ATI CRITICAL THINKING EXAM 2024 TEST BANK FOR ATI
PROCTORED EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who is diagnosed with rheumatoid arthritis and is
prescribed dexamethasone (Prednisone). Which of the following indicates the client
is experiencing an adverse effect of the medication? - ANSWER: Hyperglycemia.In
this item, you need nursing knowledge of dexamethasone to recall adverse effects
associated with the medication. This item requires foundational thinking because
you only need to recall knowledge related to adverse effects of dexamethasone.
Dexamethasone, a glucocorticoid, is a powerful anti-inflammatory and
immunosuppressant and is indicated for the treatment of multiple disorders,
including rheumatoid arthritis. Adverse effects of dexamethasone increase with the
dosage and duration of treatment and can include adrenal insufficiency,
osteoporosis, infection, myopathy, fluid and electrolyte disturbances, cataracts,
peptic ulcer disease, and iatrogenic Cushing's syndrome among others.
Hyperglycemia, an elevated blood glucose level, is an adverse effect of
dexamethasone. Both hyperglycemia and glycosuria can be manifested in clients
who are taking dexamethasone because of its effect on the production and use of
glucose.
While collecting data on a client who is immobile, a nurse locates a reddened area of
skin on the left scapula. Which of the following actions should the nurse take? -
ANSWER: In this item, you need knowledge of appropriate skin care interventions for
clients who are immobile with indications of a stage I pressure ulcer. This item
requires foundational thinking because you have to recall interventions that are
appropriate for maintaining skin integrity in clients who are immobile. Damage to
tissues caused by continuous pressure is described as a pressure ulcer. The risk for
pressure ulcers can be complicated by factors such as immobility, inadequate
nutrition, bowel and bladder incontinence, decreased mental status, reduced
sensation, increasing age, and excessive body heat. Appropriate care of pressure
ulcers is based on the characteristics and stage of the wound. A wound that
manifests as a reddened area is a stage 1 pressure ulcer. A transparent wound
barrier applied to reddened skin or a stage 1 pressure ulcer to prevent
contamination and reduce friction to the area is an appropriate action by the nurse.
A nurse is precepting a newly licensed nurse while he is charting. Use of which of the
following abbreviations indicates a need for further teaching? - ANSWER: In this
item, you need knowledge of abbreviations that the Joint Commission has
determined should not be used in documentation. This is a negatively-worded item
that asks you to select the option that indicates the newly licensed nurse needs
additional teaching. You will learn more about negatively-worded items in Module 4.
This item requires foundational thinking because you only need to recall knowledge
related to the abbreviations that are not acceptable for use when charting. To
, reduce the occurrence of medical errors, the Joint Commission developed a list of
do-not-use abbreviations that should be avoided in health care settings. The
abbreviation "q.d." was previously used to indicate every day, which can be mistaken
as the abbreviation for "four times daily (qid)," resulting in medical errors. The Joint
Commission has recommended the use of "daily" to indicate every day. This is not an
acceptable abbreviation; therefore, additional teaching is needed.
A nurse is caring for a client who is prescribed IV fluids. While inserting the IV
catheter, blood is spilled on the floor. Which of the following solutions should the
nurse use to clean the spill? - ANSWER: Bleach
A nurse is conducting a breast examination on a client who has a family history of
breast cancer. Which of the following should the nurse report to the provider? -
ANSWER: Dimpling of the tissue in the upper outer quadrant
a client who has been prescribed an indwelling urinary catheter. When preparing to
insert the catheter, the nurse should first open the sterile package in which of the
following directions? - ANSWER: Away from the body
Rationale: Sterile packages are resistant to pathogens and are used for specific
techniques or procedures to prevent contamination.
A nurse is caring for a male client who has been prescribed an indwelling urinary
catheter. In which of the following positions should the client be placed for insertion
of the catheter? - ANSWER: Supine
To Transfer a client from a chair to a bed - ANSWER: Twisting at the waist and
shoulders
A nurse is caring for a client who is diagnosed with a urinary tract infection and is
prescribed ciprofloxacin (Cipro) 250 mg PO two times daily. The amount available is
100 mg/tablet. How many tablets should the nurse administer with each dose? -
ANSWER: 2.5
Desired xQuantity / Have=
250 x 1 tablet /100 = 2.5
A nurse is collecting data on a client who has received a preoperative dose of
morphine. Which of the following indicates the client is experiencing an adverse
effect of the medication? - ANSWER: In this item, you need nursing knowledge
related to morphine to recall adverse effects associated with the medication. This
item requires foundational thinking because you only need to recall knowledge
related to adverse effects of morphine. Morphine is an opioid used to treat
moderate to severe pain, and can reduce anxiety, produce a sense of well-being, as
well as cause drowsiness and mental clouding. Morphine has an agonist effect on
opioid receptors in the CNS, causing many of the adverse effects associated with the
medication. Urinary retention is an adverse effect of morphine. By increasing bladder
sphincter and detrusor muscle tone and reducing awareness of bladder stimuli,
PROCTORED EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who is diagnosed with rheumatoid arthritis and is
prescribed dexamethasone (Prednisone). Which of the following indicates the client
is experiencing an adverse effect of the medication? - ANSWER: Hyperglycemia.In
this item, you need nursing knowledge of dexamethasone to recall adverse effects
associated with the medication. This item requires foundational thinking because
you only need to recall knowledge related to adverse effects of dexamethasone.
