ATI Comprehensive Exit Exam 2024

A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to the teacher. Which if the following statements should the nurse include in the assessment? A. Tell me about your siblings B. Tell me what kind of music you like C. Tell me how often you drink D. Tell me about your school schedule - c A nurse is observing bonding with the client and her newborn. Which of the following actions by the client requires the nurse to intervene? A. Holding the newborn in an enface position B. Asking the father to change the newborns diaper C. Requesting the nurse take the newborn to the nursey so she can rest D. Viewing the newborns actions to be uncooperative - d. The nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate that the medication is effective? A. Weight loss B. Decreased bp C. Absence of seizures D. Decrease inflammation - a A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? A. Contact provider if the cord turns black (it’s going to turn black) B. Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser) C. Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection) D. The cord stump will fall off in 5 days (cord falls off in 10-14 days) - c A nurse is assessing a client in the pacu. Which of the following findings indicates decreased cardiac output? A. Shivering B. Oliguria C. Bradypnea D. Constricted pupils - b A nurse is assisting with mass casualty triage explosion at a local factory. Which of the following client should the nurse identify as the priority? A. Client with massive head trauma B. Client with full thickness burns C. Client with indications of hypovolemic shock D. Client with open fracture - c A nurse is receiving 4 patients. Which of the following clients should the nurse assess first? A. A client who has ileal conduit and mucus in the pouch B. Client av has additional vibration palpated C. Client who has chronic kidney disease with cloudy dialysate outflow D. A client with turp has red tinged urine in bag - c A nurse is caring for a client who just received the first dose of lisinopril. The following is an appropriate nursing intervention? A. Place cardiac monitoring B. Monitor clients oxygen saturation C. Provide standby assist with the client from bed D. Encourage foods high in potassium - c A nurse is caring for a client who is in labor and is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? A. Fetal hypoxia B. Abrupto placentae C. Post maturity D. Head compression - d A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis? A. Glomerular filtration rate of 14ml/min B. Bun 16 C. Serum mag 1.8 D. Serum phosphorus 4 - a A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? A. Place infant under radiant warmer B. Move the probe site every 3 hours C. Heat the skin one minute prior to placing the program D. Placed a sensor on the index finger - c A nurse in a mental health facility receives a change of shift report on four clients. Which of the following clients should the nurse plan to assess first? A. Client placed in restraints to the aggressive behavior B. A new limited client with hx of 4.5kg weight loss in the past 2 months. C. Client is receiving prn dose D. Client that would be receiving first ect treatment today - A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. Which of the following lab values should the nurse report? A. Wbc 3,000 B. Hemoglobin 14 C. Platelet 250,000 D. Aptt 30 sec - a Home health nurse is carefully planned for alzheimer disease. Which of the following should the nurse include in the plan of care? A. Place a daily calendar in the kitchen B. Replace button clothing with zippered items C. Replace carpet with hardwood D. Create variation in daily routine - a Nurse is performing a change of shift assessment on 4 clients. Which of the following findings should the nurse report to the provider? A. Client with cystic fibrosis has productive cough and reports thirst B. Client has gastroenteritis and is lethargic and confused C. Client has dm and has morning fasting blood glucose of 185 D. Client reports pain 15 minutes after receiving oral analgesic - b A nurse is caring for a client in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? A. Decrease taking vitamins and supplements to every other day B. Consumer 48 ounces of water each day C. Eat 15g of fiber per day D. Drink hot water with lemon juice every morning - d A nurse is caring for a client who is preparing his advance directive. Which of the following statements by the client indicates an understanding of advanced directives? A. I can't change my instructions B. My doctor will need o approve my advance directive C. I need an attorney to witness my signature D. I have the right to refuse treatment E. My health care proxy can make medical decisions for me - d, e A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? A. The chest B. Standing C. Supine D. Left lateral - d A nurse working a the clinic is teaching a group of clients who are pregnant on the use of non pharm pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis in labor? A. Hypnosis focuses on the biofeedback as a relaxation technique B. Hypnosis promotes increased control of her pain perception during contractions