ATI Comprehensive Exit Exam: Verified
180 Questions & Answers with 100%
Complete Solution
Informed Consent for ECT - ANS A client has the right to withdraw consent for the treatment at
any time.
Fraying on Electrical Cord - ANS The nurse should first remove the device from the room.
Hydromorphone Prescription - ANS The nurse should count the current number of unit doses
available in the medication dispensing system.
Priority Finding Post Cast Placement - ANS A client 2 hours post cast placement with 2+ pitting
edema and pallor has the priority finding.
Disulfiram Alcohol Use - ANS A client should limit alcohol use to one drink daily while taking
disulfiram.
Fluoxetine and Tyramine - ANS A client should avoid foods containing tyramine while taking
fluoxetine.
Sustained-Release Methylphenidate - ANS A client should take the sustained-release
methylphenidate every morning.
Major Depressive Disorder Precautions - ANS The nurse should implement seizure precautions
for the client.
Narcissistic Personality Disorder Expectation - ANS The nurse should expect the client to be
preoccupied with aging.
Time Management in Nursing - ANS The nurse should first determine goals of the day.
Change-of-Shift Assessment Priority - ANS The priority finding is a client with pneumonia,
productive cough, and fever of 38.8° C (101.8° F).
Medication Administration Documentation - ANS The nurse should document administration of
the medication upon removal from the medication dispensing system.
,Withholding Medication - ANS The nurse should withhold hydromorphone if the client does not
appear to be in pain.
Client Teaching in Mental Health - ANS Understanding is indicated when a client states they will
take their lithium on an empty stomach.
Seizure Precautions - ANS Implementing seizure precautions is a priority action for a client with
major depressive disorder.
Client Assessment in Mental Health - ANS Encouraging the client to verbalize feelings is an
important action but not the first priority.
Electrical Device Safety - ANS Reporting the defect to the equipment maintenance staff is
necessary but should follow immediate removal of the device.
Medication Dispensing System - ANS The nurse should ensure the device inspection sticker is
current as part of routine safety checks.
Postoperative Care - ANS Monitoring for pain is crucial after administering hydromorphone.
Effective Client Teaching - ANS Clients should be able to articulate the importance of
medication adherence.
Managing Nursing Tasks - ANS Developing an hourly time frame for tasks can help manage
time effectively.
Client Assessment Findings - ANS Identifying priority findings is essential during shift changes.
Understanding Medication Effects - ANS Clients must understand the effects and side effects of
their medications.
Determine goals of the day - ANS Establish specific objectives for daily activities.
Magnesium sulfate via continuous IV infusion - ANS A treatment for preeclampsia requiring
careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - ANS A guideline for fluid management in
certain medical conditions.
Measure the client's urine output every hour - ANS A critical action to monitor kidney function
and fluid balance.
, Give the client protamine if signs of magnesium sulfate toxicity occur - ANS An emergency
intervention for reversing magnesium toxicity.
Monitor the FHR via Doppler every 30 min - ANS A procedure to assess fetal heart rate during
labor.
Wounds healing by primary intention - ANS Wounds that heal with minimal scarring, typically
surgical incisions.
Approximated surgical incision - ANS A type of wound expected to heal by primary intention.
Client taking clozapine to treat schizophrenia and reports sore throat - ANS A priority client due
to potential agranulocytosis risk.
Client has OCD and is upset about a change in daily routine - ANS A client with stable
condition, less urgent than others.
Client has narcissistic personality disorder and is mocking others during group therapy - ANS A
client displaying disruptive behavior, but not immediately life-threatening.
Client who has depressive disorder and requires assistance with ADLs - ANS A client needing
support but not in immediate danger.
Implanted venous access port - ANS A device for long-term venous access in patients.
A non-coring needle - ANS A specialized needle used to access implanted ports.
Client who has pneumonia and feels chest pain - ANS A patient requiring urgent assessment
for potential cardiac issues.
12 lead ECG - ANS A priority diagnostic test for evaluating cardiac function.
Assessing growth and development of a 3 y/o child - ANS Evaluating developmental milestones
in early childhood.
Can your child ride a tricycle? - ANS A question to assess gross motor skills in a 3-year-old.
Fetal heart tones assessment at 12 weeks of gestation - ANS A procedure to monitor fetal
health early in pregnancy.
Position the ultrasound stethoscope above the symphysis pubis to assess the FHR - ANS A
technique for detecting fetal heart tones during early pregnancy.
