ATI COMPREHENSIVE 2024 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 30 mL
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
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 30 mL
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
