ATI RN COMPREHENSIVE ONLINE PRACTICE
2025 VERSION B ALL QUESTIONS AND
CORRECT DETAILED ANSWERS |LATEST
UPDATE |NEW AND REVISED
A nurse is caring for a client in the emergency department (ED).
0600:
Client presents with acute altered mental status. Client has a history of
frequent ED visits for alcohol intoxication. Client states that they had an
episode of binge drinking yesterday afternoon. Client awoke this
morning on the living room floor trembling and flushed; remembers
having intense dreams and was afraid they had a seizure so they called a
family member to bring them to the ED.
Client reports their average alcohol intake has been "two or three beers"
after work each day and "more on the weekends" for the past 6 months.
Client reports headache, nausea, agitation, and is noted to be diaphoretic.
0800:
Client states "I've got bugs crawling on me. Get them off me!" Client
tremulous and diaphoretic.
History and Physical:
Alcohol use disorder
Delirium tremens
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Nicotine use disorder
Hypertension, diet and exercise controlled.
Vital Signs
0 - ANSWER- a. Initiate seizure precautions
c. Perform a Clinical Institute Withdrawal Assessment for Alcohol
(CIWA-Ar)
d. Administer chlordiazepoxide
e. Maintain a low-stimulation environment
f. Administer thiamine
an RN is observing a licensed practical nurse LPN and an assistive
personnel AP move a client up in bed. for which of the following
situations should the nurse intervene? - ANSWER- The LPN and the AP
grasp the client under their arms to lift him up in bed.
This can result in shoulder dislocation or other injury to the client.
A nurse is creating a plan of care for a client who has left-sided
weakness following a stroke. Which of the following interventions
should the nurse include in the plan? - ANSWER- Support the client's
left arm on a pillow while sitting.
Prevents the extremity from hanging freely because this can cause
shoulder subluxation.
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A nurse is planning care for a client who has rheumatoid arthritis and
has moderate to severe pain in multiple joints. Which of the following
actions should the nurse plan to take? - ANSWER- Allow for frequent
rest periods throughout the day.
A nurse is caring for a client who has bipolar disorder. The nurse
observes that the client is becoming increasingly restless. The client is
pacing the unit and speaking rapidly, frequently using profanities and
sexual references. Which of the following actions should the nurse take
first? - ANSWER- Move the client to a quiet place away from others.
A nurse is caring for a client who has a terminal illness and requests no
lifesaving measures if a cardiac arrest occurs. Which of the following
statements should the nurse make? - ANSWER- "I will provide you with
information about medical treatment to include in your living will."
A nurse is assess a 2-month-old infant during a well-baby examination.
Which of the following actions should the nurse take to assess the
infant's rooting reflex? - ANSWER- Stroke the infant's cheek
A nurse is assessing a client following a colonoscopy. Which of the
following findings should indicate to the nurse that the client is
hemorrhaging? - ANSWER- Rapid decrease in blood pressure
A nurse is assessing a client who is taking propranolol. Which of the
following findings should indicate to the nurse that this client is
experiencing an adverse reaction to propranolol? - ANSWER- Wheezing