1|Page
ATI MED SURG IMMUNE & INFECTION, ATI MED
SURG ONCOLOGY, ATI MED SURG
CARDIOVASCULAR
A nurse is preparing to transfuse 250 mL of packed red blood
cells (RBCs) to a client over 4 hr. A blood administration set is
available that delivers 10 gtt/mL. The nurse should set the
manual blood transfusion to deliver how many gtt/min? (Fill in
the blank with the numeric value only, round the answer to the
nearest whole number, and use a leading zero if applicable. Do
not use a trailing zero.) - . . ANSWER ✓✓ 10 mL
A charge nurse is observing a newly licensed nurse administer
an IV medication to a client who has an implanted venous access
port. Which of the following observations requires intervention
by the charge nurse?
A. A dressing is not applied to the port site after use.
B. A 22-gauge non-coring needle is used to access the port.
C. Blood return is noted prior to administering the medication.
D. A solution of 5 mL heparin 1,000 units/mL has been prepared.
- . . ANSWER ✓✓ D. A solution of 5 mL heparin 1,000 units/mL
has been prepared.
A charge nurse is observing a newly licensed nurse provide care
for a client who is receiving internal radiation therapy for the
,2|Page
treatment of cervical cancer. For which of the following actions
by the newly licensed nurse should the charge nurse intervene?
A. Leaving soiled linens in a container in the client's room
B. Instructing visitors to remain 2 m (6 feet) away from the client
C. Borrowing a dosimeter film badge from another nurse before
entering the client's room
D. Removing an extra IV pole from the client's room to be used
for another client - . . ANSWER ✓✓ C. Borrowing a dosimeter
film badge from another nurse before entering the client's room
A client who has stage II breast cancer asks the nurse about
sites of metastasis for this cancer. Which of the following
responses should the nurse provide?
A. "It's too soon to worry about something that might not
happen."
B. "Breast cancer tends to metastasize to the stomach."
C. "Metastasis is unlikely since we detected your cancer early."
D. "Breast cancer tends to metastasize to the bones." - . .
ANSWER ✓✓ D. "Breast cancer tends to metastasize to the
bones."
A client who has thrombocytopenia asks the nurse why platelets
are so important. Which of the following responses should the
nurse make?
A. "Platelets help the body fight infection."
,3|Page
B. "Platelets help break down clots in the body."
C. "Platelets plug breaks in blood vessels."
D. "Platelets produce the molecules that carry oxygen." - . .
ANSWER ✓✓ C. "Platelets plug breaks in blood vessels."
A client who just learned that he has variant (Prinzmetal's)
angina asks the nurse how this type of angina compares with
stable angina. Which of the following replies should the nurse
make?
A. "Exertion often brings on pain."
B. "Variant angina occurs randomly at various times."
C. "Variant angina can cause changes on your
electrocardiogram."
D. "Reducing your cholesterol can help you experience less
pain." - . . ANSWER ✓✓ C. "Variant angina can cause changes on
your electrocardiogram."
A home health nurse is planning care for a client who is
receiving chemotherapy and has neutropenia. Which of the
following foods should the nurse include in the client's plan of
care?
A. Soft-boiled eggs
B. Brie cheese made with unpasteurized milk
C. Cold deli-meat sandwiches
D. Baked chicken - . . ANSWER ✓✓ D. Baked chicken
, 4|Page
A hospice nurse is providing education about palliative care to
the partner of a client who has end-stage liver cancer. Which of
the following statements by the partner indicates an
understanding of teaching?
A. "I will do my best to try to get him to eat something."
B. "I will lay him flat if his breathing becomes shallow."
C. "I will use an electric blanket to keep him warm."
D. "I will continue to talk to him, even when he's sleeping." - . .
ANSWER ✓✓ D. "I will continue to talk to him, even when he's
sleeping."
A nurse completing an assessment on a client. Which of the
following findings should the nurse identify as a risk factor for
coronary artery disease? (Select all that apply.)
