ATI EXIT EXAM| Questions and Answers| Latest 2022/2023

ATI EXIT EXAM| Questions and Answers a. Initiating IV assess b. Performing tracheostomy care c. Inserting an NG tube d. Administering total parenteral nutrition through a central venous assess device a. Observe the position of the suspended weight b. Remind the client to use the incentive spirometer c. Check the client’s pedal pulse on the right leg d. Ask client to describe her pain a. Allow client’s partner to translate b. Request female interpreter through the facility c. Have client’s child translate d. Ask nursing student who speaks the same language as the client to translate a. “Are you not happy with your treatment?” b. “Why are you interested in seeing your therapist’s notes?” c. “I don’t think you will benefit from reviewing your therapist’s notes right now.” d. “We can provide a copy of your records, but the therapist’s notes are not included.” a. Cleanse the tip of the penis in a side to side motion b. Pick up the catheter 13 cm (5 in) from its tip c. Perform the cleansing procedure with a fresh swab two times d. Lift the penis so that it is perpendicular to the client’s body a. Tachycardia b. Flushing c. Shivering 10. A nurse is caring for several clients on a med surg unit. For which of the following nursing activities is it required that the nurse use sterile gloves? 11. Lab results s/p surgery. Which should be reported to the provider? a. Na 160 mEq/L b. Cl 100 mEq/L c. Bicarbonate 26 mEq/L d. K 3.8 mEq/L 12. Nurse is developing care plan for client on Buck’s traction and is schedules for surgery for a fractured femur of the right leg. Which should the nurse delegate to an AP? 13. Client in ER experiencing stimulant withdrawal. Which finding should the nurse expect? a. Decreased appetite b. Runny nose c. Muscle spasms d. Fatigue 14. Postpartum client with a language barrier. Which of the following actions should the nurse take to gather the client’s admission data? 15. Operating fire extinguisher [arrange] 1) Unlock the handle by pulling on the pin 2) Point the hose at the base of the fire3) Squeeze the handle by pulling on the pin4) Sweep the extinguisher from side to side 16. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy obtain a copy of the therapist’s notes. Which of the following responses should the nurse make? 17. A nurse is assessing a client who has hypervolemia. Which of the findings should the nurse expect? a. Urinary frequency b. Decreased BP c. Bounding pulse (medsurg pg. 267) d. Bradycardia 18. Inserting indwelling urinary catheter to a male client. Which of the following actions should the nurse take? 19. A nurse is caring for a client who is febrile. To reduce fever, the nurse applies a cooling blanket. Which of the findings indicates the client is having an adverse reaction to the cooling? a. “You will have a urinary catheter inserted prior to the placement of the medication.” b. “You will lie on your side for 30 min after the medication is inserted.” c. “You will have oxytocin initiated within 3 hours of administration of the medication.” d. “You will have intermittent fetal monitoring while you receive the medication.” is an appropriate response by the nurse? a. “That can’t be true. The only voices in this room are yours and mine.” b. “You shouldn’t be afraid when you think the voices are telling you to hurt yourself.” c. “I understand the voices are frightening you, but I do not hear any voices.” d. “Do you recognize the voices as belonging to anyone you know?” a. “I should place my baby in the left side-lying position at night when using the helmet.” b. “I should avoid tummy time when my baby is wearing the helmet.” c. “I should expect to have my baby wear this helmet for 10 months.” d. “I should keep the helmet on my baby for 23 hours a day.” a. Decreased hgb and platelet count b. Decreased myoglobin and antinuclear antibody titer c. Elevated sedimentation rate and C-reactive protein d. Elevated creatine kinase and troponin a. Nephrologist b. Cardiologist c. Infectious control nurse d. Dietitian a. Focus on several client tasks at a time b. Document client care at the end of the shift c. Skip breaks until client tasks are completed d. Make a client to-do list for the day c. Place client on a coating blanket d. Administer an analgesic a. “I can continue to take St. John’s wort while taking this medication.” b. “I know it will be a couple of weeks before the medication helps me feel better.” (pharm pg. 56: it can take 10-14 days or longer) c. “I expect this medication to raise my blood pressure.” d. “I should take this medication on an empty stomach.”