ATI COMPREHENSIVE EXIT EXAM RETAKE 2019
LATEST RELIABLE STUDY GUIDE; QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is providing prenatal teaching to a client who is 12 weeks of gestation. The
nurse should tell the client she will undergo which of the following screening test at 16
weeks of gestation?
a. Chorionic villus sampling
b. Cervical cultures for chlamydia
c. Non-stress test
d. Maternal serum alpha-fetoprotein
Answer: D.Maternal serum alpha-fetoprotein(performed ideally at 16 to 18
weeks)
Rational: Screening is usually done by taking a sample of your blood between 15 and 20 weeks of
pregnancy (16 to 18 weeks is ideal). The multiple markers include: AFP screening. Aiso called maternal
serum AFP, this blood test measures the level of AFP in your blood during pregnancy.
High leveis of alpha-fetoprotein: May indicate neural tube defects,
anencephaly or abdominal wall defect. Would follow up with ultrasound.
2. A nurse is caring for a client who is on bed rest. The nurse should recognize that
which of the following findings is a complication of immobility?
a. Decreased serum calcium leveis
b. Increased blood pressure
c. Swollen area on calf
d. Urinary frequency
Answer: C. Swollen area on calf
Rational: primary and serious effects of immobility on the musculoskeletal system
atrophy (decreased muscle size); contractures; ankylosis (fixation of a joint);
osteoporosis (loss of bone density); footdrop (plantar flexion)
3. A nurse in an acute care mental health facility is participating in a medication-
education group. The leader of the group uses laissez-faire leadership style. Which of
the following actions should the nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions are called
for.
b. The leader lectures about medication adverse rxn to the group members.
c. The leader allows the group to discuss whatever they would like regarding their
medications.
d. The leader has group members vote on what they would like to learn about during
the session.
Answer: C. The leader allows the group to discuss whatever they would like
,regarding their medications.
4. A nurse is admitting a client who is one week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client the client’s
partner and 10-year-old child are accompanying her. Which of the following actions
should the nurse take to gather the client’s admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate.
Answer: C. Request a female interpreter through the facility
Rational: We have been told not to use family members if not facility
interpreters
5. A nurse is caring for a client who is febrile(fever). To reduce the client’s fever, the
nurse applies cooling. Which of the following indicates the client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
Answer: D. shivering
Rational: Hypothermia is the adverse reaction of the cooling system for a
febrilepatient s/s of hypothermia: shivering, slurred speech, weak puise
drowsiness, confusion, loss of memory
6. A nurse is caring for a client who has deep-vein thrombosis of the left lower
extremity. Which of the following actions should the nurse take?
The Answer should be: ensure that the lower extremity is elevated.
Rational: DVT causes o edema; therefore, the UAP should elevate the extremity
topromote venous return. Dependent positioning is appropriate for a client with
arterial insufficiency. Placing a pillow under the knee would position the foot in
a low position, and pressure behind the knee may obstruct venous flow.
Massaging the extremity could dislodge the thrombus
7. A nurse is caring for a client who is at 33 weeks gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
a. contractions
b. Hypertension
c. Epigastric pain
d. vomiting
, Answer: a. Contraction
8. A nurse is providing discharge teaching to a client who has chronic kidney disease
and is receiving hemodialysis. Which of the following instructions should the nurse
include in the teaching?
a. Eat 1g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily.
d. Consume foods high in K+
Answer: A. Eat 1g/kg of protein per day
Rational: Protein intake and hemodialysis
protein is not routinely restricted.
Magnesium hydroxide. Please don’t chose this anwer!
-Magnesium is excreted by the kidneys, and patients with CKD should not use
OTC products containing magnesium. The other mediations are appropriate for
a patient with CKD.
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following places the client at risk for aspiration?
a. Sitting in high-fowlers position during the feeding
b. History of gastroesophageal reflux disease (GERD)
c. Receiving a high osmolality formula
d. A residual of 65ml 1 hr postprandial
Answer: B. History of gastroesophageal reflux disease (GERD)
Rational: Pt with higher Risk of aspiration a in clients with GERD
Rational: Amniocentesis
-Can't be done before 16 weeks, not enough amniotic fluid.
-maternal risks: haemorrhage, feto maternal haemorrhage, infection, contractions/labor,
abruptio placentae, damage to intestines or bladder, amniotic fluid embolism
-fetal risks: death, haemorrhage, infection, direct injury from the needle, miscarriage, and
preterm, leakage of amniotic fluid
10. A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Answer:D. Eat a light snack before bedtime Rational:
Consume a light snack of carbohydrates at bedtime
, 11. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions should
the nurse first take determining the client does not have a palpable puise?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer Epinephrine
Answer:B. Defibrillate
Rationale: The nurse needs to assess the client to determine stability before
proceeding with further interventions. If the client has a puise and is relatively
stable, elective cardioversion or antidysrhythmic medications may be
prescribed. The drug of choice for stable ventricular
tachycardia with a puise is amiodarone. If the client is puiseless or
nonresponsive, the client is unstable and defibrillation is us
LATEST RELIABLE STUDY GUIDE; QUESTIONS, ANSWERS AND RATIONALES.
