ATI level 4 abc Complete Questions
and Correct Answers Graded A+
A nurse is assessing an infant who has meningitis. which of the following manifestations should the
nurse expect? - Correct Answer: Hypothermia
A nurse is caring for a client who is postoperative following a craniotomy to remove a brain tumor. The
nurse should notify the provider about which of the following findings? - Correct Answer: Fixed and
nonreactive pupils to light
A nurse is caring for a client who has a diagnosis of heart failure. Which of the following actions should
the nurse take first? - Correct Answer: Evaluate the client's breath sounds
A nurse manager is facilitating conflict resolution between two nurses who disagree about the need to
make a referral to a social worker. Which of the following conflict management strategies should the
nurse manager use? - Correct Answer: Offer self to constructively facilitate communication
A nurse manager is teaching a newly licensed nurse about the emergency medical treatment and active
labor act (EMTALA). which of the following information should the nurse include? - Correct Answer:
EMTALA requires that all clients are stable prior to discharge or transfer
A nurse is teaching about preventing a vasovagal attack for a client who has a bradydysrhythmia. which
of the following information should the nurse include? - Correct Answer: Use an arm reacher to grab
items that are on the top shelf
A nurse is planning care for a client who has acute viral hepatitis. which of the following interventions
should the nurse include in the plan? - Correct Answer: Provide the client with a high-carbohydrate, high
calorie diet with moderate fat and protein to promote healing
A nurse is teaching a group of community members about emergency preparedness planning. Which of
the following statements by a community member indicates an understanding of the teaching? - Correct
Answer: My children should be involved in developing our family disaster plan
,A nurse manager suspects that a nurse is chemically impaired. which of the following actions should the
nurse manager take first? - Correct Answer: Remove nurse from the work environment
A nurse is caring for a client who has a chronic kidney disease and is taking hydrochlorothiazide. The
nurse should monitor the client's lab values for which of the following findings? - Correct Answer:
Hypokalemia
A nurse is caring for a client who has an adrenal gland disorder. which of the following actions should
the nurse take?
History/physical:
Cushing's Disease:
Striae on abdomen and thighs
Bruising on lower extremities
Open sore on ankle with cellulitis
Acne on face and chest
Potassium 4.6
Sodium 149
BUN 20
Hgb 12.8
Hct 42%
Bounding peripheral pulses
Distended neck veins
Edema across sacrum - Correct Answer: Apply pressure reducing overlay on the client's mattress
A nurse manager is attempting to resolve a conflict by asking the nurses to focus on the positive, rather
than the negative, aspects of the situation. Which of the following conflict resolution strategies is the
charge nurse using? - Correct Answer: Smoothing
, A nurse is caring for a client who has a Parkinson's disease. Which of the following actions should the
nurse take to promote client's mobility? - Correct Answer: Instruct client to perform range-of -motion
exercises
Assist the client to walk with WIDE based gait
A nurse is developing a plan of care for a client who has sustained burns to the lower half of his body
and is to receive hydrotherapy. Which of the following actions should the nurse include in the plan? -
Correct Answer: Use forceps and scissors to remove the loose, dead tissue from the client's wound to
promote healing
perform hydrotherapy 1-2 times a day to clean and decried the wound
The nurse should perform hydrotherapy by placing the client on a special shower table and washing
small areas of client's wound. Immersion in whirlpool or tub is no longer performed due to increase risk
of infection
The nurse can leave small blisters intact to serve as a protective barrier that promotes healing. However,
the nurse should open large blisters and thoroughly clean the area with mild soap and water
A nurse is teaching a group of nurses about the role of a case manager. Which f the following
information should the nurse include in the teaching? - Correct Answer: Identifies cost-effective
equipment
A nurse is teaching an educational session about reducing health care associated infections. which of the
following instructions should the nurse include? - Correct Answer: Bathe clients daily with chlorhexidine
wipes
A public health nurse is teaching an educational session about emergency preparedness. the nurse
should include which of the following actions is part of the preparedness phase of the disaster
management cycle? - Correct Answer: Participate in mass casualty exercises
A charge nurse is planning care for a group of clients. Which of the following tasks should the nurse
delegate to a LPN - Correct Answer: Obtain a blood glucose level from a client who has type 1 diabetes
