Stuvia.com - The Marketplace to Buy and Sell your Study
n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
RRRR
RN ATI Comprehensive Exit Exam (Version 1, 2, 3, 4) With Questions And
m m m m m m m m m m m m
n 8 Revised Correct Answers & Rationales () 100% Guaranteed Pass
m m m m m m m m m m m
n 8 ||Complete A+ Guide
m m m
EXAM DETAILS: m
➢ RN ATI Comprehensive Exit Exam
m m m m m
➢ Version 1, 2, 3, 4 m m m m
➢ With Questions And Revised Correct Answers & Rationales
m m m m m m m
➢ 100% Guaranteed Pass ||Complete A+ Guide
m m m m m
➢ RN ATI Comprehensive
m m
, Stuvia.com - The Marketplace to Buy and Sell your Study n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
Question 1 n8
A home health nurse is caring for a child who has Lyme disease. Which of the following is
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
an appropriate action for the nurse to take?
n8 n8 n8 n8 n8 n8 n8 n8
A. Ensure the state health department has been notified.
n8 n8 n8 n8 n8 n8 n8
B. Administer antitoxin. n8
C. Educate the family to avoid sharing personal belongings.
n8 n8 n8 n8 n8 n8 n8
D. Assess for skin necrosis. n8 n8 n8
Correct Answer: A. Ensure the state health department has been notified.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Rationale: Lyme disease is a nationally notifiable disease. Healthcare providers and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
laboratories are required to report cases to their state or local health department. This
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
reporting is crucial for public health surveillance, monitoring incidence rates, and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
implementing control measures. The other actions are not directly associated with the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
nurse's role in managing a confirmed case of Lyme disease in a community setting.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Question 2 n8
A nurse is caring for a client who has been admitted to the hospital. The client reports a
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
loss of appetite, shortness of breath, weakness, abdominal pain, severe itching, and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
mood changes. The client has a 10-year history of alcohol use disorder. Assessment
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
findings include disorientation to time, a bloated abdomen, red palms, excoriated areas
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
on the upper thorax, and yellow sclera. Select the 5 actions the nurse should take.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
A. Provide frequent rest periods for the client.
n8 n8 n8 n8 n8 n8
B. Restrict the client's sodium intake. n8 n8 n8 n8
C. Advise the client to avoid the use of soap and alcohol-based lotions.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
D. Place the client on a low-carbohydrate diet.
n8 n8 n8 n8 n8 n8
E. Place the client under contact isolation.
n8 n8 n8 n8 n8
, Stuvia.com - The Marketplace to Buy and Sell your Study n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
F. Instruct the client to avoid blowing their nose forcefully.
n8 n8 n8 n8 n8 n8 n8 n8
G. Assess the client's level of orientation.
n8 n8 n8 n8 n8
Correct Answers: A, B, C, F, G n8 n8 n8 n8 n8 n8
Rationale: The client's history and symptoms (alcohol use, ascites, jaundice, palmar
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
erythema, pruritus, disorientation) point to liver failure. A. Provide frequent rest to
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
conserve energy due to metabolic imbalances. B. Restrict sodium to manage ascites
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
and fluid retention. C. Avoid soap/alcohol-based lotions to prevent further skin
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
irritation and breakdown from severe itching (pruritus). F. Instruct to avoid blowing
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
n8 nose forcefully due to the risk of bleeding from coagulopathy (impaired clotting factor
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
synthesis). G. Assess orientation to monitor for worsening hepatic encephalopathy. (D
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
is incorrect; carbohydrates are often needed for energy. E is incorrect; isolation is not
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
required unless a specific infection is present.)
n8 n8 n8 n8 n8 n8 n8
Question 3 n8
A nurse is caring for a newborn. The newborn's vital signs show tachypnea. Complete
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
the following sentence: "The client is at risk for developing Tachypnea and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 ."
