ATI COMPREHENSIVE PRACTICE 2023-2024
FINAL ACTUAL EXAM 70 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
The nurse is assessing a client who has long arm cast. Which of the following findings of the dressing for
acute compartment syndrome?
• Shortness of breath
• Petechiae
• Change in mental status
• Edema - ANSWER-Edema
A client is receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and
is not responding to commands. Which of the following is an appropriate action by the nurse?
• Placed the client in a prone proposition.
• Implement Positive pressure ventilation.
• Perform nasopharyngeal suctioning.
• administer flumazenil - ANSWER-Stroke
A nurse in a hospital cafeteria overhears two assistive personnel discussing a client. They are using the
clients name and discussing details of his diagnosis. Which of the following actions should the nurse take
first?
• Report the AP's behavior to the supervisor.
• Completed instant report regarding the Aps conversation.
• Provide the AP with written documentation regarding client confidentiality
• Tell the AP to discontinue their conversation - ANSWER-Tell the AP to discontinue their
conversation
A community health nurse is teaching a group of adults about the importance of health screenings. The
nurse should include African American males almost twice as likely as caucasian males to experience
which of the following?
,• testicular Cancer
• Obesity
• Stroke
• Melanoma - ANSWER-Stroke
A nurse is caring for a client who sprained his left ankle 12 hrs ago. Which of the following prescriptions
is given by the provider should the nurse clarify?
• Over the fact that extremities and two pillows.
• Apply heat to affect extremity for 45 minutes on the 45 is off.
• wrap the affected extremity with a compression dressing.
• Assess the affected extremity for sensation movement impulse every four hours - ANSWER-
Apply heat to affect extremity for 45 minutes on and 45 min off
A nurse is providing dietary teachings for a client who has hepatic encephalopathy. Which of the
following food selections indicates that client understands teaching?
• A sandwich and milkshake
• Rice with black beans
• Cottage cheese and tuna lettuce
• Three egg omelette with low-sodium ham - ANSWER-Rice and black beans
A nurse is planning care for a client sealed radiation implant and is to remain in the hospital for 1 week.
Which o the following should the nurse include in the plan of care?
• Remove dirty linens from the room after double bagging.
• Wear a dosimeter film badge while in the client's room
• Limit each of the clients is yours to one hour per day.
• Ensure family members remain at least 3 feet from the client. - ANSWER-Wear a dosimeter film
badge while in the clients room
A nurse is caring for 4 clients, which of the following client should the nurse care for first?
• A client to receive a chemotherapy treatment or first national
,• A client who has an appendectomy to these don't has diminished all sounds
• A client is hypothyroidism and his stuporous
• A client who is a burn requiring a sterile dressing change - ANSWER-A client is hypothyroidsm
and stuporous
The nurses planning care for newly admitted adolescent who has bacterial meningitis. Which of the
following instructions is appropriate for the nurse to include in th eplan of care?
• Initiate droplet precautions for the client
• Assisted client to supine position
• Performing Glasgow coma scale every 24 hrs
• Recommend prophylactic acyclovir there for the clients family. - ANSWER-Initiate droplet
precautions
Nurse is giving discharge planning instructions to a client who has new ileostomy. The nurse should
recognize that the teaching has been effective when the client states ?
• I want sure that my medications are enteric coated
• My stoma will drain liquid fluid continuously
• I will change my pump system every two weeks
• My stoma size will stay the same even after healed - ANSWER-My stoma will drain liquid fluid
continuously
A nurse in a providers office is interviewing a client who is requesting an oral contraceptive. Which of the
following findings in the clients history is a contraindication to use in combination oral contraceptives?
• thyroid disease
• Allergy to penicillin
• impaired liver function
• abnormal blood glucose - ANSWER-Impaired liver function
The nurses providing teaching to a client who has mild persistent asthma has been prescribed
montelukast. Which of the following statements should the nurse state for the teaching?
• This medication can be used to help you when have an acute asthma attack
, • This medication should be taken before exercise and physical activity
• This medication can be taken for 10 days and then gradually discontinued
• This medication helps decrease swelling and mucus production - ANSWER-This medication helps
decrease swelling and mucus production
The nurse on the medical surgical unit is receiving reports on 4 clients. Which of the following clients
should the nurse asses first?
102) I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client
should the nurse assess first?
• A client who is receiving warfarin and has and INR of 3.3
• A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52 mg/dL
• A client who had a NG tube inserted 6 hr ago and has abdominal distention 15 of 28
• A client who is 4 hr postoperative following a thyroidectomy and reports fullness in the back of
the throat - ANSWER-A client who has acute kidney injury a creatine of 4 mg/dl and a BUN 52 mg/dl
A nurse is assessing a client who has pericarditis. Which of the following findings is priority?
• Paradoxical pulse
• dependent edema
• Pericardial friction rub
• Sub sternal chest pain - ANSWER-Paradoxical pulse
A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces contaminated
with blood. Which of the following agents should the nurse include in the teaching?
• Hydrogen peroxide
• Chlorhexidine
• Isopropyl alcohol
• Chlorine bleach - ANSWER-Chlorine, bleach
A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the following actions
should be taken?
