ATI COMPREHENSIVE EXIT EXAM WITH NGN
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE JUST RELEASED
ANSWERS IN YELLOW - COMPLETE 180 QUESTIONS
Question 1: A charge nurse is reviewing the concept of mental
illness with a newly licensed charge nurse. Which of the following
statements by the newly licensed charge nurse indicates
understanding?
Mental illness is a normal response to stress
Mental illness is a condition that results in maladaptive responses
Mental illness is a disease that can be cured
Mental illness is a lack of willpower
Answer:
Mental illness is a condition that results in maladaptive responses. Rationale:
Mental illness involves disturbances in cognition, emotion, and behavior
leading to maladaptive coping.
Question 2: A nurse is planning discharge teaching for a client who
has major depressive disorder. Which of the following statements
should the nurse include?
You should stop taking medication when you feel better
You may experience a decreased interest in activities
You should increase caffeine intake
You should isolate yourself when feeling low
Answer:
, You may experience a decreased interest in activities is expected during
depression, but report worsening. Continue medication adherence, maintain
follow-up, encourage social support, avoid alcohol. Teaching includes
medication compliance, coping strategies.
Question 3: A nurse is assessing a client who has bulimia nervosa.
Which of the following findings should the nurse expect?
A. Amenorrhea
B. Lanugo
C. Cold extremities
D. Tooth erosion
Answer:
D. Tooth erosion due to repeated vomiting with acidic content. Also: dental
caries, parotid swelling, Russell's sign, electrolyte imbalances (hypokalemia).
Question 4: A nurse is caring for a client who has anorexia
nervosa. Which of the following findings should the nurse expect?
A. Hypertension
B. Bradycardia
C. Hyperthermia
D. Diarrhea
Answer:
B. Bradycardia, hypotension, hypothermia, lanugo, cold intolerance,
amenorrhea, constipation due to decreased metabolic rate.
Question 5: A nurse is caring for a client who is experiencing a
panic attack. Which of the following actions should the nurse take?
A. Leave the client alone
, B. Speak in a high-pitched tone
C. Stay with the client and use short simple sentences
D. Encourage the client to discuss the panic in detail
Answer:
C. Stay with the client, provide safe quiet environment, use short simple
sentences, do not leave alone, speak calmly, assess.
Question 6: A nurse is caring for a newborn. Which of the following
actions should the nurse take to prevent cold stress?
A. Place the newborn under a radiant warmer
B. Bathe immediately
C. Place in a drafty area
D. Remove hat
Answer:
A. Place newborn under radiant warmer, dry immediately, skin-to-skin, hat,
warm blankets. Prevent heat loss via evaporation, conduction, convection,
radiation.
Question 7: A nurse is caring for a client who has preeclampsia.
Which of the following findings indicates eclampsia?
A. Proteinuria
B. Hypertension
C. Seizure activity
D. Edema
Answer:
C. Seizure activity indicates eclampsia. Preeclampsia = HTN + proteinuria +
edema; eclampsia = seizure.
, Question 8: A nurse is assessing a client who has a closed head
injury with increased ICP. Which of the following findings should
the nurse expect?
A. Tachycardia
B. Widening pulse pressure
C. Hypotension
D. Bradypnea
Answer:
B. Widening pulse pressure is part of Cushing's triad (bradycardia, widening
pulse pressure, irregular respirations) indicating increased ICP.
Question 9: Question 61 of 180 - A nurse in an emergency
department is caring for a client. History and Physical: 57-year-old
male client presents with severe abdominal and epigastric pain that
began about 12 hr ago. Pain rates pain a 7 on a 0 to 10 pain scale.
Reports pain worsens after eating and radiates into his back. States
nauseous and has several episodes of vomiting. Reports shortness
of breath and increased pain when lying flat. Client alert and
oriented x4 but appears ill. Sclera and palate noted to be yellow.
Abdomen distended, rigid, and tender to palpation. Skin turgor
poor. Client reports consuming 3 to 4 alcoholic drinks per day.
