(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM
AND OTHER ATI EXAMS)
1. A client who is unstable and requires frequent vital signs has an electronic blood pressure
machine automatically measuring his blood pressure every 15 min. However, the
machine is reading the client’s blood pressure at more frequent intervals, and the readings
are not similar. The nurse checks the machine settings and observes the additional
readings, but the problem continues. Which of the following is the appropriate nursing
action?
--> Disconnect the machine, and measure the blood pressure manually every 15 min.
2. A nurse is caring for a client just diagnosed with type 1 diabetes mellitus. The client is
resistant to learning self-injection of insulin and asks the nurse to administer all the
injections. The nurse explains the importance of learning self-care and appropriately adds
which of the following statements?
Tell me what I can do to help you overcome your fear of giving yourself injections.
3. An assistive personnel says to the nurse, “This client is incontinent of stool three or four
times a day. I get angry, and I think that the client is doing it just to get attention. I think
we should put adult diapers on her.” Which is the appropriate nursing response?
, b. -Measure the client’s BP after the nurse administers antihypertensive meds.
c. -Use a communication board to ask what the client wants for lunch.
1. A nurse is teaching a group of older adults about expected changes of aging.
Which of the following statements by a group member indicates that the teaching
has been effective?
"I should expect my heart rate to take longer to return to normal after
excessive as I get older."
2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which
of the following abdominal assessments should the nurse expect?
Absent bowel sounds with distention
3. A nurse is planning care for a client who reports abdominal pain. An assessment
by the nurse reveals the client has a temperature of 39.2 degrees C (102
degrees F), heart rate of 105/min, a soft contender abdomen, and census
overdue by 2 days. Which of the following findings should be the nurse's priority?
Temperature
4. A nurse is caring for a child who is postoperative following a tonsillectomy. Which
of the following actions should the nurse take?
Administer analgesics to the child on a routine schedule throughout the day
and night.
5. A nurse is assessing the heart sounds of a client who has developed chest pain
that becomes worse wth inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with diaphragm of the