2019 ATI RN Comprehensive Exam with Answers (147 Solved Questions)
2019 ATI RN Comprehensive Exam with Answers is a complete study companion, featuring actual past exam papers.
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8. a nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
11. A nurse in a provider’s office is reviewing the laboratory results
of a group of clients. The nurse should identify that which of the
following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
17. A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the following manifestations should the nurse
expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
19. A charge nurse is teaching a newly licensed nurse about clients
designating a health care proxy in situations that require a durable
power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. “The proxy should make health care decisions for the client
regardless of the client’s
ability to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under
anesthesia.”
D. “The proxy should manage legal issues for the client.”
21. A nurse is caring for a client who has a history of depression and
is experiencing a situational crisis. Which of the following actions
should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
29. A nurse is caring for a client who has end-stage kidney disease.
The client’s adult child asks the nurse about becoming a living
kidney donor for her father. Which of the following condition in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients.
The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need
to limit how much
spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies
on my pizza.”
C. A client who has a prescription for spironolactone and states “I
will reduce my intake of
foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my
calcium carbonate with
a full glass of water”.
31. A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child’s glucose. The
nurse should identify this finding as an adverse effect of which of the
following medications
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin
37. A nurse is assessing a client who is in active labor. Which of the
following findings should the nurse report to the provider?
A. Contractions lasting 80 seconds
B. FHR baseline 170/min
C. Early decelerations in the FHR
D. Temperature 37.4C (99.3)
40. A nurse is preparing to measure a temperature of an infant. Which
of the following action should the nurse take?
A. Place the tip of the thermometer under the center of the infant’s
axilla.
B. Pull the pinna of the infant’s ear forward before inserting the
probe.
C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
D. Insert the thermometer in front of the infant’s tongue.
41. 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 is the does not attend group
therapy
C. Encourage the client to take frequent rest periods
D. Place the cline in seclusion when he exhibits signs of anxiety
44. a nurse is preparing an in-service for a group of nurses about
malpractice issues in nursing. Which of the following examples
should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
medication
B. Documenting communication with a provider in the progress
notes of the client’s medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
46. The nurse is reviewing the medical record of a client who is
requesting combination oral contraceptives. Which of the following
conditions in the client’s history is a contradiction to the use of oral
contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia
Which of the following guidelines should the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
11. A nurse in a provider’s office is reviewing the laboratory results
of a group of clients. The nurse should identify that which of the
following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
17. A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the following manifestations should the nurse
expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
19. A charge nurse is teaching a newly licensed nurse about clients
designating a health care proxy in situations that require a durable
power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. “The proxy should make health care decisions for the client
regardless of the client’s
ability to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under
anesthesia.”
D. “The proxy should manage legal issues for the client.”
21. A nurse is caring for a client who has a history of depression and
is experiencing a situational crisis. Which of the following actions
should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
29. A nurse is caring for a client who has end-stage kidney disease.
The client’s adult child asks the nurse about becoming a living
kidney donor for her father. Which of the following condition in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients.
The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need
to limit how much
spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies
on my pizza.”
C. A client who has a prescription for spironolactone and states “I
will reduce my intake of
foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my
calcium carbonate with
a full glass of water”.
31. A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child’s glucose. The
nurse should identify this finding as an adverse effect of which of the
following medications
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin
37. A nurse is assessing a client who is in active labor. Which of the
following findings should the nurse report to the provider?
A. Contractions lasting 80 seconds
B. FHR baseline 170/min
C. Early decelerations in the FHR
D. Temperature 37.4C (99.3)
40. A nurse is preparing to measure a temperature of an infant. Which
of the following action should the nurse take?
A. Place the tip of the thermometer under the center of the infant’s
axilla.
B. Pull the pinna of the infant’s ear forward before inserting the
probe.
