ATI Comprehensive Practice Test B 2019

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A nurse in a mental health clinic is assessing a client who has a history of seeking

counseling for relationship problems. The client shows the nurse multiple superficial selfinflicted lacerations on their forearms. The nurse should identify these behaviors as

characteristics of which of the following personality disorders?

- Borderline

Clients who have borderline personality disorder tend to be emotionally

unstable, have troubled interpersonal relationships, and often engage in

harmful behaviors such as cutting, substance use, and suicidal ideation.

A nurse is caring for a client who has a fecal impaction. Which of the following actions

should the nurse take when digitally evacuating the stool?

- Insert a lubricated gloved finger and advance along the rectal wall

A nurse is admitting a client to the psychiatric unit after attempting suicide. The client

states, "My family does not care whether I live or die." Which of the following responses

should the nurse make?

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- "How does this make you feel?"

A nurse is caring for a client who has fluid volume overload. Which of the following tasks

should the nurse delegate to an AP?

- Measure the client's daily weight

A nurse is performing an admission assessment on a client who had a recent positive

pregnancy test. The first day of her last menstrual period (LMP) was May 8. According

Naegele's rule, which of the following should the nurse document as the client's estimated

date of birth (EDB)?

- February 15

Add 7 days to the first day of the client's LMP (8+7=15) and then subtract 3

months 

A nurse in the emergency department is assessing a preschooler who has a facial

laceration. The nurse should identify which of the following findings as a potential

indication of child sexual abuse?

- The child exhibits discomfort while walking

A nurse is providing teaching to a school age child who has asthma about using an

albuterol metered dose inhaler. Which of the following instructions should the nurse

include?

- Take medication 15 min before playing sports

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The nurse should instruct the child to take the medication 5 to 20 min prior to

exercise to promote bronchodilator. The medication's effects begin

immediately, peak in 30 to 60 min, and can last for up to 5 hr.

A nurse is providing teaching to a client who is schedule for electroconvulsive therapy

(ECT). The nurse should inform the client that which of the following findings is an

adverse effect of ECT?

- Short-term memory loss

A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the

following actions by the newly licensed nurse requires intervention by the preceptor?

- Starts a task then determines what supplies are needed

A nurse in a provider's office is caring for an 18-month-old toddler who has a blood lead

level of 3 mcg/dL. Which of the following actions should the nurse take?

- Recommend rescreening in 1 year

A blood lead level of 3 mcg/dL is within the expected reference range. The

nurse should schedule chelation therapy for a blood lead level greater than 45

mcg/dL. The nurse should contact the poison control center for a blood lead

level that is greater than 20 mcg/dL. The nurse should consider a referral to

social services for a blood lead level greater than 5 mcg/dL. 

A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule

for a 3-hour oral glucose tolerance test. Which of the following instructions should the

nurse include in the teaching?

- "You will need to fast the night before the test"

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A nurse manager is preparing an educational session for nursing staff about how to

provide cost-effective care. Which of the following methods should the nurse include in

the teaching?

- Delegate non-nursing tasks to ancillary staff

A nurse has received change of shift report on four assigned clients. For which of the

following clients should the nurse intervene to prevent a potential food and medication

interaction?

- A client who is receiving an MAOI and is requesting a cheeseburger for

dinner

The client's food selection contains tyramine. Clients prescribed an MAOI must

restrict intake of foods that contain tyramine due to adverse effects, such as

HTN

A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger

tea. Which of the following findings indicates the client's use of ginger tea is effective?

- The client reports a decrease in episode of nausea

A nurse on a pediatric unit has received change of shift report for four children. Which of

the following children should the nurse assess first?

- A 10-year-old child who is awaiting surgery for an appendectomy and

experienced sudden relief from pain

A nurse in a community center is providing an education session to a group of clients

about ovarian cancer. Which of the following manifestations of ovarian cancer should the

nurse include in the teaching?

- Abdominal bloating 

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A nurse is caring for a client who is postoperative after receiving moderate (conscious)

sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of

the following actions should the nurse take?

- Check the client's oxygen saturation level

A nurse is working in an emergency department is triaging four clients. Which of the

following clients should the nurse recommend for treatment first?

- A middle adult client who has unstable vital signs

A nurse is providing teaching for a client who has a fracture of the right fibula with a

short leg cast in place and a new prescription for crutches. The client is non-weight

bearing for 6 weeks. Which of the following instructions should the nurse include in the

teaching?

- Use a three-point gait

A nurse is preparing to initiate IV access for an older adult client. Which of the following

sites should the nurse select when initiating the IV for this client?

- Radial vein of the inner arm

A nurse is planning to delegate client care tasks to an AP. Which of the following tasks

should the nurse plan to delegate to the AP?

- Perform gastrostomy feedings through a client's established gastrostomy

tube

A nurse is caring for a newborn immediately after delivery. Which of the following

interventions should the nurse implement to prevent heat loss by conduction?

- Use a protective cover on the scale when weighing the infant

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A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the

following laboratory tests should the nurse review prior to adjusting the client's heparin?

- aPTT 

A nurse administers an incorrect dose of medication to a client. The nurse recognized the

error immediately and completes and incident report. Which of the following facts related

to the incident should the nurse document in the client's medical record?

- Time the medication was given

A nurse is providing education to the parent of a school age child who has asthma. Which

of the following statements by the parent indicates an understanding of the teaching?

- "I will make sure my child receives a yearly influenza immunization"

A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle

pain after falling off a step stool at home. Which of the following prescriptions should the

nurse clarify with the provider?

- Apply a cold pack to the client's ankle for 30 min every hour

A nurse is assessing a client who has a major depressive disorder and is taking

amitriptyline. Which of the following findings should the nurse identify as an adverse

effect of the medication?

- Blurred vision

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A nurse is caring for a client who has signed an informed consent form to receive

electroconvulsive therapy (ECT). The client states to the nurse "I'm not sure about this

now. I'm afraid it's too risky." Which of the following responses should the nurse make?

- "You have the right to change your mind about the procedure at any time"

A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to

a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams

the nurse should administer?

- 18 g

A nurse is preparing to administer an IM injection to a client who is obese. Which of the

following actions should the nurse plan to take?

- Use the ventrogluteal site 

A nurse is providing discharge teaching to a client who is to receive home oxygen

therapy. Which of the following instructions should the nurse include in the teaching?

- Wear clothing made with cotton fabrics while oxygen is in use

A nurse is providing teaching to the guardians of a newborn about measures to prevent

sudden infant death syndrome (SIDS). Which of the following guardian statements

indicates an understanding of the teaching?

- "I will not allow anyone to smoke near my baby"

A nurse is assessing a client following a vaginal delivery and notes heavy loch and a

boggy fundus. Which of the following medications should the nurse expect to administer?

- Oxytocin

A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of

terminal cancer. The client tells the nurse that they would like to go home to be with

family and loved ones. Which of the following actions should the nurse take?

- Make a referral for social services

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A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube.

Which of the following actions should the nurse take first?

- Change the position of the client

A nurse is creating a plan of care for a client who has left-sided weakness following a

stroke. Which of the following interventions should the nurse include in the plan?

- Support the client's left arm on a pillow while sitting

A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The

nurse should plan to perform which of the following actions?

- Instruct the client to avoid coughing during the procedure 

A charge nurse is providing an educational session about infection control for a group of

staff nurses. Which of the following statements by one of the staff nurses indicated an

understanding of isolation precautions?

- "A client who requires airborne precautions should be placed in a negative

pressure airflow room"

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