2019 ATI Nutrition Proctored Exam with Answers (62 Solved Questions)

Name: 2019 ATI Nutrition Proctored Exam with Answers (62 Solved Questions)
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VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEW |
COMPLETE GUIDE 2023/2024 A+
Comprehensive Practice A
**A client is postoperative following a lumbar discectomy and is having difficulty voiding.
Thenurse should recognize that which of the following medications place the client at risk for
urinary retention?
Ketorolac
Hydromorphone
(Dilaudid) Bethanechol
(Urecholine)
Tobramycin (Nebcin)
**A nurse is caring for an older adult client in a long-term care facility who is disoriented and
continues to get out of bed without assistance. Which of the following images indicates the
nurse is using an appropriate intervention to minimize the risk of injury due to a fall?
D
**A practical nurse (PN) on medical-surgical unit is beginning her shift and is working with
aregistered nurse (RN) and an assistive personnel (AP). The PN should expect to be assigned
which of the following tasks?
Teach a client who has a new diagnosis of diabetes mellitus how to self-administer insulin.
Create a plan of care for a newly admitted client.
Obtain a stool specimen from a client who has ulcerative colitis----
Administer an NG tube feeding to a client who had a stroke
**A nurse on an acute mental health unit observes a client who begins to speak loudly in the
common room, saying that he can’t hear the TV. Which of the following is an appropriate
response by the nurse?
You will need to go to your room until you can calm down
okayThe TV is loud enough for everyone to hear it

You are being inconsiderate. Please stop talking so
loudly Let’s go to another room to talk about what is
upsetting you
**A client tells a nurse that he would like to observe kosher dietary laws. The nurse
shouldrecognize which of the following?
A vegetarian diet is the preferred diet
Dairy products are served separately from meat
Fasting during daylight is required during a month-long
holidayFish with scales and fins should not be eaten
**A nursing unit receives new glucose monitoring equipment from staff development with the
promise that in-service education will be given soon. Which of the following instructions
shouldthe nurse give to the assistive personnel (AP) who is preforming glucose monitoring on
the unit?
Contact the staff development department for
instruction
Continue using the current glucose monitors
Check for accuracy and proper functioning of the new monitor
Read the instruction manual before attempting to use the new monitor
**Which of the following should the nurse document as an indication of the IV infiltration in a
client’s forearm?
Redness along vein
Tissue sloughing at the site
Forearm that is warm to the touch
Pallor surrounding the infusion site

**A client requests information about advanced directives. Which of the following is
theappropriate response by the nurse?
Advanced directives are written instructions regarding end of life care
Advanced directives provide education on palliative care issues
Advanced directives require the provider’s approval before changes can be implemented
Advanced directives help determine legal competency
**A nurse is caring for a client who is on telemetry. Which of the following ECG findings
shouldthe nurse report to the charge nurse?
One P wave prior to each QRS complex
PR interval 0.24 seconds
QRS duration 0.06
secondsVentricular rate
75/min
**A nurse is checking the reflexes of a newborn. Which of the following techniques should
thenurse use to elicit the Babinski reflex?
Startle the infant by clapping hands
Stroke the sole of the infant’s foot upward and toward the great toe
Hold the infant upright and allow one foot to touch the table’s
surfacePlace an object in the palm of the infant’s hand
**A charge nurse in a long-term care facility notices an assistive personnel’s (AP) repeated
failure to provide oral care for clients. Which of the following actions should the nurse take?
Provide oral care for clients after the AP has completed other care
Develop an educational session about the importance of oral care for all
Aps
Discuss the unacceptable behavior with the AP while reinforcing expectations

Suspend the AP for 3 days pending disciplinary action
**A nurse is caring for a client who has terminal cancer. Which of the following statements
by the client’s family should indicate the nurse that they are coping with their situation?
Dad I remember the time we all went to the lake fishing
Dad I truly believe that it’s not your time to leave us
I feel like I don’t know what to do anymore
I think we need to concentrate on whose house we plan to meet at for our holiday get-together
**A nurse is performing a dressing change for a client who had abdominal surgery 5 days
ago. The nurse notes organs protruding from the incision. Which of the following actions
should thenurse take?
Apply an abdominal binder
Have the client lie flat in bed.
Cover the exposed area with sterile, saline-soaked dressing
Place gentle pressure on the exposed organ with sterile
gauze
**A nurse in a skilled nursing facility is caring for a client who is receiving warfarin
(Coumadin) therapy following a total hip replacement. An assistive personnel reports a positive
guaiac.
Which of the following laboratory values should the nurse report to the
provider?Hematocrit 40%
International normalized ratio of 4.5
Hemoglobin 15 g/dL--
Prothrombin time 18 seconds
** A nurse is reinforcing teaching with a client who has hypertension and is
beginning medication therapy with captopril (Capoten). Which of the following
over-the-countermedications should the nurse instruct the client to avoid?

