ATI RN COMPREHENSIVE ONLINE PRACTICE 2024 A {148 Questions and Answers} | Exams Nursing | Docsity (2024)

Download ATI RN COMPREHENSIVE ONLINE PRACTICE 2024 A {148 Questions and Answers} and more Exams Nursing in PDF only on Docsity! ATI RN COMPREHENSIVE ONLINE PRACTICE 2024 A {148 Questions and Answers} 1.A nurse is planning care for a client who is receiving heparin to treat a L leg DVT. Nursing intervention? elevate the leg 2. A nurse is teaching about child safety measures. What statement indicates understanding? avoid sun exposure 10am-2pm 3. A home health nurse is teaching about infection prevention to a cancer pt on chemo. Which statement indicates understanding? "I'll walk short distances throughout the day" 4. A nurse is providing dietary teaching to the parents of a 6 month old. What instructions should the nurse give? introduce new foods over 5-7 days 5. A charge nurse is planning care for a client in mechanical restraints. What interventions? provide a staff member to stay with the client continuously 6. A community health nurse is assisting with the development of a disaster management plan. What nursing responsibility should be included in the disaster response stage? perform a rapid needs assessment 7. A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following requires manager intervention? 21. A nurse is caring for an older adult client in the PACU following general anesthesia. What finding should the nurse report to the provider audible stridor 22. A nurse is preparing a sterile field in order to insert an indwelling urinary catheter on a male client. Which technique should the nurse use to maintain aseptic technique? set the tray on the table at waist height 23. A nurse is planning care for a client who has a deficit with cranial nerve II. Which of the following actions should the nurse plan to take? clear objects from the client walking area 24. A nurse is providing discharge instructions to a client following a total hip arthroplasty. Which instruction should the nurse include? install a raised toilet seat at home 25. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction? low back pain 26. A nurse is caring for a child who is experiencing a tonic-clonic seizure. What action should the nurse take? place the child in a side-lying position 27. A nurse is administering meds to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent the tube from clogging? flush the tube before meds 28. A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? decreased central vision 29. A nurse is assessing a client who has schizophrenia. The nurse should identify the following alteration in speech as which of the following? clang association 30. A nurse in a clinic receives a call from a guardian whose child has varicella. The guardian asks when the child returns to school. Which of the following responses should the nurse make? when crusts have formed on every lesion 31. A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which client statement indicates the client understands the teaching? "I should report a change in the color of my stools" 32. A nurse is assessing a child with CF. Which finding is priority to report to the provider? hemoptysis 275mL in 24 hours 33. When caring for a child a nurse plans to use nonpharm interventions to enhance pain med effectiveness. Which of the following strategies incorporates visualization techniques to help decrease the child's discomfort? blowing bubbles to "blow the hurt away" 34. An AP and a nurse are turning a patient on their R side. Which AP action requires the nurse to intervene? place a pillow 35. A nurse on a mental health unit has a patient refusing IM lorazepam. What is the nursing action? document the refusal 36. A nurse has 4 patients. What should the nurse delegate to the AP for meals? alzheimers w/ aphasia 37. A mental health nurse is conducting the first of many meetings with a client whose partner recently died. The nurse should perform which action to establish trust in the orientation phase of the nurse-client relationship? establish the termination date 38. A nurse is caring for a client at 28 weeks gestation. The client asks what's causing her constipation. Which response should the nurse make? enlarged uterus compresses the intestines 39. A nurse manager reviews falls occur most often between 0530 and 0730. Which action should the nurse take in root cause analysis? investigate environmental factors 40. A nurse is caring for an immediately post op total vagin*l hysterectomy. Which action should the nurse take first? vital signs 41. A charge nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for organ donation. Which information should the nurse plan to include? the family can have the child in an open casket 1. remove inner cannula 2. remove soiled dressing 3. clean w/ saline 4. change the trach collar 57. A nurse in an ER is assessing a client that took MDMA. What should the nurse expect? diaphoresis 58. A nurse is teaching a client who is to start taking misoprostol and is currently on long-term NSAIDs for arthritis. The nurse should provide what information? serum pregnancy test 59. A nurse is caring for a client with a