2019 ATI RN Comprehensive Exam with Answers (150 Solved Questions)

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RN Comprehensive Online Practice 2019 B1.A nurse is assessing a client who received 2 units of packed RBCs 48 hr. ago. Whichof the following findings should indicate to the nurse that the therapy has beeneffective?a.Hemoglobin 14.9 g/dlb.WBC count 12000/mm3c.Potassium 4.8 mEq/Ld.BUN 18 mg/dl2.A nurse working in an emergency department is triaging four clients. Which of thefollowing clients should the nurse recommend for treatment first?a.An older adult client who reports constipation of 4 days.b.A preschooler who has a skin rash.c.An adolescent who has a closed fractured.A middle adult client who has unstable vital signs.3.A nurse is caring for a client who has fluid volume overload. Which of the followingtasks should the nurse delegate to an assistive personnel (AP)?a.Palpate the degree of edemab.Regulate IV pump fluid rate.c.Measure the client’s daily weight.d.Assess the client’s vital sign.4.A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a testdose to a client who has severe oliguria. The client weights 198 lb. What is theamount in grams the nurse should administer? (Round the answer to the nearestwhole number. Use a leading zero if it applies. Do not use a trailing zero.)a. 18 G5.A nurse is conducting a physical examination for an adolescent and is assessing therange of motion of the legs. Which of the following images indicates the adolescent isabducting the hip joint?E.La foto que está parado de frente y solo se ven pies que están separados uno del otro haciaafuera. The image, on the adolescent is abducting the hip joint by moving the leg away fromthe midline of the body. (imagen with patient facing you with her right leg lifted)answerquizlet (es la imagen con el paciente frente a usted con la pierna derecha levantada).

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6.A nurse is caring for a client who has hyperthyroidism. Which of the followingfindings should the nurse expect?a.Dry, coarse hairb.Bradycardiac.Tremorsd.Periorbital edema7.A nurse is assessing a school-age child who has bacterial meningitis. Which of thefollowing findings should the nurse expect?a.Nuchal rigidityb.Weight gainc.Tinnitusd.Positive Trendelenburg sign.8.A nurse is assessing a newborn’s heart rate. Which of the following actions shouldthe nurse take?a.Assess the apical pulse is most accurate when the newborn is in a quiet state. The soundof crying obscures the heart sounds.b.Palpate the radial pulse for 30 seconds.c.Listen to the apical pulse while palpating the radial pulse.d.Auscultate the apical pulse at least 1 min.9.A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. Thenurse should plan to perform which of the following actions?a.Administer a bowel preparation the night before the procedure.b.Place the client on bed rest for 24 hr after the procedure.c.Perform pulmonary function tests following the procedure.d.Instruct the client to avoid coughing during the procedure.10. A nurse in the emergency department is assessing a preschooler who has a faciallaceration. The nurse should identify which of the following findings as a potentialindication of child sexual abuse?a.A child exhibits discomfort while walking.b.The child has thin extremities.c.The child has bruises on the upper back.d.The child is wearing a stained shirt.

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11. A nurse is preparing to teach about dietary management to a client who has Crohn’sdisease and an entero-enteric fistula. Which of the following nutrients should thenurse instruct the client to decrease in their diet?a.Caloriesb.Proteinc.Potassiumd.Fiber.12. A nurse is caring for a client who has a prescription for a continuous passive motion(CPM) machine following a total knee arthroplasty. Which of the following actionsshould the nurse take?a.Turn off the CPM machine during mealtime.b.Maintain the client’s affected hip in an externally rotated position.c.Instruct the client how to adjust the CPM setting for comfort.d.Store the CPM machine under the client’s bed when not in use.13. A nurse is preparing to initiate IV access for an older adult client. Which of thefollowing sites should the nurse select when initiating the IV for this client?a.Radial vein of the inner arm.b.Great saphenous vein of the leg.c.Dorsal plexus vein of the foot.d.Basilic vein of the hand.14. A nurse is developing a client education program about osteoporosis for older adultclients. The nurse should include which of the following variables as a risk factor forosteoporosis?a.Obesityb.Acromegalyc.Estrogen replacement therapy.d.Sedentary lifestyle.15. A nurse in an emergency department is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of the following interventionsshould the nurse identify as the priority?a.Encourage oral fluids.b.Apply topical calamine lotionc.Administer acetaminophen as an antipyretic.d.Initiate transmission-based precautions.

