COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
1.A nurse is providing postoperative teaching for a client who
had a total knee arthroplasty. Which of the following
instructions should the nurse include?
a. Flex the foot every hour when awake.
b. Place a pillow under the knee when lying in bed.
c. Lower the leg when sitting in a chair.
d. Ensure the leg is abducted when resting in bed.
The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote
venous return.
2. A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the
client’s condition is improving?
a. Potassium 3.5 mEq/L
b. pH 7.28
c. Glucose 272 mg/dL
d. HCO3- 14 mEq/L
A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
,COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
3. A nurse is caring for a client who has a pneumothorax and
a closed-chest drainage system. Which of the following
findings is an indication of lung re-expansion?
a. The chest tube is draining serosanguineous fluid at
65 mL/hr.
b. The client tolerates gentle
milking of the tubing. c.
Bubbling in the water seal
chamber has ceased.
d. There is tidaling in the water seal chamber.
Bubbling in the water seal chamber ceases when the lung
re-expands.
4. A nurse is reviewing the medical record of a client who is
taking warfarin for chronic atrial fibrillation. Which of the
following values should the nurse identify as a desired
outcome for this therapy?
a. INR
1 b.
INR
2.5
c. aPTT 45 seconds
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
,COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
d. aPTT 90 seconds
Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli
(PE) from blood clots. Since warfarin is an anticoagulant,
the medication must be monitored to ensure the
anticoagulation is within the therapeutic range and
prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of
2.5 is within the targeted therapeutic range of 2 to 3 for a
client who has atrial fibrillation.
5. A home health nurse is providing teaching to a client who
has a stage 1 pressure injury on the greater trochanter of his
left hip. Which of the following instructions should the nurse
include in the teaching?
a. Clean the wound daily with an antiseptic.
b. Use a donut-shaped pillow
when sitting in a chair. c.
Change position every hour.
d. Massage the area two times daily.
Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
, COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
client to limit the angle of the hips when in a lateral
position to no more than 30°. This positioning prevents
direct pressure on the trochanter.
6. A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse’s
priority to report to the provider?
a. Temperature 37.2° C (99° F)
b. Blood pressure 100/70 mm Hg
c. Weight
loss d.
Restlessn
ess
Using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding to
report to the provider is restlessness, which can be an
indication the client is experiencing disequilibrium
syndrome. Disequilibrium syndrome is caused by the
rapid removal of electrolytes from the client's blood and
can lead to dysrhythmias or seizures. Other
manifestations include nausea, vomiting, fatigue, and
headache.
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
)100% CORRECT RATED A+
1.A nurse is providing postoperative teaching for a client who
had a total knee arthroplasty. Which of the following
instructions should the nurse include?
a. Flex the foot every hour when awake.
b. Place a pillow under the knee when lying in bed.
c. Lower the leg when sitting in a chair.
d. Ensure the leg is abducted when resting in bed.
The nurse should instruct the client to flex the foot every
hour to reduce the risk for thromboembolism and promote
venous return.
2. A nurse is caring for a client who has DKA. Which of the
following findings should indicate to the nurse that the
client’s condition is improving?
a. Potassium 3.5 mEq/L
b. pH 7.28
c. Glucose 272 mg/dL
d. HCO3- 14 mEq/L
A glucose reading less than 300 mg/dL indicates
improvement in the client's status.
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
,COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
3. A nurse is caring for a client who has a pneumothorax and
a closed-chest drainage system. Which of the following
findings is an indication of lung re-expansion?
a. The chest tube is draining serosanguineous fluid at
65 mL/hr.
b. The client tolerates gentle
milking of the tubing. c.
Bubbling in the water seal
chamber has ceased.
d. There is tidaling in the water seal chamber.
Bubbling in the water seal chamber ceases when the lung
re-expands.
4. A nurse is reviewing the medical record of a client who is
taking warfarin for chronic atrial fibrillation. Which of the
following values should the nurse identify as a desired
outcome for this therapy?
a. INR
1 b.
INR
2.5
c. aPTT 45 seconds
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
,COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
d. aPTT 90 seconds
Clients receive warfarin therapy to decrease the risk of
stroke, myocardial infarction (MI), or pulmonary emboli
(PE) from blood clots. Since warfarin is an anticoagulant,
the medication must be monitored to ensure the
anticoagulation is within the therapeutic range and
prevent hemorrhage (high levels of anticoagulation) or
stroke, MI, or PE (low levels of anticoagulation). An INR of
2.5 is within the targeted therapeutic range of 2 to 3 for a
client who has atrial fibrillation.
5. A home health nurse is providing teaching to a client who
has a stage 1 pressure injury on the greater trochanter of his
left hip. Which of the following instructions should the nurse
include in the teaching?
a. Clean the wound daily with an antiseptic.
b. Use a donut-shaped pillow
when sitting in a chair. c.
Change position every hour.
d. Massage the area two times daily.
Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
, COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
client to limit the angle of the hips when in a lateral
position to no more than 30°. This positioning prevents
direct pressure on the trochanter.
6. A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse’s
priority to report to the provider?
a. Temperature 37.2° C (99° F)
b. Blood pressure 100/70 mm Hg
c. Weight
loss d.
Restlessn
ess
Using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding to
report to the provider is restlessness, which can be an
indication the client is experiencing disequilibrium
syndrome. Disequilibrium syndrome is caused by the
rapid removal of electrolytes from the client's blood and
can lead to dysrhythmias or seizures. Other
manifestations include nausea, vomiting, fatigue, and
headache.
COMPREHENSIVE ATI Test Latest Update 2021/2022 B,( Q & As
)100% CORRECT RATED A+