A. Hypoglycemia
B. Hyperthermia
C. Polycythemia
D. Hyperbilirubinemia
Correct Answer: A. Hypoglycemia n8 n8 n8
Rationale: This newborn, with a birth weight of 4200 gm (9 lb 4 oz), is macrosomic.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Macrosomic infants are often born to mothers with diabetes and are at significant risk
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
for hypoglycemia after birth due to hyperinsulinism from the excess glucose received in
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
utero. The tachypnea can be an early sign of this metabolic derangement or respiratory
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
distress. While hyperbilirubinemia is also a risk for this population, hypoglycemia is the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
immediate concern indicated by the data.
n8 n8 n8 n8 n8 n8
, Stuvia.com - The Marketplace to Buy and Sell your Study
n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
Question 4 n8
While performing a routine assessment, a nurse notices fraying on the electrical cord of a
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
client's continuous passive motion (CPM) device. Which of the following actions should
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
the nurse take first?
n8 n8 n8 n8
A. Remove the device from the room. n8 n8 n8 n8 n8
B. Place a warning sign on the device.
n8 n8 n8 n8 n8 n8
C. Report the defect to the biomedical department.
n8 n8 n8 n8 n8 n8
D. Tag the device and send it for repair.
n8 n8 n8 n8 n8 n8 n8
Correct Answer: A. Remove the device from the room.
n8 n8 n8 n8 n8 n8 n8 n8
Rationale: The first and most critical action is to ensure client safety by immediately
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
removing the equipment with a frayed cord from the client's immediate environment to
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
prevent the risk of electrical shock or fire. After removing the hazard, the nurse would
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
then tag it as defective and report it to the appropriate department (biomedical
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
engineering) for repair or disposal. The other steps are important follow-up actions but
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
not the immediate priority.
n8 n8 n8 n8
Question 5 n8
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
following actions should the nurse take when pouring the sterile solution?
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
A. Hold the bottle with the label facing away from the palm of the hand.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
B. Pour the solution from a height of 25 cm (10 in) to ensure sterility.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
C. Hold the bottle so that the inside of the bottle neck touches the receiving container.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
D. Pour the solution with the bottle held in the center of the sterile field.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Correct Answer: A. Hold the bottle with the label facing away from the palm of the hand.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
RRRR
RN ATI Comprehensive Exit Exam (Version 1, 2, 3, 4) With Questions And
m m m m m m m m m m m m
n 8 Revised Correct Answers & Rationales () 100% Guaranteed Pass
m m m m m m m m m m m
n 8 ||Complete A+ Guide
m m m
EXAM DETAILS: m
➢ RN ATI Comprehensive Exit Exam
m m m m m
➢ Version 1, 2, 3, 4 m m m m
➢ With Questions And Revised Correct Answers & Rationales
m m m m m m m
➢ 100% Guaranteed Pass ||Complete A+ Guide
m m m m m
➢ RN ATI Comprehensive
m m
, Stuvia.com - The Marketplace to Buy and Sell your Study n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
Question 1 n8
A home health nurse is caring for a child who has Lyme disease. Which of the following is
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
an appropriate action for the nurse to take?
n8 n8 n8 n8 n8 n8 n8 n8
A. Ensure the state health department has been notified.
n8 n8 n8 n8 n8 n8 n8
B. Administer antitoxin. n8
C. Educate the family to avoid sharing personal belongings.
n8 n8 n8 n8 n8 n8 n8
D. Assess for skin necrosis. n8 n8 n8
Correct Answer: A. Ensure the state health department has been notified.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Rationale: Lyme disease is a nationally notifiable disease. Healthcare providers and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
laboratories are required to report cases to their state or local health department. This
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
reporting is crucial for public health surveillance, monitoring incidence rates, and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
implementing control measures. The other actions are not directly associated with the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
nurse's role in managing a confirmed case of Lyme disease in a community setting.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Question 2 n8
A nurse is caring for a client who has been admitted to the hospital. The client reports a
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
loss of appetite, shortness of breath, weakness, abdominal pain, severe itching, and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
mood changes. The client has a 10-year history of alcohol use disorder. Assessment
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
findings include disorientation to time, a bloated abdomen, red palms, excoriated areas
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
on the upper thorax, and yellow sclera. Select the 5 actions the nurse should take.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
