ATI Comprehensive Exit Exam – 180 2021/2022
z. z . z . z . z. z .
1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the client tells
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
the nurse she is considering not going forward with the treatment. Which of the following statements bythe nurse
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z . z. z .
zis appropriate?
. z .
a. “You don’t have to gothrough with the treatment.” z . z. z . z. z. z. z . z . z .
b. “Most people who have this procedure feel better following the treatment.” z. z . z . z . z . z. z. z. z . z . z . z .
c. “It’s okay to be nervous before this treatment.” z . z. z. z. z . z . z .
d. “Your doctor wouldn’t have ordered this treatme nt unless it was necessary.” z. z . z . z. z . z . z. z . z.z. z. z.z. z.z. z . z. z.
2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a
z. z. z. z. z. z. z . z . z . z. z . z . z . z.
zclient’sCPM device. Which ofthe following actions should the nurse take first?
. z. z . z. z. z. z . z. z . z . z . z . z .
a. Report the defect to the equipment maintenance staff. z . z . z . z . z . z . z. z. z .
b. Ensure the device inspection sticker is current z . z . z . z . z . z .
c. Remove thedevice fromthe room z . z. z . z. z.
d. Initiate a requisition for a replacement CPM device z . z. z . z . z. z . z .
3. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone.Which
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
ofthe following actions should the nurse take?
z. z. z . z . z . z . z . z .
a. Document administration of the medication upon removal from the medication z . z. z. z. z . z. z . z . z . z . z . z .
dispensingsystem z . z.
b. Withhold the medication if the client does not appear to be in pain. z . z . z . z . z . z . z . z . z . z . z . z .
c. Count the current number of unit doses available inthe medication dispensing system z . z . z . z . z. z . z . z . z. z . z . z. z. z. z .
d. Withhold the medication if the client has a fever z . z . z . z. z . z . z . z.
4. A nurse performing a change-of-shift assessment. Which of the following clients has the priorityfinding?
z. z. z. z. z. z. z. z. z. z. z . z . z . z.
a. Type 2 DM and a blood glucose of250 mg/dL z. z . z . z . z . z . z. z. z .
b. Pneumonia with a productive cough and a fever of38.8° C (101.8° F) z . z . z . z . z. z . z. z . z. z . z. z .
c. 2hr.post castplacement and has 2+ pitting edema and pallor z. z. z . z. z. z . z . z . z . z . z .
d. First-degree heart block and a heart rate of62/min z . z . z . z . z. z . z . z.
5. A nurse in an outpatient mental health facility is providing teaching to a group of adolescents.
z. z . z . z. z . z . z . z . z . z. z. z. z . z . z. z . z.
zWhichofthe following statements by a client indicates an understanding of the teaching?
. z. z. z . z . z. z . z. z . z . z . z . z . z .
a. “I will limit my alcohol use to one drink daily while taking disulfiram.” z . z . z . z . z . z . z. z . z . z . z . z .
b. “I will avoid foods containing tyramine while taking fluoexetine.” z . z . z . z . z . z . z . z .
c. “Iwill take the sustained-release methylphenidate every morning.” z. z . z . z . z. z . z. z . z .
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking lithium with food z. z. z. z. z . z . z. z . z . z . z. z. z. z. z.
willhelp decrease GI distress) z. z. z. z. z .
6. A nurse in the emergency department is assessing client who has major depressive disorder.
z. z . z . z . z . z. z. z. z . z . z . z . z . z . z .
zWhichofthe following actions should the nurse take first? [View Exhibit]
. z. z. z . z. z . z . z . z . z . z . z .
a. Administer Zofran to the client for nausea z . z . z. z . z . z.
b. Implement seizure precautions for the client z . z . z . z . z .
c. Encourage the client to verbalize feelings z. z . z . z . z .
d. Obtain the client’s weight z . z . z .
7. A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder.Which
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
ofthe following should the nurse expect?
z. z. z . z . z . z . z .
a. Suspicious of others z . z .
b. Exhibits separation anxiety z . z .
c. Ritualistic behavior z.
d. Preoccupied with aging z . z .
,8. Drug Calc: Client weighs 99 lb. Prescribed diet of1.5 g protein/kg/day. How many grams
z . z . z . z. z . z . z . z . z. z . z . z . z . z . z . of
proteinper day should the nurse include in the client’s dietary plan?
z . z. z . z . z . z . z . z . z . z . z . z .
The nurse should include in the diet 75 grams of protein
z . z. z. z . z. z. z . z . z. z . z . z . z . per day z .