180 Questions & Answers with 100%
Complete Solution
Informed Consent for ECT - ANS A client has the right to withdraw consent for the treatment at
any time.
Fraying on Electrical Cord - ANS The nurse should first remove the device from the room.
Hydromorphone Prescription - ANS The nurse should count the current number of unit doses
available in the medication dispensing system.
Priority Finding Post Cast Placement - ANS A client 2 hours post cast placement with 2+ pitting
edema and pallor has the priority finding.
Disulfiram Alcohol Use - ANS A client should limit alcohol use to one drink daily while taking
disulfiram.
Fluoxetine and Tyramine - ANS A client should avoid foods containing tyramine while taking
fluoxetine.
Sustained-Release Methylphenidate - ANS A client should take the sustained-release
methylphenidate every morning.
Major Depressive Disorder Precautions - ANS The nurse should implement seizure precautions
for the client.
Narcissistic Personality Disorder Expectation - ANS The nurse should expect the client to be
preoccupied with aging.
Time Management in Nursing - ANS The nurse should first determine goals of the day.
Change-of-Shift Assessment Priority - ANS The priority finding is a client with pneumonia,
productive cough, and fever of 38.8° C (101.8° F).
Medication Administration Documentation - ANS The nurse should document administration of
the medication upon removal from the medication dispensing system.
,Withholding Medication - ANS The nurse should withhold hydromorphone if the client does not
appear to be in pain.
Client Teaching in Mental Health - ANS Understanding is indicated when a client states they will
take their lithium on an empty stomach.
Seizure Precautions - ANS Implementing seizure precautions is a priority action for a client with
major depressive disorder.
Client Assessment in Mental Health - ANS Encouraging the client to verbalize feelings is an
important action but not the first priority.
Electrical Device Safety - ANS Reporting the defect to the equipment maintenance staff is
necessary but should follow immediate removal of the device.
Medication Dispensing System - ANS The nurse should ensure the device inspection sticker is
current as part of routine safety checks.
Postoperative Care - ANS Monitoring for pain is crucial after administering hydromorphone.
Effective Client Teaching - ANS Clients should be able to articulate the importance of
medication adherence.
Managing Nursing Tasks - ANS Developing an hourly time frame for tasks can help manage
time effectively.
Client Assessment Findings - ANS Identifying priority findings is essential during shift changes.
Understanding Medication Effects - ANS Clients must understand the effects and side effects of
their medications.
Determine goals of the day - ANS Establish specific objectives for daily activities.
Magnesium sulfate via continuous IV infusion - ANS A treatment for preeclampsia requiring
careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - ANS A guideline for fluid management in
certain medical conditions.
Measure the client's urine output every hour - ANS A critical action to monitor kidney function
and fluid balance.
, Give the client protamine if signs of magnesium sulfate toxicity occur - ANS An emergency
intervention for reversing magnesium toxicity.
Monitor the FHR via Doppler every 30 min - ANS A procedure to assess fetal heart rate during
labor.
Wounds healing by primary intention - ANS Wounds that heal with minimal scarring, typically
surgical incisions.
Approximated surgical incision - ANS A type of wound expected to heal by primary intention.
Client taking clozapine to treat schizophrenia and reports sore throat - ANS A priority client due
to potential agranulocytosis risk.
Client has OCD and is upset about a change in daily routine - ANS A client with stable
condition, less urgent than others.
Client has narcissistic personality disorder and is mocking others during group therapy - ANS A
client displaying disruptive behavior, but not immediately life-threatening.
Client who has depressive disorder and requires assistance with ADLs - ANS A client needing
support but not in immediate danger.
Implanted venous access port - ANS A device for long-term venous access in patients.
A non-coring needle - ANS A specialized needle used to access implanted ports.
Client who has pneumonia and feels chest pain - ANS A patient requiring urgent assessment
for potential cardiac issues.
12 lead ECG - ANS A priority diagnostic test for evaluating cardiac function.
Assessing growth and development of a 3 y/o child - ANS Evaluating developmental milestones
in early childhood.
Can your child ride a tricycle? - ANS A question to assess gross motor skills in a 3-year-old.
Fetal heart tones assessment at 12 weeks of gestation - ANS A procedure to monitor fetal
health early in pregnancy.
Position the ultrasound stethoscope above the symphysis pubis to assess the FHR - ANS A
technique for detecting fetal heart tones during early pregnancy.
