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ATI COMPREHENSIVE EXIT EXAM QUESTIONS WITH CORRECT SOLUTIONS
“A nurse, an emergency department complete an assessment on an adolescent client that has conduct disorder. The client threaten suicide to a teacher at school which of the following
statements should the nurse include in the assessment. - CORRECT ANSWER Tell me how
often do you drink alcohol?" "A nurse is observing bonding to the client, her newborn, which of the following actions by the
client requires the nurse to intervene - CORRECT ANSWER Viewing the newborn's actions to
be uncooperative" "A nurse is caring for a client who is taking levothyroxine, which of the following finding should
indicate that the medication was effective - CORRECT ANSWER Weight loss"
"A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - CORRECT ANSWER Keep the cord dry until it
falls off (cord should be kept clean and dry to prevent infection)" "A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac
output - CORRECT ANSWER oliguria"
"A nurse is assisting with mass, casualty triage explosion at a local factory which of the following
client. Should the nurse identify as a priority. - CORRECT ANSWER A client with indications of
hypovolemic shock" "A nurse is receiving report on for clients which of the following client should the nurse assess
first - CORRECT ANSWER A client who is chronic kidney disease with cloudy, diasylate outflow"
"A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate
nursing intervention. - CORRECT ANSWER Provide standby assist with the client from bed"
"A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The nurse is reviewing the monitor tracing in notes early decelerations, which of the following should
the nurse expect - CORRECT ANSWER Head compression"
"A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as an indication of hemodialysis. - CORRECT ANSWER
Glomerular filtration rate of 14 ML/minute"
"A nurse is caring for an infant who has prescription for continuous pulse oximetry. The following
is an appropriate action for the nurse to take. - CORRECT ANSWER Heat the skin one minute
prior to placing the program" "A nurse in a mental health facility receives a change of shift report on four clients which of the
following client. Should the nurse plan to assess first. - CORRECT ANSWER Client placed in
restraints to the aggressive behavior" "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 statement by the nurse is an
appropriate description of the use of hypnosis during labor - CORRECT ANSWER Hypnosis
promotes increase control of her pain perception during contractions" "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? - CORRECT ANSWER I think that people just you're just lazy and should earn
money honestly" "A nurse is obtaining a 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
CORRECT ANSWER glaucoma"
"16 - CORRECT ANSWER No questions"
"The nurse is caring for a client recovering from an acute myocardial infraction, which of the
following intervention should the nurse include in the point of care - CORRECT ANSWER
Obtain a cardiac rehabilitation consult" "A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
CORRECT ANSWER WBC 3,000/mm3"
"Home health nurse is carefully planned for Alzheimer's disease to the following action. Should
the nurse include in the plan of care - CORRECT ANSWER Place a daily calendar in the kitchen"
religious contact. You should recognize the signs and symptoms as being consistent with which of
the following. - CORRECT ANSWER Schizophrenia"
"A nurse is caring for a child who has infectious mononucleosis which of the following findings are
associated with this diagnosis SATA - CORRECT ANSWER Splenomegaly
Malaise Sore throat" "A nurse is performing dressing change for a client with a sacral wound using negative pressure
wound therapy which of the following action should the nurse take first - CORRECT ANSWER
Determine pain level" "A nurse is caring for a client recovery from a bowel surgery has a nasogastric tube connected to load intermittent section which of the following assessment findings should indicate to the nurse
at the NG tube may not be functioning properly - CORRECT ANSWER Abdominal rigidity"
"A nurse is preparing to administer TPN with added fat supplements to client who has
malnutrition which of the following action should the nurse take - CORRECT ANSWER Check
for an allergy to eggs" "A charge nurse is discussing the use of applying ice to the clients injured knee with a newly
licensed nurse, which of the following should the nurse identify as a benefit - CORRECT
ANSWER decreased capillary permeability"
"A nurse is developing discharge care plans for a client who has osteoporosis to prevent injury.
The nurse should instruct the client to. - CORRECT ANSWER Perform weight-bearing
exercises" "A nurse on a cute meds. Surgical unit is performing assessments on a group of clients which is
highest priority. - CORRECT ANSWER A client has surgical hypoparathyroidism, and positive
trousseau sign" "A nurse is caring for a client with congestive heart failure, which of the following prescriptions
for the provider should the nurse anticipate - CORRECT ANSWER Give the client enalapril 2.
MGPO twice daily."
