ATIComprehensive Exit Exam –180 2024/2025 f # f# f# f#
1. A f#nurse f#is f#caring f#fora f#client f#who f#has f#given f#informed f#consent f#for f#ECT. f#Just f#before f#the
f#procedure, f#the f#client f#tells f#thenursesheis consideringnotgoing forward f#with f#thetreatment. z.
f#Whichofthe following statements z.f # f # bythe f # f # nurse f#is f#appropriate?
a. “You f#don’t f # havef#to f#gothrough f # with f # the f # treatment.”
b. “Mostf#people f # who have f# this procedure f# feel f # better following
the f # treatment.”
c. “It’s f # f # okay f#tobe f#nervous f # before f # this f # treatment.”
d. “Your f # doctor f # wouldn’t f# have f # ordered f # thisf#treatment f#unlessit f # was f#necessary.”
2. Whileperforming a routinef#assessment,f#a nurse f # notices f # fraying f # onthe
z. z.
f # electrical f # cord f # ofa f # client’sCPM f# device. f#Which f#ofthe f # following z.
f#actions f # should f # the f # nurse f # take f # first?
a. Report the f # defect f # f # to f # the f # equipment maintenance f # staff.
b. Ensure f # f # the f # device f # inspection f # sticker f # is f# current
c. Remove f # thedevice f # fromthe room z. .z
d. Initiate f # af#requisition for f # a f#replacement CPM f # f # device
3. Anurse f # iscaring f # foraclient f # whoispostoperative f # and f#hasanewprescription z.
f # forhydromorphone.Which f # ofthe f # following f # actions f # should f # the f # nurse
f # take?
a. Document f # administration f#ofthe f # medication f # upon f # removal f # from
z. z. z.
f#the f # medication f#dispensingsystem z.
b. Withhold f # f # the f # medication if f # the f # client f # f # does f # not f # appear f # f # to
f # be f # in f # pain.
c. Count f # f # the f # current f # number ofunit f # doses f#available inthe
f # medication dispensing f# system z.
d. Withhold f # the f # medication f # if f#the f# client f # has f # afever
4. Anurseperformingachange-of-shiftassessment. f#Whichofthefollowingclients f # f # has f # f # the f #
f # priorityfinding?
a. Type f#2 f#DM f # and f # a f # blood f # glucose f#of250 f # f # mg/dL
b. Pneumonia f # with f # f # a f # productive f # f # cough f#and f # a f#fever f # of38.8° Cf#(101.8°F)
c. 2hr.post f # castplacement f#and f # has f#2+ f#pitting f # f # edema and f#pallor
z. z.
d. First-degree f # heart f # f # block f # and f # a heart f # f # rate f # f # of62/min z.
5. Anurse f # in f # anf#outpatient f # mental f # health f # facility f # is f # providing
f#teaching f # to f # a group f # ofadolescents. f#Whicho f the f # following f#statements f#by f#a
z. z. z.
f#client f # indicates f # an f#understanding f # of f#the f # teaching?
a. “I f # will f # limit f # my f # alcohol f # use f # to f#one f# drink f # f # daily f # while f # taking
f # disulfiram.”
b. “I f # will f # avoid f # foods f# containing f # f # tyramine f # f # while f # f # taking f # fluoexetine.”
c. “Iwill f # take f # the f # sustained-release
z. methylphenidate every z.morning.” z.
d. “I willf#takemylithium f # on f # anf#empty f # stomach.” f # (pharm
z.
f # pg.64:takinglithiumwithfood f#willhelp f#decrease f#GI f # distress)
6. Anurse f # in f # the f # emergency f # department f# is f # assessing f # client f # who
f # has major f # depressive f # disorder. f#Whichofthe f # following f#actions f # should
f # z. z.
f # the f # nurse f # take f # first? f # [View f # Exhibit]
a. Administer f # f # Zofran f # tothe f # client f # f # for f#nausea
b. Implement f# seizure f # precautions for f# the f # client
c. Encourage f#the f # client f# f# to f#verbalize feelings
d. Obtain f # the f# client’s f # weight
7. Anurse f#iscompleting f#anadmission f#assessment f#foraclient f#whoahs f#narcissistic f#personality
f#disorder.Which f # ofthe f # following f # should f # the f # nurse f # expect?
a. Suspicious f # of f # others
b. Exhibits f # f # separation f # f # anxiety
,c. Ritualistic f#behavior
d. Preoccupied f # with f# f# aging
,8. Drug f # Calc: f # Client f # weighs f#99 f # lb. f# Prescribed f # diet f # of1.5 f # g
f#protein/kg/day. f # How f#many f # grams of
f#proteinper f # day f # should f # the f # nurse
z. f # include f # in f# the f # client’s f # dietary
f # plan?
