ATI Comprehensive Exam Questions With100% VERIFIED Solutions

ATI Comprehensive Exam Questions With100% VERIFIED Solutions A nurse is providing teaching to a pt who is 24wks gestation and is scheduled for a 3hr oral glucose tolerance test. Which of the following instructions should the nurse include? - ANSWER - You will need to fast the night before the test A nurse is assessing an older adult pt with pneumonia. Which finding should the nurse expect? - ANSWER - Acute confusion - Typical findings in an older adult is acute confusion, fatigue, lethargy, and anorexia A pt in the ED has been having nausea and vomiting for the past 2days. What finding should be expected? - ANSWER - Urine specific gravity of 1.052, this indicates dehydration - Normal urine specific gravity is 1.002-1.030 A nurse is caring for a post-op pt who received moderate (conscious) sedation. The pt suddenly becomes restless and reports feeling lightheaded. What actions is priority? - ANSWER - Check the O2 saturation - Restlessness and lightheadedness are indications of hypoxia A nurse is providing teaching to a pt newly diagnosed with type 1 diabetes. The nurse should instruct the pt to monitor for which finding as a sign of hypoglycemia? - ANSWER - Irritability A pt with a DVT should be told to do what? - ANSWER - Instruct the pt to elevate the affected extremity when sitting - This reduces edema and helps with venous return A nurse is providing information to a pt before their scheduled Romberg test. What information should be said? - ANSWER - The test will occur once with your eyes open and once with them closed - This test assesses balance and motor function A nurse is providing teaching for a parent of a child with autism disorder. Which instructions should be given? - ANSWER - Use a reward system to modify the child's behavior - These children respond well to reward systems, which can provide structure and expectations for behavior A nurse is providing teaching to a pt who is to receive electroconvulsive therapy (ECT). The nurse should inform the pt that what finding is an adverse effect? - ANSWER - Short term memory loss - This is a common adverse effect A pt has been prescribe chlorpromazine. What finding is an indication that the medication is effective? - ANSWER - Decreased hallucinations - This is an antipsychotic medication A nurse is developing a discharge plan for a shool-age shild with thrombocytopenia. The nurse should instruct the child to avoid which of the following? - ANSWER - Blowing the nose - This increases the child's risk for bleeding or hemorrhaging A nurse is reviewing the labs for a pt who has end-stage kidney disease and received hemodialysis 24hr ago. Which lab value should be reported to the HCP? - ANSWER - Sodium 148 - This indicates hypernatremia, pts with kidney disease often retain sodium and require sodium-restricted diets - The normal range is 135-145 A pt has a magnesium level of 2.5. Which intervention should be implemented? - ANSWER - Initiate continuous cardiac monitoring - Hypermagnesemia puts the pt at risk for cardiac dysrhythmias and cardiac arrest - Normal range 1.5-2.5 A nurse is preparing to teach about dietary management to a pt with Crohn's disease and an enteroenteric fistula. Which nutrient should the pt decrease? - ANSWER - Fiber - This helps reduce residue and decrease exacerbations A nurse is caring for a pt who is in the resuscitation phase of burn injury. Which finding should the nurse expect? - ANSWER - Hyponatremia, the sodium is drawn to the edematous burn area and lost through plasma leakage - Increased hematocrit, due to loss of fluid volume - Hyperkalemia, due to the release of potassium from cells at the burn site - Decreased albumin, due to loss of protein from increased permeability of the vascular membranes A nurse is providing teaching to a pt who is 26wks of gestation and is to have an oral glucose tolerance test. Which of the following actions should the nurse instruct the pt to take before the test? - ANSWER - Avoid caffeine - At least 12hr before to avoid elevating blood glucose levels A pt has hyperthyroidism, which of the following findings should the nurse expect? - ANSWER - Tremors, tachycardia, diaphoresis, weight loss, insomnia, and exopthalmia An antepartum nurse is caring for 4 pts. Which pregnant pt should have seizure precautions initiated? - ANSWER - A pt who is 33wks of gestation and has severe gestational hypertension - Elevated BP in pregnant women can trigger seizure activity A nurse is assessing an adolescent who has been taking ibuprofen for 6mo to treat JIA. Which question should the nurse ask to assess for adverse effects? - ANSWER - Have you had any stomach pain or bloody stools - This good indicate a GI bleed which can be an adverse effect of ibuprofen A nurse is caring for a pt experiencing chronic anorexia and is receiving enternal tube feeding. Which lab value indicates the pt needs additional nutrients added to the feeding? - ANSWER - Albumin 2.8 - Normal range is 3.5-5.5, 3.5 indicates malnutrition and needs additional supplementation A nurse is providing teaching to a school-age child who has asthma about using an