ATI EXIT EXAM #2 VERSION OF COMPREHENSIVE
RETAKE TEST QUESTIONS WITH ACCURATE ANSWERS
A nurse is caring for a client who has a recent diagnosis of a terminal illness.
The nurse should identify which of the following as an indication of
hopelessness? Accurate Answer - The client has a decreased level of
energy
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (SATA-3)
Accurate Answer - 1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which
of the following clients should the nurse see first? Accurate Answer - A
client who has schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, "I can't seem to do anything right.
What should I do?" Which of the following responses should the nurse make?
Accurate Answer - "Let me show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take? Accurate
Answer - Keep the finger in dependent position
A nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following otc meds interact adversely w
clopidogrel? Accurate Answer - Naproxen
A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client's foot is pale w a weak pedal pulse and the client
reports foot numbness. Which of the following actions should the nurse take
first? Accurate Answer - Check for pain w passive movement of the
affected extremity
,A nurse in a providers office is reinforcing teaching about cigarette smoking w
a client. Which of the following adverse effects should the nurse include in the
teaching? Accurate Answer - Somnolence
A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the staff can
medicate a client against his will, without a court hearing in which of the
following situations? Accurate Answer - A client who is attempting to
hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching? Accurate Answer - "Monitor for muscle weakness while
taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed
nurse when sharing a client's medical info. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client
info? Accurate Answer - A social worker who's assigned an involuntary
committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider?
Accurate Answer - Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring
immediate intervention? Accurate Answer - O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history
of hypertension during his annual physical examination. Which of the
following findings should the nurse report to the provider immediately?
Accurate Answer - Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? Accurate
Answer - Elevate the client's HOB
, A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of
the following lab tests is most accurate of blood glucose effective
management? Accurate Answer - Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene? Accurate Answer - Tells a client he will
lose his phone privileges if he does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the
client's room? Accurate Answer - Oral suction equipment
A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take?
Accurate Answer - Encourage client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? Accurate Answer - "You should avoid crossing your legs for 3
months"
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching? Accurate Answer - Eat a small meal every 2-3 hr
A nurse is reinforcing teaching with a client who has GERD and a prescription
for ranitidine. Which of the following statements by the client indicates and
understanding of the teaching? Accurate Answer - "I should take this
medication in the morning and at night"
A nurse is assisting with the admission of a client who has pulmonary tb.
Which of the following types of isolation precautions should the nurse
include? Accurate Answer - Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include? Accurate Answer - "Perform
pulmonary hygiene 1 hr before meals"
RETAKE TEST QUESTIONS WITH ACCURATE ANSWERS
A nurse is caring for a client who has a recent diagnosis of a terminal illness.
The nurse should identify which of the following as an indication of
hopelessness? Accurate Answer - The client has a decreased level of
energy
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (SATA-3)
Accurate Answer - 1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which
of the following clients should the nurse see first? Accurate Answer - A
client who has schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, "I can't seem to do anything right.
What should I do?" Which of the following responses should the nurse make?
Accurate Answer - "Let me show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take? Accurate
Answer - Keep the finger in dependent position
A nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following otc meds interact adversely w
clopidogrel? Accurate Answer - Naproxen
A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client's foot is pale w a weak pedal pulse and the client
reports foot numbness. Which of the following actions should the nurse take
first? Accurate Answer - Check for pain w passive movement of the
affected extremity
,A nurse in a providers office is reinforcing teaching about cigarette smoking w
a client. Which of the following adverse effects should the nurse include in the
teaching? Accurate Answer - Somnolence
A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the staff can
medicate a client against his will, without a court hearing in which of the
following situations? Accurate Answer - A client who is attempting to
hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching? Accurate Answer - "Monitor for muscle weakness while
taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed
nurse when sharing a client's medical info. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client
info? Accurate Answer - A social worker who's assigned an involuntary
committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider?
Accurate Answer - Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring
immediate intervention? Accurate Answer - O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history
of hypertension during his annual physical examination. Which of the
following findings should the nurse report to the provider immediately?
Accurate Answer - Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? Accurate
Answer - Elevate the client's HOB
, A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of
the following lab tests is most accurate of blood glucose effective
management? Accurate Answer - Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene? Accurate Answer - Tells a client he will
lose his phone privileges if he does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the
client's room? Accurate Answer - Oral suction equipment
A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take?
Accurate Answer - Encourage client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? Accurate Answer - "You should avoid crossing your legs for 3
months"
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching? Accurate Answer - Eat a small meal every 2-3 hr
A nurse is reinforcing teaching with a client who has GERD and a prescription
for ranitidine. Which of the following statements by the client indicates and
understanding of the teaching? Accurate Answer - "I should take this
medication in the morning and at night"
A nurse is assisting with the admission of a client who has pulmonary tb.
Which of the following types of isolation precautions should the nurse
include? Accurate Answer - Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include? Accurate Answer - "Perform
pulmonary hygiene 1 hr before meals"