9. A nurse is planning care for a group ofclients and is working with one LPN and one AP. Which of
z. z. z . z . z . z . z . z . z. z . z . z . z . z . z . z. z . z . z. z .
thefollowing actions should the nurse take first to manage her time effectively?
z. z. z . z. z . z . z. z . z . z . z. z . z .
a. Develop an hourly time frame for tasks z . z. z . z . z . z.
b. Schedule daily activities z. z.
c. Determine goals of the day z . z . z. z.
d. Delegate tasks to the AP z . z . z . z .
, 10. A nurse is developing a plan of care for a client who has preeclamps ia and is to receive magnesiumsulfate
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z . z . z. z . z . z.
via continuous IV infusion. Which of the following actions should the nurse include in the
z. z. z. z. z . z . z. z . z . z . z . z . z . z . z .
plan?
z.
a. Restrict the client’s total fluid intake to 250 mL/hr. z. z . z . z . z . z . z. z .
b. Measure the client’s urine output every hour z . z. z. z. z . z .
c. Give the client p rotamine if signs ofmagnesium sulfate toxicity occur (antidote: calciu m z. z . z.z. z.z. z. z.z. z. z . z. z. z. z . z.z. z.z. z . z.z.
gluconate) z.
d. Monitor the FHR via Doppler every 30 min z . z . z . z. z . z . z .
11. A nurse is caring for a group of clients. Which of the following wounds should the nurse expect
z. z. z. z. z. z. z. z. z . z . z. z . z . z . z . z . z .
ztoheal by primary intention?
. z. z . z. z .
a. Infected laceration z .
b. Stage II pressure ulcer z . z. z .
c. Approximate d surgical incision z. z . z .
d. Partial-thickness burn z. z. z. z .
12. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of
z . z . z . z . z . z . z . z . z . z . z . z . z . z . z . z .
the following clients should the nurse see first?
z. z. z. z . z . z . z . z .
a. Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. z. z. z. z. z. z. z. z. z. z. z.
72:monitor forinfection [fever, sore throat, etc.])z. z. z . z. z . z . z. z .
b. Client has OCD and is upset about a change in daily routine z . z . z . z . z . z . z . z. z . z . z .
c. Client has narcissistic personality disorder and is mocking others during group therapy z . z . z . z . z . z . z . z . z. z . z . z .
d. Client who has depressive disorder and requires assistance with ADLs z . z . z. z . z . z . z . z . z .
13. A nurse is caring for a client who has an implanted
z . z . z . z. z . z . z. z . z . z . z. z . venous access port. Which of the following z . z . z . z . z. z .
zshould the nurse use to assess the port?
. z. z . z . z. z . z . z .
a. An angiocatheter z .
b. A butterfly needle z . z .
c. A noncoring needle z. z .
d. A 25 gauge needle z . z . z .
14. A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant is
z. z. z. z. z . z. z . z . z. z . z . z . z. z . z . z. z . z . z .
zsittingon my chest.” The client is weak and unable to walk. After the nurse indicates chest pain
. z. z. z. z . z. z . z. z . z . z . z. z . z. z . z . z . z .
zprotocol, which ofthe following is the priority diagnostic test?
. z. z . z. z . z. z . z . z . z .
a. PT and INR z. z .
b. 12 lead ECG z . z .
c. Chest X-ray z .
d. Serum potassium z .
15. A nurse is assessing the growth and development of a 3 y/o child. Which of the following
z . z . z . z. z . z . z. z . z. z . z . z. z . z . z. z.
z questionsshould the nurse ask the parent to determine if the child is exhibiting typical
. z. z . z . z . z . z . z . z . z. z . z . z. z . z .
zdevelopmental
.
expectations?
a. “Can your child draw a stick figure?” z . z . z . z . z. z .
b. “Can your child catch and throw a small ball?” z . z . z . z . z . z . z. z .
c. “Can your child ride a tricycle?” z . z. z. z . z.
d. “Can your child name five colors?” z . z . z . z . z.
16. A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.
z. z. z. z . z. z . z. z . z . z . z. z . z . z . z . z . z . z.
zWhich ofthe following actions should the nurse take?
. z . z. z . z. z . z . z . z .
a. Measure the fundal height to determine the placement of the ultrasound stethoscope z . z . z . z . z . z. z. z . z . z. z. z. z . z . z . z. z. z .
b. Perform Leopold maneuvers prior to auscultating the FHR z . z . z. z . z . z. z . z .
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR z . z . z . z . z. z . z . z. z . z . z. z . z .
d. Place the client in a side-lying position prior to assessing the FHR z . z . z . z . z. z . z . z . z. z . z.
z. z . z . z . z. z .