FINAL ACTUAL EXAM 70 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
The nurse is assessing a client who has long arm cast. Which of the following findings of the dressing for
acute compartment syndrome?
• Shortness of breath
• Petechiae
• Change in mental status
• Edema - ANSWER-Edema
A client is receiving IV moderate sedation with midazolam. The client has a respiratory rate of 9/min and
is not responding to commands. Which of the following is an appropriate action by the nurse?
• Placed the client in a prone proposition.
• Implement Positive pressure ventilation.
• Perform nasopharyngeal suctioning.
• administer flumazenil - ANSWER-Stroke
A nurse in a hospital cafeteria overhears two assistive personnel discussing a client. They are using the
clients name and discussing details of his diagnosis. Which of the following actions should the nurse take
first?
• Report the AP's behavior to the supervisor.
• Completed instant report regarding the Aps conversation.
• Provide the AP with written documentation regarding client confidentiality
• Tell the AP to discontinue their conversation - ANSWER-Tell the AP to discontinue their
conversation
A community health nurse is teaching a group of adults about the importance of health screenings. The
nurse should include African American males almost twice as likely as caucasian males to experience
which of the following?
,• testicular Cancer
• Obesity
• Stroke
• Melanoma - ANSWER-Stroke
A nurse is caring for a client who sprained his left ankle 12 hrs ago. Which of the following prescriptions
is given by the provider should the nurse clarify?
• Over the fact that extremities and two pillows.
• Apply heat to affect extremity for 45 minutes on the 45 is off.
• wrap the affected extremity with a compression dressing.
• Assess the affected extremity for sensation movement impulse every four hours - ANSWER-
Apply heat to affect extremity for 45 minutes on and 45 min off
A nurse is providing dietary teachings for a client who has hepatic encephalopathy. Which of the
following food selections indicates that client understands teaching?
• A sandwich and milkshake
• Rice with black beans
• Cottage cheese and tuna lettuce
• Three egg omelette with low-sodium ham - ANSWER-Rice and black beans
A nurse is planning care for a client sealed radiation implant and is to remain in the hospital for 1 week.
Which o the following should the nurse include in the plan of care?
• Remove dirty linens from the room after double bagging.
• Wear a dosimeter film badge while in the client's room
• Limit each of the clients is yours to one hour per day.
• Ensure family members remain at least 3 feet from the client. - ANSWER-Wear a dosimeter film
badge while in the clients room
A nurse is caring for 4 clients, which of the following client should the nurse care for first?
• A client to receive a chemotherapy treatment or first national
,• A client who has an appendectomy to these don't has diminished all sounds
• A client is hypothyroidism and his stuporous
• A client who is a burn requiring a sterile dressing change - ANSWER-A client is hypothyroidsm
and stuporous
The nurses planning care for newly admitted adolescent who has bacterial meningitis. Which of the
following instructions is appropriate for the nurse to include in th eplan of care?
• Initiate droplet precautions for the client
• Assisted client to supine position
• Performing Glasgow coma scale every 24 hrs
• Recommend prophylactic acyclovir there for the clients family. - ANSWER-Initiate droplet
precautions
Nurse is giving discharge planning instructions to a client who has new ileostomy. The nurse should
recognize that the teaching has been effective when the client states ?
• I want sure that my medications are enteric coated
• My stoma will drain liquid fluid continuously
• I will change my pump system every two weeks
• My stoma size will stay the same even after healed - ANSWER-My stoma will drain liquid fluid
continuously
A nurse in a providers office is interviewing a client who is requesting an oral contraceptive. Which of the
following findings in the clients history is a contraindication to use in combination oral contraceptives?
• thyroid disease
• Allergy to penicillin
• impaired liver function
• abnormal blood glucose - ANSWER-Impaired liver function
The nurses providing teaching to a client who has mild persistent asthma has been prescribed
montelukast. Which of the following statements should the nurse state for the teaching?
• This medication can be used to help you when have an acute asthma attack
, • This medication should be taken before exercise and physical activity
• This medication can be taken for 10 days and then gradually discontinued
• This medication helps decrease swelling and mucus production - ANSWER-This medication helps
decrease swelling and mucus production
The nurse on the medical surgical unit is receiving reports on 4 clients. Which of the following clients
should the nurse asses first?
102) I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client
should the nurse assess first?
• A client who is receiving warfarin and has and INR of 3.3
• A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52 mg/dL
• A client who had a NG tube inserted 6 hr ago and has abdominal distention 15 of 28
• A client who is 4 hr postoperative following a thyroidectomy and reports fullness in the back of
the throat - ANSWER-A client who has acute kidney injury a creatine of 4 mg/dl and a BUN 52 mg/dl
A nurse is assessing a client who has pericarditis. Which of the following findings is priority?
• Paradoxical pulse
• dependent edema
• Pericardial friction rub
• Sub sternal chest pain - ANSWER-Paradoxical pulse
A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces contaminated
with blood. Which of the following agents should the nurse include in the teaching?
• Hydrogen peroxide
• Chlorhexidine
• Isopropyl alcohol
• Chlorine bleach - ANSWER-Chlorine, bleach
A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the following actions
should be taken?