A. Hypothyroidism
B. Hypertension
C. Diabetes mellitus
D. Hyperlipidemia
E. Tobacco smoking - . . ANSWER ✓✓ B. Hypertension
C. Diabetes mellitus
D. Hyperlipidemia
E. Tobacco smoking
ATI MED SURG IMMUNE & INFECTION, ATI MED
SURG ONCOLOGY, ATI MED SURG
CARDIOVASCULAR
A nurse is preparing to transfuse 250 mL of packed red blood
cells (RBCs) to a client over 4 hr. A blood administration set is
available that delivers 10 gtt/mL. The nurse should set the
manual blood transfusion to deliver how many gtt/min? (Fill in
the blank with the numeric value only, round the answer to the
nearest whole number, and use a leading zero if applicable. Do
not use a trailing zero.) - . . ANSWER ✓✓ 10 mL
A charge nurse is observing a newly licensed nurse administer
an IV medication to a client who has an implanted venous access
port. Which of the following observations requires intervention
by the charge nurse?
A. A dressing is not applied to the port site after use.
B. A 22-gauge non-coring needle is used to access the port.
C. Blood return is noted prior to administering the medication.
D. A solution of 5 mL heparin 1,000 units/mL has been prepared.
- . . ANSWER ✓✓ D. A solution of 5 mL heparin 1,000 units/mL
has been prepared.
A charge nurse is observing a newly licensed nurse provide care
for a client who is receiving internal radiation therapy for the
,2|Page
treatment of cervical cancer. For which of the following actions
by the newly licensed nurse should the charge nurse intervene?
A. Leaving soiled linens in a container in the client's room
B. Instructing visitors to remain 2 m (6 feet) away from the client
C. Borrowing a dosimeter film badge from another nurse before
entering the client's room
D. Removing an extra IV pole from the client's room to be used
for another client - . . ANSWER ✓✓ C. Borrowing a dosimeter
film badge from another nurse before entering the client's room
A client who has stage II breast cancer asks the nurse about
sites of metastasis for this cancer. Which of the following
responses should the nurse provide?
A. "It's too soon to worry about something that might not
happen."
B. "Breast cancer tends to metastasize to the stomach."
C. "Metastasis is unlikely since we detected your cancer early."
D. "Breast cancer tends to metastasize to the bones." - . .
ANSWER ✓✓ D. "Breast cancer tends to metastasize to the
bones."
A client who has thrombocytopenia asks the nurse why platelets
are so important. Which of the following responses should the
nurse make?
A. "Platelets help the body fight infection."
,3|Page
B. "Platelets help break down clots in the body."
C. "Platelets plug breaks in blood vessels."
D. "Platelets produce the molecules that carry oxygen." - . .
ANSWER ✓✓ C. "Platelets plug breaks in blood vessels."
A client who just learned that he has variant (Prinzmetal's)
angina asks the nurse how this type of angina compares with
stable angina. Which of the following replies should the nurse
make?
A. "Exertion often brings on pain."
B. "Variant angina occurs randomly at various times."
C. "Variant angina can cause changes on your
electrocardiogram."
D. "Reducing your cholesterol can help you experience less
pain." - . . ANSWER ✓✓ C. "Variant angina can cause changes on
your electrocardiogram."
A home health nurse is planning care for a client who is
receiving chemotherapy and has neutropenia. Which of the
following foods should the nurse include in the client's plan of
care?
A. Soft-boiled eggs
B. Brie cheese made with unpasteurized milk
C. Cold deli-meat sandwiches
D. Baked chicken - . . ANSWER ✓✓ D. Baked chicken
, 4|Page
A hospice nurse is providing education about palliative care to
the partner of a client who has end-stage liver cancer. Which of
the following statements by the partner indicates an
understanding of teaching?
A. "I will do my best to try to get him to eat something."
B. "I will lay him flat if his breathing becomes shallow."
C. "I will use an electric blanket to keep him warm."
D. "I will continue to talk to him, even when he's sleeping." - . .
ANSWER ✓✓ D. "I will continue to talk to him, even when he's
sleeping."
A nurse completing an assessment on a client. Which of the
following findings should the nurse identify as a risk factor for
coronary artery disease? (Select all that apply.)
A. Hypothyroidism
B. Hypertension
C. Diabetes mellitus
D. Hyperlipidemia
E. Tobacco smoking - . . ANSWER ✓✓ B. Hypertension
C. Diabetes mellitus
D. Hyperlipidemia
E. Tobacco smoking
