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
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
