ATI Comprehensive 2023 With NGN
1. A home health nurse is caring for a child who has Lyme disease which of the
following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
2. A nurse is caring for a client who has been admitted to the hospital. Select 5 actions
the nurse should take
a. Provide frequent rest periods
b. Restrict the client sodium intake
c. Advise the client to avoid the use of soap and alcohol
d. Place the client on a low carbohydrates diet
e. Place the client under contact isolation
f. Instruct the client to avoid blowing their nose forcefully
g. Assess the client's level of orientation
3. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first
a. Administer an antiemetic medication
b. Evaluate function of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
4. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client’s continuous passive motion (CMP) device. Which of the following
actions should the nurse take first
a. Initiate a requisition for a replacement CMP device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
5. A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution
a. Remove the cap and place it sterile side up on a clean surface
b. Place sterile gauze over areas of spilled solution within the sterile field
, c. Hold the bottle in the center of the sterile field when pouring the solution
d. Hold the irrigation solution bottle with the label facing away from the palm of the
hand
6. A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan
a. Wear loose fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240mL (8oz) glasses of water each day
d. Void every five to six hours during the day
7. A nurse is caring for a newborn. Drag the words from the choices below to fill in
each blank in the following sentence
a. The client is at risk for developing Hypoglycemia and Transient tachypnea of
the newborn
8. A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider
a. Pale and a 24 hour fluid deficit of 30mL
b. Sunken fontanelles and dry mucous membranes
c. Decreased appetite and irritability
d. Temperature 38C (100.4 F) and a pulse rate 124/min
9. A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching
a. Hypertension
b. Fibromyalgia
c. Renal Calculi
d. Fibrocystic breast disease
10. A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching
a. I can continue to take St. John’s wort while taking this medication
b. I know it will be a couple of weeks before the medication helps me feel better
c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach
11. A nurse is caring for a client who is immobile. Which of the following interventions
is appropriate to prevent contracture
a. Position a pillow under the client's knees
b. Place a towel roll under the client’s neck
c. Align a trochanter wedge between the client’s legs
d. Apply an orthotic to the client’s foot
,12. A nurse is assessing a client who is postoperative following abdominal surgery and
has an indwelling urinary catheter that is draining dark yellow urine at 25 ml/hr.
Which of the following interventions should the nurse anticipate
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 minutes
d. Obtain a urine specimen for culture and sensitivity
13. A nurse is reporting a client’s laboratory results to the provider to obtain a
prescription for the client’s daily warfarin. Which of the following laboratory test
should the nurse plan to report to obtain the prescription for the warfarin
a. Fibrinogen level
b. aPTT
c. INR
d. Platelet count
14. A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse document as
a manifestation of pseudoparkinsonism
a. Serpentine limb movement
b. Shuffling gait
c. Non reactive pupils
d. Smacking lips
15. A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the clients
a. Posting swallowing precautions at the heat of the client’s bed
b. Nothing changes in the treatment plan and the client’s medical record
c. Recording the client’s progress and the nurses notes
d. Having interdisciplinary team meetings for the client on a regular basis
16. A nurse is caring for a 2 year old toddler. Which of the following food choices should
the nurse recommend to promote independence in eating
a. Banana slices
b. Grapes
c. Hotdog
d. Popcorn
17. A nurse on a medical surgical unit is notified that a mass casualty has occurred in
the community. Which of the following actions should the nurse plan to take
a. Act as a liaison between the facility and the media
b. Recommend to the provider specific acute care clients for this charge
c. Determine the medical needs if incoming clients through the emergency
department
, d. Call in additional medical surgical unit nursing care staff
18. A nurse has just received a change of shift report for four clients. Which of the
following clients should the nurse assess first
a. A client who is scheduled for a procedure in one hour
b. A client who received a pain medication 30 minutes ago for post operative pain
c. A client who was just given a glass of orange juice for a low blood glucose
level
d. A client who has 100mL fluid remaining in his IV bag
19. A nurse is performing post mortem care for a recently deceased client prior to the
client’s family visit. Which of the following actions should the nurse plan to take
a. Cross the client’s arms across their chest
b. Hold the client’s eyes shut for a few seconds
c. Place the client in a high fowler's position
d. Remove the client’s dentures from their mouth
20. A nurse is admitting a client who has schizophrenia. The client states “ I’m hearing
voices” Which of the following responses is the priority for the nurse to state
a. What are the voices telling you?
b. I realize the voices are real to you but I don’t hear anything
c. Have you taken your medication today
d. How long have you been hearing the voices
21. A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an indication
that the medication has been effective
a. Increased blood pressure
b. Weight loss
c. Decreased inflammation
d. Decreased pain
22. A nurse is caring for a client who requires nasal tracheal suctioning. Identify the
sequence the nurse should follow to perform suctioning. ( Move the steps into the
box to the right placing them in the order of performance. Use all the steps).
