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RN ATI Comprehensive Exit Exam TEST BANK (700+
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Revised Correct Answers & Rationales () v v v v v v v
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1. Pharmacology
A nurse is caring for a client who is receiving warfarin (Coumadin) therapy. The nurse
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should monitor which of the following laboratory tests to assess the therapeutic effect of
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warfarin?
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A) Prothrombin time (PT) vv vv
B) White blood cell (WBC) count vv vv vv vv
C) Hemoglobin and hematocrit vv vv
D) Platelet count vv
Answer: A) Prothrombin time (PT)
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Rationale: Warfarin therapy is monitored by the PT and the International Normalized Ratio
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(INR), which help evaluate blood clotting time. PT/INR levels should be kept within a
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therapeutic range to avoid bleeding or clotting complications.
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2. Infection Control vv
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A nurse is caring for a client with suspected tuberculosis (TB). Which of the following isolation
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precautions should the nurse implement?
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A) Contact precautions vv
B) Droplet precautions vv
C) Airborne precautions vv
D) Standard precautions vv
Answer: C) Airborne precautions
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Rationale: Tuberculosis is an airborne infectious disease, and the nurse should use airborne
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precautions, including placing the patient in a negative pressure room and using an N95
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respirator when providing care.
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3. Cardiovascular System vv
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A nurse is reviewing the electrocardiogram (ECG) of a client with bradycardia. Which of the
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following heart rates should the nurse identify as bradycardia?
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A) 60 bpm vv
B) 80 bpm vv
C) 50 bpm vv
D) 90 bpm vv
Answer: C) 50 bpm vv vv vv
Rationale: Bradycardia is defined as a heart rate of less than 60 beats per minute. A heart rate
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of 50 bpm is below the normal range and may require intervention, depending on the client's
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symptoms.
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4. Psychosocial Integrity vv
A nurse is caring for a client diagnosed with anxiety disorder. Which of the following
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interventions is most appropriate to reduce the client’s anxiety? vv vv vv vv vv vv vv vv
A) Encourage the client to talk about their fears vv vv vv vv vv vv vv
B) Ignore the client's worries and focus on other interventions
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C) Offer a sedative immediately to calm the client
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D) Tell the client to stop worrying and relax
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Answer: A) Encourage the client to talk about their fears
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Rationale: Encouraging the client to verbalize their fears and concerns is a therapeutic
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technique that can help reduce anxiety by allowing the client to process their emotions.
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5. Neurocognitive Disorders vv
A nurse is caring for a client with Alzheimer's disease. The nurse should plan to implement
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which of the following strategies to help manage the client's memory loss?
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A) Encourage the client to repeat information multiple times vv vv vv vv vv vv vv
B) Introduce new tasks to stimulate memory vv vv vv vv vv
C) Provide a structured environment with a consistent routine
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D) Disrupt the client’s routine to promote cognitive flexibility
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Answer: C) Provide a structured environment with a consistent routine
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Rationale: A structured environment and consistent routine help reduce confusion and anxiety in
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clients with Alzheimer's disease by providing predictability and stability.
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6. Respiratory System vv
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has a
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low oxygen saturation level. The nurse should prioritize which of the following actions?
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A) Administer high-flow oxygen to improve oxygen saturation vv vv vv vv vv vv
B) Increase the client's fluid intake to thin secretions
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C) Apply oxygen via nasal cannula and monitor for improvement
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D) Encourage deep breathing exercises to increase oxygenation vv vv vv vv vv vv
Answer: C) Apply oxygen via nasal cannula and monitor for improvement
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Rationale: In COPD, high-flow oxygen should be administered cautiously, as it may decrease
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the respiratory drive. Low-flow oxygen via nasal cannula is preferred, and the nurse should
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monitor oxygen saturation.
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7. Electrolyte Imbalance vv
A nurse is caring for a client with hypokalemia. Which of the following findings should the nurse
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expect to observe?
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A) Bradycardia
B) Hyperreflexia
C) Hypotension
D) Tachypnea
Answer: A) Bradycardia vv vv
Rationale: Hypokalemia can cause muscle weakness, fatigue, and bradycardia. It is important to
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monitor the client’s cardiac rhythm as potassium is essential for proper muscle and heart
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function.
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8. Fluid and Electrolytes vv vv
A nurse is caring for a client with hypercalcemia. Which of the following interventions is most
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appropriate?
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A) Administer diuretics to promote calcium excretion vv vv vv vv vv
B) Restrict fluid intake to prevent fluid overload
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