ATI Custom Comprenhesin

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Sample questions from ATI Custom Comprenhesin

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In a pediatric outpatient clinic, a 3-year-old with asthma is scheduled for a nebulizer treatment. The child is playful, has an SpO2 of 97% on room air, and has an order for albuterol. Which task can the registered nurse delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Evaluate the child's response to the treatment.
   • B.Assess the child's breath sounds before the treatment.
   • C.Obtain and document the child's temperature and pulse.
   • D.Administer the prescribed nebulizer treatment.

   Rationale: Obtaining and documenting routine vital signs on a stable child is an appropriate UAP task when the RN provides direction and follows up on the results. Assessment, medication administration, and evaluation require nursing judgment and remain the RN's responsibility. The RN should also confirm the child's identity and review any abnormal findings.

2. 2.Refer to the client's chart. Which actions should the nurse take first in response to the client's current condition? Select all that apply.

   • A.Call for immediate assistance and remain with the client.
   • B.Document the findings and reassess in 30 minutes before notifying the provider.
   • C.Assist the client to ambulate to the bathroom to empty the bladder.
   • D.Increase the oxytocin infusion according to the existing protocol, if one is prescribed.
   • E.Massage the uterine fundus while assessing the amount of bleeding.

   Rationale: The chart shows increasing postpartum bleeding, a boggy fundus, tachycardia, and falling blood pressure, so the nurse should call for help and begin immediate interventions. Fundal massage addresses uterine atony, and increasing oxytocin is appropriate only when an applicable protocol or order authorizes it. Ambulation is unsafe with signs of possible hemorrhage, and delaying escalation for documentation and reassessment could worsen the client's condition.

3. 3.A client states, 'I signed the consent form, but I still do not understand what the surgeon plans to do.' In the preoperative area, the 52-year-old client is alert and scheduled for surgery in 20 minutes. What should the nurse do?

   • A.Notify the surgeon that the client needs further explanation before proceeding.
   • B.Explain the procedure using the information in the surgical consent form.
   • C.Ask a family member to explain the procedure to the client.
   • D.Ask the client to describe the procedure and clarify any remaining questions.

   Rationale: The surgeon performing the procedure is responsible for explaining its nature, risks, benefits, and alternatives, and the client must understand before giving informed consent. The nurse should pause progression toward surgery and notify the surgeon. Asking the client about questions is supportive, but the nurse should not independently provide the surgical explanation or rely on a family member to do so.

4. 4.At change of shift in a long-term care facility, a 79-year-old resident with stable osteoarthritis needs assistance with morning care. Which task is appropriate for the RN to assign to a UAP?

   • A.Assess the resident's pain after the prescribed analgesic is given.
   • B.Assist the resident with bathing and report any new skin changes.
   • C.Determine whether the resident's pain requires a call to the provider.
   • D.Teach the resident how to use a newly prescribed walker.

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which action is the priority for the nurse to take before discharge?

   • A.Schedule a routine clinic appointment in 2 weeks.
   • B.Ask the client to demonstrate use of the incentive spirometer.
   • C.Provide written instructions about completing the antibiotic course.
   • D.Arrange a home oxygen assessment and confirm the delivery plan.

   Answer and rationale are in the full material.