ATI Comprehensive Exit Final Exam (Real) Containing 180 Questions and Answers . Terms like: A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher a

ATIComprehensive ExitExam–180 2021/2022 b g bg bg bg




1. A nurse is caring fora client who has given informed consent for ECT. Just before the procedure, the client
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tells thenursesheis consideringnotgoingforward with thetreatment. Whichofthefollowing statements
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b bythe
g nurse is appropriate?b g b g bg bg



a. “You don’t have to gothrough with the treatment.” bg b g bg bg b g b g b g


b. “Mostpeople who have this procedure feel better following the
bg treatment.” b g bg bg b g b g



c. “It’s okay tobe nervous before this treatment.” b g b g bg bg b g b g b g


d. “Your doctor wouldn’t have ordered this treatment unlessit was necessary.” bg b g bg b g b g bg bg b g bg




2. While performinga routineassessment, a nurse notices fraying onthe electrical z. bg bg z. b g b g b g b g


cord
b g ofa client’sCPM device. Which ofthe following actions should
b g the b g z. bg bg bg b g bg b g b g


nurse take first?
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a. Report the defect to the equipment maintenance staff. b g b g b g b g b g b g



b. Ensure the device inspection sticker is current b g b g b g b g b g b g bg


c. Remove thed evice fromthe room b g z. b g .z




d. Initiate a requisition for a replacement CPM device bg bg b g bg b g b g




3. Anurse iscaring foraclient whoispostoperative and hasanewprescription
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forhydromorphone.Which
bg ofthe following actions should the nurse take? b g b g b g b g b g b g b g



a. Document administration ofthe medication upon removal from the b g z. z. z. bg b g b g b g b g bg



medication dispensingsystem b g bg z.




b. Withhold the medication if the client does not appear to be in pain. b g b g b g b g b g b g b g b g b g b g b g b g b g b g


c. Count the current number ofunit doses available inthe
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medication b dispensing system
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d. Withhold the medication if the client has afever b g b g b g bg bg b g b g




4. Anurseperformingachange-of-shiftassessment. Whichofthefollowingclients has the priorityfinding? bg b g b g b g b g b g b g



a. Type 2 DM and a blood glucose of250 mg/dL bg bg bg b g b g b g bg b g b g


b. Pneumonia with a productive cough and a fever of38.8° C (101.8° F) b g b g b g b g b g b g bg b g bg b g bg



c. 2hr.post castplacement and has 2+ pitting
z. edema z. and pallor b g bg b g bg bg b g b g bg


d. First-degree heart block and aheart rate of62/min b g b g b g b g b g z. b g b g b g b g




5. Anurse in anoutpatientb mental
g health facility is bproviding teaching
g to bg b g b g b g b g b g bg b g



a group
b g ofadolescents. Whichof the following statements by a client
z. b g indicates an bg z. z. b g bg bg bg bg b g b g



understanding
bg of the teaching? b g bg b g


a. “I will limit my alcohol use to one drink bg daily while taking disulfiram.”
b g b g b g b g bg bg bg b g b g b g b g b g


b. “I will avoid foods containing tyramine b g while taking fluoexetine.” b g b g bg b g b g b g b g b g b g b g


c. “Iw ill take the sustained-release z. methylphenidate every
b g morning.” b g b g z. z.




d. “I will takemylithium on anempty z. stomach.” (pharm bg b g b g bg b g b g



pg.64:takinglithiumwithfood willhelp decrease GI distress)
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6. Anurse in the emergency
b gdepartment is assessing client
b who g b g b g bg b g b g b g b g has major b g



depressive
b g disorder. Whicho fthe following actions should the nurse b g bg z. z. b g bg b g b g b g b g take first? b g



[View
b g Exhibit] b g


a. Administer Zofran tothe client for nausea b g b g b g b g b g b g bg



b. Implement seizure precautionsfor the client bg b g bg b g


c. Encourage the client to verbalize feelings bg b g b g b g bg



d. Obtain the client’s weight b g bg b g




7. Anurse iscompleting anadmission assessment foraclient whoahs narcissistic personality disorder.Which
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b ofthe
g following should the nurse
b g expect? b g b g b g b g



a. Suspicious of others b g bg


b. Exhibits separation anxiety b g b g b g b g



c. Ritualistic behavior bg



d. Preoccupied with aging b g b g b g

,8. Drug Calc: b g Client weighs 99 lb. Prescribed
b g diet b g bg b g b g b g b g of1.5 b g g protein/kg/day.
bg b g How
many
bg grams b g of
proteinper day should the nurse
bg z. include
b g in the b g b g b g b g b g b g b g client’s b g dietary b g plan?