"A nurse is caring for a client who has a prescription for sertraline to treat depression, which of the following statements by the client indicates an understanding of the medication treatment
plan - CORRECT ANSWER I understand I may experience difficulty sleeping on this medication"
"A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states I do not know how much longer I can take this, but I'm afraid he'll really hurt me if I leave which of the following is an appropriate
nursing intervention - CORRECT ANSWER Help the client to recognize the signs of escalation
of the best behavior" "A client was having suicidal thoughts tells a nurse it just does not seem worth it anymore. Why
not and my misery which of the following responses for the nurses appropriate - CORRECT
ANSWER Do you have a plan to end your life?"
"A nurse is caring for a client who has schizophrenia which of the following assessment findings
should the nurse expect - CORRECT ANSWER Poor problem solving ability"
"A nurse is caring for a client who has deep vein, thrombosis of the left lower extremity which of
the following action. Should the nurse take "possible NGN" - CORRECT ANSWER Withhold
heparin IV infusion" "A nurse is caring for a client with a new prescription of enoxaparin for the prevention of DVT.
Which of the following is an appropriate action by the nurse. - CORRECT ANSWER Inject a
medication into lateral abdominal wall" "A nurse is caring for four clients which of the following client data. Should the nurse report to the
provider. - CORRECT ANSWER A client who has a prescription for chemotherapy and an
absolute neutrophil count of 75/mm3" "A nurse is caring for a client with end stage osteoporosis and is reporting severe pain clans. Respiratory rate is 14 permanent which of the following medication should the nurse expect to be
highest priority to minister to the client. - CORRECT ANSWER Hydromorphone"
"A nurse is caring for a client who has DVT, which of the following instructions should the nurse
include in the plan of care - CORRECT ANSWER Elevate the client's affected extremity when in
bed" "A nurse is caring for a client who is receiving Oxytocin IV for argumentation of labor. The clients contractions are hurting every 45 seconds within nine second generation the fetal heart rate is
"A nurse is caring for a group of clients which of the following client should the nurse assess first
CORRECT ANSWER A client whose abdominal pain and is vomiting coffee ground emesis"
"And our sister gay medication history from a client with type two diabetes is scheduled for an arterial gram which of the following medication's to the nurse instruct the client to discontinue 48
hours prior to the procedure - CORRECT ANSWER Metformin"
"The nurse is assessing a client with post traumatic stress disorder, which of the following findings
should the nurse expect to find - CORRECT ANSWER Loss of interest in usual activities"
"A nurse working in a long-term care facility is caring for an older adult client with dementia the clients, often agitated and frequently wandering the halls which of the following intervention
should the nurse include in the plan of care - CORRECT ANSWER Maintain nutritional
requirements by offering finger foods" "A nurse on a mental health unit receives report on for clients which of the following client.
Should the nurse attend first - CORRECT ANSWER Client was having auditory hallucinations is
becoming agitated" "A nurse is caring for a full term newborn immediately following birth, which of the following
action, should the nurse take first - CORRECT ANSWER Dry the newborn"
"A nurse receives report on a group of clients which of the following client should the nurse
attend first - CORRECT ANSWER A client was admitted with angina and reports left arm pain of
4 on a scale of 0 to 10" "A client at 38 weeks of gestation interest emergency department. The nurse should recognize
that which of the following indicates that the client is in the latent phase of labor. - CORRECT
ANSWER The cervix is dilated 2 cm"
"The charge nurse for medical surgical units, discovers client care assignments that should be
reassigned, which of the following delegated to should be reassigned - CORRECT ANSWER A
license practical nurse to provide internal feeding for a client who had a cerebral vascular accident"
"A nurse is caring for a client who has a cast due to a compound fracture to the right ankle, which
of the following findings requires immediate intervention - CORRECT ANSWER Paresthesia of
the distal extremity" "The nurse is providing care for preschoolers with acute gastroenteritis spacing information
below which of the following is an appropriate nursing action "possible NGN" - CORRECT
ANSWER Administer oral rehydration solution"
"The nurse caring for a client who is taking allopurinol. The nurse should monitor which of the
following laboratory findings to determine the affectedness of the medication. - CORRECT
ANSWER Uric acid level"
"A nurse is caring for a client on the cardiac unit who is hemodynamically unstable, which of the
following dysrhythmias should the nurse plan for cardioversion - CORRECT ANSWER Arterial
fibrillation" "A nurse manager preparing an educational program on infection control measures which of the
following should the nurse include when discussing contact precautions - CORRECT ANSWER
Herpes simplex" "A nurse is assessing an older adult client with the decrease caloric, intake, and weight loss which
of the following findings should the nurse report to the provider immediately - CORRECT
ANSWER The client experiences, coughing, and wheezing after eating"
"A nurse and an AP came for a group of clients which of the following task is appropriate for the
nurse to delegate to an AP - CORRECT ANSWER Administrative oral fluids to a client with
dysphasia" "A nurse from the state health department is instructing a group of nurses regarding reportable
infections, which of the following instructions. Should the nurse report to the CDC. - CORRECT
ANSWER Lyme disease"
"The nurse is assessing an adolescent client for sickle cell anemia which of the following is a
priority, finding by the nurse - CORRECT ANSWER shortness of breath"
"A nurse is caring for a client who is one day postop follwoing hypophysectomy for the removal of
the pituitary tumor, which of the following findings requires further assessment by the nurse -
CORRECT ANSWER Urinary output greater than fluid intake"
"The nurse is assessing a client who is receiving radiation therapy which of the following findings
should the nurse expect - CORRECT ANSWER Platelets 95,000/mm3"
"A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage.
