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ATI Comprehensive Exam Questions and Correct Answers
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A nurse is reviewing the lab results of a toddler who has hemophilia A. What would the expected aPTT values be? ~~ - 45sec - This indicates a risk for spontaneous bleeding A nurse is updating the plan of care for a pt who is 48hr post-op a laryngectomy and is unable to speak. Which action sh...

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  • August 9, 2024
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  • 2024/2025
  • Exam (elaborations)
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ATI Comprehensive Exam
Questions and Correct Answers

Pt has a PE and is being given heparin continuously via IV at 1,200 units/hr and

warfarin 5mg PO daily. The labs show aPTT of 98sec and INR of 1.8


✓✓~~ Should withhold the heparin infusion because the aPTT is to high, the normal
therapeutic range while receiving heparin is 60-80sec




Pt in urgent care reports impaired vision in one eye. What would indicate a detached

retina?


✓✓~~ A floating dark spot is one of the manifestations due to bulges, folds, or holes in the
affected retina




Infant with hydrocephalus and is 6hr post-op following a placement of

ventriculoperitoneal shunt (VP). What finding should be reported to the HCP?


✓✓~~ Irritability when being held, this is a manifestation of increased ICP. This indicates that
the VP shunt is malfunctioning and should be reported




A pt is taking phenelzine, what food recommendation should be given?


✓✓~~ - Phenelzine is an MAOI, while taking the pt should avoid foods containing tyramine




- Foods the pt can eat include broccoli, yogurt, cream cheese

,- Foods that do contain tyramine include processed like pepperoni and bologna




A pt is 20wks of gestation and the nurse is discussing common prenatal discomforts.

Which statement indicates understanding?


✓✓~~ - Wearing a supportive bra overnight, this will help with the breast changes




- Increase intake of high-fiber foods, this will help with constipation




- Development of face rash is normal, anti-inflammatory ointment doesn't help this




- Sleep on side to help with back pain




A nurse is providing discharge teaching to a pt receiving home oxygen therapy. What

should the nurse include in the teaching?


✓✓~~ - Check the function of the equipment daily




- Wear cotton clothing while oxygen is in use, this decreases static electricity from

the clothing and risk of fire




-Apply water-soluble lubricants to the nares vs. oil based

, - Store tanks in an upright position




Pt receiving continuous bladder irrigation following a transuretheral resection of the

prostate. The pt reports bladder spasms and there is decreased urinary output. What

should be done?


✓✓~~ - Irrigate the catheter with 0.9% sodium chloride irrigation




- This indicates internal obstruction of the catheter




Child with sickle cell anemia who is having vaso-occlusive crisis. What intervention

should be done first?


✓✓~~ - Infuse IV fluids, this promotes hydration and circulation, decreases the tissue and
organ ischemia




A nurse is teaching a pt about basal body temp. method of birth control. What

information should the nurse include?


✓✓~~ - The body temp. might decrease slightly just prior to ovulation




A nurse is assessing for hypocalcemia, where should the nurse tap on the face to

elicit a positive Chvostek's sign?


✓✓~~ - The nurse should tap the pts facial nerve about an inch from the tragus of the ear.
Facial twitching is positive finding for hypocalcemia

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