ATI COMPREHENSIVE FINAL EXAM TEST BANK 2020

ATI COMPREHENSIVE FINAL EXAM

TEST BANK 2020

 ATI FINAL

1. Before donning gloves to perform a procedure, proper hand hygiene is essential. The

nurse understands that the most important aspect of hand hygiene is the amount of

Friction

2. A nurse is demonstrating postoperative deep breathing and coughing exercises to a client

about to undergo emergency abdominal surgery for appendicitis. The nurse realizes the

client may be unprepared to learn if the client

reports severe pain.

3. A client comes to the emergency department reporting that he has had diarrhea for 4 days

and is urinating less than usual. When assessing the client’s skin turgor, the nurse should

grasp a fold of skin on the chest under the clavicle, release it, and note if it springs back.

4. A nurse is planning interventions for a group of clients who are obese. What can the

nurse do to improve their commitment to a long term goal of weight loss?

Attempt to develop the clients’ self-motivation.

5. When admitting a client, the nurse records which information in the client’s record first?

Assessment of the client

6. A nurse tells a client that the provider has prescribed IV fluids. The client appears to be upset

about the IV catheter insertion, but says nothing to the nurse. Which of the following of the

following is an appropriate nursing response?

"Is there something about this procedure that concerns you?"

7. A client who is unstable and requires frequent vital signs has an electronic blood pressure

machine automatically measuring his blood pressure every 15 min. However, the

machine is reading the client’s blood pressure at more frequent intervals, and the readings

are not similar. The nurse checks the machine settings and observes the additional

readings, but the problem continues. Which of the following is the appropriate nursing

action?

Disconnect the machine, and measure the blood pressure manually every 15 min.

8. A nurse is caring for a client just diagnosed with type 1 diabetes mellitus. The client is

resistant to learning self injection of insulin and asks the nurse to administer all the

injections. The nurse explains the importance of learning self care and appropriately adds

which of the following statements?

"Tell me what I can do to help you overcome your fear of giving yourself injections."

9. An assistive personnel (AP) says to the nurse, "This client is incontinent of stool three or

four times a day. I get angry, and I think that the client is doing it just to get attention. I

think we should put adult diapers on her." Which is the appropriate nursing response?

"It is very upsetting to see an adult client regress."

10. A nurse’s neighbor is scheduled for elective surgery. The neighbor’s provider indicated

that a moderate amount of blood loss is expected during the surgery, and the neighbor is

anxious about acquiring an infection from a blood transfusion. Which of the following is

appropriate for the nurse to suggest?

Donating autologous blood before the surgery

11. At a mobile screening clinic, a nurse is assessing a client who reports a history of a heart

murmur due to aortic stenosis. To auscultate the aortic valve, the nurse should place the

stethoscope at which location?

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