C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
D. Insert the thermometer in front of the infant’s tongue.
41. 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 is the does not attend group
therapy
C. Encourage the client to take frequent rest periods
D. Place the cline in seclusion when he exhibits signs of anxiety
44. a nurse is preparing an in-service for a group of nurses about
malpractice issues in nursing. Which of the following examples
should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
medication
B. Documenting communication with a provider in the progress
notes of the client’s medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
46. The nurse is reviewing the medical record of a client who is
requesting combination oral contraceptives. Which of the following
conditions in the client’s history is a contradiction to the use of oral
contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia
51. a Nurse is working with a client who has an anxiety disorder and
is in the orientation phase of the therapeutic relationship. Which of
the following statements should the nurse make during this phase?
A. “Let’s talk about how you can change your response to stress.”
B. “We should establish our roles in the initial session.”
C. “Let me show you simple relaxation exercises to manage stress.”
D. “We should discuss resources to implement in your daily life.”
52. A staff nurse is observing a newly licensed nurse suction a
client’s tracheostomy. Which of the following requires intervention
by the staff nurse?
A. Waits 2 minutes between suctions.
B. Encourages the client to cough during suctioning.
C. Apply suctioning for 15 seconds.
D. Inserts the catheter without applying suction
53. A nurse is teaching at a community health fair about electrical fire
prevention. Which of the following information should the nurse
include in the teaching?
A. Use three pronged grounded plugs.
B. Cover extension cords with a rug.
C. Check the tingling sensations around the cord to ensure the
electricity is working.
D. Remove the plug from the socket by pulling the cord.
56. A nurse is providing teaching to a client who is 14 weeks of
gestation about findings to report to the provider. Which of the
following findings should the nurse include in the teaching?
A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency
60. A nurse is reviewing the laboratory report of a client who has
been having lithium carbonate for the past 12 months. The nurse
notes a lithium level of 0.8 mEq/L. Which of the following orders
from the provider should the nurse expect?
A. Withhold the next dose.
B. Increase the dosage.
C. Discontinue the medication.
D. Administer the medication.
61. A nurse is providing teaching to an older adult client about
methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
A. Stay in bed at least 1hr if unable to fall asleep
B. Take 1 hr nap during the day
C. Perform exercise prior to bed
D. Eat a light snack before bedtime
62. A nurse is caring for a client who has fibromyalgia and requests
pain medication. Which of the following medications should the
nurse administer?
A. Pregabalin
B. Lorazepam
C. Colchicine
D. Codeine.
64. A nurse is caring for a client who is receiving morphine 4 mg via
IV bolus every 4 hr. PRN. The nurse should monitor for which of the
following adverse effects?
A. Productive cough.
B. Urinary retention.
C. Rhinitis
D. Fever.
65. A nurse is interviewing the partner of a client who was admitted
in the manic phase of bipolar disorder. The partner states “I don’t
know what to do. Everything has been happening so quickly.” Which
of the following by the nurse is therapeutic?
A. “Can you talk about what happens with your partner at home?”
B. “Why do you think your partner’s symptoms are progressing so
quickly?”
C. “You should make sure your partner takes the prescribed
medication.”
D. “You did the right thing by bringing your partner in for
treatment.”
67. A nurse is caring for a client who is to receive a transfusion of
packed RBCs. Which of the following actions should the nurse take?
A. Prime IV tubing with 0.9% sodium chloride.
B. Use a 24-gauge IV catheter
C. Obtain filter less IV tubing.
D. Place blood in the warmer for 1 hr.
68. A nurse is admitting a client who has diabetic ketoacidosis.
Which of the following types of continuous infusions should the
nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.
D. 0.45% saline.
71. A nurse is receiving change-of-shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring
B. A client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower
extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
72. A nurse is providing dietary teaching to a client who has a new
diagnosis of irritable bowel syndrome. Which of the following
recommendations should the nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten
77. A nurse is caring for an infant who has coaction of the aorta.
Which of the following should the nurse identify as an expected
finding?