and Correct Answers Graded A+
A nurse is assessing an infant who has meningitis. which of the following manifestations should the
nurse expect? - Correct Answer: Hypothermia
A nurse is caring for a client who is postoperative following a craniotomy to remove a brain tumor. The
nurse should notify the provider about which of the following findings? - Correct Answer: Fixed and
nonreactive pupils to light
A nurse is caring for a client who has a diagnosis of heart failure. Which of the following actions should
the nurse take first? - Correct Answer: Evaluate the client's breath sounds
A nurse manager is facilitating conflict resolution between two nurses who disagree about the need to
make a referral to a social worker. Which of the following conflict management strategies should the
nurse manager use? - Correct Answer: Offer self to constructively facilitate communication
A nurse manager is teaching a newly licensed nurse about the emergency medical treatment and active
labor act (EMTALA). which of the following information should the nurse include? - Correct Answer:
EMTALA requires that all clients are stable prior to discharge or transfer
A nurse is teaching about preventing a vasovagal attack for a client who has a bradydysrhythmia. which
of the following information should the nurse include? - Correct Answer: Use an arm reacher to grab
items that are on the top shelf
A nurse is planning care for a client who has acute viral hepatitis. which of the following interventions
should the nurse include in the plan? - Correct Answer: Provide the client with a high-carbohydrate, high
calorie diet with moderate fat and protein to promote healing
A nurse is teaching a group of community members about emergency preparedness planning. Which of
the following statements by a community member indicates an understanding of the teaching? - Correct
Answer: My children should be involved in developing our family disaster plan
,A nurse manager suspects that a nurse is chemically impaired. which of the following actions should the
nurse manager take first? - Correct Answer: Remove nurse from the work environment
A nurse is caring for a client who has a chronic kidney disease and is taking hydrochlorothiazide. The
nurse should monitor the client's lab values for which of the following findings? - Correct Answer:
Hypokalemia
A nurse is caring for a client who has an adrenal gland disorder. which of the following actions should
the nurse take?
History/physical:
Cushing's Disease:
Striae on abdomen and thighs
Bruising on lower extremities
Open sore on ankle with cellulitis
Acne on face and chest
Potassium 4.6
Sodium 149
BUN 20
Hgb 12.8
Hct 42%
Bounding peripheral pulses
Distended neck veins
Edema across sacrum - Correct Answer: Apply pressure reducing overlay on the client's mattress
A nurse manager is attempting to resolve a conflict by asking the nurses to focus on the positive, rather
than the negative, aspects of the situation. Which of the following conflict resolution strategies is the
charge nurse using? - Correct Answer: Smoothing
, A nurse is caring for a client who has a Parkinson's disease. Which of the following actions should the
nurse take to promote client's mobility? - Correct Answer: Instruct client to perform range-of -motion
exercises
Assist the client to walk with WIDE based gait
A nurse is developing a plan of care for a client who has sustained burns to the lower half of his body
and is to receive hydrotherapy. Which of the following actions should the nurse include in the plan? -
Correct Answer: Use forceps and scissors to remove the loose, dead tissue from the client's wound to
promote healing
perform hydrotherapy 1-2 times a day to clean and decried the wound
The nurse should perform hydrotherapy by placing the client on a special shower table and washing
small areas of client's wound. Immersion in whirlpool or tub is no longer performed due to increase risk
of infection
The nurse can leave small blisters intact to serve as a protective barrier that promotes healing. However,
the nurse should open large blisters and thoroughly clean the area with mild soap and water
A nurse is teaching a group of nurses about the role of a case manager. Which f the following
information should the nurse include in the teaching? - Correct Answer: Identifies cost-effective
equipment
A nurse is teaching an educational session about reducing health care associated infections. which of the
following instructions should the nurse include? - Correct Answer: Bathe clients daily with chlorhexidine
wipes
A public health nurse is teaching an educational session about emergency preparedness. the nurse
should include which of the following actions is part of the preparedness phase of the disaster
management cycle? - Correct Answer: Participate in mass casualty exercises
A charge nurse is planning care for a group of clients. Which of the following tasks should the nurse
delegate to a LPN - Correct Answer: Obtain a blood glucose level from a client who has type 1 diabetes
