ATI COMPREHENSIVE D 2021 (Questions and
Answers) (A Grade), Latest Questions and Answers
with Explanations, All Correct Study Guide,
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1. A nurse is caring for a client who is insulin dependent and is undergoing tests to determine
if his blood glucose is being adequately controlled. The nurse should identify that which of the
following laboratory values is the best indicator of adequate blood glucose control?
A. Postprandial blood glucose 190 mg/dl
B. Fasting blood glucose 60 mg/dl
C. HbA1c 6.5%
D. Hct 42%
2. A nurse is planning to administer Atenolol to a client. Which of the following should the
nurse assess prior to administering the medication?
A. BUN
B. Blood pressure
C. Respiratory rate
D. aPTT
3. A nurse is orienting a newly licensed nurse while caring for clients who are in labor. Which
of the following pain management strategies by the newly licensed nurse requires
intervention?
A. Encouraging the client to use jet therapy on her lower back for 1 hr
B. Placing a transcutaneous electrical nerve stimulation (TENS) unit on a client’s abdomen
C. Using effleurage on a client’s lower abdomen
D. Instructing a client’s partner how to apply counterpressure to the client’s sacral spine for 30
min
4. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving
change-of-shift report. Identify the sequence of steps the nurse should follow when delegating
tasks to the APs.
A. Review the skill level of and qualifications of each AP 1
B. Communicate appropriate tasks to the APs with specific expectations 2
C. Monitor progress of task completion with each AP 3
D. Evaluate the APs’ performance of each task 4
5. A nurse is teaching a prenatal class about infection prevention at a community center. Which
of the following statements by a client indicates an understanding of the teaching?
A. “I should take antibiotics when I have a virus.”
B. “I should wash my hands for 10 seconds with hot water after working in the garden.”
C. “I can clean my cat’s litter box during my pregnancy.”
D. “I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
6. A nurse I caring for a school-age child who is 2 hr postoperative following a cardiac
catheterization. The nurse observes blood on the child’s dressing. Which of the following
actions should the nurse take?
A. Apply intermittent pressure 2.5 cm (1 in) below the percutaneous skin site.
B. Apply continuous pressure 2.5 cm (1 in) below the percutaneous skin site.
C. Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site.
D. Apply intermittent pressure 2.5 cm (1 in) above the percutaneous skin site.
7. A nurse is reviewing the medical record of a client who has a prescription for intermittent
heat therapy for a foot injury. Which if the following findings should the nurse identify as a
contraindication for heat therapy?
A. Phlebitis
B. Abdominal aortic aneurysm
C. Osteoarthritis
D. Peripheral neuropathy
8. A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which
of the following findings is expected during the procedure?
A. Sensation of skin warmth
B. Headache
C. Increased salivation
D. Numbness and tingling of the extremities
9. A nurse is transcribing new medication prescriptions for a group of clients. For which of the
following prescriptions should the nurse contact the provider for clarification?
A. Lorazepam .5 mg PO one tablet daily
B. Hydrochlorothiazide 12.5 mg PO BID
C. Triamcinolone acetonide 100 mcg/inhalation two puffs TID
D. Zolpidem 10 mg PO one tablet at bedtime
10. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to
report to the provider. Which of the following findings should the nurse include in the
teaching?
A. Swelling of the face
B. Urinary frequency
C. Faintness upon rising
D. Bleeding gums
11. A nurse is providing care for a client who has esophageal cancer and has received radiation
therapy. Which of the following finding should the nurse identify as the priority?
A. Excoriation of the skin on the neck and chest
B. Dysphagia
C. Client reports a pain level of 6 on scale from 0-10
D. Xerostomia
12. A nurse is assessing a client who is 2 hrs postpartum for uterine atony. Which of the
following action should the nurse take?
A. Monitor the client’s urinary output
B. Check the client VS
C. Evaluate the client's pain level
D. Palpate the client’s fundus
13. A school nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
A. “This type of seizure can be mistaken for daydreaming”
B. “The child usually has an aura prior to onset”
C. This type of seizure last 30-60 sec”
D. “This type of seizure has a gradual onset”
14. A nurse in a surgical suite is planning care for a client who requires surgery and has a latex
sensitivity. Which of the following is appropriate for this client?
A. Disinfect and powder any latex products before use
B. Tape stockinet over monitoring device and cords
C. Schedule the client as the last surgery of the day
D. Remove poopsocks from the IV
15. A nurse is reviewing the medical record of a client. The nurse should identify that the client
is at risk for which of the following complication.
A Dumping syndrome
B Ketoacidosis
C Hepatotoxicity
D Thyroid storm
16. A nurse is caring for a client who has lung cancer and has a sealed radiation implant. Which
of the following action should nurse take? (SATA)
A. Place the client in a semi-private room
B. Wear a lead apron when providing care
C. Limit visitors to 30 mins
D. Instruct visitors who are pregnant to remain 3 ft from the client
E. Close the door to the client's room
17. A CN (charge nurse) is providing teaching for group of newly licensed nurse about grieving
process. Which of the following information should the CN include in the teaching?
A. Client can expect to have feeling of hopelessness
B. Client might feel guilt over some aspect of their loss
C. Client will experience anhedonia
D. Client will experience low self-esteem
18. A client who is pregnant voice her concern that her 3y/o son will feel left out one the newborn
arrives. Which of the following statements by the nurse is appropriate?
A. Offer your son a gift when the baby receives one
B. Move your son to a toddler bed when the baby arrives
C. Tell your son to kiss the baby
D. Teach your son to change the baby diapers - not the answer
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