COMP
ATI 2019
DUMP
, 8. a nurse manager is updating protocols for the use of belt restraints. C. A client who has a prescription for spironolactone and states “I
Which of the following guidelines should the nurse include? will reduce my intake of
A. Remove the client’s restraint every 4hr foods that contain potassium”.
B. Document the client’s condition every 15 min D. A client who has (Unable to read) and states “I’ll plan to take my
C. Attach the restrain to the bed’s side rails calcium carbonate with
D. Request a PRN restrain prescription for clients who are aggressive a full glass of water”.
11. A nurse in a provider’s office is reviewing the laboratory results 31. A nurse is assessing a child who is being treated for bacterial
of a group of clients. The nurse should identify that which of the pneumonia. The nurse notes an increase in the child’s glucose. The
following sexually transmitted infections is a nationally notifiable nurse should identify this finding as an adverse effect of which of th
infectious disease that should be reported to the state health following medications
department? A. Methylprednisolone.
A. Chlamydia B. Ondansetron.
B. Human papillomavirus C. Guaifenesin.
C. Candidiasis D. Amoxicillin
D. Herps simplex virus
37. A nurse is assessing a client who is in active labor. Which of the
17. A nurse is assessing a newborn who has a blood glucose level of following findings should the nurse report to the provider?
30 mg/dl. Which of the following manifestations should the nurse A. Contractions lasting 80 seconds
expect? B. FHR baseline 170/min
A. Loose stools C. Early decelerations in the FHR
B. Jitteriness D. Temperature 37.4C (99.3)
C. Hypertonia
D. Abdominal distention 40. A nurse is preparing to measure a temperature of an infant. Whic
of the following action should the nurse take?
19. A charge nurse is teaching a newly licensed nurse about clients A. Place the tip of the thermometer under the center of the infant’s
designating a health care proxy in situations that require a durable axilla.
power of attorney for heal care (DPSHC). Which of the following B. Pull the pinna of the infant’s ear forward before inserting the
information should the charge nurse include? probe.
A. “The proxy should make health care decisions for the client C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
regardless of the client’s D. Insert the thermometer in front of the infant’s tongue.
ability to do so.”
B. “The proxy can make financial decisions if the need arises.” 41. A nurse is planning care for a client who has bipolar disorder and
C. “The proxy can make treatment decisions if the client is under is experiencing mania. Which of the following interventions should
anesthesia.” the nurse include in the plan?
D. “The proxy should manage legal issues for the client.” A. Encourage the client to spend time in the day room
B. Withdraw the client’s TV privileges is the does not attend group
21. A nurse is caring for a client who has a history of depression and therapy
is experiencing a situational crisis. Which of the following actions C. Encourage the client to take frequent rest periods
should the nurse take first? D. Place the cline in seclusion when he exhibits signs of anxiety
A. Confirm the client’s perception of the event
B. Notify the client’s support system 44. a nurse is preparing an in-service for a group of nurses about
C. Help the client identify personal strengths malpractice issues in nursing. Which of the following examples
D. Teach the client relaxation techniques should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
29. A nurse is caring for a client who has end-stage kidney disease. medication
The client’s adult child asks the nurse about becoming a living B. Documenting communication with a provider in the progress
kidney donor for her father. Which of the following condition in the notes of the client’s medical records
child’s medical history should the nurse identify as a contraindication C. Administering potassium via IV bolus
to the procedure? D. Placing a yellow bracelet on a client who is at risk for falls
A. Amputation
B. Osteoarthritis 46. The nurse is reviewing the medical record of a client who is
C. Hypertension requesting combination oral contraceptives. Which of the following
D. Primary glaucoma conditions in the client’s history is a contradiction to the use of oral
contraceptives?
30. A nurse is providing discharge teaching for a group of clients. A. Hyperthyroidism.
The nurse should recommend a referral to a dietitian B. Thrombophlebitis.
A. A client who has a prescription for warfarin and states “I will need C. Diverticulosis.
to limit how much D. Hypocalcemia
spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies
on my pizza.”
