COMPREHENSIVE ATI EXIT EXAM/ CORRECT
QUESTIONS & ANSWERS/ GUARANTEED PASS/
WELL BUNDLED TO EASE AND BOOST YOUR
STUDY/ PROFESSOR APPROVED/ GRADED A
Hypovolemia (S&S) - ANSWER -elevated hematocrit (ex=55%)
-weak pulse
-tachycardia
-hypotension
-tachypnea
-slow cap refill
-elevated BUN
-increased urine specific gravity
-decreased urine output
*A- measure pts daily weight*; daily weights are the most sensitive indicator of fluid balance in clients of
all ages, especially critical for infants & children bc fluid accounts for a > portion of body weight
INCORRECT:
b-checking for the absence of tears is part of the hydration assessment BUT doesn't give the nurse
precise information about the degree or severity of the infant's dehydration
c-palpating the fontanel is part of the hydration assessment BUT unless fontanel is extremely sunken,
this assessment doesn't give the nurse precise info about the degree/severity of the dehydration
d-assessing skin turgor is part of hydration assessment BUT unless skin is extremely slow to respond, this
isn't precise enough - ANSWER A nurse is caring for an infant who is experiencing dehydration; which
assessment is priority?
A- measure the pts daily weight
,B- check for tears
c- palpate the fontanel
d-assess skin turgor
*C-instruct clients who are able to ambulate to leave*; pts who are able to ambulate should leave 1st in
the evacuation process bc it quickly reduces the # of pts who require evacuation assistance - ANSWER A
charge nurse is coordinating the evacuation of pts from a facility following a bomb threat; which action
should the nurse take in evacuation process?
A-call in the pts' family members to provide additional help with moving clients
B-ask pts who are able to ambulate to assist in moving unstable pts
C-instruct clients who are able to ambulate to leave
D-direct staff members to close the doors & windows as each room is evacuated
1. Denial; refusing to acknowledge the existence of her substance use disorder
2. Rationalization; attempting to make excuses to justify socially or professionally unacceptable behavior
3.Intellectualization; an attempt to use the intellectual processes to avoid expressing the emotions that
stem from stressful situations
4. Suppression; pt is consciously avoiding a discussion of the substance use disorder - ANSWER A nurse in
a substance use disorder program is interacting w/ a pt; identify the coping strategy/defense mechanism
used in each statement
1: "I was just using the medication to help me out during a rough time in my life. I can stop whenever I
want."
2. "This all happened because my spouse is unemployed. That puts an enormous amt of stress on me"
3. "I have read that problems w/ substances can have a variety of predisposing factors."
4. "I just don't want to talk about it. There's nothing you can do about it anyways."
Sweat chloride - ANSWER Children who have cystic fibrosis have an elevated....
Steatorrhea - ANSWER -foul, fatty, frothy stools
-manifestation of celiac disease (a malabsorption syndrome)
,Clubbing - ANSWER Children who have cardiovascular disorders develop ______ of the fingers & toes
due to chronic hypoxemia of the tissues
Jaundice - ANSWER Results from liver dysfunction
Correct answers:
*A-sit with your back supported*; sitting w/ back supported while at the computer helps to prevent back
strain, which can lead to lower-back disc disease
*B-keep knees at hip level*; helps to prevent unnecessary strain on the hips and lower back
*c-use an ergonomically designed keyboard*
Incorrect:
D-keep your elbows away from your body
E-adjust the monitor screen so that you have to tilt your head slightly to look at it - ANSWER A
community health nurse is conducting a class about body mechanics for county office workers. The nurse
should include..... (select all that apply)
A-"sit with your back supported"
B-"keep your knees at hip level"
C-"use an ergonomically designated computer keyboard"
D-"keep your elbows away from your body"
E-"adjust the monitor screen so that you have to tilt your head slightly to look at it"
Correct:
*A-arrange for social services*; appropriate for a pt who faces challenges w/ self-care, as well as w/
paying for medical equipment & supplies
*B-initiate a consult w/ an enterostomal therapist*; can assist the pt in learning to care for the
colostomy
*C-provide the pt w/ information about the American Cancer Society*; pt can learn about helpful
resources from the ACS
*E-give the pt info about local support groups*; a pt who has cancer & a new colostomy can get help w/
coping from a support group - ANSWER A nurse is planning discharge teaching for a pt who has
colorectal cancer & is post op following a new colostomy. The pt expresses concern about discharge &
, states "I have no health insurance & cannot pay for the ostomy supplies." Which actions should the
nurse take?