C. Hypnosis uses therapeutic touch to reduce anxiety D. Hypnosis provides instruction to minimize pain - b A nurse in a county jail clinic is leading group therapy. A client who has incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? A. I steal things because its the only way i keep my bind off my bad marriage B. I cant believe i was accused of something i didnt do C. I dont want to about my feelings right now D. I think that people are just lazy and should earn money honestly - d A nurse is obtaining the medical history of a client who has a new prescription for isosorbide mononitrate. Which of the following should the nurse identify as a contraindication to medication? A. Glaucoma B. Hypertension C. Polycythemia D. Migraine headaches - a The nurse is caring for a client recovering from an acute myocardial infarction. Which of the following interventions should the nurse include in the point of care? A. Draw a troponin level every 4 hours B. Performance ekg every 12 hours C. Obtain a cardiac rehab consult - c A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an ap? A. Client who has copd and needs guidance on incentive spirometry B. Client who has awoken following a bronchoscopy and requests a drink C. Client who had mi 3 days ago and reports chest discomfort D. Client who had a cerebrovascular accident two days ago and need help toileting - d A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy of clozapine. Which of the following is the highest priority for the client to report to the provider? A. Constipation B. Blurred vision C. Fever D. Dry mouth - c A nurse observes an ap providing care to a child who is in skeletal traction. Which of the following actions require intervention? A. Providing high protein snack B. Assisting child to reposition C. Placing weights on childs bed D. Massaging pressure points causes skin breakdown - c A nurse is planning to delegate to an ap the fasting blood glucose testing for a client who has dm. Which of the following actions should the nurse take? A. Determine if the ap is qualified to perform the test B. Help the ap perform the test C. Assign the ap to ask the client if he took his diabetic medication today D. Have ap check the medical record for prior blood glucose test results - a A nurse is assessing a client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the s/s as being consistent with which of the following? A. Alzheimers B. Schizophrenia C. Substance intoxication D. Depression - b A nurse is caring for a child who has infectious mononucleosis. Which of the following findings are associated with this diagnosis? Sata A. Splenomegaly B. Koplik spots C. Malaise D. Vertigo E. Sore throat - a,c,e A nurse is performing dressing change for client who has a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first? A. Apply skin preparation to wound edges B. Normal saline C. Don sterile gloves D. Determine pain level - d A nurse caring for a client recovering from bowel surgery who has an ng tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the ng tube may not be functioning properly? A. Drainage fluid is greenish-yellow B. Aspirate ph of 3 C. Abdominal rigidity D. Air bubbles notes in the ng tube - c A nurse is preparing to administer tpn with added fat supplements to a client who has malnutrition. Which of the following actions should the nurse take? A. Piggyback .9 sodium chloride with tpn B. Check for an allergy to eggs C. Discuss the tpn solution for 12 hrs D. Monitor for hypoglycemia - b A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? A. System analgesic effect B. Increase in metabolism C. Decreased capillary permeability D. Vasodilation - c A nurse is developing discharge care plans for a client who has osteoporosis. To prevent injury the nurse should instruct the client to A. Perform weight bearing exercises B. Avoid crossing the legs C. Avoid sitting in one position for prolonged periods D. Split affected area - a A nurse on an acute med surg unit is performing assessments on a group of clients. Which is highest priority? A. Client has surgical hypoparathyroidism and positive trousseaus sign B. A client who has c diff with acute diarrhea C. A client who has acute kidney injury and urine with a low specific gravity D. Client who has oral cancer and reports a sore on his gums - a Nurse is caring for a client who has congestive heart failure. Which of the following prescriptions from the provider should the nurse anticipate? A. Call the provider for rr 18/min B. Give the client 500ml iv bolus .9 nacl over 1 hr C. Give the client enalapril 2.5 mg po twice daily D. Call the provider if the clients pulse is less than 80/min - c A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan? A. I will feel better right away B. I can expect to urinate frequently while on this med C. I understand i may experience difficulty sleeping on this medication D. I should decrease my sodium intake while on this medication - c A nurse has been caring for a female client for a female client who has bruises on her arms that she explains that they are a result of physical abuse by her husband. The client states, "i don't know how much longer i can take this, but i'm