COMPREHENSIVE (ATI) Final Exam Actual
Questions with verified correct detailed
Answers Updated 2025
Patient is in active labor and is recording Pitocin. FHR shows
variability with accelerations. Appropriate nursing response? ---
correct answer ---Document and continue to monitor. Variable
accelerations are a reassuring FHR pattern indicating an intact fetal
CNS and a healthy placental/fetal exchange of oxygen. The nurse
should continue to monitor the client.
Verifying NG tube placement? --- correct answer ---ASPIRATE
contents from the tube and verify the pH. Gastric aspirate should be
between 1-4 to assess for proper placement prior to bolus feedings.
Characteristics of stage II pressure ulcer? --- correct answer ---Partial
thickness skin loss.
Teaching home care to a family of a child who has a large wound? ---
correct answer ---Provide a diet high in protein to promote tissue
repair.
Also eat foods high in vitamin A, and do NOT cleanse with Betadine
because it is toxic to open wounds.
, Client receiving Pitocin for labor induction and notes frequent decels-
--- correct answer ---Turn the client on her left side immediately to
relieve cord compression.
Quad cane --- correct answer ---Should always be placed on the
unaffected side of the body.
Rheumatoid arthritis management- --- correct answer ---Apply cold
therapy to edematous joints.
Valporic acid (Depakote) --- correct answer ---This medication may
cause hepatic toxicity. Therefore, serum liver enzyme levels are
monitored.
New prescription for warfarin- --- correct answer ---Report changes
in color of stools- it could indicate bleeding. Do not use NSAIDS.
Should have blood tests taken every day for the first five days.
CPM machine --- correct answer ---Affected extremity should
maintain neutral alignment. Turn off machine during meals to
promote comfort and dietary intake.
Client w/ iron deficiency anemia and elevated cholesterol. Good food
choice? --- correct answer ---Black beans.
Questions with verified correct detailed
Answers Updated 2025
Patient is in active labor and is recording Pitocin. FHR shows
variability with accelerations. Appropriate nursing response? ---
correct answer ---Document and continue to monitor. Variable
accelerations are a reassuring FHR pattern indicating an intact fetal
CNS and a healthy placental/fetal exchange of oxygen. The nurse
should continue to monitor the client.
Verifying NG tube placement? --- correct answer ---ASPIRATE
contents from the tube and verify the pH. Gastric aspirate should be
between 1-4 to assess for proper placement prior to bolus feedings.
Characteristics of stage II pressure ulcer? --- correct answer ---Partial
thickness skin loss.
Teaching home care to a family of a child who has a large wound? ---
correct answer ---Provide a diet high in protein to promote tissue
repair.
Also eat foods high in vitamin A, and do NOT cleanse with Betadine
because it is toxic to open wounds.
, Client receiving Pitocin for labor induction and notes frequent decels-
--- correct answer ---Turn the client on her left side immediately to
relieve cord compression.
Quad cane --- correct answer ---Should always be placed on the
unaffected side of the body.
Rheumatoid arthritis management- --- correct answer ---Apply cold
therapy to edematous joints.
Valporic acid (Depakote) --- correct answer ---This medication may
cause hepatic toxicity. Therefore, serum liver enzyme levels are
monitored.
New prescription for warfarin- --- correct answer ---Report changes
in color of stools- it could indicate bleeding. Do not use NSAIDS.
Should have blood tests taken every day for the first five days.
CPM machine --- correct answer ---Affected extremity should
maintain neutral alignment. Turn off machine during meals to
promote comfort and dietary intake.
Client w/ iron deficiency anemia and elevated cholesterol. Good food
choice? --- correct answer ---Black beans.