A- arrange for social services
B-initiate a consult w/ an enterostomal therapist
C-provide the pt w/ information about the American Cancer Society
D-postpone the pt's discharge
E-give the pt info about local support groups
Flow-oriented incentive spirometer - ANSWER Instructions include:
-instruct pt to inhale deeply to elevate the balls in the device
-proper use of the ______ loosens secretions in the pt's lungs; pt should cough deeply to facilitate
removal of secretions from their lungs
-instruct the pt to clean the mouth piece w/ H2O & dry it after each use
-use ______ several times every hr while awake
Clostridium difficile (C-diff) pt in contact isolation
1. contact isolation
2. c. diff - ANSWER Nurse should:
-wear gloves when handling articles that have the potential to contaminate the hands when caring for a
pt who is in __1__
-use soap and water to cleanse the hands; alcohol-based hand sanitizer is ineffective against the spores
of __2__
-shouldn't put pt on complete bed rest bc this places them at risk for the hazards of immobility such as
impaired skin integrity & retained respiratory secretions; should instruct pt to remain in room but to
move, cough, & DB at least q2hr
Wear a mask - ANSWER Nurse should _______ when working w/in 3 ft of a pt who has an infection such
as influenza and droplet precautions are required
S/S that *death is imminent* - ANSWER S/S indicating ________:
-urinary incontinence
QUESTIONS & ANSWERS/ GUARANTEED PASS/
WELL BUNDLED TO EASE AND BOOST YOUR
STUDY/ PROFESSOR APPROVED/ GRADED A
Hypovolemia (S&S) - ANSWER -elevated hematocrit (ex=55%)
-weak pulse
-tachycardia
-hypotension
-tachypnea
-slow cap refill
-elevated BUN
-increased urine specific gravity
-decreased urine output
*A- measure pts daily weight*; daily weights are the most sensitive indicator of fluid balance in clients of
all ages, especially critical for infants & children bc fluid accounts for a > portion of body weight
INCORRECT:
b-checking for the absence of tears is part of the hydration assessment BUT doesn't give the nurse
precise information about the degree or severity of the infant's dehydration
c-palpating the fontanel is part of the hydration assessment BUT unless fontanel is extremely sunken,
this assessment doesn't give the nurse precise info about the degree/severity of the dehydration
d-assessing skin turgor is part of hydration assessment BUT unless skin is extremely slow to respond, this
isn't precise enough - ANSWER A nurse is caring for an infant who is experiencing dehydration; which
assessment is priority?
A- measure the pts daily weight
,B- check for tears
c- palpate the fontanel
d-assess skin turgor
*C-instruct clients who are able to ambulate to leave*; pts who are able to ambulate should leave 1st in
the evacuation process bc it quickly reduces the # of pts who require evacuation assistance - ANSWER A
charge nurse is coordinating the evacuation of pts from a facility following a bomb threat; which action
should the nurse take in evacuation process?