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16. A nurse is caring for a client who has a clogged percutaneous gastrostomy feedingtube. Which of the following actions should the nurse take first?a.Obtain a prescription for the client to receive an enzyme product.b.Aspirate the client’s tube.c.Flush the client’s tube with 30 ml of water.d.Change the position of the client.17. A home health care nurse is developing a teaching plan for a client who has a newileostomy. Which of the following instructions should the nurse include?a.Limit intake of fluids to 1,000 ml dailyb.Take a laxative if no stool has passed after 12 hr.c.Empty the appliance when it is one-third to one-half full.d.Change the entire pouch system every 1 to 2 days.18. A nurse is reviewing the laboratory report of a client who has end-stage kidneydisease and received hemodialysis 24 hr ago. Which of the following laboratoryvalues should the nurse report to the provider?a.Platelets 268,000/mm3b.Calcium 9,2 mg/dLc.WBC 5,200/mm3d.Sodium 148mEq/L19. A nurse is caring for four clients. Which of the following tasks should the nursedelegate to an assistive personnel (AP)?a.Evaluate dietary intake for a client who has anorexia.b.Measure the vital signs of a client who just returned from the PACU.c.Arrange the lunch tray for a client who has a hip fracture.d.Assess I&O for a client who is receiving dialysis.20. A nurse is preparing a client for a paracentesis. Which of the following actionsshould the nurse take?a.Instruct the client to void.b.Position the client on their left side.c.Insert an IV catheter.d.Prepare the client for moderate (Conscious) sedation.

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21. A nurse has received change-of-shift report on for assigned clients. For which of thefollowing clients should the nurse intervene to prevent a potential food andmedication interaction?a.A client who is receiving verapamil and has a continuous infusion of total parenteralnutrition (TPNb.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.22. A nurse is planning care for a client who has rheumatoid arthritis and has moderateto severe pain in multiple joints. Which of the following actions should the nurseplan to take?a. Perform ADLs for the client to promote rest.b. Allow for frequent rest periods throughout the day.c. Use heat to reduce joint inflammation.d. Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods ofpain.23. A nurse is caring for a client who is receiving continuous bladder irrigationfollowing a transurethral resection of the prostate. The client reports bladderspasms, and the nurse observes a decreased urinary output. Which of the followingactions should the nurse take?a.Increase tension on the urinary catheter.b.Irrigate the catheter with 0.9% sodium chloride irrigation.c.Assist the client to ambulate.d.Remove the urinary catheter immediately.24. A nurse is assessing a client who has COPD. Which of the following findings shouldthe nurse expect?a.Weight gain.b.Decrease in anteroposterior diameter of the chest.c.HCO3 24 mEq/L.d.pH 7.3125. A nurse in a community center is providing an educational session to a group ofclients about ovarian cancer. Which of the following manifestations of ovariancancer should the nurse include in the teaching?a.Diarrhea.b.Urinary retention.c.Purulent discharge.d.Abdominal bloating