Acetaminophen (Tylenol)
Diphenhydramine
Ibuprofen (Advil)
Guaifenesin (Robitussin)
**A nurse is reinforcing teaching for a client who is in her first trimester of pregnancy. Which
of the following physiological changes should the nurse instruct the client to expect during the
firsttrimester?
Leukorrhea
Shortness of breathPedal edema Perineal pressure
** A nurse is collecting data from a client who has a peptic ulcer disease. Which of the
followingshould the nurse identify as the priority finding?
Gnawing epigastric
painHeartburn
Regurgitation
Hematemesis
**A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD).
Whichof the following behavioral indications should the nurse expect?
Dependence
Euphoria
Memory Loss
Hypervigilance
**A nurse is collecting data from a client who has schizophrenia. Which of the following
statements by the client should the nurse identify as a delusion?

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My doctor’s glasses have lasers that will burn holes in my brain if I look at him
The movie had an explosion. I once drove a green truck. Where is the ketchup
The voice keeps telling me to go kick the table over. Why won’t it stop
I can’t sit here because the purple monkey on the ceiling will jump on me
**A nurse is caring for a client who sustained a broken leg while assisting other from a
structural fire. The client states I am glad those people were saved but I sure wish I was not
hurt. Which of the following is an appropriate response by the nurse?
You are a real hero. I am sure that makes your injuries
worthwhile
It is difficult to experience personal injuries for whatever
reason
Things will get better before long
Let’s talk about this later when we have more time
**A nurse is reinforcing teaching for a client who has a new prescription for lithium
carbonate(Lithobid). Which of the following instructions should the nurse include?
Eliminate all foods containing
tyramine
Drink 2 to 3 liter of fluid each day
Take lithium carbonate on an empty stomach
Reduce your daily sodium intake to 1,000 mg
**A nurse in a provider’s office is reinforcing teaching with a client who is receiving peritoneal
dialysis via a newly inserted catheter. For which of the following should the nurse instruct the
client to contact the provider?
Bloody peritoneal fluid
Clear peritoneal fluid

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Cloudy peritoneal fluid
Straw-colored peritoneal fluid
**A child is brought to the clinic by his parents with injuries inconsistent with the reported
cause. A nurse suspects physical abuse. Which of the following actions should the nurse take?
Interview the child with the parents in the
roomAsk the provider to talk to the child and
parents
Make a note in the chart to check the child during the next
visit
Report the suspected abuse to the appropriate agency
**A nurse is reviewing discharge instructions with a client who has undergone a lumbar
laminectomy. Which of the following should the nurse include?
Use a soft mattress for sleeping
Practice bending from the waist several times
daily
Sit in a straight backed chair
Wear shoes with a slightly raised heel to promote body alignment
**A nurse is reinforcing teaching with a client about cancer prevention, the nurse should
instructthat frequent consumption of which of the following foods increases the risk of
cancer?
Tuna
Lamb
Chicken
Turkey

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** A nurse is reinforcing teaching to a client who is scheduled for a lumbar puncture. Which
ofthe following should the nurse include in the teaching?
Nausea is common adverse effect after this procedure
You should increase your fluid intake after this
procedure
You will be instructed to remain in an upright position for the first 4 hours after the procedure
The provider will apply a pressure bandage to the puncture site
**A newborn is scheduled to have a heel stick for blood glucose testing every 4hr. The
newborn’s blood glucose on admission was less than 40 mg/dL. Which of to the following
additional clinical manifestations should the nurse observe for in this newborn?
Jitteriness
Bradycardia
Inconsolability
Insomnia
**A nurse is contributing to the plan of care for a client who has a prescription for range of
motion exercise of the shoulder. To promote shoulder hyperextension, which of the following
exercises should the nurse recommend?
Move his arm behind his body with his elbow straight
Move his arm in a full circle
Raise his arm out to the side and reach it above his head with his palm facing away from his
headRaise his arm from his side straight forward and then up above his head.
**A nurse is receiving change-of-shit report for four clients. Which of the following clients
should the nurse attend to first?
A client who requests to be moved to a room closer to the nurse’s station
A client who is postoperative and had received morphine twice during the last 8hrs

