ATI RN COMPREHENSIVE ONLINE
PRACTICE 2019 B WITH NGN 150
QUESTIONS WITH CORRECT ANSWERS
GRADED A.
A nurse has just received change-of-shift report on four patients. Which of the following
patients should the nurse assess first?
A patient who is postoperative with abdominal distention and no bowel sounds
A patient who has diabetes mellitus and a blood glucose level of 105 mg/dL
A patient who has heart failure and 2+ pitting edema
A patient who is receiving maintenance IV fluids and needs a new IV catheter
CORRECT ANSWER- A patient who is postoperative with abdominal distention and
no bowel sounds
Using the acute vs. chronic approach to patient care, the nurse should first assess the patient who
is postoperative with abdominal distention and no bowel sounds because these manifestations
are indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more
than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes First visit:
A child is brought to the clinic accompanied by guardians. The guardians have received
feedback from the child's teacher that the child has become disinterested in schoolwork and
has difficulty paying attention during class. The child often loses their school supplies.
,The guardians report that the child demonstrates these behaviors at home as well. The child
refuses to participate in household chores, keeps their room untidy, does not clean up when
told to, and is generally careless and disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is
improving at paying attention during class and completing assignments on time.
Vital Signs First visit:
Blood pressure 94/56 mm
Hg Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99°
F) SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm
Hg Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6°
F) SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily
with breakfast CORRECT ANSWER- ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include
losing necessary things, interrupting others, intellectual impairment, and hyper reactivity
to sensory input.
In ADHD, the patient often loses necessary things in daily life, such as pencils, erasers, and
books. The patient often interrupts others and has difficulty waiting for their turn in
conversation.
The patient might have an intellectual impairment, which can lead to poor academic
performance and difficulties with socialization. The patient might exhibit hyperreactivity or
hyporeactivity to stimuli.
,A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements by one of the staff nurses indicates an
understanding of isolation precautions?
"Droplet precautions should be initiated for a patient who tests positive for measles."
"A patient who requires airborne precautions should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a patient who has Clostridium difficile."
"A patient who is immunocompromised should be placed in a negative-pressure airflow
room." CORRECT ANSWER- A patient who requires airborne precautions should be
placed in a negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
A nurse is admitting a patient who has pneumonia. The nurse should initiate which of
the following isolation precautions for the patient?
Droplet
Airborne
Contact
Protective environment CORRECT ANSWER- Droplet
The nurse should initiate droplet precautions for this patient by placing the patient in a private
room and wearing a surgical mask when caring for the patient. Pneumonia is transmitted by
droplet particles.
A nurse in a community center is providing an educational session to a group of patients about
ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse
include in the teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating CORRECT ANSWER- Abdominal bloating
, The nurse should include the presence of abdominal bloating as an early manifestation of
ovarian cancer. Other manifestations include an increase in abdominal girth, pelvic or
abdominal pain, early satiety, and urinary frequency or urgency.
A nurse is reviewing the ABG values of a patient. The patient has a pH of 7.2, PaCO2 of 60
mm Hg, and HCO3- of 25 mEq/L. The nurse should identify that the patient has which of the
following acid-base imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis CORRECT ANSWER- Respiratory acidosis
A patient who has respiratory acidosis will have a decreased pH below the expected reference
range of 7.35 to 7.45, an increased PaCO2 above the expected reference range of 35 to 45 mm
Hg, and an HCO3- within the expected reference range of 22 to 26 mEq/L.
A nurse is caring for a patient who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a stepstool at home. Which of the following prescriptions should the nurse
clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the patient's lower extremities every hour.
Apply a cold pack to the patient's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. CORRECT ANSWER- Apply a cold
pack to the patient's ankle for 30 min every hour.
The nurse should clarify a prescription for a cold pack to the patient's ankle because type 1
diabetes mellitus is a contraindication for receiving cold therapy. A patient who has type 1
diabetes mellitus can have impaired circulation due to arteriosclerosis and a loss of sensory
perception due to neuropathy. Ice can further impair circulation.
A nurse is caring for a patient who has active tuberculosis (TB). Which of the following actions
should the nurse plan to take to prevent the transmission of the disease?
Initiate contact precautions for the patient upon admission.
Restrict visitors from entering the patient's room during hospitalization.
Wear a surgical mask while providing care for the patient.
PRACTICE 2019 B WITH NGN 150
QUESTIONS WITH CORRECT ANSWERS
GRADED A.