potassium level of 3. What manifestation should the nurse monitor for? decreased DTR 60. A nurse in an ER is planning discharge for a client who has experienced intimate partner violence. Which action should the nurse take first? develop a safety plan 61. A nurse is caring for a client at 37 weeks gestation and is experiencing abruptio placentae. Which finding should the nurse expect? persistent uterine contractions 62. A nurse is caring for a client in the manic phase of bipolar. Expected manifestations? grandiose delusions 63. "My boss accused me of stealing yesterday. I was so angry I went to the gym and worked out". The client demonstrates which defense mechanism? sublimation Foods high in vitamin A raw carrots 64. A nurse is teaching the parent of a school-age child about administering ear drops. Parent response indicating understanding? pull the top of the ear up and back 65. A nurse is caring for a client that requires PT after discharge. First nursing action? involve the client in selecting their PT provider 66. A nurse is planning care for a client receiving HD from an AV fistula in the R arm. Which intervention should the nurse include in the plan of care? auscultate for bruit 67. A nurse is providing teaching for a client about newborn safety. Which statement should the nurse include in the teaching? hot water heater temp 120F or less 68. A nurse is caring for a newborn with herpes simplex virus (HSV). Which isolation precautions? contact 69. A home health nurse is planning care for an older adult client who has impaired vision. Which intervention in the plan of care to prevent injury at home? mark the edges of stairs for contrast 70. A nurse is initiating discharge planning for a client who has a stroke and is experiencing R side weakness. Nurses first action? Request PT referral 71. A nurse is reviewing lab findings of a client experiencing chest pain. The nurse should identify that an elevation in which lab indicates myocardial cell tissue injury? Troponin T 72. 5,000U SubQ heparin, available 10,000U/mL. How much to administer? 0.5mL 73. A nurse in an outpatient clinic is working with a client that has PTSD and asks for recommended nonpharm therapy. What should the nurse recommend to help alleviate distress? guided imagery 74. A nurse manager is preparing a newly licensed nurse's performance appraisal. Which method should the manager use to evaluate time management skills? maintain regular notes about the nurses time management skills 75. A nurse is caring for four clients at the beginning of a shift. After report, which client should the nurse attend to first? confused client getting out of bed 76. A night shift nurse is giving change-of-shift-report to the day shift nurse on a client ready for discharge. Priority information to oncoming nurse? the client needs assistance transferring from bed to w/c 77. A nurse is assessing a client who has a stage II pressure injury. Expected would characteristics? partial thickness skin loss 93. A nurse is teaching a client that has a new prescription for digoxin about manifestations of toxicity. Which finding should the nurse include in the teaching? nausea 94. A nurse is reviewing the urinalysis report of a client who has acute glomerulonephritis. Expected finding? protein 95. A nurse working on a med-surg unit receives a telephone call requesting the status of a client from an individual who identifies themselves as the client's parents. Nursing action? ask the caller for verification of their identity 96. A nurse is caring for a client who has end stage Alzheimer's Disease. The adult child of the client says 'I don't know why I bother to visit my mother anymore". Nurse response? "It seems like you feel your visits are a waste of time" 97. A nurse is assessing a client who has antisocial personality disorder. Expected manifestations? lack of remorse 98. A community health nurse is performing triage tagging following a mass casualty incident. Black tag? significant head trauma w/ agonal respirations 99. A nurse is caring for a client who has dehydration secondary to nausea and vomiting. The nurse should identify which of the following findings as fluid volume deficit? orthostatic hypotension 100. A nurse is providing discharge teaching to a new parent about car seat safety. Which statement should the nurse include in the teaching? "secure the retainer clip at the level of baby's armpits" 101. A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take? initiate oral rehydration therapy for the toddler 102. A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess the client for which condition prior to starting the procedure? latex allergy 103. A nurse is caring for an older adult client. Physiological change associated with aging? decreased lung expansion 104. A charge nurse observes a staff nurse document a dressing change in a client's chart that wasn't performed. First charge nurse action? gather more information about the staff nurse's actions 105. A nurse is providing discharge teaching to a client following a cataract extraction. Client statement understands teaching? "bend at my knees when picking up objects from the floor" 106. A nurse is caring for a client with MRSA. Implement which precautions? contact 107. a nurse is caring for a client who is 4hrs postpartum with a boggy uterus and heavy lochia. First nursing action? massage the uterus to expel clots 108. A home health nurse is assessing a 2 week old newborn who had a birth weight of 3.64kg (8lbs) and is being breastfed. Effective breastfeeding? 