ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
1. A nurse is caring for a client who has bipolar disorder and is experiencing acute
mania. The nurse obtained a verbal prescription for restraints. Which of the
following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes - ANSWER--D. Document
the client's condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in
the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex
first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr - ANSWER--d.
Administer analgesics on a scheduled basis for the first 24 hr
3. A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea - ANSWER--
d. A client who has a hip fracture and a new onset of tachypnea (NEW ONSET)
It is normal for pt to have weakness in lower extremities post Epidural analgesia
A nurse is preparing to apply a transdermal nicotine patch for a client. Which of
the following actions should the nurse take?
a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry
areas to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client's skin
c. Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately)
d. Remove the previous patch and place it in a tissue (fold patch in half with sticky
sides pressed together) - ANSWER--b. Wear gloves to apply the patch to the
client's skin
A nurse has just received change-of-shift report for four clients. Which of the
following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose
level
b. A client who is schedule for a procedure in 1 hr
c. A client who has 100 mL fluid remaining in his IV bag
d. A client who received a pain medication 30 min ago for postoperative pain -
ANSWER--A. A client who was just given a glass of orange juice for a low blood
glucose level
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
Patients B & C can wait
6. A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler's position during the feeding
d. A residual of 65 mL 1hr postprandial - ANSWER--a. A history of
gastroesophageal reflux disease (GERD)
7. A nurse is reviewing the laboratory results for a client who has Cushing's
disease. The nurse should EXPECT the client to have an increase in which of the
following laboratory values?
a. Serum glucose level
b. Serum calcium level
c. Lymphocyte count
d. Serum potassium level - ANSWER--a. Serum glucose level- increased
b. Serum calcium level - decreased
c. Lymphocyte count - decreased immune system
d. Serum potassium level - decreased
Cushings disease is caused by
- The most common cause is the use of steroid drugs,
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
- also from a tumor or excess growth (hyperplasia) of the pituitary gland. The
pituitary gland is located just below the base of the brain. A type of pituitary tumor
called an adenoma is the other most common cause
Signs are a fatty hump between the shoulders, a rounded face, and pink or purple
stretch marks.
Treatment options include reducing steroid use, surgery, radiation, and medication.
8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate
after the client displaces toxicity. Which of the following actions should the nurse
take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV - ANSWER--D. Administer calcium
gluconate IV (antidote)
Always have an injectable form of calcium gluconate available when administering
magnesium sulfate by IV.
Why is magnesium sulfate given to pregnant women with preeclampsia? -
ANSWER--Magnesium sulfate can help prevent seizures in women with
postpartum preeclampsia who have severe signs and symptoms. Magnesium
sulfate is typically taken for 24 hours. After treatment with magnesium sulfate,
your health care provider will closely monitor your blood pressure, urination and
other symptoms
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
1. A nurse is caring for a client who has bipolar disorder and is experiencing acute
mania. The nurse obtained a verbal prescription for restraints. Which of the
following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes - ANSWER--D. Document
the client's condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in
the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex
first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr - ANSWER--d.
Administer analgesics on a scheduled basis for the first 24 hr
3. A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea - ANSWER--
d. A client who has a hip fracture and a new onset of tachypnea (NEW ONSET)
It is normal for pt to have weakness in lower extremities post Epidural analgesia
A nurse is preparing to apply a transdermal nicotine patch for a client. Which of
the following actions should the nurse take?
a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry
areas to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client's skin
c. Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately)
d. Remove the previous patch and place it in a tissue (fold patch in half with sticky
sides pressed together) - ANSWER--b. Wear gloves to apply the patch to the
client's skin
A nurse has just received change-of-shift report for four clients. Which of the
following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose
level
b. A client who is schedule for a procedure in 1 hr
c. A client who has 100 mL fluid remaining in his IV bag
d. A client who received a pain medication 30 min ago for postoperative pain -
ANSWER--A. A client who was just given a glass of orange juice for a low blood
glucose level
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
Patients B & C can wait
6. A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler's position during the feeding
d. A residual of 65 mL 1hr postprandial - ANSWER--a. A history of
gastroesophageal reflux disease (GERD)
7. A nurse is reviewing the laboratory results for a client who has Cushing's
disease. The nurse should EXPECT the client to have an increase in which of the
following laboratory values?
a. Serum glucose level
b. Serum calcium level
c. Lymphocyte count
d. Serum potassium level - ANSWER--a. Serum glucose level- increased
b. Serum calcium level - decreased
c. Lymphocyte count - decreased immune system
d. Serum potassium level - decreased
Cushings disease is caused by
- The most common cause is the use of steroid drugs,
, ATI COMPREHENSIVE C EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS WITH
RATIONALES 2022-2024 UPDATED GRADED A+
- also from a tumor or excess growth (hyperplasia) of the pituitary gland. The
pituitary gland is located just below the base of the brain. A type of pituitary tumor
called an adenoma is the other most common cause
Signs are a fatty hump between the shoulders, a rounded face, and pink or purple
stretch marks.
Treatment options include reducing steroid use, surgery, radiation, and medication.
8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate
after the client displaces toxicity. Which of the following actions should the nurse
take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV - ANSWER--D. Administer calcium
gluconate IV (antidote)
Always have an injectable form of calcium gluconate available when administering
magnesium sulfate by IV.
Why is magnesium sulfate given to pregnant women with preeclampsia? -
ANSWER--Magnesium sulfate can help prevent seizures in women with
postpartum preeclampsia who have severe signs and symptoms. Magnesium
sulfate is typically taken for 24 hours. After treatment with magnesium sulfate,
your health care provider will closely monitor your blood pressure, urination and
other symptoms
