ATI Exit Exam #2 version of
comprehensive retake test
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? *** 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) *** 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? *** 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? *** "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? *** 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? *** 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? *** 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? *** 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? *** 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? *** "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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** "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? *** 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? *** "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? *** 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? ***
"Perform pulmonary hygiene 1 hr before meals"
A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which of the following
outcomes should the nurse expect as a therapeutic effects of the treatment? *** Reduced fat in stools
comprehensive retake test
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? *** 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) *** 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? *** 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? *** "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? *** 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? *** 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? *** 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? *** 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? *** 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? *** "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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** 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? *** "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? *** 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? *** "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? *** 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? ***
"Perform pulmonary hygiene 1 hr before meals"
A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which of the following
outcomes should the nurse expect as a therapeutic effects of the treatment? *** Reduced fat in stools