The nurse should identify that which of the following medication is contraindicated. - CORRECT
ANSWER Methylergonovine"
"A nurse is caring for a client with GERD which of the following assessment findings. Should the
nurse expect to find - CORRECT ANSWER Atypical chest pain"
"A nurse is caring for a newborn who is under phototherapy light switch of the following is an
appropriate nursing action - CORRECT ANSWER Ensure Eyeshield is covering the eyes"
"The nurse is assessing clients, who had a long arm cast, which of the following findings of the
dress moderate and when assessing for acute compartment syndrome "question written bad" -
CORRECT ANSWER Edema"
"I just came from client is receiving IV moderate (conscious) sedation with midazolam The client has a respiratory rate of 9/min and is not responding to come out, which is the following is an
appropriate action by the nurse.. - CORRECT ANSWER Administer flumazenil"
"A nurse in a hospital cafeteria overhears to APs discussing a client. They are using the clients name of discuss the details of his diagnosis which of the following action should the nurse take
first. - CORRECT ANSWER Tell the AP to discontinue their conversation"
"A community health nurse is teaching a group of adults about the importance of health screenings the nurse should include African-American males, almost twice as likely as Caucasian
males to experience which of the following - CORRECT ANSWER stroke"
"A nurse is caring for a client who sprained his left ankle 12 hours ago which of the following
prescription is given by the provider should the nurse clarify - CORRECT ANSWER Apply heat
to affected extremity for 45 minutes on the 45 is off" "A nurse is providing dietary teaching for the client who has hepatic and cephalopathy, which of
the following foods elections indicates that the client understands teaching - CORRECT
ANSWER Rice with black beans"
"A nurse is planning care for a client with a sailed, radiation implant, and is to remain in the
hospital for one week which of the following should the nurse include in the plan of care -
CORRECT ANSWER Where a dosimeter film badge while in the clients room"
"A nurse is caring for four clients which of the following client should the nurse care for first -
CORRECT ANSWER A client with hypothyroidism and has stuporous"
"The nurse is planning care for a newly admitted adolescent who has bacterial meningitis, which
of the following instructions is appropriate for the nurse to include in the plan of care - CORRECT
ANSWER Initiate droplet precautions for the client"
"A nurse is giving discharge instructions to a client with a new ileostomy. The nurse should
recognize that the teaching has been affected when a client states. - CORRECT ANSWER My
stoma will drain liquid fluid continuously" "A nurse in the providers office is interviewing a client who is requesting an oral contraceptive, which of the following findings in the clients history is a contraindication to use in combination
oral contraceptives - CORRECT ANSWER impaired liver function"
"The nurse is providing teaching to a client who has mild, persistent asthma, has been prescribed
montelukast, which of the following statements to the nurse or in teaching - CORRECT
ANSWER This medication helps decrease swelling, and mucus production"
"A nurse on the medical surgical unit is receiving reports on four clients which of the following
client should the nurse assess first - CORRECT ANSWER A client who has acute kidney injury
Creatinine 4 MG/DL and a BUN 52"
"A nurse is assessing a client who has pericarditis, which of the following findings is priority -
CORRECT ANSWER paradoxical pulse"
"A charge nurse is providing teaching to a new license nurse on how to clean up surfaces contaminated with blood which of the following agents should the nurse include in the teaching
CORRECT ANSWER Chlorine bleach"
"A nurse is preparing to feed a newly admitted patient with dysphasia, which of the following
actions should the nurse take - CORRECT ANSWER Sit at or below the clients are level during
feedings"
"A nurse is planning care for four clients which of the following clients is the highest priority -
CORRECT ANSWER A client who is wearing an arm cast and reports numb fingers"
"A nurse is caring for a male adolescent client who has heart failure based on the clients chart
findings which of the following action should the nurse plan to take "possible NGN" - CORRECT
ANSWER Withhold the digoxin (0.8-2.0)"
"The nurse is assessing a clients blood glucose level of 250 MGDL which of the following clinical
manifestations are associated with this finding - CORRECT ANSWER Thirst"
"A nurse is assessing for allergies before administering propofol to a client place on a mechanical
ventilator, which of the following allergies is a contraindication for this medication - CORRECT
ANSWER Eggs"