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26. A nurse is caring for a client who has active tuberculosis (TB). Which of thefollowing actions should the nurse plan to take to prevent the transmission of thedisease?a.Initiate contact precautions for the client upon admission.b.Restrict visitors from entering the client's room during hospitalization.c.Wear a surgical mask while providing care for the client.d.Have the client wear a surgical mask while being transported outside the room.27. A nurse is caring for a group of clients. Which of the following clients should thenurse attend to _first?a.An older adult client who is anxious and attempting to pull out an IV line.b.A middle adult client who is reporting nausea after receiving pain medication.c.An older adult client who has kidney failure and returned from dialysis 4 hr ago.d.A middle adult client who has a terminal illness and is requesting a visit from thechaplain28. An RN is observing a licensed practical nurse (LPN) and an assistive personnel (AP)move a client up in bed. For which of the following situations should the nurseintervene?A. The LPN and AP lower the side rails before lifting the client up in bed.B. Prior to lifting the client, the LPN and AP raise the bed to waist level.C. The LPN and the AP grasp the client under his arms to lift him up in bed.D. The LPN and the AP ask the client to flex his knees and push his heels into the bed asthey lift.29. A nurse is preparing to administer insulin to a client via a pen device. Which of thefollowing actions should the nurse take?a.Hold the insulin pen device perpendicular to the client's skin to inject the medication.b.Shake the insulin pen device prior to injecting the medication.c.Withdraw the insulin from the pen device into an insulin syringe.d.Hold the pen device in place for 3 seconds after injecting the insulin.30. A nurse is caring for a client who has immunosuppression and a continuous IVinfusion. Which of the following actions should the nurse take?a.Assess the client's IV site every 8 hr.b.Check the client's WBC count every 48 hr.c.Monitor the client's mouth every 8 hr.d.Change the client's IV tubing every 48 hr.31. A nurse is providing teaching about advance directives to a middle adult client.Which of the following client responses indicates an understanding of the teaching?a."I can designate my partner as my health care surrogate."

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b. "I am only 40 years old, so I don't need to worry about this yet."c. "I will need a lawyer's help to draw up the documents."D. "I understand that my family can alter my advance directives if I become incapacitated."32. A nurse is assessing a client following a vaginal delivery and notes heavy lochia anda boggy fundus. Which of the following medications should the nurse expect toadminister?a.Nalbuphineb.Terbutalinec.Oxytocind.Magnesium sulfate33. A nurse manager is planning to use a democratic leadership style with the nurses onthe unit. Which of the following actions by the nurse manager demonstrates ademocratic leadership style?a.Avoids initiating changeb.Seeks input from the other nursesc.Makes decisions quicklyd.Limits the amount of feedback to the sta_34. A nurse is assigning task roles for a group of clients in a community mental healthclinic. Which of the following tasks should the nurse assign to the member of thegroup functioning as the orienteer?a.Measuring the group's work against the assigned objectivesb.Noting the progress of the group toward assigned goalsc.Sharing experiences as an authorityd.Offering new and fresh ideas on an issue35. A nurse is creating a plan of care for a newly admitted child. Which of the followingactions should the nurse include in the plan? (Click on the"Exhibit" button foradditional information about the client. There are three tabs that contain separatecategories of data.)a.Initiate droplet isolation precautions.b. Keep the child on NPO status for 12c. Maintain the child on bed rest for 24 hr.d. Administer high-dose antibiotic therapy.36. A nurse is caring for a newborn immediately after delivery. Which of the followinginterventions should the nurse implement to prevent heat loss by conduction?a.Dry the newborn immediately after birth.b.Maintain an ambient room temperature of 24° C (75.2° F).c.Use a protective cover on the scale when weighing the infant.d.Place the newborn's bassinet away from outside windows.

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37. A nurse is caring for a client who had abdominal surgery 24 hr. ago. Which of thefollowing actions is the nurse's priority?a.Assess fluid intake every 24 hr.b.Ambulate three times a day.c.Assist with deep breathing and coughing.d.Monitor the incision site for findings of infection.38. A nurse in an outpatient mental health clinic is caring for four clients. The nurseshould recognize that which of the following clients is effectively using sublimationas a defense mechanism?a.A client who transfers their anger about their job onto their family and then apologizesb.A client who misses provider appointments because they say they are too busyc.A client who channels their energy into a new hobby following the loss of their jobd.A client whose partner died 4 years ago sets a place for him at dinner each night39. A nurse is assessing for correct placement of a client's NG feeding tube prior toadministering a bolus feeding. Which of the following actions should the nurse take?a.Insert air in the tube and listen for gurgling sounds in the epigastric area.b.Aspirate contents from the tube and verify the pH level.c.Review the medical record for previous x-ray verification of placement.d.Auscultate the lungs for adventitious breath sounds.40. An antepartum nurse is caring for four clients. For which of the following clientsshould the nurse initiate seizure precautions?a.A client who is at 33 weeks of gestation and has severe gestational hypertensionb. A client who is at 16 weeks of gestation and has a hydatidiform molec. A client who is at 28 weeks of gestation and is experiencing vaginal bleedingd. A client who is at 36 weeks of gestation and has a positive group B streptococcalculture41. A nurse is providing discharge teaching to a client who is to receive home oxygentherapy. Which of the following instructions should the nurse include in the teaching?Check the functioning of oxygen equipment once each week.Wear clothing made with cotton fabrics while oxygen is in useApply petroleum-based lubricant to the nares as needed.Store full oxygen tanks on their side.