A. Provide frequent rest periods for the client.
n8 n8 n8 n8 n8 n8
B. Restrict the client's sodium intake. n8 n8 n8 n8
C. Advise the client to avoid the use of soap and alcohol-based lotions.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
D. Place the client on a low-carbohydrate diet.
n8 n8 n8 n8 n8 n8
E. Place the client under contact isolation.
n8 n8 n8 n8 n8
, Stuvia.com - The Marketplace to Buy and Sell your Study n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
F. Instruct the client to avoid blowing their nose forcefully.
n8 n8 n8 n8 n8 n8 n8 n8
G. Assess the client's level of orientation.
n8 n8 n8 n8 n8
Correct Answers: A, B, C, F, G n8 n8 n8 n8 n8 n8
Rationale: The client's history and symptoms (alcohol use, ascites, jaundice, palmar
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
erythema, pruritus, disorientation) point to liver failure. A. Provide frequent rest to
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
conserve energy due to metabolic imbalances. B. Restrict sodium to manage ascites
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
and fluid retention. C. Avoid soap/alcohol-based lotions to prevent further skin
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
irritation and breakdown from severe itching (pruritus). F. Instruct to avoid blowing
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
n8 nose forcefully due to the risk of bleeding from coagulopathy (impaired clotting factor
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
synthesis). G. Assess orientation to monitor for worsening hepatic encephalopathy. (D
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
is incorrect; carbohydrates are often needed for energy. E is incorrect; isolation is not
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
required unless a specific infection is present.)
n8 n8 n8 n8 n8 n8 n8
Question 3 n8
A nurse is caring for a newborn. The newborn's vital signs show tachypnea. Complete
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
the following sentence: "The client is at risk for developing Tachypnea and
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 ."
A. Hypoglycemia
B. Hyperthermia
C. Polycythemia
D. Hyperbilirubinemia
Correct Answer: A. Hypoglycemia n8 n8 n8
Rationale: This newborn, with a birth weight of 4200 gm (9 lb 4 oz), is macrosomic.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Macrosomic infants are often born to mothers with diabetes and are at significant risk
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
for hypoglycemia after birth due to hyperinsulinism from the excess glucose received in
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
utero. The tachypnea can be an early sign of this metabolic derangement or respiratory
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
distress. While hyperbilirubinemia is also a risk for this population, hypoglycemia is the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
immediate concern indicated by the data.
n8 n8 n8 n8 n8 n8
, Stuvia.com - The Marketplace to Buy and Sell your Study
n8 n8 n8 n8 n8 n8 n8 n8 n8
Material
n8
Question 4 n8
While performing a routine assessment, a nurse notices fraying on the electrical cord of a
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
client's continuous passive motion (CPM) device. Which of the following actions should
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
the nurse take first?
n8 n8 n8 n8
A. Remove the device from the room. n8 n8 n8 n8 n8
B. Place a warning sign on the device.
n8 n8 n8 n8 n8 n8
C. Report the defect to the biomedical department.
n8 n8 n8 n8 n8 n8
D. Tag the device and send it for repair.
n8 n8 n8 n8 n8 n8 n8
Correct Answer: A. Remove the device from the room.
n8 n8 n8 n8 n8 n8 n8 n8
Rationale: The first and most critical action is to ensure client safety by immediately
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
removing the equipment with a frayed cord from the client's immediate environment to
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
prevent the risk of electrical shock or fire. After removing the hazard, the nurse would
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
then tag it as defective and report it to the appropriate department (biomedical
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
engineering) for repair or disposal. The other steps are important follow-up actions but
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
not the immediate priority.
n8 n8 n8 n8
Question 5 n8
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
following actions should the nurse take when pouring the sterile solution?
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
A. Hold the bottle with the label facing away from the palm of the hand.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
B. Pour the solution from a height of 25 cm (10 in) to ensure sterility.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
C. Hold the bottle so that the inside of the bottle neck touches the receiving container.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
D. Pour the solution with the bottle held in the center of the sterile field.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
Correct Answer: A. Hold the bottle with the label facing away from the palm of the hand.
n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8 n8