"A nurse is assessing a client diagnosed with schizophrenia. The nurse asked the client to interpret the following statement. When the cats away the mice will play the client response was the mice come out when the cat is not around the nurse should document this finding which of
the following in the clients chart - CORRECT ANSWER Concrete thinking"
"A nurse is caring for a client who is receiving total parenteral nutrition, which of the following
assessment findings required immediate intervention by the nurse - CORRECT ANSWER
Weight increase of 2 KG/day" "A nurse in the telemetry unit is receiving the laboratory findings for adult male client who's been
treated for myocardial infraction the following is an expected finding for the client - CORRECT
ANSWER Troponin 1 (TNI) 8mg/dl"
"A nurse is reviewing the results of an ABG performed on a client with chronic emphysema, which
of the following results suggest the need for further treatment - CORRECT ANSWER PaCO
level of 55mmhg" "A nurse is teaching a client about nutritional intake. The nurse should include which of the
following in the teaching. - CORRECT ANSWER Carbohydrates should be at least 45% of your
caloric intake." "A nurse is caring for a client who has a prescription for a Vancomyosin 1g IV every 12 hours. The client is scheduled to have the morning dose at oh 0700. The nurse should schedule the trough
level to be drawn out which of the following time - CORRECT ANSWER 1800"
"A nurse is planning an education session for a client who has type one diabetes which of the
following should the nurse plan to include when teaching a client to monitor for hypoglycemia -
CORRECT ANSWER Diaphoresis"
"A nurse in urgent care clinic is collecting omission history from my client who is 16 weeks of gestation and has bacterial vaginosis to the nurse should recognize that which of the following
clinical findings are associated with this infection - CORRECT ANSWER Profuse, milky, white
discharge" "A nurse is planning care for a client who has a new diagnosis of dysphasia, which of the following
foods to the nurse include when initiating feeding - CORRECT ANSWER Oatmeal"
"A nurse is receiving a change of shift report which of the following client should the nurse attend
to 1st - CORRECT ANSWER A client who reports tingling in the fingers following a
thyroidectomy" "A nurse is caring for a client who has lactose intolerance and has eliminated dairy products from his diet. The nurse should instruct the client to increase consumption of which of the following
foods. - CORRECT ANSWER Spinach"
"A client who is eight hours postpartum ask the nurse if she will need to receive Rh immune globulin in the client is gravida 2 para 2 in her blood type is AB negative. The newborn blood type
is be positive which of the following statements is appropriate. - CORRECT ANSWER You
should receive Rh immune globulin within 72 hours of delivery" "A nurse is caring for the mother of an adolescent who was killed in a motor vehicle crash after a school event from other states I should never have let him take the car. It's all my fault which of
the following responses by the nurse is appropriate. - CORRECT ANSWER You appear to be
feeling overwhelmed" "A nurse is educating a client about caloric intake and weight reduction, which of the following
client statements, indicates an understanding of the teaching - CORRECT ANSWER If I eat 500
fewer calories per day I should lose 1 pound per week" "A nurse is teaching postoperative care with the parents of a toddler, following cleft palate repair
which of the following should the nurse include in the teaching - CORRECT ANSWER Remove
elbow splints periodically to perform range of motion"
"A nurse is checking laboratory results for a client which of the following laboratory findings
indicates hypervolemia - CORRECT ANSWER Urine specific gravity 1.001"
"A nurse is caring for a group of clients in a long-term care facility which of the following situation
should the nurse recognize as a safety hazard - CORRECT ANSWER A client's rest restraints
tied to the bed rails" "A nurse is caring for a client in mental health facility in the clients. Daughter is crying and tells the nurse that she feels guilty for leaving her father in the hospital which of the following is an
appropriate response. - CORRECT ANSWER I'd like to know more about what's bothering
you." "A nurse is planning care for a client following gastric bypass surgery. The nurse should include
which of the following dietary instructions from preparing the client for discharge. - CORRECT
ANSWER Start each meal with a protein source"
"A nurse is assessing a client who has a chest tube following a thoracotomy, which of the
following findings requires intervention by the nurse - CORRECT ANSWER 1 cm of water
