ATI Comprehensive Exit Exam. Real Exam summer-Fall Session.100% Correct Answers (Detail Solutions)

ATI Comprehensive Exit Exam. Real Exam summer-Fall Session.100%
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Correct Answers gh gh




(Detail Solutions) gh




1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
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drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
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best follow-up action by the nurse?
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• Review with the client the need to avoid foods that are rich in milk and cream gh gh gh gh gh gh gh gh gh gh gh gh gh gh gh




2. A male client with hypertension, who received new antihypertensive prescriptions at his
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last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BPis
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158/106 and he admits that he has not been taking the prescribed medication because the
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drugs make him “feel bad”. In explaining the need for hypertension control, the nurse
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should stress that an elevated BP places the client at risk for which pathophysiological
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condition?
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• Stroke secondary to hemorrhage gh gh gh




3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
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admitted client who has a seizure disorder. The client is supine and the UAP is placing
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soft pillows along the side rails. What action should the nurse implement?
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• Instruct the UAP to obtain soft blankets to secure to the side rails instead of gh gh gh gh gh gh gh gh gh gh gh gh gh gh




pillows. h
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4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
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the past 12 days. Which assessment finding requires immediate follow-up?
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• Describes life without purpose gh gh gh




5. A 60-year-old female client with a positive family history of ovarian cancer has
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developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
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Papanicolau (Pap) smear results are negative. What information should the nurse include
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in the client’s teaching plan?
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• Further evaluation involving surgery may be needed gh gh gh gh gh gh




6. A client who recently underwear a tracheostomy is being prepared for discharge to home.
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Which instructions is most important for the nurse to include in the discharge plan?
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• Teach tracheal suctioning techniques gh gh gh




7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
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reservoir bag does not deflate completely during inspiration and the client’s respiratory
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ghrate is 14 breaths / minute. What action should the nurse implement?
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• Document the assessment data gh gh gh




• Rational: reservoir bag should not deflate completely during inspiration and the gh gh gh gh gh gh gh gh gh gh




client’s respiratory rate is within normal limits.
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8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
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Which client alarm should the nurse investigate firs?
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• Respiratory apnea of 30 seconds gh gh gh gh




9. During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
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action should the nurse take first?
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• Check the client for lacerations or fractures gh gh gh gh gh gh




10. At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the
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client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid
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ghgetting a headache. Which action should the nurse take first?
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, • Inform the anesthesia care provider gh gh gh gh




11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart
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sounds. To determine if an S3 heart sound is present, what action should the nurse take
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first?
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• Listen with the bell at the same location gh gh gh gh gh gh gh




12. A 66-year-old woman is retiring and will no longer have a health insurance through her
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place of employment. Which agency should the client be referred to by the employee
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ghhealth nurse for health insurance needs?
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• Medicare

13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
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What snack should the nurse instruct the client to take with the tetracycline?
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• Toasted wheat bread and jelly gh gh gh gh




14. Following a lumbar puncture, a client voices several complaints. What complaint
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indicated to the nurse that the client is experiencing a complication?
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• “I have a headache that gets worse when I sit up” gh gh gh gh gh gh gh gh gh gh




• “I am having pain in my lower back when I move my legs”
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• “My throat hurts when I swallow” gh gh gh gh gh




• “I feel sick to my stomach and am going to throw up”
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15. An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
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with incontinence. Which action should the nurse implement?
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• Obtain a clean catch mid-stream specimen gh gh gh gh gh




16. The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
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that are in keeping with the child’s dietary restrictions. Which foods are contraindicated
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for this child?
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• Foods sweetened with aspartame gh gh gh




17. Before preparing a client for the first surgical case of the day, a part-time scrub nurse
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ghasks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for
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this client. Which response should the circulating nurse provide?
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• Direct the nurse to continue the surgical hand scrub for a 5 minute duration gh gh gh gh gh gh gh gh gh gh gh gh gh




18. Which breakfast selection indicates that the client understands the nurse’s instructions
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about the dietary management of osteoporosis?
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• Bagel with jelly and skim milk gh gh gh gh gh




19. The charge nurse of a critical care unit is informed at the beginning of the shift that less
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than the optimal number of registered nurses will be working that shift. In planning
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assignments, which client should receive the most care hours by a registered nurse (RN)?
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• An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
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Foley catheter and soft wrist restrains applied
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,20. A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
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ghpediatrician’s office. Upon inspection, the nurse notes that the nail went through the shoe
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and pierced the bottom of the child’s foot. Which action should the nurse implement first?
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• Cleanse the foot with soap and water and apply an antibiotic ointment gh gh gh gh gh gh gh gh gh gh gh




• Provide teaching about the need for a tetanus booster within the next 72 hours. gh gh gh gh gh gh gh gh gh gh gh gh gh




