ATI Comprehensive Proctored Final Exam | Questions and Answers with Rationale | Highly Rated | Latest 2022/2023
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Course
ATI COMPEHENSIVE (ATI)
Institution
Rasmussen College
ATI Comprehensive Proctored Final Exam | Questions and Answers with Rationale | Highly Rated
1. A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?
- Me...
ATI Comprehensive Proctored Final Exam | Questions
and Answers with Rationale | Highly Rated
1. A nurse is caring for a client who has chronic phantom limb pain following an above-
knee amputation. Which of the following medication prescriptions should the nurse
verify with the provider?
- Meperidine.
Rationale:
Opioids are more effective for residual limb pain rather than phantom limb pain.
Additionally, meperidine is not recommended for chronic pain because using it long-term
can cause accumulation of a toxic metabolite.
2. A nurse is caring for a client who has pseudo membrane colitis d/t Clostridium difficile
infection. Which of the following interventions is the nurse's priority?
- Performing hand hygiene before and after contact with the client.
3. A nurse in the emergency department is caring for an unaccompanied infant following a
motor-vehicle crash. During assessment, the nurse notes that the infant's anterior fontanel
is almost closed. She has six teeth, is able to sit unsupported, and can drink from a cup.
The child cries whenever anyone new to her enters the room, says a few words, and is
asking for "mama" and "dada". The nurse should make which of the following age
assessments for this child?
- 12 months old
Rationale:
The nurse should know that the infant must be less than 18 months old due to her anterior
fontanel still being open. She should assess the infant at approximately 12 months old
due to the presence of six teeth. Her skills - sitting unsupported (8 months), drinking well
from a cup (9 months), stranger anxiety (8 months), and her ability to say two words (12
months) - should also help the nurse estimate the infant's age as 12 months.
,4. A nurse is caring for a client who has a tracheostomy and is receiving mechanical
ventilation. The low-pressure alarm on the ventilator sounds, indicating which of the
following to the nurse?
- A leak within the ventilator's circuitry
Rationale:
[The low-pressure alarm means that either the ventilator tubing has come apart or the
tubing detached from the client. Low-pressure alarms are often the result of a malfunction
or displacement of connections somewhere between the endotracheal or tracheostomy
tube and the ventilator.]
5. A nurse in the emergency department is caring for a client who reports pain in her left leg
following a motor-vehicle crash. The nurse notes that her left leg has bruising, swelling,
and displacement of the bones. Which of the following actions should the nurse take
first?
- Check neurovascular status distal to the injury
6. A nurse is teaching self-administration of NPH insulin to a client who has type 2 DM.
which of the following instructions should the nurse include?
- Rotate injection sites within the same area.
Rationale:
To prevent lipodystrophy, the client should rotate injection sites, making them about 2.5
cm (1 in) apart, within the same anatomical area.
7. A nurse in a substance use disorder program is interacting with a client. Which of the
following statements indicates that the client is using intellectualization as a way of
coping with the anxiety of admission?
- "I have read that problems with substances can have a variety of
predisposing factors."
Rationale:
, The nurse should identify this response as a use of intellectualization. Intellectualization
is an attempt to use intellectual processes to avoid expressing the emotions that stem from
stressful situations.
8. A charge nurse on a pediatric unit receives the laboratory results for several clients.
Which of the following results should the nurse report to the provider?
- A client who has DKA and a blood glucose of 375 mg/dL.
Rationale:
[The initial goal of therapy for DKA is a blood glucose level below 240 mg/dL. To
accomplish this, the client should receive regular insulin via continuous IV infusion, and
the nurse should monitor the blood glucose level hourly. The nurse should report the
client's result so that the provider can adjust the insulin dosage.]
9. A nurse is assessing a client who is receiving a transfusion of packed RBCs. Which of the
following findings should the nurse identify as an indication of an acute intravascular
hemolytic reaction?
- Sudden oliguria
Rationale:
[The nurse should identify sudden oliguria as an indication of an acute intravascular
hemolytic reaction. This type of transfusion reaction causes acute kidney injury resulting
in sudden oliguria and hemoglobinuria. This type of reaction results from the client's
antibodies reacting to the transfused RBCs.]
10. a nurse is providing discharge teaching to parents whose infant has had a
ventriculoperitoneal shunt placement for the treatment of hydrocephalus. which of the
following statements by the parents indicates an understanding of the teaching?
- we will check his abdomen daily for signs of fluid accumulation
- we will notify the doctor right away if he has a fever
- we should keep a helmet on him when he's awake
- we can expect him to have occasional seizure episodes
Rationale:
, Infection is a risk after a ventriculoperitoneal shunt insertion, especially 1 to 2 months
after placement. The parents should report fever, vomiting, seizure activity, and decreases
in responsiveness, as these can indicate infection.
11. A nurse is assessing a client who has multidrug-resistant TB and takes ethambutol. The
nurse should identify which of the following findings as an adverse effect of this
medication?
- Loss of red/green color discrimination
Rationale:
Ethambutol is an antitubercular medication that impairs ribonucleic acid synthesis. A
common adverse reaction is the loss of red/green color discrimination due to optic
neuritis. The nurse should notify the provider of this finding and expect a prescription to
discontinue the medication.
12. A nurse is assessing a client who is receiving hemodialysis for the first time. Which of
the following findings indicates to the nurse that the client is developing dialysis
disequilibrium syndrome (DDS)?
- Headache
Rationale:
DDS is a CNS disorder. It is a complication that can develop in clients who are new to
dialysis due to the rapid removal of solutes and changes in the blood's pH. Clients
beginning hemodialysis are at greatest risk, particularly if their BUN is above 175. DDS
causes headache, nausea, vomiting, decreased level of consciousness, seizures, and
restlessness. When it is severe, clients progress to confusion, seizures, coma, and death.
13. A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take?
- Apply continuous pressure to the lower part of his nose.
Rationale:
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