ATI Comprehensive Final Exam
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an IUD. Which of the following information should the nurse provide the
client? - Answers -"Your risk for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When
obtaining the child's history from her parent, which of the following questions should the
nurse ask? - Answers -"Does anyone smoke around or in the same house as your
child?"
A nurse is teaching the parent of a child who has severe reactive airway disease about
glucocorticoid therapy. The parent asks why her child has to inhale the medication
instead of taking it orally. Which of the following information should the nurse provide
the parent? - Answers -Oral glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for sertraline. The
client asks the nurse if he should continue to take St. John's wort for depression. Which
of the following instructions should the nurse give the client? - Answers -Stop taking the
herbal supplement while taking the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of
the following assessments is the nurses priority? - Answers -Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose inhaler. After
removing the cap from the inhaler and shaking the canister, identify the sequence of
instructions the nurse should give the client. - Answers -1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of
the medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the
following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and
phosphate 4.8. Which of the following findings is the priority for the nurse to report to the
provider? - Answers -Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about child abuse.
Which of the following data should the nurse use as a common example of a suggestive
finding? - Answers -Arm cast for a spiral fracture of the forearm
,Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the
pediatric unit. The nurse has limited experience with children. Which of the following
actions should the nurse manager take? - Answers -Assign a unit nurse to act as a
resource for the medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has GERD. The
nurses should suggest monitoring the client for which of the following complications? -
Answers -Aspiration
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal
yeast infections during pregnancy. Which of the following responses should the nurse
make? - Answers -"The hormonal changes of pregnancy change the acidity of the
vagina, making yeast infections more common."
A community health nurse is preforming client triage while participating in a disaster
drill. The nurse should recommend that which of the following clients receives treatment
first? - Answers -Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a fiberglass cast
application follow a lower extremity fracture. Which of the following instructions should
the nurse reinforced with the child and his parents about care during the first 48 hours?
- Answers -Keep the cast above the level of your heart
A nurse is collecting data from a toddler who has aids. The nurse should identify which
of the following findings as an indication infection? - Answers -Candidiasis
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of
the following findings should indicate to the nurse that the AAA is expanding? - Answers
-Report of sudden severe back pain
A nurse is reinforcing discharge teaching to a client who does not speak the same
language as the nurse. The clients neighbor, who speaks to the clients native language
and the nurses, arrives to drive the client home. Which of the following actions should
the nurse take? - Answers -Obtain the services of an interpreter
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and
dyspnea. Which of the following actions should the nurse take first? - Answers -Stop the
medication infusion.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will
have a surgical procedure in the morning. The child has been crying despite his parents
presence at his bedside. The nurse should recommend engaging the child in
therapeutic play for the care plan because it offers which of the following benefits? -
Answers -Allows the child to manipulate toy medical equipment
, A nurse on a mental health unit is caring for a client who has depression. Which of the
following actions should the nurse take to foster a therapeutic environment for this
client? - Answers -Build trust with the client by sitting quietly with him
A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia.
The nurse should identify that an increase in which of the following parameters is an
early indication of agranulocytosis? - Answers -Temperature
A nurse is assisting with the plan of care for a client who is post operative following a
hip arthroplasty. In the clients medical record, the nurse notes a history of COPD. Which
of the following oxygen delivery method should the nurse recommend to use this client?
- Answers -A nasal cannula
A nurse is caring for a client who has dehydration hypovolemic shock. Which of the
following laboratory values should the nurse expect for this client? - Answers -
Hematocrit 55%
During a client care staff meeting, A charge nurse discusses potential problems with
data security that affect confidential client information. Which of the following
environments should the charge nurse identify as an acceptable area for discussing
client information? - Answers -Areas with no public access
A nurse is providing preoperative teaching for a client who will undergo laser-assisted in
situ keratomileusis (LASIK) surgery. Which of the following information should the nurse
include? - Answers -"You might need glasses after the surgery."
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of
the following findings should the nurse expect? - Answers -Prolonged Q-T intervals
I nurse is assisting with the care of a client who had a precipitous delivery. The nurse
should identify the collection which of the following data as a priority during the fourth
stage of labor? - Answers -Palpating the clients fundus
A hospice nurse is visiting with the family member of a client. The family member states
that the client has insomnia almost nightly. Which of the following practices should the
nurse identify as contributing to the clients insomnia? - Answers -The client watches
television in her bed during the day
A nurse at a long-term care facility hears an AP talking with an older adult client who
has dementia with periods of confusion. Which of the following statements indicates that
the AP requires further instructions? - Answers -It's almost time for your appointment.
Let me do your hair for you and brush your teeth.
A nurse in the labor and delivery suite is planning care for a group of four clients. Which
of the following clients should the nurse see first? - Answers -A client who is in active
labor and has late decelerations on the fetal heart monitor's strip.
