ATI COMPREHENSIVE C.180
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2021/2022 RATED A+
ATI COMPREHENSIVE 2021/2022 C
A charge nurse is teaching new staff members about factors that increase a
client’s risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
Risk factors also include: past history of aggression, poor impulse control, and
violence. Comorbidity that leads to acts of violence (psychotic delusions,
command hallucinations, violent angry reactions with cognitive disorders).
Individual Assessment for Violence
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap AWAY
from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist
level; should be ABOVE waist level
A nurse is providing teaching to an older adult client about methods to
promote
a. Eat nighttime sleep.
a light snack Which
before of the following instructions should the nurse
bedtime
include?
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
A home health nurse is preparing for an initial visit with an older adult
client who lives alone. Which of the following actions should the nurse take
first?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
ATI COMPREHENSIVE C.180
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2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
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2021/2022 RATED A+
d. Arrange for client transportation to follow-up
appointments Rationale Priority: Assess first.
A nurse is assessing the remote memory of an older adult client who has
mild dementia. Which of the following questions should the nurse ask the
client?
a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “What did you have for breakfast yesterday?”
A nurse is providing teaching to an adolescent who has type 1 diabetes
mellitus. Which of the following goals should the nurse include in the teaching
a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtime
c. Blood glucose level less than 60 mg/dL before breakfast- < 70 =
HYPOGLYCEMIC d. HbA1c level less than 7%
A nurse is caring for a client who is receiving phenytoin for management of
grand mal seizures and has a new prescription for isoniazid and rifampin.
Which of the following should the nurse conclude if the client develops ataxia
and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client’s seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
A nurse is caring for a client who is 1 hr postoperative following rhinoplasty.
Which of the following manifestations requires immediate action by the nurse?
a. Increase in frequency of swallowing→ may indicate bleeding
b. Moderate sanguineous drainage on the drip pad
c. Bruising to the face→ side effect
d. Absent gag reflex→ possibly due to anesthesia given. (1 hour
postoperative) Rationale “Requires immediate action” choose the worst
possibility that could lead to. ABC
A nurse is obtaining a nutritional health hx on a client who
reports problems with constipation. Which of the following should the
nurse identify as a cause of constipation?
A. Following high-fiber diet
B. Currently taking probiotics-
C. New prescription for an iron supplement
D. Intolerance to lactose
A nurse is assessing a newborn who has patent ductus arteriosus.
Which of the following findings should the nurse except?
A. Increase PaO2
B. Hypoglycemia
C. Board-like abdomen
D. Bounding pulse
following actions should the nurse include in the plan?
a. Measure the client’s urine output every hour. - monitor for toxicity.
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
Questions with Answers-Latest Update
2021/2022 RATED A+
ATI COMPREHENSIVE 2021/2022 C
A charge nurse is teaching new staff members about factors that increase a
client’s risk to become violent. Which of the following risk factors should the
nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
Risk factors also include: past history of aggression, poor impulse control, and
violence. Comorbidity that leads to acts of violence (psychotic delusions,
command hallucinations, violent angry reactions with cognitive disorders).
Individual Assessment for Violence
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap AWAY
from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile
field → 2.5 cm (1-inch) border around any sterile drape or wrap that is
considered contaminated.
d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist
level; should be ABOVE waist level
A nurse is providing teaching to an older adult client about methods to
promote
a. Eat nighttime sleep.
a light snack Which
before of the following instructions should the nurse
bedtime
include?
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
A home health nurse is preparing for an initial visit with an older adult
client who lives alone. Which of the following actions should the nurse take
first?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
d. Arrange for client transportation to follow-up
appointments Rationale Priority: Assess first.
A nurse is assessing the remote memory of an older adult client who has
mild dementia. Which of the following questions should the nurse ask the
client?
a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “What did you have for breakfast yesterday?”
A nurse is providing teaching to an adolescent who has type 1 diabetes
mellitus. Which of the following goals should the nurse include in the teaching
a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtime
c. Blood glucose level less than 60 mg/dL before breakfast- < 70 =
HYPOGLYCEMIC d. HbA1c level less than 7%
A nurse is caring for a client who is receiving phenytoin for management of
grand mal seizures and has a new prescription for isoniazid and rifampin.
Which of the following should the nurse conclude if the client develops ataxia
and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client’s seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
, ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
A nurse is caring for a client who is 1 hr postoperative following rhinoplasty.
Which of the following manifestations requires immediate action by the nurse?
a. Increase in frequency of swallowing→ may indicate bleeding
b. Moderate sanguineous drainage on the drip pad
c. Bruising to the face→ side effect
d. Absent gag reflex→ possibly due to anesthesia given. (1 hour
postoperative) Rationale “Requires immediate action” choose the worst
possibility that could lead to. ABC
A nurse is obtaining a nutritional health hx on a client who
reports problems with constipation. Which of the following should the
nurse identify as a cause of constipation?
A. Following high-fiber diet
B. Currently taking probiotics-
C. New prescription for an iron supplement
D. Intolerance to lactose
A nurse is assessing a newborn who has patent ductus arteriosus.
Which of the following findings should the nurse except?
A. Increase PaO2
B. Hypoglycemia
C. Board-like abdomen
D. Bounding pulse
following actions should the nurse include in the plan?
a. Measure the client’s urine output every hour. - monitor for toxicity.
ATI COMPREHENSIVE C.180
Questions with Answers-Latest Update
2021/2022 RATED A+
