ATI Proctored 2023
1. A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment?
a) Tell me about your siblings
...
a nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder the client threatened suicide to teacher at school which
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ATI Proctored 2022
1. A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to
teacher at school. Which of the following statements should the nurse include in
the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - c) Tell me how often do you drink
alcohol
2. A nurse is observing bonding to the client her newborn. Which of following
actions by the client requires the nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - d) Viewing the
newborn's actions to be uncooperative
3. A nurse is caring for client who is taking levothyroxin. Which of the following
findings should indicate that the medication is effective?
a) Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - a) Weight loss (this drug acts as T4 and will
normalize the effects of hypothyroidism)
4. A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black (it's going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with
neutral pH cleanser)
c) Keep the cord dry until it falls of f (cord should be kept clean and dry to
prevent infection
d) The cord stump will fall off in five days. ( cord falls off in 10 to 14 days) - c)
Keep the cord dry until it falls of f (cord should be kept clean and dry to
prevent infection
,5. A nurse is assessing a client in the PACU. Which of the following findings
indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - b) Oliguria
6. A nurse is assisting with mass casualty triage: explosion at a local factory. Which
of the following client should the nurse identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity - c) A client with
indications of hypovolemic shock
7. A nurse is a receiving report on four clients. Which of the following clients should
the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine
in the bag - c) A client whose chronic kidney disease with cloudy diasylate
outflow
8. A nurse is caring for a client just received the first dose of lisinopril. The following
is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - c) Provide standby assist with the
client from bed
9. A nurse is caring for a client who is in labor and his seat is receiving electronic
fetal monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - d) Head Compression
,10. A nurse is caring for a client who has chronic kidney disease. The nurse should
identify which of the following laboratory values as in an indication for
hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - a) glomerular filtration rate of 14 mL/
minute
11. A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. The following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - c) Heat the skin one minute prior to
placing the program
12. A nurse in a mental health facility receives a change of shift report on for clients.
Which of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two
months
c) Client is receiving a PRN dose of health heard all two hours ago for
increased anxiety
d) Applied he'll be receiving his first ECT treatment today - a) Client placed in
restraints to the aggressive behavior
13. A nurse working at the clinic is teaching a group of clients who are pregnant on
the use of nonpharmacological pain management. Which of the following
statements by the nurse is an appropriate description of the use of hypnosis
during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during
contractions
c) Hypnosis uses therapeutic touch to reduce anxiety
d) Hypnosis provides instruction to minimize pain - b) Hypnosis promotes
increased control of her pain perception during contractions
14. A nurse in a County Jail health clinic is leading group therapy session. A client
who was incarcerated for theft is addressing the group. Which of the following is
an example of reaction formation? (rxn formation is when you use opposite
feelings; ex: being super nice to someone you dislike)
, a) I steal things because it's the only way I can keep my mind off my bad
marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I think that people just you're just lazy and should earn money honestly -
d) I think that people just you're just lazy and should earn money honestly
15. A nurse is obtaining the medical history of a client who has a new prescription for
isosorbide monotitrate. Which of the following should the nurse identify as a
contraindication to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches - a) Glaucoma
16. The nurses is caring for a client recovering from an acute myocardial infarction.
Which following intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask
d) Obtain a cardiac rehabilitation consult - d) Obtain a cardiac rehabilitation
consult
17. A Nurses caring for client who has breast cancer and has been covering
receiving chemotherapy. Which of the following laboratory values should nurse
report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds - a) WBC 3,000/mm3
18. Home health nurse is carefully planned for Alzheimer's disease. To the following
action should the nurse include in the plan of care
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered items
c) Replace the carpet with hardwood floors
d) Create variation in daily routine - a) Place a daily calendar in the kitchen
19. Nurse is performing change of shift assessments on 4 clients. Which of the
following findings should the nurse report to provider first?
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