A nurse is providing teaching to a client who has come to the family planning clinic
requesting an IUD. Which of the following information should the nurse provide the
client? - Answers -"Your risk for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When
obtaining the child's history from her parent, which of the following questions should the
nurse ask? - Answers -"Does anyone smoke around or in the same house as your
child?"
A nurse is teaching the parent of a child who has severe reactive airway disease about
glucocorticoid therapy. The parent asks why her child has to inhale the medication
instead of taking it orally. Which of the following information should the nurse provide
the parent? - Answers -Oral glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for sertraline. The
client asks the nurse if he should continue to take St. John's wort for depression. Which
of the following instructions should the nurse give the client? - Answers -Stop taking the
herbal supplement while taking the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of
the following assessments is the nurses priority? - Answers -Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose inhaler. After
removing the cap from the inhaler and shaking the canister, identify the sequence of
instructions the nurse should give the client. - Answers -1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of
the medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the
following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and
phosphate 4.8. Which of the following findings is the priority for the nurse to report to the
provider? - Answers -Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about child abuse.
Which of the following data should the nurse use as a common example of a suggestive
finding? - Answers -Arm cast for a spiral fracture of the forearm
,Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the
pediatric unit. The nurse has limited experience with children. Which of the following
actions should the nurse manager take? - Answers -Assign a unit nurse to act as a
resource for the medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has GERD. The
nurses should suggest monitoring the client for which of the following complications? -
Answers -Aspiration
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal
yeast infections during pregnancy. Which of the following responses should the nurse
make? - Answers -"The hormonal changes of pregnancy change the acidity of the
vagina, making yeast infections more common."
A community health nurse is preforming client triage while participating in a disaster
drill. The nurse should recommend that which of the following clients receives treatment
first? - Answers -Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a fiberglass cast
application follow a lower extremity fracture. Which of the following instructions should
the nurse reinforced with the child and his parents about care during the first 48 hours?
- Answers -Keep the cast above the level of your heart
A nurse is collecting data from a toddler who has aids. The nurse should identify which
of the following findings as an indication infection? - Answers -Candidiasis
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of
the following findings should indicate to the nurse that the AAA is expanding? - Answers
-Report of sudden severe back pain
A nurse is reinforcing discharge teaching to a client who does not speak the same
language as the nurse. The clients neighbor, who speaks to the clients native language
and the nurses, arrives to drive the client home. Which of the following actions should
the nurse take? - Answers -Obtain the services of an interpreter
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and
dyspnea. Which of the following actions should the nurse take first? - Answers -Stop the
medication infusion.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will
have a surgical procedure in the morning. The child has been crying despite his parents
presence at his bedside. The nurse should recommend engaging the child in
therapeutic play for the care plan because it offers which of the following benefits? -
Answers -Allows the child to manipulate toy medical equipment
, A nurse on a mental health unit is caring for a client who has depression. Which of the
following actions should the nurse take to foster a therapeutic environment for this
client? - Answers -Build trust with the client by sitting quietly with him
A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia.
The nurse should identify that an increase in which of the following parameters is an
early indication of agranulocytosis? - Answers -Temperature
A nurse is assisting with the plan of care for a client who is post operative following a
hip arthroplasty. In the clients medical record, the nurse notes a history of COPD. Which
of the following oxygen delivery method should the nurse recommend to use this client?
- Answers -A nasal cannula
A nurse is caring for a client who has dehydration hypovolemic shock. Which of the
following laboratory values should the nurse expect for this client? - Answers -
Hematocrit 55%
During a client care staff meeting, A charge nurse discusses potential problems with
data security that affect confidential client information. Which of the following
environments should the charge nurse identify as an acceptable area for discussing
client information? - Answers -Areas with no public access
A nurse is providing preoperative teaching for a client who will undergo laser-assisted in
situ keratomileusis (LASIK) surgery. Which of the following information should the nurse
include? - Answers -"You might need glasses after the surgery."
A nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of
the following findings should the nurse expect? - Answers -Prolonged Q-T intervals
I nurse is assisting with the care of a client who had a precipitous delivery. The nurse
should identify the collection which of the following data as a priority during the fourth
stage of labor? - Answers -Palpating the clients fundus
A hospice nurse is visiting with the family member of a client. The family member states
that the client has insomnia almost nightly. Which of the following practices should the
nurse identify as contributing to the clients insomnia? - Answers -The client watches
television in her bed during the day
A nurse at a long-term care facility hears an AP talking with an older adult client who
has dementia with periods of confusion. Which of the following statements indicates that
the AP requires further instructions? - Answers -It's almost time for your appointment.
Let me do your hair for you and brush your teeth.
A nurse in the labor and delivery suite is planning care for a group of four clients. Which
of the following clients should the nurse see first? - Answers -A client who is in active
labor and has late decelerations on the fetal heart monitor's strip.
