ATI COMPREHENSIVE B EXAM WITH QUIZ & ANS (100% SOLVED)
Patient refused a newly open fentanyl patch. Which of the following actions should the nurse
take? - ✔✔✔–Ask another nurse to witness the disposal of the new patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT
98 seconds and INR 1.8 - ✔✔✔–Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye .
Which indicates the client has a detached retina - ✔✔✔–Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding
to report to provider - ✔✔✔–Irritability when being held. signifies increased ICP
Assessing a newborn heart rate follow actions the nurse should take - ✔✔✔–Auscultate the
apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the
stool - ✔✔✔–Insert a lubricated gloved finger and advance along the rectal wall.
Dietary teaching for a new prescription of phenelzine - ✔✔✔–Broccoli, Yogurt, Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report should
the nurse document in the client's medical record? - ✔✔✔–Time the medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first? -
✔✔✔–A 10-year old child who is awaiting surgery for an appendectomy and experienced
sudden relief of pain. Can indicate peritonitis from a ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ✔✔✔–Have grab
bars installed around your bathtub and toilet.
,ATI COMPREHENSIVE B EXAM WITH QUIZ & ANS (100% SOLVED)
School age child with scald burns on both hands and wrists suspected abuse - ✔✔✔–Contact
child protective services.
Client who has acute blood loss following trauma refuses potentially life saving blood
transfusion - ✔✔✔–Explore the client's reasons fro refusing the treatment
Discussing common prenatal discomfort 20 weeks gestational - ✔✔✔–I will wear a supportive
bra overnight
Discharge instructions to client to received home oxygen therapy - ✔✔✔–Wear clothing made
with cotton fabrics while oxygen is in use.
Preparing an educational session about advocacy to a group of nurses - ✔✔✔–Advocacy is a
leadership role that helps others to self actualize
Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and
decreased urinary output - ✔✔✔–Irrigate the catheter with 0.9% sodium chloride irrigation
Child with sickle cell anemia and is having a vaso-occlusive crisis - ✔✔✔–Infuse IV fluids
Client teaching about the basal body temp method for birth control - ✔✔✔–Your body
temperature might decrease slightly just prior to ovulation
Caring for a client who is unconscious and requires emergency medical procedures. Unable to
locate family to obtain consent - ✔✔✔–Proceed with provision of medical care
Client who has fluid volume overload. Which tasks can nurse delegate to UAP - ✔✔✔–Measure
the client's daily weight
, ATI COMPREHENSIVE B EXAM WITH QUIZ & ANS (100% SOLVED)
Checking for Chvostek's sign - ✔✔✔–The nurse should assess for a Chvostek's sign by tapping
the client's facial nerve about an inch in front of the tragus of the ear. Facial twitching is a
positive finding that indicates hypocalcemia.
Reviewing urinalysis report of client with acute glomerulonephritis expected findings - ✔✔✔–
Protein
Newly admitted child. Which of the following actions should the nurse include in the plan -
✔✔✔–Administer high dose antibiotic therapy
Client with cancer deciding between two treatment plans - ✔✔✔–tell me more about your
understanding of the options.
Caring for a client receiving hemodalysis with AV fistula - ✔✔✔–Auscultate the affected
extremity for a bruit
Oncology unit nurse is administering doxorubicin to breast cancer patient - ✔✔✔–Inspect the
client's mucosa for petechiae every 8 hrs. This med causes thrombocytopenia and increases the
risk of bleeding
Hospice nurse consulting about receiving home services - ✔✔✔–We can expect the hospice
nurse to provide support for us after our mother's death
Client with major depressive disorder has signed informed consetn for ECT. Client states I'm not
sure about this now I'm afraid it's too risky - ✔✔✔–You have the right to refuse to have the ECT
even after you have agreed to it
Patient refused a newly open fentanyl patch. Which of the following actions should the nurse
take? - ✔✔✔–Ask another nurse to witness the disposal of the new patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT
98 seconds and INR 1.8 - ✔✔✔–Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye .
Which indicates the client has a detached retina - ✔✔✔–Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding
to report to provider - ✔✔✔–Irritability when being held. signifies increased ICP
Assessing a newborn heart rate follow actions the nurse should take - ✔✔✔–Auscultate the
apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the
stool - ✔✔✔–Insert a lubricated gloved finger and advance along the rectal wall.
Dietary teaching for a new prescription of phenelzine - ✔✔✔–Broccoli, Yogurt, Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report should
the nurse document in the client's medical record? - ✔✔✔–Time the medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first? -
✔✔✔–A 10-year old child who is awaiting surgery for an appendectomy and experienced
sudden relief of pain. Can indicate peritonitis from a ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ✔✔✔–Have grab
bars installed around your bathtub and toilet.
,ATI COMPREHENSIVE B EXAM WITH QUIZ & ANS (100% SOLVED)
School age child with scald burns on both hands and wrists suspected abuse - ✔✔✔–Contact
child protective services.
Client who has acute blood loss following trauma refuses potentially life saving blood
transfusion - ✔✔✔–Explore the client's reasons fro refusing the treatment
Discussing common prenatal discomfort 20 weeks gestational - ✔✔✔–I will wear a supportive
bra overnight
Discharge instructions to client to received home oxygen therapy - ✔✔✔–Wear clothing made
with cotton fabrics while oxygen is in use.
Preparing an educational session about advocacy to a group of nurses - ✔✔✔–Advocacy is a
leadership role that helps others to self actualize
Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and
decreased urinary output - ✔✔✔–Irrigate the catheter with 0.9% sodium chloride irrigation
Child with sickle cell anemia and is having a vaso-occlusive crisis - ✔✔✔–Infuse IV fluids
Client teaching about the basal body temp method for birth control - ✔✔✔–Your body
temperature might decrease slightly just prior to ovulation
Caring for a client who is unconscious and requires emergency medical procedures. Unable to
locate family to obtain consent - ✔✔✔–Proceed with provision of medical care
Client who has fluid volume overload. Which tasks can nurse delegate to UAP - ✔✔✔–Measure
the client's daily weight
, ATI COMPREHENSIVE B EXAM WITH QUIZ & ANS (100% SOLVED)
Checking for Chvostek's sign - ✔✔✔–The nurse should assess for a Chvostek's sign by tapping
the client's facial nerve about an inch in front of the tragus of the ear. Facial twitching is a
positive finding that indicates hypocalcemia.
Reviewing urinalysis report of client with acute glomerulonephritis expected findings - ✔✔✔–
Protein
Newly admitted child. Which of the following actions should the nurse include in the plan -
✔✔✔–Administer high dose antibiotic therapy
Client with cancer deciding between two treatment plans - ✔✔✔–tell me more about your
understanding of the options.
Caring for a client receiving hemodalysis with AV fistula - ✔✔✔–Auscultate the affected
extremity for a bruit
Oncology unit nurse is administering doxorubicin to breast cancer patient - ✔✔✔–Inspect the
client's mucosa for petechiae every 8 hrs. This med causes thrombocytopenia and increases the
risk of bleeding
Hospice nurse consulting about receiving home services - ✔✔✔–We can expect the hospice
nurse to provide support for us after our mother's death
Client with major depressive disorder has signed informed consetn for ECT. Client states I'm not
sure about this now I'm afraid it's too risky - ✔✔✔–You have the right to refuse to have the ECT
even after you have agreed to it