A. Weak femoral pulses
B. Frequent nosebleeds
C. Upper extremity hypotension
D. Increased intracranial pressure
80. A nurse is providing teaching to a client about the adverse effects
of sertraline. Which of the following adverse effects should the nurse
include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
is in the orientation phase of the therapeutic relationship. Which of
the following statements should the nurse make during this phase?
A. “Let’s talk about how you can change your response to stress.”
B. “We should establish our roles in the initial session.”
C. “Let me show you simple relaxation exercises to manage stress.”
D. “We should discuss resources to implement in your daily life.”
52. A staff nurse is observing a newly licensed nurse suction a
client’s tracheostomy. Which of the following requires intervention
by the staff nurse?
A. Waits 2 minutes between suctions.
B. Encourages the client to cough during suctioning.
C. Apply suctioning for 15 seconds.
D. Inserts the catheter without applying suction
53. A nurse is teaching at a community health fair about electrical fire
prevention. Which of the following information should the nurse
include in the teaching?
A. Use three pronged grounded plugs.
B. Cover extension cords with a rug.
C. Check the tingling sensations around the cord to ensure the
electricity is working.
D. Remove the plug from the socket by pulling the cord.
56. A nurse is providing teaching to a client who is 14 weeks of
gestation about findings to report to the provider. Which of the
following findings should the nurse include in the teaching?
A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency
60. A nurse is reviewing the laboratory report of a client who has
been having lithium carbonate for the past 12 months. The nurse
notes a lithium level of 0.8 mEq/L. Which of the following orders
from the provider should the nurse expect?
A. Withhold the next dose.
B. Increase the dosage.
C. Discontinue the medication.
D. Administer the medication.
61. A nurse is providing teaching to an older adult client about
methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
A. Stay in bed at least 1hr if unable to fall asleep
B. Take 1 hr nap during the day
C. Perform exercise prior to bed
D. Eat a light snack before bedtime
62. A nurse is caring for a client who has fibromyalgia and requests
pain medication. Which of the following medications should the
nurse administer?
A. Pregabalin
B. Lorazepam
C. Colchicine
D. Codeine.
64. A nurse is caring for a client who is receiving morphine 4 mg via
IV bolus every 4 hr. PRN. The nurse should monitor for which of the
following adverse effects?
A. Productive cough.
B. Urinary retention.
C. Rhinitis
D. Fever.
65. A nurse is interviewing the partner of a client who was admitted
in the manic phase of bipolar disorder. The partner states “I don’t
know what to do. Everything has been happening so quickly.” Which
of the following by the nurse is therapeutic?
A. “Can you talk about what happens with your partner at home?”
B. “Why do you think your partner’s symptoms are progressing so
quickly?”
C. “You should make sure your partner takes the prescribed
medication.”
D. “You did the right thing by bringing your partner in for
treatment.”
67. A nurse is caring for a client who is to receive a transfusion of
packed RBCs. Which of the following actions should the nurse take?
A. Prime IV tubing with 0.9% sodium chloride.
B. Use a 24-gauge IV catheter
C. Obtain filter less IV tubing.
D. Place blood in the warmer for 1 hr.
68. A nurse is admitting a client who has diabetic ketoacidosis.
Which of the following types of continuous infusions should the
nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.
D. 0.45% saline.
71. A nurse is receiving change-of-shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring
B. A client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower
extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
72. A nurse is providing dietary teaching to a client who has a new
diagnosis of irritable bowel syndrome. Which of the following
recommendations should the nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten
77. A nurse is caring for an infant who has coaction of the aorta.
Which of the following should the nurse identify as an expected
finding?
A. Weak femoral pulses
B. Frequent nosebleeds
C. Upper extremity hypotension
D. Increased intracranial pressure
80. A nurse is providing teaching to a client about the adverse effects
of sertraline. Which of the following adverse effects should the nurse
include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
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