This is a pancreatitis case study - labs show elevated amylase,
lipase, bilirubin
Exhibit 2 Vital signs
Exhibit 3 Nurses Notes
Exhibit 4 Lab Results
Exhibit 5 Glucose 204
Answer:
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE JUST RELEASED
ANSWERS IN YELLOW - COMPLETE 180 QUESTIONS
Question 1: A charge nurse is reviewing the concept of mental
illness with a newly licensed charge nurse. Which of the following
statements by the newly licensed charge nurse indicates
understanding?
Mental illness is a normal response to stress
Mental illness is a condition that results in maladaptive responses
Mental illness is a disease that can be cured
Mental illness is a lack of willpower
Answer:
Mental illness is a condition that results in maladaptive responses. Rationale:
Mental illness involves disturbances in cognition, emotion, and behavior
leading to maladaptive coping.
Question 2: A nurse is planning discharge teaching for a client who
has major depressive disorder. Which of the following statements
should the nurse include?
You should stop taking medication when you feel better
You may experience a decreased interest in activities
You should increase caffeine intake
You should isolate yourself when feeling low
Answer:
, You may experience a decreased interest in activities is expected during
depression, but report worsening. Continue medication adherence, maintain
follow-up, encourage social support, avoid alcohol. Teaching includes
medication compliance, coping strategies.
Question 3: A nurse is assessing a client who has bulimia nervosa.
Which of the following findings should the nurse expect?
A. Amenorrhea
B. Lanugo
C. Cold extremities
D. Tooth erosion
Answer:
D. Tooth erosion due to repeated vomiting with acidic content. Also: dental
caries, parotid swelling, Russell's sign, electrolyte imbalances (hypokalemia).
Question 4: A nurse is caring for a client who has anorexia
nervosa. Which of the following findings should the nurse expect?
A. Hypertension
B. Bradycardia
C. Hyperthermia
D. Diarrhea
Answer:
B. Bradycardia, hypotension, hypothermia, lanugo, cold intolerance,
amenorrhea, constipation due to decreased metabolic rate.
Question 5: A nurse is caring for a client who is experiencing a
panic attack. Which of the following actions should the nurse take?
A. Leave the client alone
, B. Speak in a high-pitched tone
C. Stay with the client and use short simple sentences
D. Encourage the client to discuss the panic in detail
Answer:
C. Stay with the client, provide safe quiet environment, use short simple
sentences, do not leave alone, speak calmly, assess.
Question 6: A nurse is caring for a newborn. Which of the following
actions should the nurse take to prevent cold stress?
A. Place the newborn under a radiant warmer
B. Bathe immediately
C. Place in a drafty area
D. Remove hat
Answer:
A. Place newborn under radiant warmer, dry immediately, skin-to-skin, hat,
warm blankets. Prevent heat loss via evaporation, conduction, convection,
radiation.
Question 7: A nurse is caring for a client who has preeclampsia.
Which of the following findings indicates eclampsia?
A. Proteinuria
B. Hypertension
C. Seizure activity
D. Edema
Answer:
C. Seizure activity indicates eclampsia. Preeclampsia = HTN + proteinuria +
edema; eclampsia = seizure.
, Question 8: A nurse is assessing a client who has a closed head
injury with increased ICP. Which of the following findings should
the nurse expect?
A. Tachycardia
B. Widening pulse pressure
C. Hypotension
D. Bradypnea
Answer:
B. Widening pulse pressure is part of Cushing's triad (bradycardia, widening
pulse pressure, irregular respirations) indicating increased ICP.
Question 9: Question 61 of 180 - A nurse in an emergency
department is caring for a client. History and Physical: 57-year-old
male client presents with severe abdominal and epigastric pain that
began about 12 hr ago. Pain rates pain a 7 on a 0 to 10 pain scale.
Reports pain worsens after eating and radiates into his back. States
nauseous and has several episodes of vomiting. Reports shortness
of breath and increased pain when lying flat. Client alert and
oriented x4 but appears ill. Sclera and palate noted to be yellow.
Abdomen distended, rigid, and tender to palpation. Skin turgor
poor. Client reports consuming 3 to 4 alcoholic drinks per day.
This is a pancreatitis case study - labs show elevated amylase,
lipase, bilirubin
Exhibit 2 Vital signs
Exhibit 3 Nurses Notes
Exhibit 4 Lab Results
Exhibit 5 Glucose 204
Answer:
