ATI COMP B, RN COMPREHENSIVE
ONLINE PRACTICE EXAM 2024/2025 B
A nurse is caring for a newborn who has herpes simplex virus (HSV). Which of the
following isolation precautions should the nurse initiate?
A. contact
B. droplet
C. airborne
D. protective environment - Answer-A. contact
A nurse is caring for a pt who is taking valproic acid for seizure control. For which of the
following adverse effects should the nurse monitor and report?
A. Weight loss
B. Jaundice
C. Bradycardia
D. Polyuria - Answer-B. Jaundice
A nurse enters a pt's room and sees smoke coming from a small fire in the trash can.
Which of the following actions should the nurse take first?
A. Remove the client from the room.
B. Activate the fire alarm.
C. Close the door to the client's room.
D. Extinguish the fire with a fire extinguisher - Answer-A. Remove the client from the
room.
A community health nurse is providing teaching about home safety with a group of older
adult pts. Which of the following statements should the nurse make?
A. "Unplug your appliances by grasping the cord and pulling it straight from the outlet."
B. "Set your water heater temperature at 130 degrees Fahrenheit."
C. "Use throw rugs in high-traffic areas to partially cover wood floors."
D. "Have grab bars installed around your bathtub and toilet." - Answer-D. "Have grab
bars installed around your bathtub and toilet."
A nurse is developing a pt education program about osteoporosis for older adult pts.
The nurse should include which of the following variables as a risk factor for
osteoporosis?
A. Obesity
B. Acromegaly
C. Estrogen replacement therapy
D. Sedentary lifestyle - Answer-D. Sedentary lifestyle
,The nurse should encourage older adult clients to engage in weight-bearing exercises
to promote bone health because they will increase calcium and phosphorus levels.
A nurse has received change of shift report on 4 assigned pts. For which of the
following pts should the nurse intervene to prevent a potential food and medication
interaction?
A. A client who is receiving verapamil and has a continuous infusion of total parenteral
nutrition (TPN)
B. A client who is taking phenytoin and is requesting a milkshake
C. A client who is receiving a diet high in potassium-rich foods and furosemide by mouth
D. A client who is receiving an MAOI and is requesting a cheeseburger for dinner -
Answer-D. A client who is receiving an MAOI and is requesting a cheeseburger for
dinner
An antepartum nurse is caring for 4 pts. For which of the following pts should the nurse
initiate seizure precautions?
A. A client who is at 33 weeks of gestation and has severe gestational hypertension
B. A client who is at 16 weeks of gestation and has a hydatidiform mole
C. A client who is at 28 weeks of gestation and is experiencing vaginal bleeding
D. A client who is at 12 weeks of gestation and has group B streptococcus - Answer-A.
A client who is at 33 weeks of gestation and has severe gestational hypertension
The nurse should initiate seizure precautions for a client who has severe gestational
hypertension because an extremely elevated blood pressure in an antepartum client
can trigger seizure activity. The nurse should provide the client with a quiet, darkened
environment; place suction equipment and oxygen at the bedside; and place the call
button within the client's reach.
A nurse is preparing to replace a pt's transdermal fentanyl patch after 72 hr of use. After
the nurse opens the packet containing the new pouch, the pt declines to accept it.
Which of the following actions should the nurse take?
A. Withhold pain medications for 24 hr after the old patch is removed.
B. Ask another nurse to witness the disposal of the new patch.
C. Seal the patches in a plastic bag and place in the client's trash basket.
D. Stick the two patches to each other and place them in the sharps bin. - Answer-B.
Ask another nurse to witness the disposal of the new patch.
A nurse is caring for a client who has a new prescription for clonidine. The nurse should
inform the pt that which of the following findings is an adverse effect of this med?
A. Diarrhea
B. Dry mouth
,C. Photophobia
D. Bruising - Answer-B. Dry mouth
A nurse is providing teaching to a pt who speaks a different language than the nurse
about an upcoming diagnostic procedure. Which of the following actions should the
nurse take?
A. Speak in a loud voice when explaining the procedure to the client.
B. Use pictures to illustrate the procedure to the client.
C. Use medical terminology to explain the procedure to the client.
D. Validate the client's understanding of the procedure by watching for the client to
smile and nod - Answer-B. Use pictures to illustrate the procedure to the client.
A nurse is caring for a client who has DVT. Which of the following actions should the
nurse take?
A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity. - Answer-B. Instruct the client to
elevate the affected extremity when sitting.
A nurse is developing a discharge plan for a school-age child who has
thrombocytopenia. The nurse should instruct the child to avoid which of the following?
A. Large groups of people
B. Quickly changing positions
C. Eating fresh fruits
D. Blowing the nose - Answer-D. Blowing the nose
A nurse is caring for a child who has hypotonic dehydration and is receiving an oral
rehydration solution. Which of the following lab results indicates that the treatment
regimen is effective?
A. Urine pH 6.0
B. Urine specific gravity 1.035
C. Serum sodium 136 mEq/L
D. Serum potassium 3.9 mEq/L - Answer-C. Serum sodium 136 mEq/L
A child who has hypotonic dehydration has a serum sodium level below 130 mEq/L. A
serum sodium level of 136 mEq/L, which is within the expected reference range,
indicates that this child is responding well to the oral rehydration solution.
A nurse in an ED is assessing a school-age child who was brought in by her parents
and has scald burns to both hands and wrists. The nurse suspects physical abuse.
Which of the following actions should the nurse take?
, A. Discuss his suspicion of physical abuse with the provider.
B. Confront the parents with his suspicion of physical abuse.
C. Ask the hospital security to detain and question the parents.
D. Contact child protective services. - Answer-D. Contact child protective services.
A nurse is performing an abdominal assessment on a client. Identify the sequence of
actions the nurse should take.
A nurse is caring for a client who has COPD and becomes extremely short of breath.
Which of the following interventions by the nurse requires completion of an incident
report?
A. Elevating the client's head of bed to 45°
B. Administering a prescribed anxiolytic IV
C. Administering a PRN bronchodilator via nebulizer
D. Increasing oxygen via nasal cannula to 6 L/min - Answer-D. Increasing oxygen via
nasal cannula to 6 L/min
A nurse is caring for a pt who has hyperthyroidism. Which of the following findings
should the nurse expect?
A. Dry, coarse hair
B. Bradycardia
C. Tremors
D. Periorbital edema - Answer-C. Tremors
A nurse educator is teaching a group of newly licensed nurses about the need to
complete an incident report. Which of the following examples should the nurse include
as a reportable incident and an indication for completing a report?
A. A nurse has had two unsuccessful attempts at starting a new IV line on a client.
B. Two visitors are heard arguing at the nurses' station.
C. A client refuses to take his prescribed antibiotic medication.
D. A nurse administered a medication via the wrong route. - Answer-D. A nurse
administered a medication via the wrong route.
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