ATI Comprehensive Exit Exam – 180 Correct
Questions & Answers
1. A .nurse .is .caring .for .a .client .who .has .given .informed .consent .for .ECT. .Just .before .the .procedure,
.the .client .tells .the .nurse .she .is .considering .not .going .forward .with .the .treatment. .Which .of .the
.following .statements . by .the . nurse . is . appropriate?
a. “You . don’ .t . have .to . go .through . with . the . treatment.”
b. “Most .people . who . have . this . procedure . . .feel . better . following . the . treatment.”
c. “It’s . okay . to .be .nervous . before . this . treatment.”
d. “Your . . doctor . wouldn’t . .have . ordered . . this . .treatme nt . . .unless . .it . was . .necessary.”
2. While .performing .a .routine .assessment, .a .nurse . notices . fraying . on .the . electrical . cord . of .a
. client’s.CPM . device. . Which . of .the . following . actions . should . the . nurse . take . first?
a. Report . the . defect . to . the . equipment . maintenance . . . staff.
b. Ensure . the . device . inspection . sticker . is . current
c. Remove . the .device . from .the .room
d. Initiate . a .requisition . for . a .replacement . CPM . device
3. A .nurse .is .caring .for .a .client .who .is .postoperative .and .has .a .new .prescription .for
.hydromorphone..Which .of .the . following . actions . should . the . nurse . take?
a. Document . admin .ist .rat .ion . of .the . medication . upon . removal . from . the . medication
. dispensing.system
b. Withhold . the . medication . if . the . client . does . not . appear . to . be . in . pain.
c. Count . the . current . number . of .unit . doses . available . in .the . medication . dispensi .ng . .
. system
d. Withhold . the . medication . if .the . client . has . a .fever
4. A .nurse .performing .a .change-of-shift .assessment. .Which .of .the .following .clients . has . the
. priority.finding?
a. Type .2 . DM . and . a . blood . glucose . of .250 . mg/dL
b. Pneumonia . with . a . productive . cough . and . a .fever . of .38.8° . C .(101.8° . F)
c. 2 .hr. .post . cast .placement . and . has . 2+ . pitting . edema . and . pallor
d. First-degree . heart . block . and . a .heart . rate . of .62/min
5. A .nurse . in . an .outpatient . mental . health . facility . is . providing . . .teaching . to . a .group . of
.adolescents. . Which.of .the . following . statements . by . a . client . indicates . an . understanding . of . the
. teaching?
a. “I . will . limit . my . alcohol . use . to .one . drink . daily . while . taking . disulfiram.”
b. “I . will . avoid . foods . containing . tyramine . while . taking . fluoexetine.”
c. “I .will . take . the . sustaine .d-release . methylphe .nidate . every . morning.”
d. “I .will .take .my .lithium . on . an .empty . stomach.” . (pharm . pg. .64: .taking .lithium .with
.food .will.help .decrease .GI . distress)
6. A .nurse . in . the . emergency . department . . .is . assessing . client . who . has . major . depressive
. disorder. . Which.of .the . following . actions . should . the . nurse . take . first? . [View . Exhibit]
a. Administer . Zofran . to .the . client . for .nausea
b. Implement . seizure . precautions . for . the . client
c. Encourage . the . client . to . verbalize . feelings
d. Obtain . the . client’s . weight
7. A .nurse .is .completing .an .admission .assessment .for .a .client .who .ahs .narcissistic .personality
.disorder..Which .of .the . following . should . the . nurse . expect?
,a. Suspicious . of . others
b. Exhibits . separation . anxiety
c. Ritualistic .behavior
d. Preoccupied . with . aging
, 8. Drug . Calc: . Client . weighs .99 . lb. . Prescribed . diet . of .1.5 . g . protein/kg/day. . How . many . grams
. of . protein.per . day . should . the . nurse . include . in . the . client’s . dietary . plan?
The . nurse . .should . include . .in . the . diet .75 . grams . of . protein . per . day
9. A . nurse .is . planning . care . for . a . group . of .clients . and . is . working . with . one . LPN . and . one . AP.