The f # nurse f#should f # include f#in f # the f# dietf#75 f# grams f # of f#protein per f# day
9. A f#nurse f#is f#planning f#care f # for f#a f # group f # ofclients f # and z. f# is f # working f # with f#one
f # LPN f#and f # one f # AP. f#Which f # of f#thefollowing f# actionsshould
z. f# the f # nurse f#take f # first
f # to f # manage f#her f # time f # effectively?
a. Develop f#an f# hourly f # time f # f # frame f # f # fortasks
b. Schedule f# daily f# activities
c. Determine f # goals f # ofthe f#day
d. Delegate f # tasks f # to f # the f # AP
, 10. Anurse isdevelopingaplan f#ofcareforaclientwhohaspreeclampsia f # and f # isto f # receive
z.
f # magnesiumsulfate
z. f # via f#continuousf#IVf#infusion.
z. f # Which f # ofthe f # following
f # actions f # should f # the f # nurse f # include f # in f # the f#plan?
a. Restrictf#the f # client’s total f # fluid f # intake f # f # to f#250 f # f # mL/hr.
b. Measure f # theclient’s f# urineoutput f # f # every f # hour
z.
c. Give f # theclientf#protamine f#if f#signs f#ofmagnesium f # sulfatetoxicityf#occur
f # (antidote:f#calciu f#m f#gluconate)
d. Monitor f # the f # FHR f # viaf#Doppler f # f # every f # 30 f # min
11. Anurseiscaringforagroupofclients. f # Which f # ofthe f # following f # wounds f # should
f # the f # nurse f # expect f # to heal f # by f#primary
z. f# intention?
a. Infected f # laceration
b. Stage f # IIf#pressure ulcer
c. Approximated surgical incision
d. Partial-thickness f # burn
z.
12. A f#nurse f#in f # an f#acute f # mental f#health f#care f # facility f # is f # prioritizing f # care
f # for f # multiple f # clients. f # Which f # of f#thefollowing f#clients f # should f # the f#nurse f # see
f # first?
a. Clienttaking f#clozapine f#totreatschizophrenia f#andreports f#sorethroat
f#(pharmpg. f # 72:monitor f # forinfection f # [fever, f # sorethroat, f # etc.])
b. Client f # has f # OCD f # and f # is f # upset f # about f # a f#change f # in f # daily f # routine
c. Client f # has f # narcissistic f # f # personality f # disorder f # f # and f # is f # mocking f # f # others
f# during f # group f # therapy
d. Client f # who f # has f# depressive f # f # disorder f # f # and f # requires f # assistance f # with f #
f # ADLs
13. A f# nurse f # is f # caring f#for f # a f#client f#who f # has f # an f # implanted f # f # venous
z.
f # access f # port. f # Which f # ofthe f # following f#shouldthe f # nurse f # useto f # assess f#the
f # port?
a. An f # angiocatheter
b. A f#butterfly needle
c. Anoncoring f # needle
d. A f# 25 f # f # gauge f#needle
14. Anurseiscaringfor f # aclient f # who f # haspneumonia f # and f # tells f # thenurse,
f # “I f # feel like z.f # an f # elephant f # is f # sittingo n#fmychest.”
z. f # Theclient f # is weak z.
f # and f # unable f # towalk. f # Afterthe f # nurse f # indicates f # chest f # pain
f#protocol,f#which f # ofthe f # following f#is f#the f # priority f # diagnostic f # test?
a. PTf#and f # f # INR
b. 12 f# lead f # ECG
c. Chest f # X-ray
d. Serum f # f # potassium
15. A f#nurse f # is f # assessing f#the f#growth f # and f#development f#ofa f#3 f # y/o f#child.
f # Which f # off#the f#following f#questionsshould f # the
z. f # nurse f # ask f#the f # parent
f # to f#determine f#if f # the f # child f#is f # exhibiting f#typical f#developmental
expectations?
a. “Can f # your f # child f # draw f # astick f# figure?”
b. “Can f # your f # child f # catch f # and f # throw f # af#small f # f # ball?”
c. “Can f # your f#childf#ride f # atricycle?”
d. “Can f# your f # child f# name f # f # fivecolors?”
