ATI COMPREHENSIVE ATI A. The most TESTED 83 Questions and Answers.

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ATI COMPREHENSIVE ATI A 1. A nurse in a LTC facility notices a client who has Alzheimer’s disease standing at the exit door at the end of the hallway. The client appears to be anxious & agitated. W... hat action should the nurse take? 2. A nurse is assisting with the plan of care for a client who has a continent urinary diversion. Which intervention should the nurse plan to implement to facilitate urinary elimination? 3. A nurse is assisting with an education program about car restraint safety for a group of parents. Which statement by the parent indicates an understanding of the instructions? 4. A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD. Which instructions should the nurse include in the teaching? 5. When removing PPE after direct care for a client who requires airborne & contact precautions, which PPE is removed first? 6. A nurse is inspecting the skin of a newborn. Which finding should the nurse report to the PCP? 7. A nurse is contributing to a teaching plan for a group of male adolescents about the A/E of anabolic steroid use. Which manifestations should the nurse include? 8. A nurse is reinforcing teaching with an older adult client who has severe L-sided HF. Which statement should the nurse make? 9. A nurse in a LTC facility is documenting the care of an older adult client. Which information should be included in weekly nursing care summary? 10. A nurse is caring for a client who has a head injury. Using the Glasgow Coma Scale to collect data, the nurse should obtain which information? 11. A home health nurse is reinforcing teaching with a client about the use of elastic stockings to decrease peripheral edema. Which instruction should the nurse include? 12. A nurse is obtaining health hx from a client who is scheduled to undergo cardiac catheterization in 2 days. Which questions is the priority for the nurse to ask? 13. A nurse is planning to administer nystatin oral suspension to a client who has oral candidiasis. Which instructions should the nurse give? 14. A nurse is preparing to care for the assigned clients on her upcoming shift. Which time management strategies should the nurse plan to use? 15. After witnessing the consent, what action should the nurse take next? 16. Which task should the nurse assign to an AP for a pt 2 days post-op ff Total knee arthroplasty? 17. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which statement made by the client indicates understanding of the teaching? 18. A nurse is using FLACC scale to determine the level of pain for an 11-months-old infant who sis port-op. Which factor should the nurse consider when using this pain scale? 19. A nurse is collecting data from a 5YO child at a well-child visit. Parent reports that the child is having frequent nightmares. Which statements by the parents indicates to the nurse that the child Is experiencing sleep terrors rather than nightmares? 20. A nurse is assisting with the care of a school-age child immediately ff surgery. The child weighs 21.8 kg (48 lb) & has a chest tube applied to suction. Which finding should the nurse report to PCP? 21. A nurse is reinforcing teaching with an older adult client who has osteoarthritis. Which instructions should the nurse include? 22. A nurse is reinforcing teaching about managing manifestation of anxiety with a client who has generalized anxiety disorder. Which information should the nurse include? 23. A nurse in a LTC facility is collecting data form a client who has been receiving betaxolol to treat glaucoma. Which findings is an A/E if this medication? 24. A nurse in an outpatient surgery center is reinforcing discharge teaching with a client ff a lithotripsy for uric acid stones. Which instructions should the nurse plan to include? 25. A nurse in a provider’s office is reinforcing teaching with a client who is to follow a 2,000 mg sodium-restricted diet. Which client food selections indicates understanding of the teaching? 26. A nurse is preparing to perform a bladder scan for a client. Which action should the nurse take? 27. A nurse is contributing to the plan of care for a client who has a prescription for ROM exercises of the shoulder. Which exercise should the nurse recommend promoting shoulder hyperextension? 28. A nurse is collecting data from an older adult client who has a gastric ulcer. Which finding should the nurse identify as a complication to report to the provider? 29. A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which statement by the newly licensed nurse indicates understanding of this method of pain control? 30. A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation immediately ff a transurethral resection of the prostate (TURP). Which of the ff interventions should the nurse include? 31. A nurse is caring for a client who is scheduled for a mastectomy the ff day. The client is tearful & tells the nurse that she is not ready to have this procedure done at this time. What response should the nurse give? 32. A nurse is collecting data from a school-age child who has hypoglycemia. What is the manifestation to expect? 