ATI Comp B, RN Comprehensive Online
Practice 2023 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
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
B. Jaundice
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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
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."
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
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
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
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.
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
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
B. Use pictures to illustrate the procedure to the client.
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, 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.
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
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
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.
D. Contact child protective services.
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