16. Anurseispreparing f # toassess f # fetalheart f # tones f # for f # a client f # who z.
f # is f # at f # 12 f # weeks f # ofgestation. f # Which f # oft he f# following f#actions
z.
f # should f # the f # nurse f # take?
a. Measure the f # fundal f # height to f # determine f # f # the f # placement f # of f#the
f # ultrasound f # f # stethoscope
z
b. Perform f # Leopold f # maneuvers f # prior f # f # toauscultating f # f # the f # FHR
c. Position f # the f # ultrasound f # stethoscope f # f # above f # the f # symphysis f # pubis f # f # to
1. A f#nurse f#is f#caring f#fora f#client f#who f#has f#given f#informed f#consent f#for f#ECT. f#Just f#before f#the
f#procedure, f#the f#client f#tells f#thenursesheis consideringnotgoing forward f#with f#thetreatment. z.
f#Whichofthe following statements z.f # f # bythe f # f # nurse f#is f#appropriate?
a. “You f#don’t f # havef#to f#gothrough f # with f # the f # treatment.”
b. “Mostf#people f # who have f# this procedure f# feel f # better following
the f # treatment.”
c. “It’s f # f # okay f#tobe f#nervous f # before f # this f # treatment.”
d. “Your f # doctor f # wouldn’t f# have f # ordered f # thisf#treatment f#unlessit f # was f#necessary.”
2. Whileperforming a routinef#assessment,f#a nurse f # notices f # fraying f # onthe
z. z.
f # electrical f # cord f # ofa f # client’sCPM f# device. f#Which f#ofthe f # following z.
f#actions f # should f # the f # nurse f # take f # first?
a. Report the f # defect f # f # to f # the f # equipment maintenance f # staff.
b. Ensure f # f # the f # device f # inspection f # sticker f # is f# current
c. Remove f # thedevice f # fromthe room z. .z
d. Initiate f # af#requisition for f # a f#replacement CPM f # f # device
3. Anurse f # iscaring f # foraclient f # whoispostoperative f # and f#hasanewprescription z.
f # forhydromorphone.Which f # ofthe f # following f # actions f # should f # the f # nurse
f # take?
a. Document f # administration f#ofthe f # medication f # upon f # removal f # from
z. z. z.
f#the f # medication f#dispensingsystem z.
b. Withhold f # f # the f # medication if f # the f # client f # f # does f # not f # appear f # f # to
f # be f # in f # pain.
c. Count f # f # the f # current f # number ofunit f # doses f#available inthe
f # medication dispensing f# system z.
d. Withhold f # the f # medication f # if f#the f# client f # has f # afever
4. Anurseperformingachange-of-shiftassessment. f#Whichofthefollowingclients f # f # has f # f # the f #
f # priorityfinding?
a. Type f#2 f#DM f # and f # a f # blood f # glucose f#of250 f # f # mg/dL
b. Pneumonia f # with f # f # a f # productive f # f # cough f#and f # a f#fever f # of38.8° Cf#(101.8°F)
c. 2hr.post f # castplacement f#and f # has f#2+ f#pitting f # f # edema and f#pallor
z. z.
d. First-degree f # heart f # f # block f # and f # a heart f # f # rate f # f # of62/min z.
5. Anurse f # in f # anf#outpatient f # mental f # health f # facility f # is f # providing
f#teaching f # to f # a group f # ofadolescents. f#Whicho f the f # following f#statements f#by f#a
z. z. z.
f#client f # indicates f # an f#understanding f # of f#the f # teaching?
a. “I f # will f # limit f # my f # alcohol f # use f # to f#one f# drink f # f # daily f # while f # taking
f # disulfiram.”
b. “I f # will f # avoid f # foods f# containing f # f # tyramine f # f # while f # f # taking f # fluoexetine.”
c. “Iwill f # take f # the f # sustained-release
z. methylphenidate every z.morning.” z.
d. “I willf#takemylithium f # on f # anf#empty f # stomach.” f # (pharm
z.
f # pg.64:takinglithiumwithfood f#willhelp f#decrease f#GI f # distress)
6. Anurse f # in f # the f # emergency f # department f# is f # assessing f # client f # who
f # has major f # depressive f # disorder. f#Whichofthe f # following f#actions f # should
f # z. z.
f # the f # nurse f # take f # first? f # [View f # Exhibit]
a. Administer f # f # Zofran f # tothe f # client f # f # for f#nausea
b. Implement f# seizure f # precautions for f# the f # client
c. Encourage f#the f # client f# f# to f#verbalize feelings
d. Obtain f # the f# client’s f # weight
7. Anurse f#iscompleting f#anadmission f#assessment f#foraclient f#whoahs f#narcissistic f#personality
f#disorder.Which f # ofthe f # following f # should f # the f # nurse f # expect?
a. Suspicious f # of f # others
b. Exhibits f # f # separation f # f # anxiety
,c. Ritualistic f#behavior
d. Preoccupied f # with f# f# aging
,8. Drug f # Calc: f # Client f # weighs f#99 f # lb. f# Prescribed f # diet f # of1.5 f # g
f#protein/kg/day. f # How f#many f # grams of
f#proteinper f # day f # should f # the f # nurse
z. f # include f # in f# the f # client’s f # dietary
f # plan?