The nurse should
bg bg b g include in bg b g the diet 75 grams
b g bg b g b g of protein
bg per day bg




9. A nurse is planning care for a group ofclients
bg bg bg and is bg b g bg b g b g z. b g b g b g working with one LPN and one
b g bg b g bg b g



AP. Which of thefollowing actionsshould the nurse take
b g bg b g bg z. bg b g b g bg b gfirst to manage her time
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effectively?
b g



a. Develop an hourly time frame fortasksbg bg b g b g b g b g b g


b. Schedule daily activities bg bg



c. Determine goals ofthe day b g b g bg


d. Delegate tasks to the AP b g b g b g b g

,10. Anurse isdevelopinga plan ofcareforaclientwhohaspreeclampsia and isto receive z. bg b g b g b g


b magnesiumsulfate
g via continuous IV infusion. Which
z. ofthe following actions b g z. bg bg bg b g b g b g b g


b should g the nurse include
b ing the plan? b g b g b g b g bg



a. Restrict the client’s total fluid intake to 250 mL/hr.
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b. Measure theclient’s urineoutput every hour b g bg z. b g b g bg


c. Give theclientprotamine if signs ofmagnesium sulfatetoxicityoccur (antidote:
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calciu m gluconate)
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d. Monitor the FHR via Doppler every 30 min b g bg b g bg b g b g b g b g




11. Anurseiscaringforagroupofclients. Which ofthe b g b g b g following b g wounds b g should b g the
nurse
b expect toheal by primary intention?
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a. Infected laceration b g


b. Stage II pressure ulcer b g bg


c. Approximated surgical incision
d. Partial-thickness burn z. b g




12. A nurse in an acute
bg bg mental health care
b g facility is prioritizing
bg care for multiple b g bg bg b g b g b g b g b g b g


b clients. Which of thefollowing clients
g b g should the nurse see first? b g bg bg b g b g bg b g b g


a. Clienttaking clozapine totreatschizophrenia andreports sorethroat (pharmpg. bg bg bg bg bg


72:monitor forinfection
b g [fever, sorethroat, etc.]) b g b g b g b g



b. Client has OCD and is upset about a change in daily
b g routine b g b g b g b g b g b g bg b g b g b g


c. Client has narcissistic personality disorder b and is mocking
g others during b g b g b g b g b g b g b g b g b g b g bg


group therapy
b g b g



d. Client who has depressive disorder and b requires assistance
g with ADLs b g bg b g b g b g b g b g b g b g b g b g




13. A nurse is caring for
bg a client who
b g has an implanted
b g venous bg b g bg bg b g b g b g z. b g b g b g access b g port.
Which ofthe
b g following shouldthe nurse
bg useto assess the port? b g bg b g b g b g bg b g



a. An angiocatheter b g


b. A butterfly needle bg



c. Anoncoring needle b g


d. A 25 gauge needle bg b g b g bg




14. Anurseiscaringfor aclient who haspneumonia and tells thenurse,b “I feel like
g b g b g b g b g b g b g b g z.




an
b elephant
g b is sittingonmychest.”
g Theclient is weak and unable towalk. b g b g z. bg b g b g z. b g b g b g


Afterthe
b g nurse indicates chest pain protocol, which
b g ofthe following is the b g b g b g bg bg b g b g bg bg


priority diagnostic test?
b g b g b g


a. PT and INR bg b g b g


b. 12 lead ECG bg b g


c. Chest X-ray b g


d. Serum potassium b g b g




15. A nurse is assessing the growth and development ofa 3 y/o child.
bg b g b g Which of the bg bg b g bg bg bg b g bg b g b g bg



following questionsshould the
bg bg nurse ask the parent to determine if the z. b g b g b g bg b g b g bg bg b g



child is exhibiting typical developmental
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expectations?
a. “Can your child draw astick figure?” bg b g bg b g bg


b. “Can your child catch and throw a small ball?”
b g b g b g b g b g b g bg b g b g



c. “Can your child ride atricycle?” b g bg bg b g


d. “Can your child name fivecolors?” bg bg bg b g b g




16. Anurseispreparing toassess fetalheart tones for a client who is
b at 12
g b g b g b g b g z. b g b g b g b g



weeks
b gofgestation. Which ofthe following actions
b g should the nurse take? b g b g z. bg bg b g b g b g b g


a. Measure the fundal height to determine the placement of the ultrasound b g b g b g b g b g b g b g bg b g z b g


stethoscope b g


b. Perform Leopold maneuvers prior toauscultating the FHR
bg b g b g b g b g b g b g b g


c. Position the ultrasound stethoscope above the symphysis pubis b g to assess the b g bg b g b g b g b g b g b g b g bg bg


FHR b g


d. Place the client in aside-lying position b prior
g to assessing theFHR bg b g b g b g b g b g b g b g b g bg b g

, 17. A nurse
bg b g is b g assessing b g a client
bg b g who b g has b g a chest
bg b gtube with a water
bg seal drainage
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system. Upon assessment,
b g the bg b g



b gnurse b notes
g tidaling in the
b gwater b g b g b g b g seal. b Whichofthe
g following is an b g b g bg



bg explanation forthe tidaling?
b g bg


a. There is a loopb g of tubing below
b g b g the drainage
b g bg system b g bg b g


b. Thesystemisworkingproperly (medsurgpg.104:tidalinginthewatersealchamberandcontinuous bg bg



bubbling onlyinthe suction chamber)
b g bg bg bg


c. The lung hasb re-expanded
g b g b g b g


d. The tubing is b g partially obstructed byclots
b g b g b g