses present an in-service on client confidentiality
c. Advise the nurses to read the facility’s confidentiality policy
d. Place documentation of the nurses’ actions in the personnel file
20. A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication
to the administration of clozapine?
a. Heart rate 58/min
b. Fasting blood glucose 100 mg/dL
c. Hgb 14 g/dL
d. WBC count 2,900/mm3- also agranulocytosis same thing or soar throat.
Clozapine has to do with WBC bruh
21. A nurse is caring for several clients on a medical-surgical unit. For which of the following
nurses activities is it required that the nurse use sterile gloves?
a. Inserting an NG tube
b. Administering total parenteral nutrition through a central venous access device
c. Initiating IV access
d. Performing tracheostomy care
22. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following
immunizations should the nurse ?
a. Influenza
b. Measles, mumps and rubella
c. Human papilloma virus
d. Varicella
23. A nurse is inserting an indwelling catheter for a male client. Which of the following actions
should the nurse take?
a. Perform the cleansing procedure with a fresh swab two times
b. Lift the penis so that it is perpendicular to the client’s body
c. Cleanse the tip of the penis in a side-to-side motion
d. Pick up the catheter 13 cm (5 cm) from its tip
24. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to
report to the provider. Which of the following findings should the nurse include in the
teaching?
a. Bleeding gums- low platelet
b. Faintness upon rising
c. Swelling of the face
d. Urinary frequency
25. A nurse has received change-of-shift report for a group of clients. Which of the following
actions should the nurse take to manage time effectively?
a. Document client care at the end of the shift
b. Make the client to-do list for the day
c. Skip breaks until the client tasks are completed
d. Focus on several client tasks at a time
26. A nurse is developing a plan of care for a newborn whose mother tested positive for heroin
during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of
the following actions should the nurse include in the plan?
a. Minimize noise in the newborn’s environment
b. Administer naloxone to the newborn
Version-1
, a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
8. A nurse is reviewing assessment data from several clients. For which of the following
clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24(18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
9. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
10. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of
the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
11. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following screening tests at
16 weeks of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
12. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of
the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
,13. A nurse in acute care mental health facility is participating in a medication-education group.
The leader of the group uses a laissez-faire leadership style. Which of the following actions
should the nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions are called for
b. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regarding their
medications
d. The leader has group members vote on what they would like to learn about during
the session
14. A nurse is providing teaching about digoxin administration to the parents of a toddler who
has heart failure. Which of the following statements should the nurse include in the
teaching?
a. “You can add the medication to a half-cup of your child’s favorite juice.”
b. “Repeat the dose if your child vomits within 1 hour after taking medication.” X
c. “Limit your child’s potassium intake while she is taking this medication.”
d. “Have your child drink a small glass of water after swallowing the medication.”
15. A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok.
d. Smoked salmon
TYRAMINE!
16. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the
nurse include in the client’s dietary plan? (Round to the nearest whole number)
a. 68
17. A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
b. Withdraw the client’s TV privileges if he does not attend group therapy
c. Encourage the client to take frequent rest periods
d. Place the client in seclusion when he exhibits signs of anxiety
18. A parish nurse is leading a support group for clients whose family members have
committed suicide. Which of the following strategies should the nurse plan to use during
the group session?
a. Initiate a discussion with clients about ways to cope with changes in family
dynamics
b. Encourage clients to establish a timeline for their own grieving process
c. Discourage clients from sharing negative aspects of their relationship with the
deceased persons
d. Assist clients in identifying ways suicide could have been prevented
19. A nurse manager observes two staff nurses reviewing the computer records of a client who
is not under their care. Which of the following actions should the nurse manager take first?
a. Instruct the nurses to close the client’s computer record
, b. Request the nurses present an in-service on client confidentiality
c. Advise the nurses to read the facility’s confidentiality policy
d. Place documentation of the nurses’ actions in the personnel file
20. A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication
to the administration of clozapine?
a. Heart rate 58/min
b. Fasting blood glucose 100 mg/dL
c. Hgb 14 g/dL
d. WBC count 2,900/mm3- also agranulocytosis same thing or soar throat.
Clozapine has to do with WBC bruh
21. A nurse is caring for several clients on a medical-surgical unit. For which of the following
nurses activities is it required that the nurse use sterile gloves?
a. Inserting an NG tube
b. Administering total parenteral nutrition through a central venous access device
c. Initiating IV access
d. Performing tracheostomy care
22. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following
immunizations should the nurse ?
a. Influenza
b. Measles, mumps and rubella
c. Human papilloma virus
d. Varicella
23. A nurse is inserting an indwelling catheter for a male client. Which of the following actions
should the nurse take?
a. Perform the cleansing procedure with a fresh swab two times
b. Lift the penis so that it is perpendicular to the client’s body
c. Cleanse the tip of the penis in a side-to-side motion
d. Pick up the catheter 13 cm (5 cm) from its tip
24. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to
report to the provider. Which of the following findings should the nurse include in the
teaching?
a. Bleeding gums- low platelet
b. Faintness upon rising
c. Swelling of the face
d. Urinary frequency
25. A nurse has received change-of-shift report for a group of clients. Which of the following
actions should the nurse take to manage time effectively?
a. Document client care at the end of the shift
b. Make the client to-do list for the day
c. Skip breaks until the client tasks are completed
d. Focus on several client tasks at a time
26. A nurse is developing a plan of care for a newborn whose mother tested positive for heroin
during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of
the following actions should the nurse include in the plan?
a. Minimize noise in the newborn’s environment
b. Administer naloxone to the newborn