The f # nurse f#should f # include f#in f # the f# dietf#75 f# grams f # of f#protein per f# day
9. A f#nurse f#is f#planning f#care f # for f#a f # group f # ofclients f # and z. f# is f # working f # with f#one
f # LPN f#and f # one f # AP. f#Which f # of f#thefollowing f# actionsshould
z. f# the f # nurse f#take f # first
f # to f # manage f#her f # time f # effectively?
a. Develop f#an f# hourly f # time f # f # frame f # f # fortasks
b. Schedule f# daily f# activities
c. Determine f # goals f # ofthe f#day
d. Delegate f # tasks f # to f # the f # AP
, 10. Anurse isdevelopingaplan f#ofcareforaclientwhohaspreeclampsia f # and f # isto f # receive
z.
f # magnesiumsulfate
z. f # via f#continuousf#IVf#infusion.
z. f # Which f # ofthe f # following
f # actions f # should f # the f # nurse f # include f # in f # the f#plan?
a. Restrictf#the f # client’s total f # fluid f # intake f # f # to f#250 f # f # mL/hr.
b. Measure f # theclient’s f# urineoutput f # f # every f # hour
z.
c. Give f # theclientf#protamine f#if f#signs f#ofmagnesium f # sulfatetoxicityf#occur
f # (antidote:f#calciu f#m f#gluconate)
d. Monitor f # the f # FHR f # viaf#Doppler f # f # every f # 30 f # min
11. Anurseiscaringforagroupofclients. f # Which f # ofthe f # following f # wounds f # should
f # the f # nurse f # expect f # to heal f # by f#primary
z. f# intention?
a. Infected f # laceration
b. Stage f # IIf#pressure ulcer
c. Approximated surgical incision
d. Partial-thickness f # burn
z.
12. A f#nurse f#in f # an f#acute f # mental f#health f#care f # facility f # is f # prioritizing f # care
f # for f # multiple f # clients. f # Which f # of f#thefollowing f#clients f # should f # the f#nurse f # see
f # first?
a. Clienttaking f#clozapine f#totreatschizophrenia f#andreports f#sorethroat
f#(pharmpg. f # 72:monitor f # forinfection f # [fever, f # sorethroat, f # etc.])
b. Client f # has f # OCD f # and f # is f # upset f # about f # a f#change f # in f # daily f # routine
c. Client f # has f # narcissistic f # f # personality f # disorder f # f # and f # is f # mocking f # f # others
f# during f # group f # therapy
d. Client f # who f # has f# depressive f # f # disorder f # f # and f # requires f # assistance f # with f #
f # ADLs
13. A f# nurse f # is f # caring f#for f # a f#client f#who f # has f # an f # implanted f # f # venous
z.
f # access f # port. f # Which f # ofthe f # following f#shouldthe f # nurse f # useto f # assess f#the
f # port?
a. An f # angiocatheter
b. A f#butterfly needle
c. Anoncoring f # needle
d. A f# 25 f # f # gauge f#needle
14. Anurseiscaringfor f # aclient f # who f # haspneumonia f # and f # tells f # thenurse,
f # “I f # feel like z.f # an f # elephant f # is f # sittingo n#fmychest.”
z. f # Theclient f # is weak z.
f # and f # unable f # towalk. f # Afterthe f # nurse f # indicates f # chest f # pain
f#protocol,f#which f # ofthe f # following f#is f#the f # priority f # diagnostic f # test?
a. PTf#and f # f # INR
b. 12 f# lead f # ECG
c. Chest f # X-ray
d. Serum f # f # potassium
15. A f#nurse f # is f # assessing f#the f#growth f # and f#development f#ofa f#3 f # y/o f#child.
f # Which f # off#the f#following f#questionsshould f # the
z. f # nurse f # ask f#the f # parent
f # to f#determine f#if f # the f # child f#is f # exhibiting f#typical f#developmental
expectations?
a. “Can f # your f # child f # draw f # astick f# figure?”
b. “Can f # your f # child f # catch f # and f # throw f # af#small f # f # ball?”
c. “Can f # your f#childf#ride f # atricycle?”
d. “Can f# your f # child f# name f # f # fivecolors?”
16. Anurseispreparing f # toassess f # fetalheart f # tones f # for f # a client f # who z.
f # is f # at f # 12 f # weeks f # ofgestation. f # Which f # oft he f# following f#actions
z.
f # should f # the f # nurse f # take?
a. Measure the f # fundal f # height to f # determine f # f # the f # placement f # of f#the
f # ultrasound f # f # stethoscope
z
b. Perform f # Leopold f # maneuvers f # prior f # f # toauscultating f # f # the f # FHR
c. Position f # the f # ultrasound f # stethoscope f # f # above f # the f # symphysis f # pubis f # f # to