33. A nurse is assisting with a community education program for parents of preschoolers about recommended activities to promote physical development. Which of the ff statement should the nurse make? 34. A nurse is collecting data from a client who has chronic pancreatitis and is receiving pancrelipase. Which findings indicates the client is experiencing a therapeutic response to this medication? 35. A nurse is caring for a client who is 12-hour post-op ff total knee arthroplasty. What action should the nurse take? 36. A nurse is reinforcing teaching regarding puberty with a group of prepubescent female clients. Which information should the nurse include in the teaching? 37. NO ORAL CONTARCEPTIVES for CAD 38. A nurse is caring for a client who is at 34 weeks gestation and has mild preeclampsia. Which finding indicates a progression from mild to severe preeclampsia? 39. A nurse is reinforcing teaching with a client who has asthma & has a prescription of theophylline. What statement should the nurse make? 40. A/E of metronidazole: Reddish-brown urine. 41. A home health nurse is collecting data from an older adult client who has generalized anxiety disorder. The client lives at home with her partner & sibling. Which responses by the client’s partner is the priority for the nurse to address? 42. Patient having difficulty using eating utensils. Refer patient to OT. 43. Child who have ingested full bottle of acetaminophen, instruct parents to take the child to the ER 44. A client requesting information from a nurse about creating a health care proxy. Which statement should the nurse make? 45. Venipuncture = antecubital fossa 46. The nurse should stop the infusion if the patient is having edema above the catheter insertion site. 47. A nurse is contributing to the plan of care for a client who has pneumonia. Which entries should the nurse include in the plan? 48. Strategies to teach parents about pediculosis capitis (Head lice) management: 49. Caring for a client who has GTube. What actions should the nurse take? 50. Caring for client who is 4 hr post-op ff GI surgery & NG is placed for decompression. Which action should the nurse take? 51. Reinforcing teaching with a client who is scheduled for an exercise electrocardiography (ECG) stress test. What instruction to give? 52. A client who is Orthodox Judaism with terminal illness. The nurse should assure the client family member will stay with his body after death. 53. A client who has pneumonia and is currently receiving oral antibiotic may be discharged to have more rooms for 54. Avoid Ibuprofen when taking “PRIL” medications. 55. A nurse observes a client in labor. What interventions should the nurse recommend? 56. Sitting and leaning forward using both hands for support is an expected finding for a 7-month old infant. 57. Type 1 DM, patient indicates understanding of patient teaching when he/she states that, “I will dispose of my 58. Offer client a whole grain cracker before bedtime if they are having difficulty sleeping. 59. Red meat = iron 60. Peanut butter = protein 61. External rotation is a clinical manifestation to expect to a client with hip fx 62. “Let’s give the medication to your doll first” is an action the nurse should take prior to performing an immunization to a preschooler. 63. Dark green and viscous is the stool to expect 24 hrs after birth of an infant. 64. Atorvastatin A/E: Muscle Pain 65. Suggest walking outside with a staff member to a patient with bipolar disorder & in a manic phase. 66. An infection with gonorrhea may result to infertility. STI pt teaching 67. Physical neglect indication when collecting a from a toddler is when “the toddler is inadequately dressed for the weather” 68. Overdose digoxin? Check VS 69. Anorexia Nervosa care plan? Record I&O 70. Documenting client care in the medical record, entries to include would be “Client remains NPO until X-Ray procedure is complete” 71. To initiate Babinski reflex? Stroke the sole of the infant’s foot upward & toward the great toe. 72. Report an ECG result with PR interval 0.24 seconds. 73. When patient report of nuchal rigidity, H/A, along with fever & chills. The nurse should anticipate the MD to order what diagnostic tests? ANS: Cerebrospinal fluid analysis - The client findings are consistent with bacterial meningitis. A lumbar puncture should be performed to obtain cerebrospinal fluid to confirm the diagnosis. 74. Post-Op Lumbar puncture: Instruct patient to increase fluid intake. 75. The client must take montelukast once daily at bedtime. 76. Perform daily gum massage when taking phenytoin as a measure to assist with the possible A/E. 77. Lung sound: Wheezes 78. Morphine A/E: Respiratory Rate of 10/min 79. Document findings as a variance 80. pH 7.5 is a complication of mechanical ventilation 81. Recent confirmation of pregnancies 82. Spaghetti with red meat sauce 83. Urine specific gravity of 1.002 for pt with DI [Show More]

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