a. Turn on the suction and set the pressure
b. DON the sterile gloves
c. Insert the catheter during the clients inspiration
d. Apply suction while rotating the catheter
e. Rinse the catheter to remove secretions
23. A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take
a. Send the unsigned informed consent form to the facility’s risk manager
b. Determine if the client’s health care surrogate is aware of the risks and
benefits of the procedure
1. A home health nurse is caring for a child who has Lyme disease which of the
following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis
2. A nurse is caring for a client who has been admitted to the hospital. Select 5 actions
the nurse should take
a. Provide frequent rest periods
b. Restrict the client sodium intake
c. Advise the client to avoid the use of soap and alcohol
d. Place the client on a low carbohydrates diet
e. Place the client under contact isolation
f. Instruct the client to avoid blowing their nose forcefully
g. Assess the client's level of orientation
3. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first
a. Administer an antiemetic medication
b. Evaluate function of the suction device
c. Provide oral hygiene care
d. Replace the NG tube
4. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client’s continuous passive motion (CMP) device. Which of the following
actions should the nurse take first
a. Initiate a requisition for a replacement CMP device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
5. A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution
a. Remove the cap and place it sterile side up on a clean surface
b. Place sterile gauze over areas of spilled solution within the sterile field
, c. Hold the bottle in the center of the sterile field when pouring the solution
d. Hold the irrigation solution bottle with the label facing away from the palm of the
hand
6. A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan
a. Wear loose fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240mL (8oz) glasses of water each day
d. Void every five to six hours during the day
7. A nurse is caring for a newborn. Drag the words from the choices below to fill in
each blank in the following sentence
a. The client is at risk for developing Hypoglycemia and Transient tachypnea of
the newborn
8. A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider
a. Pale and a 24 hour fluid deficit of 30mL
b. Sunken fontanelles and dry mucous membranes
c. Decreased appetite and irritability
d. Temperature 38C (100.4 F) and a pulse rate 124/min
9. A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching
a. Hypertension
b. Fibromyalgia
c. Renal Calculi
d. Fibrocystic breast disease
10. A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching
a. I can continue to take St. John’s wort while taking this medication
b. I know it will be a couple of weeks before the medication helps me feel better
c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach
11. A nurse is caring for a client who is immobile. Which of the following interventions
is appropriate to prevent contracture
a. Position a pillow under the client's knees
b. Place a towel roll under the client’s neck
c. Align a trochanter wedge between the client’s legs
d. Apply an orthotic to the client’s foot
,12. A nurse is assessing a client who is postoperative following abdominal surgery and
has an indwelling urinary catheter that is draining dark yellow urine at 25 ml/hr.
Which of the following interventions should the nurse anticipate
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 minutes
d. Obtain a urine specimen for culture and sensitivity
13. A nurse is reporting a client’s laboratory results to the provider to obtain a
prescription for the client’s daily warfarin. Which of the following laboratory test
should the nurse plan to report to obtain the prescription for the warfarin
a. Fibrinogen level
b. aPTT
c. INR
d. Platelet count
14. A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse document as
a manifestation of pseudoparkinsonism
a. Serpentine limb movement
b. Shuffling gait
c. Non reactive pupils
d. Smacking lips
15. A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the clients
a. Posting swallowing precautions at the heat of the client’s bed
b. Nothing changes in the treatment plan and the client’s medical record
c. Recording the client’s progress and the nurses notes
d. Having interdisciplinary team meetings for the client on a regular basis
16. A nurse is caring for a 2 year old toddler. Which of the following food choices should
the nurse recommend to promote independence in eating
a. Banana slices
b. Grapes
c. Hotdog
d. Popcorn
17. A nurse on a medical surgical unit is notified that a mass casualty has occurred in
the community. Which of the following actions should the nurse plan to take
a. Act as a liaison between the facility and the media
b. Recommend to the provider specific acute care clients for this charge
c. Determine the medical needs if incoming clients through the emergency
department
, d. Call in additional medical surgical unit nursing care staff
18. A nurse has just received a change of shift report for four clients. Which of the
following clients should the nurse assess first
a. A client who is scheduled for a procedure in one hour
b. A client who received a pain medication 30 minutes ago for post operative pain
c. A client who was just given a glass of orange juice for a low blood glucose
level
d. A client who has 100mL fluid remaining in his IV bag
19. A nurse is performing post mortem care for a recently deceased client prior to the
client’s family visit. Which of the following actions should the nurse plan to take
a. Cross the client’s arms across their chest
b. Hold the client’s eyes shut for a few seconds
c. Place the client in a high fowler's position
d. Remove the client’s dentures from their mouth
20. A nurse is admitting a client who has schizophrenia. The client states “ I’m hearing
voices” Which of the following responses is the priority for the nurse to state
a. What are the voices telling you?
b. I realize the voices are real to you but I don’t hear anything
c. Have you taken your medication today
d. How long have you been hearing the voices
21. A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an indication
that the medication has been effective
a. Increased blood pressure
b. Weight loss
c. Decreased inflammation
d. Decreased pain
22. A nurse is caring for a client who requires nasal tracheal suctioning. Identify the
sequence the nurse should follow to perform suctioning. ( Move the steps into the
box to the right placing them in the order of performance. Use all the steps).
a. Turn on the suction and set the pressure
b. DON the sterile gloves
c. Insert the catheter during the clients inspiration
d. Apply suction while rotating the catheter
e. Rinse the catheter to remove secretions
23. A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take
a. Send the unsigned informed consent form to the facility’s risk manager
b. Determine if the client’s health care surrogate is aware of the risks and
benefits of the procedure