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A client whose urinary output was 100 mL for the past 12hr
A client who insists on speaking with the provider prior to discharge
**A nurse is reinforcing teaching regarding home safety to a client who has diabetes mellitus
and is being discharged after an admission for hepatitis B. Which of the following client
statements indicates an understanding of the teaching?
I will recap my used syringes and throw them away in a plastic
bagI will take Tylenol for aches and pains
I will use my own eating utensils and dishes at home
Houseguest will need to wear masks when they come to visit
me
**A nurse in a long-term care facility is transcribing new prescriptions for four clients. Which
ofthe following prescription is accurately transcribed by the nurse?
Alprazolam (Xanax) 0.5 mg PO QHS for
sleepRegular insulin (Humulin R) 10 U SC
at 0800 Docusate sodium (Colace) 250 mg
PO QOD
Potassium chloride (Micro-K) 20mEq PO every morning
**A nurse is caring for a client who has altered mental status and has become increasing
belligerent. Which of the following medications prescriptions, if written for this client,
shouldthe nurse question?
Haloperidol (Haldol)
Lorazepam (Ativan)
Zolpidem (Ambien)
Alprazolam (Xanax)

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**A nurse is caring for a client who is experiencing acute kidney failure. The nurse should
monitor the client for which of the following acid-base imbalances?
Metabolic alkalosis Metabolic
acidosis Respiratory alkalosis
Respiratory acidosis
**A nurse in an urgent care clinic is collecting data from four clients. Which of the
followingclients should the nurse recommend for treatment first?
A client who has a fever and abdominal pain in the upper aspect of the right lower
quadrant
A client who has shortness of breath after taking a dose of amoxicillin (Amoxil)
A client who has hemoptysis and has taken medication for tuberculosis (TB) for 2 months
A client who has a purple stoma following an open colon resection with a colostomy 2 weeks
ago.
**A nurse on a medical unit is preforming an audit on his client assisgnment. For which of
thefollowing should the client have a separate signed informed consent form.
Chest radiography Echocardiogram
Indwelling urinary catheter
Lumbar puncture
** A nurse in an acute care hospital is planning to discharge an adult client who is
immunocompromised. Which of the following immunizations should the nurse plan to
administer before discharge.
Measles, mumps, and rubella (MMR)
immunization
Pneumococcal polysaccharide (PPSV) immunization
Varicella immunization
Herpes zoster immunization

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** A nurse is reinforcing teaching to a client regarding care of her newborn. The nurse
determines that the teaching is effective when the client points to which part of the newborn’s
head and states it will take 12 to 18 months for the soft stop to close.
(top of the head near face)
**A parent of a 3yr old child tells the nurse that he cannot get his child to sit at the table to eat a
full meal. Which of the following responses by the nurse is appropriate?
Provide the child with foods of the same texture rather than a variety of unfamiliar foods
Engage the child in conversation during meals to encourage him to eat like the rest of the
familyEncourage active play prior to meals to increase the child’s appetite
Offer the child heathful snacks frequently, rather than expecting him to fully eat at mealtimes
**A nurse in a providers office is caring for four clients. Which of the following should the
nursesee first.
A client who is at 38 weeks gestation and reports urgency and frequency of
urinationA client who is at 37 weeks gestation and reports edema of the ankles
A client who is at 36 weeks gestation and reports painless vaginal bleeding
A client who is at 34 weeks gestation and reports abundant amounts of odorless vaginal mucus
**A nurse and an assistive personnel (AP) are caring for four clients in a long-term-care facility.
For which of the following situations is it necessary to complete an incident report?
A client throws an object across the dinning
room
A client refuses his morning medications
A client who is prescribed full liquid diet receives a clear liquid
diet A client who is confused walks into another client’s room

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** A nurse working in the clinic receives a phone call from a mother whose child has
just ingested the contents of a bottle of acetaminophen (Tylenol). Which of the
following is anappropriate response by the nures?
Adminster syrup of ipecac to the child to induce vomiting
Take the child to the emergency department
Give the child a glass of milk to drink
Monitor the child’s level of
consciousness
**A client is scheduled for colon cancer surgery in the morning. The night nurse learns that
theclient has decided not to have the surgery, even through he has already signed the
informed consent form. Which of the following actions should the nurse take?
Inform the client that a signed consent form is legally in effect for 24hr
Report the situation to the surgeon who obtained the informed consent
Reinforce client teaching about the purpose of the procedure
Notify the client’s family about the refusal of treatment
**A nurse is caring for a newborn who is 1hr old. The mother received fentanyle (Sublimaze)
30 min before delivery. For which of the following should the nurse monitor for in the
newborn?
Hyperbillrubinemia
Hypoglycemia
Respiratory depressionIncreased
heart rate
**A nurse is reinforcing discharge teaching with the parent of a school-age child who had a
tonsillectomy. Which of the following statements by the parent indicates an understandin of the
instructions?
I will encourage my child to drink 4 ounces of orange juice twice a day
I will allow my child to chew gum to prevent throat pain

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2019 ATI Nutrition Proctored Exam with Answers (62 Solved Questions)

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