A-call in the pts' family members to provide additional help with moving clients
B-ask pts who are able to ambulate to assist in moving unstable pts
C-instruct clients who are able to ambulate to leave
D-direct staff members to close the doors & windows as each room is evacuated
1. Denial; refusing to acknowledge the existence of her substance use disorder
2. Rationalization; attempting to make excuses to justify socially or professionally unacceptable behavior
3.Intellectualization; an attempt to use the intellectual processes to avoid expressing the emotions that
stem from stressful situations
4. Suppression; pt is consciously avoiding a discussion of the substance use disorder - ANSWER A nurse in
a substance use disorder program is interacting w/ a pt; identify the coping strategy/defense mechanism
used in each statement
1: "I was just using the medication to help me out during a rough time in my life. I can stop whenever I
want."
2. "This all happened because my spouse is unemployed. That puts an enormous amt of stress on me"
3. "I have read that problems w/ substances can have a variety of predisposing factors."
4. "I just don't want to talk about it. There's nothing you can do about it anyways."
Sweat chloride - ANSWER Children who have cystic fibrosis have an elevated....
Steatorrhea - ANSWER -foul, fatty, frothy stools
-manifestation of celiac disease (a malabsorption syndrome)
,Clubbing - ANSWER Children who have cardiovascular disorders develop ______ of the fingers & toes
due to chronic hypoxemia of the tissues
Jaundice - ANSWER Results from liver dysfunction
Correct answers:
*A-sit with your back supported*; sitting w/ back supported while at the computer helps to prevent back
strain, which can lead to lower-back disc disease
*B-keep knees at hip level*; helps to prevent unnecessary strain on the hips and lower back
*c-use an ergonomically designed keyboard*
Incorrect:
D-keep your elbows away from your body
E-adjust the monitor screen so that you have to tilt your head slightly to look at it - ANSWER A
community health nurse is conducting a class about body mechanics for county office workers. The nurse
should include..... (select all that apply)
A-"sit with your back supported"
B-"keep your knees at hip level"
C-"use an ergonomically designated computer keyboard"
D-"keep your elbows away from your body"
E-"adjust the monitor screen so that you have to tilt your head slightly to look at it"
Correct:
*A-arrange for social services*; appropriate for a pt who faces challenges w/ self-care, as well as w/
paying for medical equipment & supplies
*B-initiate a consult w/ an enterostomal therapist*; can assist the pt in learning to care for the
colostomy
*C-provide the pt w/ information about the American Cancer Society*; pt can learn about helpful
resources from the ACS
*E-give the pt info about local support groups*; a pt who has cancer & a new colostomy can get help w/
coping from a support group - ANSWER A nurse is planning discharge teaching for a pt who has
colorectal cancer & is post op following a new colostomy. The pt expresses concern about discharge &
, states "I have no health insurance & cannot pay for the ostomy supplies." Which actions should the
nurse take?
A- arrange for social services
B-initiate a consult w/ an enterostomal therapist
C-provide the pt w/ information about the American Cancer Society
D-postpone the pt's discharge
E-give the pt info about local support groups
Flow-oriented incentive spirometer - ANSWER Instructions include:
-instruct pt to inhale deeply to elevate the balls in the device
-proper use of the ______ loosens secretions in the pt's lungs; pt should cough deeply to facilitate
removal of secretions from their lungs
-instruct the pt to clean the mouth piece w/ H2O & dry it after each use
-use ______ several times every hr while awake
Clostridium difficile (C-diff) pt in contact isolation
1. contact isolation
2. c. diff - ANSWER Nurse should:
-wear gloves when handling articles that have the potential to contaminate the hands when caring for a
pt who is in __1__
-use soap and water to cleanse the hands; alcohol-based hand sanitizer is ineffective against the spores
of __2__
-shouldn't put pt on complete bed rest bc this places them at risk for the hazards of immobility such as
impaired skin integrity & retained respiratory secretions; should instruct pt to remain in room but to
move, cough, & DB at least q2hr
Wear a mask - ANSWER Nurse should _______ when working w/in 3 ft of a pt who has an infection such
as influenza and droplet precautions are required
S/S that *death is imminent* - ANSWER S/S indicating ________:
-urinary incontinence
