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,ATI COMPREHENSIVE EXAM
Version-1
, a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
8. A nurse is reviewing assessment data from several clients. For which of the following
clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24(18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
9. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
10. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of
the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
11. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following screening tests at
16 weeks of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
12. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of
the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
, 13. A nurse in acute care mental health facility is participating in a medication-education group.
The leader of the group uses a laissez-faire leadership style. Which of the following actions
should the nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions are called for
b. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regarding their
medications
d. The leader has group members vote on what they would like to learn about during
the session
14. A nurse is providing teaching about digoxin administration to the parents of a toddler who
has heart failure. Which of the following statements should the nurse include in the
teaching?
a. “You can add the medication to a half-cup of your child’s favorite juice.”
b. “Repeat the dose if your child vomits within 1 hour after taking medication.” X
c. “Limit your child’s potassium intake while she is taking this medication.”
d. “Have your child drink a small glass of water after swallowing the medication.”
15. A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instruct the
client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok.
d. Smoked salmon
TYRAMINE!
16. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the
nurse include in the client’s dietary plan? (Round to the nearest whole number)
a. 68
17. A nurse is planning care for a client who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
b. Withdraw the client’s TV privileges if he does not attend group therapy
c. Encourage the client to take frequent rest periods
d. Place the client in seclusion when he exhibits signs of anxiety
18. A parish nurse is leading a support group for clients whose family members have
committed suicide. Which of the following strategies should the nurse plan to use during
the group session?
a. Initiate a discussion with clients about ways to cope with changes in family
dynamics
b. Encourage clients to establish a timeline for their own grieving process
c. Discourage clients from sharing negative aspects of their relationship with the
deceased persons
d. Assist clients in identifying ways suicide could have been prevented
19. A nurse manager observes two staff nurses reviewing the computer records of a client who
is not under their care. Which of the following actions should the nurse manager take first?
a. Instruct the nurses to close the client’s computer record
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