1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the client tells
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
the nurse she is considering not going forward with the treatment. Which of the following statements bythe nurse
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z . z. z .
zis appropriate?
. z .
a. “You don’t have to gothrough with the treatment.” z . z. z . z. z. z. z . z . z .
b. “Most people who have this procedure feel better following the treatment.” z. z . z . z . z . z. z. z. z . z . z . z .
c. “It’s okay to be nervous before this treatment.” z . z. z. z. z . z . z .
d. “Your doctor wouldn’t have ordered this treatme nt unless it was necessary.” z. z . z . z. z . z . z. z . z.z. z. z.z. z.z. z . z. z.
2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a
z. z. z. z. z. z. z . z . z . z. z . z . z . z.
zclient’sCPM device. Which ofthe following actions should the nurse take first?
. z. z . z. z. z. z . z. z . z . z . z . z .
a. Report the defect to the equipment maintenance staff. z . z . z . z . z . z . z. z. z .
b. Ensure the device inspection sticker is current z . z . z . z . z . z .
c. Remove thedevice fromthe room z . z. z . z. z.
d. Initiate a requisition for a replacement CPM device z . z. z . z . z. z . z .
3. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone.Which
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
ofthe following actions should the nurse take?
z. z. z . z . z . z . z . z .
a. Document administration of the medication upon removal from the medication z . z. z. z. z . z. z . z . z . z . z . z .
dispensingsystem z . z.
b. Withhold the medication if the client does not appear to be in pain. z . z . z . z . z . z . z . z . z . z . z . z .
c. Count the current number of unit doses available inthe medication dispensing system z . z . z . z . z. z . z . z . z. z . z . z. z. z. z .
d. Withhold the medication if the client has a fever z . z . z . z. z . z . z . z.
4. A nurse performing a change-of-shift assessment. Which of the following clients has the priorityfinding?
z. z. z. z. z. z. z. z. z. z. z . z . z . z.
a. Type 2 DM and a blood glucose of250 mg/dL z. z . z . z . z . z . z. z. z .
b. Pneumonia with a productive cough and a fever of38.8° C (101.8° F) z . z . z . z . z. z . z. z . z. z . z. z .
c. 2hr.post castplacement and has 2+ pitting edema and pallor z. z. z . z. z. z . z . z . z . z . z .
d. First-degree heart block and a heart rate of62/min z . z . z . z . z. z . z . z.
5. A nurse in an outpatient mental health facility is providing teaching to a group of adolescents.
z. z . z . z. z . z . z . z . z . z. z. z. z . z . z. z . z.
zWhichofthe following statements by a client indicates an understanding of the teaching?
. z. z. z . z . z. z . z. z . z . z . z . z . z .
a. “I will limit my alcohol use to one drink daily while taking disulfiram.” z . z . z . z . z . z . z. z . z . z . z . z .
b. “I will avoid foods containing tyramine while taking fluoexetine.” z . z . z . z . z . z . z . z .
c. “Iwill take the sustained-release methylphenidate every morning.” z. z . z . z . z. z . z. z . z .
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking lithium with food z. z. z. z. z . z . z. z . z . z . z. z. z. z. z.
willhelp decrease GI distress) z. z. z. z. z .
6. A nurse in the emergency department is assessing client who has major depressive disorder.
z. z . z . z . z . z. z. z. z . z . z . z . z . z . z .
zWhichofthe following actions should the nurse take first? [View Exhibit]
. z. z. z . z. z . z . z . z . z . z . z .
a. Administer Zofran to the client for nausea z . z . z. z . z . z.
b. Implement seizure precautions for the client z . z . z . z . z .
c. Encourage the client to verbalize feelings z. z . z . z . z .
d. Obtain the client’s weight z . z . z .
7. A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder.Which
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
ofthe following should the nurse expect?
z. z. z . z . z . z . z .
a. Suspicious of others z . z .
b. Exhibits separation anxiety z . z .
c. Ritualistic behavior z.
d. Preoccupied with aging z . z .
,8. Drug Calc: Client weighs 99 lb. Prescribed diet of1.5 g protein/kg/day. How many grams
z . z . z . z. z . z . z . z . z. z . z . z . z . z . z . of
proteinper day should the nurse include in the client’s dietary plan?
z . z. z . z . z . z . z . z . z . z . z . z .
The nurse should include in the diet 75 grams of protein
z . z. z. z . z. z. z . z . z. z . z . z . z . per day z .
