ATI Comprehensive Exit Exam: 180
Questions & Answers
Informed Consent for ECT - ANSWER...-A client has the right to withdraw consent for
the treatment at any time.
Fraying on Electrical Cord - ANSWER...-The nurse should first remove the device from
the room.
Hydromorphone Prescription - ANSWER...-The nurse should count the current number
of unit doses available in the medication dispensing system.
Priority Finding Post Cast Placement - ANSWER...-A client 2 hours post cast placement
with 2+ pitting edema and pallor has the priority finding.
Disulfiram Alcohol Use - ANSWER...-A client should limit alcohol use to one drink daily
while taking disulfiram.
Fluoxetine and Tyramine - ANSWER...-A client should avoid foods containing tyramine
while taking fluoxetine.
Sustained-Release Methylphenidate - ANSWER...-A client should take the sustained-
release methylphenidate every morning.
Major Depressive Disorder Precautions - ANSWER...-The nurse should implement
seizure precautions for the client.
Narcissistic Personality Disorder Expectation - ANSWER...-The nurse should expect the
client to be preoccupied with aging.
Time Management in Nursing - ANSWER...-The nurse should first determine goals of
the day.
Change-of-Shift Assessment Priority - ANSWER...-The priority finding is a client with
pneumonia, productive cough, and fever of 38.8° C (101.8° F).
Medication Administration Documentation - ANSWER...-The nurse should document
administration of the medication upon removal from the medication dispensing system.
Withholding Medication - ANSWER...-The nurse should withhold hydromorphone if the
client does not appear to be in pain.
,Client Teaching in Mental Health - ANSWER...-Understanding is indicated when a client
states they will take their lithium on an empty stomach.
Seizure Precautions - ANSWER...-Implementing seizure precautions is a priority action
for a client with major depressive disorder.
Client Assessment in Mental Health - ANSWER...-Encouraging the client to verbalize
feelings is an important action but not the first priority.
Electrical Device Safety - ANSWER...-Reporting the defect to the equipment
maintenance staff is necessary but should follow immediate removal of the device.
Medication Dispensing System - ANSWER...-The nurse should ensure the device
inspection sticker is current as part of routine safety checks.
Postoperative Care - ANSWER...-Monitoring for pain is crucial after administering
hydromorphone.
Effective Client Teaching - ANSWER...-Clients should be able to articulate the
importance of medication adherence.
Managing Nursing Tasks - ANSWER...-Developing an hourly time frame for tasks can
help manage time effectively.
Client Assessment Findings - ANSWER...-Identifying priority findings is essential during
shift changes.
Understanding Medication Effects - ANSWER...-Clients must understand the effects
and side effects of their medications.
Determine goals of the day - ANSWER...-Establish specific objectives for daily activities.
Magnesium sulfate via continuous IV infusion - ANSWER...-A treatment for
preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - ANSWER...-A guideline for fluid
management in certain medical conditions.
Measure the client's urine output every hour - ANSWER...-A critical action to monitor
kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate toxicity occur - ANSWER...-An
emergency intervention for reversing magnesium toxicity.
Monitor the FHR via Doppler every 30 min - ANSWER...-A procedure to assess fetal
heart rate during labor.
, Wounds healing by primary intention - ANSWER...-Wounds that heal with minimal
scarring, typically surgical incisions.
Approximated surgical incision - ANSWER...-A type of wound expected to heal by
primary intention.
Client taking clozapine to treat schizophrenia and reports sore throat - ANSWER...-A
priority client due to potential agranulocytosis risk.
Client has OCD and is upset about a change in daily routine - ANSWER...-A client with
stable condition, less urgent than others.
Client has narcissistic personality disorder and is mocking others during group therapy -
ANSWER...-A client displaying disruptive behavior, but not immediately life-threatening.
Client who has depressive disorder and requires assistance with ADLs - ANSWER...-A
client needing support but not in immediate danger.
Implanted venous access port - ANSWER...-A device for long-term venous access in
patients.
A non-coring needle - ANSWER...-A specialized needle used to access implanted ports.
Client who has pneumonia and feels chest pain - ANSWER...-A patient requiring urgent
assessment for potential cardiac issues.
12 lead ECG - ANSWER...-A priority diagnostic test for evaluating cardiac function.
Assessing growth and development of a 3 y/o child - ANSWER...-Evaluating
developmental milestones in early childhood.
Can your child ride a tricycle? - ANSWER...-A question to assess gross motor skills in a
3-year-old.
Fetal heart tones assessment at 12 weeks of gestation - ANSWER...-A procedure to
monitor fetal health early in pregnancy.
Position the ultrasound stethoscope above the symphysis pubis to assess the FHR -
ANSWER...-A technique for detecting fetal heart tones during early pregnancy.
Chest tube with a water seal drainage system - ANSWER...-A system used to manage
pleural effusions or pneumothorax.
Tidaling in the water seal - ANSWER...-Indicates that the chest tube system is
functioning correctly.