ATI 2019
DUMP
, 8. a nurse manager is updating protocols for the use of belt restraints. C. A client who has a prescription for spironolactone and states “I
Which of the following guidelines should the nurse include? will reduce my intake of
A. Remove the client’s restraint every 4hr foods that contain potassium”.
B. Document the client’s condition every 15 min D. A client who has (Unable to read) and states “I’ll plan to take my
C. Attach the restrain to the bed’s side rails calcium carbonate with
D. Request a PRN restrain prescription for clients who are aggressive a full glass of water”.
11. A nurse in a provider’s office is reviewing the laboratory results 31. A nurse is assessing a child who is being treated for bacterial
of a group of clients. The nurse should identify that which of the pneumonia. The nurse notes an increase in the child’s glucose. The
following sexually transmitted infections is a nationally notifiable nurse should identify this finding as an adverse effect of which of th
infectious disease that should be reported to the state health following medications
department? A. Methylprednisolone.
A. Chlamydia B. Ondansetron.
B. Human papillomavirus C. Guaifenesin.
C. Candidiasis D. Amoxicillin
D. Herps simplex virus
37. A nurse is assessing a client who is in active labor. Which of the
17. A nurse is assessing a newborn who has a blood glucose level of following findings should the nurse report to the provider?
30 mg/dl. Which of the following manifestations should the nurse A. Contractions lasting 80 seconds
expect? B. FHR baseline 170/min
A. Loose stools C. Early decelerations in the FHR
B. Jitteriness D. Temperature 37.4C (99.3)
C. Hypertonia
D. Abdominal distention 40. A nurse is preparing to measure a temperature of an infant. Whic
of the following action should the nurse take?
19. A charge nurse is teaching a newly licensed nurse about clients A. Place the tip of the thermometer under the center of the infant’s
designating a health care proxy in situations that require a durable axilla.
power of attorney for heal care (DPSHC). Which of the following B. Pull the pinna of the infant’s ear forward before inserting the
information should the charge nurse include? probe.
A. “The proxy should make health care decisions for the client C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
regardless of the client’s D. Insert the thermometer in front of the infant’s tongue.
ability to do so.”
B. “The proxy can make financial decisions if the need arises.” 41. A nurse is planning care for a client who has bipolar disorder and
C. “The proxy can make treatment decisions if the client is under is experiencing mania. Which of the following interventions should
anesthesia.” the nurse include in the plan?
D. “The proxy should manage legal issues for the client.” A. Encourage the client to spend time in the day room
B. Withdraw the client’s TV privileges is the does not attend group
21. A nurse is caring for a client who has a history of depression and therapy
is experiencing a situational crisis. Which of the following actions C. Encourage the client to take frequent rest periods
should the nurse take first? D. Place the cline in seclusion when he exhibits signs of anxiety
A. Confirm the client’s perception of the event
B. Notify the client’s support system 44. a nurse is preparing an in-service for a group of nurses about
C. Help the client identify personal strengths malpractice issues in nursing. Which of the following examples
D. Teach the client relaxation techniques should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
29. A nurse is caring for a client who has end-stage kidney disease. medication
The client’s adult child asks the nurse about becoming a living B. Documenting communication with a provider in the progress
kidney donor for her father. Which of the following condition in the notes of the client’s medical records
child’s medical history should the nurse identify as a contraindication C. Administering potassium via IV bolus
to the procedure? D. Placing a yellow bracelet on a client who is at risk for falls
A. Amputation
B. Osteoarthritis 46. The nurse is reviewing the medical record of a client who is
C. Hypertension requesting combination oral contraceptives. Which of the following
D. Primary glaucoma conditions in the client’s history is a contradiction to the use of oral
contraceptives?
30. A nurse is providing discharge teaching for a group of clients. A. Hyperthyroidism.
The nurse should recommend a referral to a dietitian B. Thrombophlebitis.
A. A client who has a prescription for warfarin and states “I will need C. Diverticulosis.
to limit how much D. Hypocalcemia
spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies
on my pizza.”
