ATI COMPREHENSIVE FINAL EXAM 180 QUESTIONS WITH ANSWERS ALL CORRECT 100% ASSURANCE.
1)	A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment?
a)	Tell me about your siblings
b)	Tell me what kind of music you like
c)	Tell me how often do you drink alcohol
d)	Tell me about your school schedule
2)	*A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene?
a)	Holding the newborn in an en face position
b)	Asking the father to change the newborn's diaper
c)	Requesting the nurse take the newborn nursery so she can rest
d)	Viewing the newborn’s actions to be uncooperative
3)	A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective?
a)	Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism)
b)	Decreased blood pressure
c)	Absence of seizures
d)	Decrease inflammation
4)	A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?
a)	Contact provider if the cord still turns black (it’s going to turn black)
b)	Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser)
c)	Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection)
d)	The cord stump will fall off in five days (cord falls off in 10-14 days)
5)	A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
d)	Constricted pupils
6)	A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?
a)	A client that has massive head trauma
b)	A client has full thickness burns to face and trunk
c)	A client with indications of hypovolemic shock
d)	A client with open fracture of the lower extremity
7)	A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
a)	A client who has illeal conduit and mucus in the pouch
b)	Client pleasant arteriovenous additional vibration palpated
c)	A client whose chronic kidney disease with cloudy diasylate outflow
d)	A client was transurethral resection of the prostate with a red tinged urine in the bag
8)	A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
a)	Place’s cardiac monitoring
b)	Monitor the clients oxygen saturation level
c)	Provide standby assist with the client from bed
d)	Encourage foods high in potassium
9)	A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
a)	Feta hypoxia
b)	Abrupto placentae
c)	Post maturity
d)	Head Compression
10)	A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an indication for hemodialysis?
a)	glomerular filtration rate of 14 mL/ minute
b)	BUN 16 mg/DL
c)	serum magnesium 1.8 mg mg/dl
d)	Serum phosphorus 4.0 mg/dL
11)	A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take?
a)	Placed infant under radiant warmer
b)	Move the probe site every 3 hours
c)	Heat the skin one minute prior to placing the program
d)	Placed a sensor on the index finger
12)	A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should the nurse plan to assess first?
a)	Client placed in restraints to the aggressive behavior
b)	A new limited client pleasures history of 4.5 kg weight loss in the past two months
c)	Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d)	Applied he’ll be receiving his first ECT treatment today
13)	A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor?
a)	Hypnosis focuses on the biofeedback as a relaxation technique
b)	Hypnosis promotes increased control of her pain perception during contractions
c)	Hypnosis uses therapeutic touch to reduce anxiety during labor
d)	Hypnosis provides instruction to minimize pain
14)	A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? (rxn formation is when you use opposite feelings; ex: being super nice to someone you dislike)
a)	I steal things because it’s the only way I can keep my mind off my bad marriage
b)	I can’t believe I was accused of something I didn’t do
c)	I don’t want talk about my feelings right now. We will talk more next time
d)	I think that people just you’re just lazy and should earn money honestly
15)	A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of the following should the nurse identify as a contraindication to medication?
d)	Migraine headaches
17)	The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care?
a)	Draw a troponin level every four hours
b)	Performance EKG every 12 hours
c)	Plant oxygen tent fell over minutes via rebreather mask
d)	Obtain a cardiac rehabilitation consult
18)	A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider?
a)	WBC 3,000/mm3
b)	Hemoglobin 14 g/dl
c)	Platelet 250,000/mm3
d)	aPTT 30 seconds
19)	Home health nurse is carefully planned for Alzheimer’s disease. To the following action should the nurse include in the plan of care
a)	Place a daily calendar in the kitchen
b)	Replace button clothing with zippered items
c)	Replace the carpet with hardwood floors
d)	Create variation in daily routine
20)	Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first?
a)	The client was cystic fibrosis and has a thick productive clock and reports thirst
b)	Client who has gastroenteritis and is lethargic and confused
c)	The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d)	The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
21)	A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate?
a)	Decrease taking vitamins and supplements to every other day
b)	Eat 15 g of fiber per day
c)	Consume 48 ounces of water each day (need at least 64 oz)
d)	Drink hot water with lemon juice each morning when you wake up
23)	A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply
a)	I can’t change my instructions once a minute
b)	My doctor will need to approve my advance directives
c)	I need an attorney to witness my signature on the advance directives
d)	I have the right to refuse treatment
e)	My health care proxy can make medical decisions for me
24)	A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output?
a)	The chest
d)	Left lateral
25)	A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP?
a)	Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry
b)	Client who has awoken following a bronchoscopy and requests a drink
c)	Client who had a myocardial infarction 3 days ago reports chest discomfort
d)	Client who had a cerebrovascular accident two days ago and needs help toileting
26)	Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
b)	blurred vision
d)	Dry Mouth
27)	A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
a)	Providing a high protein snack
b)	Assisting the child to reposition
c)	Placing weights as a child’s bed
d)	Massaging pressure points-causes skin breakdown
28)	A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following action should the nurse take?
a)	Determine if the AP is qualified to perform the test.
b)	Help the AP performed the blood glucose test
c)	Assign the AP to ask the client is taking his diabetic medication today
d)	Have AP check the medical record for prior blood glucose test results
29)	A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following?
a)	Alzheimer’s disease
c)	Substance intoxication
30)	A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply
b)	Koplik spots (this is associated with measles)
e)	Sore throat
31)	Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first?
a)	Apply skin preparation to wound edges.
b)	Normal saline
c)	Don sterile gloves
d)	Determine pain level
32)	A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly?
a)	Drainage fluid is greenish-yellow
b)	aspirate pH of 3
c)	Abdominal rigidity
d)	air bubbles noted in the NG tube
33)	A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take?
a)	Piggyback 0.9 sodium chloride with TPN solution
b)	Check for an allergy to eggs
c)	Discuss the TPS solution for 12 hours
d)	Monitor for hypoglycemia
34)	A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?)
a)	Systemic analgesic effect
b)	 increase in your metabolism
c)	Decreased capillary permeability
35)	Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to
a)	Perform weight bearing exercises
b)	Avoid crossing the legs beyond the midline
c)	Avoid sitting in one position for prolonged periods
d)	Split affected area
36)	A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highest priority?