Ati rn comprehensive c

ATI RN COMPREHENSIVE C
r r r

,ATI COMPREHENSIVE C
r r




1. Arnurserisrcaringrforrarclientrwhorhasrbipolarrdisorderrandrisrexperiencingracutermania.rThernurs
erobtainedrarverbalrprescriptionrforrrestraints.rWhichrofrtherfollowingrshouldrtheractionsrthernurserta
ke?
A. Requestr arrenewalrofrtherprescriptionreveryr8rhr.
B. Checkrtherclient’srperipheralrpulserratereveryr30r min
C. Obtainrarprescriptionrforrrestraintrwithinr4r hr.
D. Documentrtherclient’srconditionreveryr15r minutes
2. Arnursingrplanningrcarerforrarschool-
agerchildrwhorisr4rhrrpostoperativerfollowingrperforatedrappendicitis.rWhichrofrtherfollowingracti
onsrshouldrthernurserincluderinrtherplanrofrcare?
a. Offerrsmallramountsrofrclearr liquidsr6rhrrfollowingrsurgeryr(assessrforrgagrreflexrfirst)
b. Givercromolynrnebulizerrsolutionreveryr6rhrr(forrasthma)
c. Applyrarwarmrcompressrtor theroperativersitereveryr4rhr
d. Administerranalgesicsronrarscheduledrbasisrforrtherfirstr24rhr
3. Arnurser isrreceivingrchange-of-
shiftr reportrforrargrouprofrclients.rWhichrofrtherfollowingrclientsrshouldrthernurserplanrtor
assessr first?
a. Arclientrwhorhasrsinusrarrhythmiarandrisrreceivingrcardiacr monitoring
b. Arclientr whor hasrdiabetesrmellitusrandrarhemoglobinrA1Crofr 6.8%
c. Arclientrwhorhasrepiduralranalgesiarandrweaknessrinrtherlowerr extremities
d. Arclientrwhorhasrarhiprfracturerandrarnewronsetrofrtachypnea

4. Arnurserisrpreparingrtorapplyrartransdermalrnicotinerpatchrforrarclient.rWhichrofrtherfoll
owingractionsrshouldrthernursertakr e?
a. Shaverhairyrareasrofrskinrpriorrtorapplicationr(applyrtorhairless,r cleanr&rdryrareasrtorpromoterabso
rption;ravoidr oilyrorrbrokenrskin)
b. Wearrglovesrtorapplyrtherpatchrtortherclient’srskin
c. Applyrtherpatchrwithinr1rhrrofrremovingr itrfromrtherprotectiverpouchr(applyrimmediately)
d. Removertherpreviousrpatchrandrplaceritrinrartissuer(foldrpatchrinrhalfrwithrstickyrsidesrpres
sedrtogether)
5. Arnurserhasrjustrreceivedrchange-of-
shiftrreportrforrfourrclients.rWhichrofrtherfollowingrclientsrshouldrthernurserassessr first?
a. Arclientrwhorwasrjustrgivenrarglassrofrorangerjuicerforrarlowrbloodrglucoserlevel
b. Arclientrwhorisrschedulerforrarprocedurerinr1rhrr(canr wait)
c. Arclientrwhorhasr100rmLrfluidrremainingrinrhisrIVrbagr(canr wait)
d. Arclientrwhorreceivedrarpainrmedicationr30rminragorforrpostoperativer pain
6. Arnurserisrcaringrforrarclientrwhorisrreceivingrintermittentr enteralrtuberfeedings.rWhichrofrtherf
ollowingrplacesrtherclientr atr riskr forr aspiration?
a. Arhistoryrofrgastroesophagealrrefluxrdisease
b. Receivingrarhighrosmolarityrformula
c. Sittingrinrarhigh-Fowler’srpositionrduringrther feeding
d. Arresidualrofr65r mLr1hrrpostprandial
7. ArnurserisrreviewingrtherlaboratoryrresultsrforrarclientrwhorhasrCushing’srdisease.rThernurser
shouldrexpectrtherclientrtorhaveranrincreaserinrwhichrofrtherfollowingrlaboratoryrvalues?ra.

,Serumrglucoserlevel-rincreased

, b. Serumrcalciumrlevel-decreased
c. Lymphocytercount-rdecreasedrimmuner system.
d. Serumrpotassiumrlevel-rdecreased
.r8.rArnurserisrcaringrforrarclientrwhorhasrsevererpreeclampsiarandrisrreceivingrmagnesiumrsulfateri
ntravenously.rThernurserdiscontinuesrthermagnesiumrsulfaterafterr ther clientrdisplacesrtoxicity.r
Whichrofrtherfollowingractionsr shouldrthernursertake?
a. Positionrtherclientr supine
b. PrepareranrIVrbolusrofrdextroser5%rinrwater
c. Administerrmethylergonoviner IM
d. AdministerrcalciumrgluconaterIV
Calciumrgluconaterisrgivenrforrmagnesiumrsulfatertoxicity.r Alwaysrhaveranrinjectablerformrofrcalciu
mrgluconateravailablerwhenradministeringr magnesiumrsulfater byrIV.

9. Archargernurserisrteachingrnewrstaffrmembersraboutrfactorsrthatrincreaserarclient’srriskrtorbec
omerviolent.rWhichrofrtherfollowingrriskrfactorsrshouldrthernurserincluderasrtherbestrpredictorrofrfut
urer violence?
a. Experiencingrdelusions
b. Malergender
c. Previousrviolentrbehavior
d. Arhistoryrofrbeingr inrprison
Riskrfactorsralsorinclude:rpastrhistoryrofraggression,rpoorrimpulsercontrol,randrviolence.rComorbidityr
thatrleadsrtoractsrofrviolencer(psychoticrdelusions,rcommandrhallucinations,rviolentrangryrreactionsrwit
hrcognitiverdisorders).
IndividualrAssessmentrforrViolence

10. Arnurserisrpreparingrtorperformrarsterilerdressingrchange.rWhichrofrtherfollowingractionsrsho
uldrthernursertakerwhenrsettingruprthersteriler field?
a. Placerthercaprfromrthersolutionrsterilersiderupronrcleanrsurface
b. Openrtheroutermostrflaprofrthersterilerkitrtowardrtherbody→rflaprAWAYrfromrtherbody'srfirst
c. Placerthersterilerdressingrwithinr1.25rcmr(0.5in)rofrtheredgerofrthersteriler fieldr→r2.5rcmr(1-
inch)r borderraroundranyrsterilerdraperorrwraprthatrisrconsideredr contaminated.
d. Setruprthersterilerfieldr5rcmr(2rin)rbelowrwaistrlevel→ritrsaysrBELOWrwaistrlevel;rshouldrberA
BOVEr waistr level
11. Arnurserisrprovidingrteachingrtoranrolderradultrclientraboutrmethodsrtorpromoternig
httimersleep.rWhichrofrtherfollowingrinstructionsrshouldrthernurser include?
a. Eatrarlightrsnackrbeforerbedtime
b. Stayrinrbedratrleastr1rhrrifrunablertorfallr asleep
c. Takerar1rhrrnaprduringrther day
d. Performrexercisesrpriorrtorbedtime
12. Arhomerhealthrnurserisrpreparingrforranrinitialrvisitrwithranrolderradultrclientrwhorlivesralon
e.rWhichrofrther followingractionsrshouldrthernursertakerfirst?
a. Educatertherclientr aboutrcurrentrmedicalrdiagnosis
b. Referrtherclientrtor armealrdeliveryrprogram
c. Identifyrenvironmentalrhazardsrinrthe