A nurse has just received change-of-shift report on four patients. Which of the following
patients should the nurse assess first?
A patient who is postoperative with abdominal distention and no bowel sounds
A patient who has diabetes mellitus and a blood glucose level of 105 mg/dL
A patient who has heart failure and 2+ pitting edema
A patient who is receiving maintenance IV fluids and needs a new IV catheter
CORRECT ANSWER- A patient who is postoperative with abdominal distention and
no bowel sounds
Using the acute vs. chronic approach to patient care, the nurse should first assess the patient who
is postoperative with abdominal distention and no bowel sounds because these manifestations
are indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more
than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes First visit:
A child is brought to the clinic accompanied by guardians. The guardians have received
feedback from the child's teacher that the child has become disinterested in schoolwork and
has difficulty paying attention during class. The child often loses their school supplies.
,The guardians report that the child demonstrates these behaviors at home as well. The child
refuses to participate in household chores, keeps their room untidy, does not clean up when
told to, and is generally careless and disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is
improving at paying attention during class and completing assignments on time.
Vital Signs First visit:
Blood pressure 94/56 mm
Hg Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99°
F) SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm
Hg Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6°
F) SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily
with breakfast CORRECT ANSWER- ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include
losing necessary things, interrupting others, intellectual impairment, and hyper reactivity
to sensory input.
In ADHD, the patient often loses necessary things in daily life, such as pencils, erasers, and
books. The patient often interrupts others and has difficulty waiting for their turn in
conversation.
The patient might have an intellectual impairment, which can lead to poor academic
performance and difficulties with socialization. The patient might exhibit hyperreactivity or
hyporeactivity to stimuli.
,A charge nurse is providing an educational session about infection control for a group of staff
nurses. Which of the following statements by one of the staff nurses indicates an
understanding of isolation precautions?
"Droplet precautions should be initiated for a patient who tests positive for measles."
"A patient who requires airborne precautions should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a patient who has Clostridium difficile."
"A patient who is immunocompromised should be placed in a negative-pressure airflow
room." CORRECT ANSWER- A patient who requires airborne precautions should be
placed in a negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air
exchanges each hour using a HEPA filtration system.
A nurse is admitting a patient who has pneumonia. The nurse should initiate which of
the following isolation precautions for the patient?
Droplet
Airborne
Contact
Protective environment CORRECT ANSWER- Droplet
The nurse should initiate droplet precautions for this patient by placing the patient in a private
room and wearing a surgical mask when caring for the patient. Pneumonia is transmitted by
droplet particles.
A nurse in a community center is providing an educational session to a group of patients about
ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse
include in the teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating CORRECT ANSWER- Abdominal bloating
, The nurse should include the presence of abdominal bloating as an early manifestation of
ovarian cancer. Other manifestations include an increase in abdominal girth, pelvic or
abdominal pain, early satiety, and urinary frequency or urgency.
A nurse is reviewing the ABG values of a patient. The patient has a pH of 7.2, PaCO2 of 60
mm Hg, and HCO3- of 25 mEq/L. The nurse should identify that the patient has which of the
following acid-base imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis CORRECT ANSWER- Respiratory acidosis
A patient who has respiratory acidosis will have a decreased pH below the expected reference
range of 7.35 to 7.45, an increased PaCO2 above the expected reference range of 35 to 45 mm
Hg, and an HCO3- within the expected reference range of 22 to 26 mEq/L.
A nurse is caring for a patient who has type 1 diabetes mellitus and reports severe ankle pain
after falling off a stepstool at home. Which of the following prescriptions should the nurse
clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the patient's lower extremities every hour.
Apply a cold pack to the patient's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. CORRECT ANSWER- Apply a cold
pack to the patient's ankle for 30 min every hour.
The nurse should clarify a prescription for a cold pack to the patient's ankle because type 1
diabetes mellitus is a contraindication for receiving cold therapy. A patient who has type 1
diabetes mellitus can have impaired circulation due to arteriosclerosis and a loss of sensory
perception due to neuropathy. Ice can further impair circulation.
A nurse is caring for a patient who has active tuberculosis (TB). Which of the following actions
should the nurse plan to take to prevent the transmission of the disease?
Initiate contact precautions for the patient upon admission.
Restrict visitors from entering the patient's room during hospitalization.
Wear a surgical mask while providing care for the patient.