Questions & Answers
Informed Consent for ECT - ANSWER...-A client has the right to withdraw consent for
the treatment at any time.
Fraying on Electrical Cord - ANSWER...-The nurse should first remove the device from
the room.
Hydromorphone Prescription - ANSWER...-The nurse should count the current number
of unit doses available in the medication dispensing system.
Priority Finding Post Cast Placement - ANSWER...-A client 2 hours post cast placement
with 2+ pitting edema and pallor has the priority finding.
Disulfiram Alcohol Use - ANSWER...-A client should limit alcohol use to one drink daily
while taking disulfiram.
Fluoxetine and Tyramine - ANSWER...-A client should avoid foods containing tyramine
while taking fluoxetine.
Sustained-Release Methylphenidate - ANSWER...-A client should take the sustained-
release methylphenidate every morning.
Major Depressive Disorder Precautions - ANSWER...-The nurse should implement
seizure precautions for the client.
Narcissistic Personality Disorder Expectation - ANSWER...-The nurse should expect the
client to be preoccupied with aging.
Time Management in Nursing - ANSWER...-The nurse should first determine goals of
the day.
Change-of-Shift Assessment Priority - ANSWER...-The priority finding is a client with
pneumonia, productive cough, and fever of 38.8° C (101.8° F).
Medication Administration Documentation - ANSWER...-The nurse should document
administration of the medication upon removal from the medication dispensing system.
Withholding Medication - ANSWER...-The nurse should withhold hydromorphone if the
client does not appear to be in pain.
,Client Teaching in Mental Health - ANSWER...-Understanding is indicated when a client
states they will take their lithium on an empty stomach.
Seizure Precautions - ANSWER...-Implementing seizure precautions is a priority action
for a client with major depressive disorder.
Client Assessment in Mental Health - ANSWER...-Encouraging the client to verbalize
feelings is an important action but not the first priority.
Electrical Device Safety - ANSWER...-Reporting the defect to the equipment
maintenance staff is necessary but should follow immediate removal of the device.
Medication Dispensing System - ANSWER...-The nurse should ensure the device
inspection sticker is current as part of routine safety checks.
Postoperative Care - ANSWER...-Monitoring for pain is crucial after administering
hydromorphone.
Effective Client Teaching - ANSWER...-Clients should be able to articulate the
importance of medication adherence.
Managing Nursing Tasks - ANSWER...-Developing an hourly time frame for tasks can
help manage time effectively.
Client Assessment Findings - ANSWER...-Identifying priority findings is essential during
shift changes.
Understanding Medication Effects - ANSWER...-Clients must understand the effects
and side effects of their medications.
Determine goals of the day - ANSWER...-Establish specific objectives for daily activities.
Magnesium sulfate via continuous IV infusion - ANSWER...-A treatment for
preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - ANSWER...-A guideline for fluid
management in certain medical conditions.
Measure the client's urine output every hour - ANSWER...-A critical action to monitor
kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate toxicity occur - ANSWER...-An
emergency intervention for reversing magnesium toxicity.
Monitor the FHR via Doppler every 30 min - ANSWER...-A procedure to assess fetal
heart rate during labor.
, Wounds healing by primary intention - ANSWER...-Wounds that heal with minimal
scarring, typically surgical incisions.
Approximated surgical incision - ANSWER...-A type of wound expected to heal by
primary intention.
Client taking clozapine to treat schizophrenia and reports sore throat - ANSWER...-A
priority client due to potential agranulocytosis risk.
Client has OCD and is upset about a change in daily routine - ANSWER...-A client with
stable condition, less urgent than others.
Client has narcissistic personality disorder and is mocking others during group therapy -
ANSWER...-A client displaying disruptive behavior, but not immediately life-threatening.
Client who has depressive disorder and requires assistance with ADLs - ANSWER...-A
client needing support but not in immediate danger.
Implanted venous access port - ANSWER...-A device for long-term venous access in
patients.
A non-coring needle - ANSWER...-A specialized needle used to access implanted ports.
Client who has pneumonia and feels chest pain - ANSWER...-A patient requiring urgent
assessment for potential cardiac issues.
12 lead ECG - ANSWER...-A priority diagnostic test for evaluating cardiac function.
Assessing growth and development of a 3 y/o child - ANSWER...-Evaluating
developmental milestones in early childhood.
Can your child ride a tricycle? - ANSWER...-A question to assess gross motor skills in a
3-year-old.
Fetal heart tones assessment at 12 weeks of gestation - ANSWER...-A procedure to
monitor fetal health early in pregnancy.
Position the ultrasound stethoscope above the symphysis pubis to assess the FHR -
ANSWER...-A technique for detecting fetal heart tones during early pregnancy.
Chest tube with a water seal drainage system - ANSWER...-A system used to manage
pleural effusions or pneumothorax.
Tidaling in the water seal - ANSWER...-Indicates that the chest tube system is
functioning correctly.