9. A nurse is planning care for a group ofclients and is working with one LPN and one AP. Which of
z. z. z . z . z . z . z . z . z. z . z . z . z . z . z . z. z . z . z. z .
thefollowing actions should the nurse take first to manage her time effectively?
z. z. z . z. z . z . z. z . z . z . z. z . z .
a. Develop an hourly time frame for tasks z . z. z . z . z . z.
b. Schedule daily activities z. z.
c. Determine goals of the day z . z . z. z.
d. Delegate tasks to the AP z . z . z . z .
, 10. A nurse is developing a plan of care for a client who has preeclamps ia and is to receive magnesiumsulfate
z. z. z. z. z. z. z. z. z. z. z. z. z. z. z . z . z. z . z . z.
via continuous IV infusion. Which of the following actions should the nurse include in the
z. z. z. z. z . z . z. z . z . z . z . z . z . z . z .
plan?
z.
a. Restrict the client’s total fluid intake to 250 mL/hr. z. z . z . z . z . z . z. z .
b. Measure the client’s urine output every hour z . z. z. z. z . z .
c. Give the client p rotamine if signs ofmagnesium sulfate toxicity occur (antidote: calciu m z. z . z.z. z.z. z. z.z. z. z . z. z. z. z . z.z. z.z. z . z.z.
gluconate) z.
d. Monitor the FHR via Doppler every 30 min z . z . z . z. z . z . z .
11. A nurse is caring for a group of clients. Which of the following wounds should the nurse expect
z. z. z. z. z. z. z. z. z . z . z. z . z . z . z . z . z .
ztoheal by primary intention?
. z. z . z. z .
a. Infected laceration z .
b. Stage II pressure ulcer z . z. z .
c. Approximate d surgical incision z. z . z .
d. Partial-thickness burn z. z. z. z .
12. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of
z . z . z . z . z . z . z . z . z . z . z . z . z . z . z . z .
the following clients should the nurse see first?
z. z. z. z . z . z . z . z .
a. Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. z. z. z. z. z. z. z. z. z. z. z.
72:monitor forinfection [fever, sore throat, etc.])z. z. z . z. z . z . z. z .
b. Client has OCD and is upset about a change in daily routine z . z . z . z . z . z . z . z. z . z . z .
c. Client has narcissistic personality disorder and is mocking others during group therapy z . z . z . z . z . z . z . z . z. z . z . z .
d. Client who has depressive disorder and requires assistance with ADLs z . z . z. z . z . z . z . z . z .
13. A nurse is caring for a client who has an implanted
z . z . z . z. z . z . z. z . z . z . z. z . venous access port. Which of the following z . z . z . z . z. z .
zshould the nurse use to assess the port?
. z. z . z . z. z . z . z .
a. An angiocatheter z .
b. A butterfly needle z . z .
c. A noncoring needle z. z .
d. A 25 gauge needle z . z . z .
14. A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant is
z. z. z. z. z . z. z . z . z. z . z . z . z. z . z . z. z . z . z .
zsittingon my chest.” The client is weak and unable to walk. After the nurse indicates chest pain
. z. z. z. z . z. z . z. z . z . z . z. z . z. z . z . z . z .
zprotocol, which ofthe following is the priority diagnostic test?
. z. z . z. z . z. z . z . z . z .
a. PT and INR z. z .
b. 12 lead ECG z . z .
c. Chest X-ray z .
d. Serum potassium z .
15. A nurse is assessing the growth and development of a 3 y/o child. Which of the following
z . z . z . z. z . z . z. z . z. z . z . z. z . z . z. z.
z questionsshould the nurse ask the parent to determine if the child is exhibiting typical
. z. z . z . z . z . z . z . z . z. z . z . z. z . z .
zdevelopmental
.
expectations?
a. “Can your child draw a stick figure?” z . z . z . z . z. z .
b. “Can your child catch and throw a small ball?” z . z . z . z . z . z . z. z .
c. “Can your child ride a tricycle?” z . z. z. z . z.
d. “Can your child name five colors?” z . z . z . z . z.
16. A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.
z. z. z. z . z. z . z. z . z . z . z. z . z . z . z . z . z . z.
zWhich ofthe following actions should the nurse take?
. z . z. z . z. z . z . z . z .
a. Measure the fundal height to determine the placement of the ultrasound stethoscope z . z . z . z . z . z. z. z . z . z. z. z. z . z . z . z. z. z .
b. Perform Leopold maneuvers prior to auscultating the FHR z . z . z. z . z . z. z . z .
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR z . z . z . z . z. z . z . z. z . z . z. z . z .
d. Place the client in a side-lying position prior to assessing the FHR z . z . z . z . z. z . z . z . z. z . z.