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42. A nurse is providing teaching for a client who has a fracture of the right fibula with ashort leg cast in place and a new prescription for crutches. The client is non-weight-bearingfor 6 weeks. Which of the following instructions should the nurse include in the teaching?Adjust the crutches for comfort as needed.Use a three-point gaitWear leather-soled shoes.Advance the affected leg first when walking upstairs.43. A nurse is preparing to transfer a client from the ICU to the medical floor. The clientwas recently weaned from mechanical ventilation following a pneumonectomy. Which ofthe following information should the nurse include in the change-of-shift report?The last time the provider evaluated the clientThe client's most recent ventilator settingsThe time of the client's last dose of pain medicationThe frequency in which the client presses the call button44. A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperativefollowing placement of a ventriculoperitoneal (VP) shunt. Which of the following findingsshould the nurse report to the provider?Heart rate 122/minIrritability when being heldHypoactive bowel soundsUrine specific gravity 1.01845. A nurse is caring for a client who has a prescription for chlorpromazine. Which of thefollowing findings should the nurse identify as an indication that the medication iseffective?Decreased blood pressureDecreased hallucinationsDecreased cholesterol

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Decreased esophageal reflux46. A nurse is providing teaching about lithium to a client who has bipolar disorder. Whichof the following statements should the nurse include in the teaching?"Expect to have blurred vision while taking this medication.""Notify your provider if you experience increased thirst.""You should take this medication on an empty stomach.""You might be unable to have an orgasm while taking this medication."47. A nurse is caring for a client who has a fecal impaction. Which of the following actionsshould the nurse take when digitally evacuating the stool?Place the client in the lithotomy position.Elicit a vagal response by performing gentle rectal stimulation.Administer oral bisacodyl 30 min prior to the procedure.Insert a lubricated gloved finger and advance along the rectal wall48. A nurse is planning to delegate client care tasks to an assistive personnel (AP). Which ofthe following tasks should the nurse plan to delegate to the AP?Perform gastrostomy feedings through a client's established gastrostomy tubeAdminister a glycerin suppository to a client who is constipated.Provide instructions about client care to a family member over the telephone.Teach a client how to measure their own blood pressure.49. A nurse manager is preparing an educational session for nursing staff about how toprovide cost-effective care. Which of the following methods should the nurse include in theteaching?Delegate non-nursing tasks to ancillary staff.Stock client rooms with extra supplies.Assign dedicated equipment to each client's room.Change continuous IV infusion tubing every 24 hr.

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50. A nurse on an inpatient mental health unit is monitoring a visit between a client whohas a history of aggressive behavior and the client's partner. Which of the followingobservations should the nurse identify as an indication for potential violence?The client is taking numerous deep, measured breaths.The client is calmly telling their partner that "the staff here is so controlling."The client is sitting with their head in their hands and appears to be cryingThe client is pacing around the chair in which their partner is sitting.51. A nurse is caring for a client who has signed an informed consent form to receiveelectroconvulsive therapy (ECT). The client states to the nurse, "I'm not sure about this now. I'mafraid it's too risky." Which of the following responses should the nurse make?"Perhaps you think the ECT is dangerous, but I've seen it have good results.""You have the right to change your mind about this procedure at any time.""Everyone gets a little nervous about this procedure as the time for it approaches.""Your doctor wouldn't have suggested ECT if they didn't think it would help you."52. A rural community health nurse is developing a plan to improve health care delivery formigrant farmworkers. To identify health services data for this minority group, the nurse shouldgather information from which of the following sources?Agency for Healthcare Research and Quality.National Institutes of HealthDepartment of AgricultureWorld Health Organization53. A nurse is assessing a newborn following a vaginal delivery. Which of the following findingsshould the nurse report to the provider?Heart rate 136/minNasal flaringTransient strabismusOverlapping of sutures

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