. Which . of .the.following . actions .should . the . nurse . take . first . to . manage .her . time . effectively?
a. Develop . an . hourly . time . frame . for .tasks
b. Schedule .daily . activities
c. Determine . goals . of .the .day
d. Delegate . tasks . to . the . AP
Questions & Answers
1. A .nurse .is .caring .for .a .client .who .has .given .informed .consent .for .ECT. .Just .before .the .procedure,
.the .client .tells .the .nurse .she .is .considering .not .going .forward .with .the .treatment. .Which .of .the
.following .statements . by .the . nurse . is . appropriate?
a. “You . don’ .t . have .to . go .through . with . the . treatment.”
b. “Most .people . who . have . this . procedure . . .feel . better . following . the . treatment.”
c. “It’s . okay . to .be .nervous . before . this . treatment.”
d. “Your . . doctor . wouldn’t . .have . ordered . . this . .treatme nt . . .unless . .it . was . .necessary.”
2. While .performing .a .routine .assessment, .a .nurse . notices . fraying . on .the . electrical . cord . of .a
. client’s.CPM . device. . Which . of .the . following . actions . should . the . nurse . take . first?
a. Report . the . defect . to . the . equipment . maintenance . . . staff.
b. Ensure . the . device . inspection . sticker . is . current
c. Remove . the .device . from .the .room
d. Initiate . a .requisition . for . a .replacement . CPM . device
3. A .nurse .is .caring .for .a .client .who .is .postoperative .and .has .a .new .prescription .for
.hydromorphone..Which .of .the . following . actions . should . the . nurse . take?
a. Document . admin .ist .rat .ion . of .the . medication . upon . removal . from . the . medication
. dispensing.system
b. Withhold . the . medication . if . the . client . does . not . appear . to . be . in . pain.
c. Count . the . current . number . of .unit . doses . available . in .the . medication . dispensi .ng . .
. system
d. Withhold . the . medication . if .the . client . has . a .fever
4. A .nurse .performing .a .change-of-shift .assessment. .Which .of .the .following .clients . has . the
. priority.finding?
a. Type .2 . DM . and . a . blood . glucose . of .250 . mg/dL
b. Pneumonia . with . a . productive . cough . and . a .fever . of .38.8° . C .(101.8° . F)
c. 2 .hr. .post . cast .placement . and . has . 2+ . pitting . edema . and . pallor
d. First-degree . heart . block . and . a .heart . rate . of .62/min
5. A .nurse . in . an .outpatient . mental . health . facility . is . providing . . .teaching . to . a .group . of
.adolescents. . Which.of .the . following . statements . by . a . client . indicates . an . understanding . of . the
. teaching?
a. “I . will . limit . my . alcohol . use . to .one . drink . daily . while . taking . disulfiram.”
b. “I . will . avoid . foods . containing . tyramine . while . taking . fluoexetine.”
c. “I .will . take . the . sustaine .d-release . methylphe .nidate . every . morning.”
d. “I .will .take .my .lithium . on . an .empty . stomach.” . (pharm . pg. .64: .taking .lithium .with
.food .will.help .decrease .GI . distress)
6. A .nurse . in . the . emergency . department . . .is . assessing . client . who . has . major . depressive
. disorder. . Which.of .the . following . actions . should . the . nurse . take . first? . [View . Exhibit]
a. Administer . Zofran . to .the . client . for .nausea
b. Implement . seizure . precautions . for . the . client
c. Encourage . the . client . to . verbalize . feelings
d. Obtain . the . client’s . weight
7. A .nurse .is .completing .an .admission .assessment .for .a .client .who .ahs .narcissistic .personality
.disorder..Which .of .the . following . should . the . nurse . expect?
,a. Suspicious . of . others
b. Exhibits . separation . anxiety
c. Ritualistic .behavior
d. Preoccupied . with . aging
, 8. Drug . Calc: . Client . weighs .99 . lb. . Prescribed . diet . of .1.5 . g . protein/kg/day. . How . many . grams
. of . protein.per . day . should . the . nurse . include . in . the . client’s . dietary . plan?
The . nurse . .should . include . .in . the . diet .75 . grams . of . protein . per . day
9. A . nurse .is . planning . care . for . a . group . of .clients . and . is . working . with . one . LPN . and . one . AP.
. Which . of .the.following . actions .should . the . nurse . take . first . to . manage .her . time . effectively?
a. Develop . an . hourly . time . frame . for .tasks
b. Schedule .daily . activities
c. Determine . goals . of .the .day
d. Delegate . tasks . to . the . AP