6-8 wet diapers per day 109. A nurse is caring for a client who has a closed-head injury and is receiving mechanical ventilation. The nurse should expect to administer which med to reduce intracranial pressure? mannitol 110. A nurse is teaching a newly admitted client who has heart failure about advance directives. Nurse statement? "complete advance directives in the case you can't express your own wishes" 111. A nurse is teaching the parents of a preschooler about sleep promotion. Parents report child reluctance in going to bed "I'm not tired". Statement shows parental understanding? "we should read a story together before bed every night" 112. An RN is planning care for a group of clients and is working with an LPN and an AP. What tasks should the RN delegate to the LPN? insert a NG tube 113. A nurse in an emergency department is admitting a client who has cardiac tamponade. Which assessment finding should the nurse expect? pulsus paradoxus 114. A nurse is assessing a client who has delirium. Which manifestation should the nurse expect? rapid speech 128. A nurse is reviewing the medical record of a client who has schizophrenia and is to start taking clozapine. Which finding is a contraindication for the client to receive clozapine? WBC count 2800/mm3 129. A nurse is performing an admission assessment on a preschooler who is in the acute phase of Kawasaki disease. Which finding should the nurse expect? fever unresponsive to antipyretics 130. A nurse is caring for a group of clients. Which event requires an incident report? client's IV pump administers inadequate dose of medication 131. 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 profanity and sexual references. Which of the following actions should the nurse take first? move the client to a private place away from others 132. A nurse is assessing a preschooler who has CF and has been receiving oxygen therapy for the past 36 hours. Which finding shows oxygen toxicity? substernal pain 133. A charge nurse is watching a newly licensed nurse perform a physical assessment. Which action should the charge nurse intervene? writes detailed notes 134. A nurse is providing discharge teaching to a client who has colorectal cancer and a new colostomy. "I'm worried about being discharged because I live alone. My insurance doesn't cover ostomy supplies." Nursing action? -refer to community based social worker -initiate home health consult -give info about local support groups 135. A nurse is administering cyclophosphamide to a school age child with neuroblastoma. Nursing action to administer medication? maintain hydration with liberal fluid intake 136. A nurse is teaching home wound care to the family of a child who has a large wound. Which intervention should the nurse recommend? double bag soiled dressings in plastic bags for disposal 137. A client who is 24 hours post op following abdominal surgery refuses to ambulate. First nursing action? ask the client to rate their pain level 138. A nurse is providing colostomy care for a client using a two-piece pouch system. Which action should the nurse take? place the skin barrier over the stoma and hold it for 30 seconds 139. A nurse is preparing to administer 2U FFP to a client. Which action should the nurse plan to take? enter the plasma product number into the client's medical record 140. A nurse is assessing a client who is experiencing autonomic dysreflexia. Expected nursing findings? -facial flushing -nasal congestion -headache 141. A nurse is teaching a client who has opioid use disorder about methadone. Information to include in teaching? sedation is a common adverse effect of this medication 142. A nurse is providing teaching to an adolescent following insertion of a tunneled central venous catheter. Which of the following information should the nurse include in the teaching? "you should keep the catheter clamped when not in use" 143. A nurse is reviewing the ABG results of a client with COPD. The results include pH 7.3, PaO2 56 mm Hg, PaCO2 54 mm Hg, HCOs 26 mEq/L, SaO2 87%. Correct interpretation? uncompensated respiratory acidosis 144. A nurse is assessing a client who has Raynaud's disease. Which finding should the nurse expect? blanching of the fingers and toes 145. A nurse is caring for a client who has a terminal illness and requests no life saving measures if a cardiac arrest occurs. Nurse should make what statement? "I will provide you with information about medical treatment to include in your living will" 146. A nurse is teaching the parents of a toddler about snacks. Which of the following foods should the nurse recommend? diced steamed carrots 147. A nurse is caring for a toddler who is admitted to the pediatric unit for surgery. What should the nurse include in the plan of care? encourage the parents to bring toys from home