Dexamethasone, a glucocorticoid, is a powerful anti-inflammatory and
immunosuppressant and is indicated for the treatment of multiple disorders,
including rheumatoid arthritis. Adverse effects of dexamethasone increase with the
dosage and duration of treatment and can include adrenal insufficiency,
osteoporosis, infection, myopathy, fluid and electrolyte disturbances, cataracts,
peptic ulcer disease, and iatrogenic Cushing's syndrome among others.
Hyperglycemia, an elevated blood glucose level, is an adverse effect of
dexamethasone. Both hyperglycemia and glycosuria can be manifested in clients
who are taking dexamethasone because of its effect on the production and use of
glucose.
While collecting data on a client who is immobile, a nurse locates a reddened area of
skin on the left scapula. Which of the following actions should the nurse take? -
ANSWER: In this item, you need knowledge of appropriate skin care interventions for
clients who are immobile with indications of a stage I pressure ulcer. This item
requires foundational thinking because you have to recall interventions that are
appropriate for maintaining skin integrity in clients who are immobile. Damage to
tissues caused by continuous pressure is described as a pressure ulcer. The risk for
pressure ulcers can be complicated by factors such as immobility, inadequate
nutrition, bowel and bladder incontinence, decreased mental status, reduced
sensation, increasing age, and excessive body heat. Appropriate care of pressure
ulcers is based on the characteristics and stage of the wound. A wound that
manifests as a reddened area is a stage 1 pressure ulcer. A transparent wound
barrier applied to reddened skin or a stage 1 pressure ulcer to prevent
contamination and reduce friction to the area is an appropriate action by the nurse.
A nurse is precepting a newly licensed nurse while he is charting. Use of which of the
following abbreviations indicates a need for further teaching? - ANSWER: In this
item, you need knowledge of abbreviations that the Joint Commission has
determined should not be used in documentation. This is a negatively-worded item
that asks you to select the option that indicates the newly licensed nurse needs
additional teaching. You will learn more about negatively-worded items in Module 4.
This item requires foundational thinking because you only need to recall knowledge
related to the abbreviations that are not acceptable for use when charting. To
, reduce the occurrence of medical errors, the Joint Commission developed a list of
do-not-use abbreviations that should be avoided in health care settings. The
abbreviation "q.d." was previously used to indicate every day, which can be mistaken
as the abbreviation for "four times daily (qid)," resulting in medical errors. The Joint
Commission has recommended the use of "daily" to indicate every day. This is not an
acceptable abbreviation; therefore, additional teaching is needed.
A nurse is caring for a client who is prescribed IV fluids. While inserting the IV
catheter, blood is spilled on the floor. Which of the following solutions should the
nurse use to clean the spill? - ANSWER: Bleach
A nurse is conducting a breast examination on a client who has a family history of
breast cancer. Which of the following should the nurse report to the provider? -
ANSWER: Dimpling of the tissue in the upper outer quadrant
a client who has been prescribed an indwelling urinary catheter. When preparing to
insert the catheter, the nurse should first open the sterile package in which of the
following directions? - ANSWER: Away from the body
Rationale: Sterile packages are resistant to pathogens and are used for specific
techniques or procedures to prevent contamination.
A nurse is caring for a male client who has been prescribed an indwelling urinary
catheter. In which of the following positions should the client be placed for insertion
of the catheter? - ANSWER: Supine
To Transfer a client from a chair to a bed - ANSWER: Twisting at the waist and
shoulders
A nurse is caring for a client who is diagnosed with a urinary tract infection and is
prescribed ciprofloxacin (Cipro) 250 mg PO two times daily. The amount available is
100 mg/tablet. How many tablets should the nurse administer with each dose? -
ANSWER: 2.5
Desired xQuantity / Have=
250 x 1 tablet /100 = 2.5
A nurse is collecting data on a client who has received a preoperative dose of
morphine. Which of the following indicates the client is experiencing an adverse
effect of the medication? - ANSWER: In this item, you need nursing knowledge
related to morphine to recall adverse effects associated with the medication. This
item requires foundational thinking because you only need to recall knowledge
related to adverse effects of morphine. Morphine is an opioid used to treat
moderate to severe pain, and can reduce anxiety, produce a sense of well-being, as
well as cause drowsiness and mental clouding. Morphine has an agonist effect on
opioid receptors in the CNS, causing many of the adverse effects associated with the
medication. Urinary retention is an adverse effect of morphine. By increasing bladder
sphincter and detrusor muscle tone and reducing awareness of bladder stimuli,