• have the mother check the child's temperature q4h for the next 24 hours
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• transfer the child to the emergency department to receive a gamma globulin gh gh gh gh gh gh gh gh gh gh gh




injection h
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21. The mother of an adolescent tells the clinic nurse, “My son has athlete’s foot, I have been
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applying triple antibiotic ointment for two days, but there has been no improvement.”
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ghWhat instruction should the nurse provide?
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• Stop using the ointment and encourage complete drying of the feet and wearing
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clean socks. h
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22. A 26-year-old female client is admitted to the hospital for treatment of a simple goiter,
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and levothyroxine sodium (Synthroid) is prescribed. Which symptoms indicate to the
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ghnurse that the prescribed dosage is too high for this client? The client experiences
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• Bradycardia and constipation gh gh




• Lethargy and lack of appetite gh gh gh gh




• Muscle cramping and dry, flushed skin gh gh gh gh gh




• Palpitations and shortness of breath gh gh gh gh




23. A client with a history of heart failure presents to the clinic with a nausea, vomiting,
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ghyellow vision and palpitations. Which finding is most important for the nurse to assess to
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the client?
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• Obtain a list of medications taken for cardiac history gh gh gh gh gh gh gh gh




24. The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg in 250
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ghml of D5W at 300 mcg/hour. The nurse should program the infusion pump to deliver how
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many ml/hour? (Enter numeric value only.)
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• 75
• Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour / gh gh gh gh gh gh gh gh gh gh gh gh gh gh




1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
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25. The pathophysiological mechanism are responsible for ascites related to liver failure?
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(Select all that apply)
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• Fluid shifts from intravascular to interstitial area due to decreased serum protein
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• Increased hydrostatic pressure in portal circulation increases fluid shifts into gh gh gh gh gh gh gh gh gh




abdomen h
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• Increased circulating aldosterone levels that increase sodium and water retention gh gh gh gh gh gh gh gh gh




26. The nurse is auscultating a client’s heart sounds. Which description should the nurse useto
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document this sound? (Please listen to the audio first to select the option that applies)
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• Murmur
• Rationale: A murmur is auscultated as a swishing sound that is associated with the gh gh gh gh gh gh gh gh gh gh gh gh gh




blood turbulence created by the heart or valvular defect.
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, 27. The healthcare provider prescribes celtazidime (Fortax) 35 mg every 8 hours IM for an
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ghinfant. The 500 mg vial is labeled with the instruction to add 5.3 ml diluent to provide a
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ghconcentration of 100 mg/ml. How many ml should the nurse administered for each dose? gh gh gh gh gh gh gh gh gh gh gh gh gh




(Enter numeric value only. If rounding is required, round to the nearest tenth)
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• 0.4
• rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml gh gh gh gh gh gh gh gh




28. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
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hours for four days. What assessment is most important for the nurse to complete?
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• Auscultate the client's bowel sounds gh gh gh gh




• Observe for edema around the ankles gh gh gh gh gh




• Measure the client’s capillary glucose level gh gh gh gh gh




• Count the apical and radial pulses simultaneously gh gh gh gh gh gh




• Rationale: hydromorphone is a potent opioid analgesic that slows peristalsis and gh gh gh gh gh gh gh gh gh gh




frequently causes constipation, so it is most important to Auscultate the client's
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bowel sounds gh gh




29. A female client is admitted with end stage pulmonary disease is alert, oriented, and
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complaining of shortness of breath. The client tells the nurse that she wants “no heroic
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measures” taken if she stops breathing, and she asks the nurse to document this in her
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medical record. What action should the nurse implement?
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• Ask the client to discuss “do not resuscitate” with her healthcare provider
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30. A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
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developed diarrhea. The client has a new prescription to change the feeding to half
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strength. What intervention should the nurse implement?
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• Add equal amounts of water and feeding to a feeding bag and infuse at 50ml/hour
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31. A female client reports that her hair is becoming coarse and breaking off, that the outer
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part of her eyebrows have disappeared, and that her eyes are all puffy. Which follow-up
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question is best for the nurse to ask?
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• Have you noticed any changes in your fingernails? gh gh gh gh gh gh gh




• Rationale: The pattern of reported manifestations is suggestive of hypothyroidism gh gh gh gh gh gh gh gh gh




32. After a third hospitalization 6 months ago, a client is admitted to the hospital with ascites
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and malnutrition. The client is drowsy but responding to verbal stimuli and reports
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recently spitting up blood. What assessment finding warrants immediate intervention by
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the nurse?
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• Capillary refill of 8 seconds gh gh gh gh




• bruises on arms and legs gh gh gh gh




• round and tight abdomen gh gh gh




• pitting edema in lower legs gh gh gh gh




33. After the nurse witnesses a preoperative client sign the surgical consent form, the nurse
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signs the form as a witness. What are the legal implications of the nurse’s signature on
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the client’s surgical consent form? (Select all that apply)
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• The client voluntarily grants permission for the procedure to be done gh gh gh gh gh gh gh gh gh gh




• The client is competent to sign the consent without impairment of judgment
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• The client understands the risks and benefits associated with the procedure
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