1. A nurse is providing prenatal teaching to a client who is 12 weeks of gestation. The
nurse should tell the client she will undergo which of the following screening test at 16
weeks of gestation?
a. Chorionic villus sampling
b. Cervical cultures for chlamydia
c. Non-stress test
d. Maternal serum alpha-fetoprotein
Answer: D.Maternal serum alpha-fetoprotein(performed ideally at 16 to 18
weeks)
Rational: Screening is usually done by taking a sample of your blood between 15 and 20 weeks of
pregnancy (16 to 18 weeks is ideal). The multiple markers include: AFP screening. Aiso called maternal
serum AFP, this blood test measures the level of AFP in your blood during pregnancy.
High leveis of alpha-fetoprotein: May indicate neural tube defects,
anencephaly or abdominal wall defect. Would follow up with ultrasound.
2. A nurse is caring for a client who is on bed rest. The nurse should recognize that
which of the following findings is a complication of immobility?
a. Decreased serum calcium leveis
b. Increased blood pressure
c. Swollen area on calf
d. Urinary frequency
Answer: C. Swollen area on calf
Rational: primary and serious effects of immobility on the musculoskeletal system
atrophy (decreased muscle size); contractures; ankylosis (fixation of a joint);
osteoporosis (loss of bone density); footdrop (plantar flexion)
3. A nurse in an acute care mental health facility is participating in a medication-
education group. The leader of the group uses laissez-faire leadership style. Which of
the following actions should the nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions are called
for.
b. The leader lectures about medication adverse rxn to the group members.
c. The leader allows the group to discuss whatever they would like regarding their
medications.
d. The leader has group members vote on what they would like to learn about during
the session.
Answer: C. The leader allows the group to discuss whatever they would like
,regarding their medications.
4. A nurse is admitting a client who is one week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client the client’s
partner and 10-year-old child are accompanying her. Which of the following actions
should the nurse take to gather the client’s admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate.
Answer: C. Request a female interpreter through the facility
Rational: We have been told not to use family members if not facility
interpreters
5. A nurse is caring for a client who is febrile(fever). To reduce the client’s fever, the
nurse applies cooling. Which of the following indicates the client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
Answer: D. shivering
Rational: Hypothermia is the adverse reaction of the cooling system for a
febrilepatient s/s of hypothermia: shivering, slurred speech, weak puise
drowsiness, confusion, loss of memory
6. A nurse is caring for a client who has deep-vein thrombosis of the left lower
extremity. Which of the following actions should the nurse take?
The Answer should be: ensure that the lower extremity is elevated.
Rational: DVT causes o edema; therefore, the UAP should elevate the extremity
topromote venous return. Dependent positioning is appropriate for a client with
arterial insufficiency. Placing a pillow under the knee would position the foot in
a low position, and pressure behind the knee may obstruct venous flow.
Massaging the extremity could dislodge the thrombus
7. A nurse is caring for a client who is at 33 weeks gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
a. contractions
b. Hypertension
c. Epigastric pain
d. vomiting
, Answer: a. Contraction
8. A nurse is providing discharge teaching to a client who has chronic kidney disease
and is receiving hemodialysis. Which of the following instructions should the nurse
include in the teaching?
a. Eat 1g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily.
d. Consume foods high in K+
Answer: A. Eat 1g/kg of protein per day
Rational: Protein intake and hemodialysis
protein is not routinely restricted.
Magnesium hydroxide. Please don’t chose this anwer!
-Magnesium is excreted by the kidneys, and patients with CKD should not use
OTC products containing magnesium. The other mediations are appropriate for
a patient with CKD.
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings.
Which of the following places the client at risk for aspiration?
a. Sitting in high-fowlers position during the feeding
b. History of gastroesophageal reflux disease (GERD)
c. Receiving a high osmolality formula
d. A residual of 65ml 1 hr postprandial
Answer: B. History of gastroesophageal reflux disease (GERD)
Rational: Pt with higher Risk of aspiration a in clients with GERD
Rational: Amniocentesis
-Can't be done before 16 weeks, not enough amniotic fluid.
-maternal risks: haemorrhage, feto maternal haemorrhage, infection, contractions/labor,
abruptio placentae, damage to intestines or bladder, amniotic fluid embolism
-fetal risks: death, haemorrhage, infection, direct injury from the needle, miscarriage, and
preterm, leakage of amniotic fluid
10. A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Answer:D. Eat a light snack before bedtime Rational:
Consume a light snack of carbohydrates at bedtime
, 11. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions should
the nurse first take determining the client does not have a palpable puise?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer Epinephrine
Answer:B. Defibrillate
Rationale: The nurse needs to assess the client to determine stability before
proceeding with further interventions. If the client has a puise and is relatively
stable, elective cardioversion or antidysrhythmic medications may be
prescribed. The drug of choice for stable ventricular
tachycardia with a puise is amiodarone. If the client is puiseless or
nonresponsive, the client is unstable and defibrillation is us