present in the water seal" "A provider has written a do not resuscitate order for a client who is comatose and does not have advanced directives a member of the clans Family says to the nurse. I wonder when the doctor
will tell us what's going on which of the following action should the nurse take first. - CORRECT
ANSWER Ask The Family what the provider has discussed with them"
"A nurse is performing a skin assessment on a client who has risk factors for development of skin
cancer. The nurse should understand that is suspicious lesion is. - CORRECT ANSWER
Asymmetric with variegated coloring" "A nurse is interviewing an older adult client in about the psychological changes he has been experiencing which of the following changes. Should the nurse recognize as normally associated
with the aging process. - CORRECT ANSWER Decrease sense of taste"
"A nurse in intensive care unit is planning care for a client who has alcohol withdrawal syndrome,
which of the following should the nurse include in the plan of care - CORRECT ANSWER
Provide frequent orientation to time and place"
"A nurse is assessing a clients cardiovascular system, identify where the nurse should place the
diaphragm of the stethoscope to best hear the closing of the aortic heart valve "hot spot" -
CORRECT ANSWER "
"A nurse manager is planning an audit to measure the quality of care on the unit which of the
following is the most appropriate size for the nurse to consult - CORRECT ANSWER Evidence
based practice data" "A nurse is caring for a client who had gastric bypass surgery one week ago and has signs of early
dumping syndrome which of the following findings should the nurse expect SATA - CORRECT
ANSWER Syncope
Vertigo" "A nurse is caring for a client who is experiencing mild anxiety which of the following findings
should the nurse expect - CORRECT ANSWER Heightened perceptual field"
"A nurse is delegating tasks to an AP, which of the following instructions demonstrates
appropriate communication of the task - CORRECT ANSWER Obtain a blood pressure readings
from the client in room 116 after lunch and report a systolic level less than 90" "A nurse is caring for a client who has constricted pupils delayed reflexes and decrease blood pressure. The nurse should recognize that these findings are potential manifestations of which of
the following. - CORRECT ANSWER Heroine intoxication"
"A nurse is assessing an older adult client, who had a stroke, which of the following findings
should the nurse recognize as an indication of dysphasia - CORRECT ANSWER Abnormal
movements of the mouth" "A nurse is providing preoperative teaching to a client who will use PCA morphine sulfate
following surgery which of the following information should the nurse include - CORRECT
ANSWER The client can administer a dose of medication every 6 to 8 min."
"A nurse is assisting the provider with a paracentesis for a client who has ascites following
collection of the specimen, which of the following action should the nurse take next - CORRECT
ANSWER Label the specimen"
"A nurse is providing teaching to a client who has a Soffa Gille cancer and is scheduled to start
radiation therapy which of the following should the nurse include in the teaching - CORRECT
ANSWER Wear clothing over the area of radiation treatment"
"A nurse in a providers office is providing education to a client who is 16 weeks of gestation and has a new prescription for Ferrous sulfate which of the following instruction should the nurse
provide - CORRECT ANSWER Take your iron medication with fluids, other than coffee or tea"
"A nurse receives a change of shift report on four clients based on the shift report information
which of the following client should the nurse plan to assess - CORRECT ANSWER A client who
had a hip arthroplasty reports, pain and erythema and his calf" "A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment
which of the following medication should the nurse administer - CORRECT ANSWER
Diphenhydramine" "A client who does not speak. English arrives at the emergency department, accompanied by a
child which of the following action should the nurse take - CORRECT ANSWER Ascertain what
language, the client speaks and get an interpreter" "A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse just continues the magnesium sulfate after the client displays toxicity
which of the following action should the nurse take - CORRECT ANSWER Administer calcium
gluconate IV" "A nurse is using naegeles rule to calculate the expected delivery date for a newly pregnant
Primavera the first day of the clans last period was October what is the expected delivery date? -
CORRECT ANSWER July 7,
Formula: -3 months + 7 days" "A nurse on a medical surgical unit is receiving report on for clients which of the following client.
Should the nurse assess first. - CORRECT ANSWER A client who is receiving a blood transfusion
and reports low back pain"