afraid he'll really hurt me if i leave." which of the following is an appropriate nursing intervention? A. Offer to speak to the clients husband regarding his abuse behavior B. Help the client to recognize the signs of escalation of abuse behavior C. Assist the client to identify personal behaviors that trigger abusive behavior D. Assist the client to report abusive behavior to the proper authority - b A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not end my misery?" which of the following responses is appropriate? A. Why do you think your life is not worth it anymore? B. Do you have a plan to end your life? C. I need to know what you mean by misery D. You can trust and tell me what you're thinking - b A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect? A. Decreased level consciousness B. Unable to identify common objects C. Poor problem solving ability D. Preoccupation was somatic disturbances - c 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? A. Position client with affected extremity lower than the heart B. Admin acetaminophen C. Massage affected extremity D. Withhold heparin iv infusion - d Is caring for clients with a new prescription for enoxaparin for the prevention of dvt. Which of the following is an appropriate action by the nurse? A. Expel air bubble at the top of the prefilled syringe B. Massage the injection site C. Inject the medication in the lateral abdominal wall D. Admin an nsaid for injection site discomfort - c Nurse caring for four clients. Which of the following client data should the nurse report to the provider? A. A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing B. Client has a total of 110ml of serosanguineous fluid from the jackson pratt drain within the first 24 hours following surgery C. Client who is 4 hrs postop and has heart rate 98 per min D. The client with a prescription for chemotherapy and an absolute neutrophil count of 75mm - d Nurse caring for a client who is in end stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. Which of the following medications should the nurse expect to be the highest priority to administer to the client? A. Promethazine B. Hydromorphone C. Ketorolac D. Amitriptyline - b A nurse is caring for a client who has a dvt. Which of the following instructions should the nurse include in the plan of care? A. Intake to 1500ml per day B. Massage affected extremity C. Apply cold packs D. Elevate affected extremity when in bed - d A nurse is caring for a client who is receiving oxytocin iv for augmentation of labor. The clients contractions are occurring every 45 seconds with a nine second duration and the fetal heart rate is 170-180. Which of the following actions should nurse take? A. Discontinue oxytocin B. Increase oxytocin C. Decrease oxytocin D. Maintain oxytocin - a A nurse is admitting a client who is in labor and at 38 wks of gestation. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? A. Have your membranes ruptured B. How far apart are your contractions C. Do you have any action lesions D. Are you positive for beta strep? - c Nurse is providing teaching for a child prescribed ferrous sulfate. Which of the following instructions should the nurse include? A. Take with meals B. Take at bedtime C. Take with a glass of milk D. Take with a glass of orange juice - d Four clients present to the ed. The nurse should plan to see which first? A. A 6 yr old with dislocated shoulder B. 26 yr old with sickle cell disease and severe joint pain C. 76yr old that is confused, febrile and has foul smelling urine D. 50 yr old who has slurred speech, is disoriented and reports a headache - d A nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? A. Leavened bread during passover B. Shellfish C. Meat and dairy products eaten separately D. Fasting from meat occurs during hanukkah - c A nurse in the er is caring for a client with multiple wounds due to a motor vehicle crash. Which of the following interventions are appropriate? Sata A. Apply direct pressure for bleeding wounds B. Clean lacerations and abrasions with hydrogen peroxide C. Cover wounds with sterile dressing D. Admin 650mg aspirin po as needed for pain E. Determine date of last tetanus vaccination - a, c, e The nurse reviewing clients admission lab results. Which of the findings require further evaluation? A. Sodium 138 B. Creatinine 1.8 C. Hemoglobin 15 D. Potassium 4.2 - b A nurse is providing teaching for a client who has a new prescription for methadone. Which of the following client statements indicates a need for further teaching? A. I understand methadone tends to slow my breathing B. I understand methadone may cause me to have difficulty sleeping C. I will avoid alcohol while i'm taking this medication D. I'll change positions gradually especially from lying to standing - b Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation? A. Premature infant with a poor suck reflex and failure to thrive B. An older adult who has difficulty taking in fluids C. Adolescent with anorexia D. Middle aged adult with gastroesophageal reflux disease - b A nurse is caring for a group of clients. Which of the following client should nurse assess first? A. Client who has bph and is unable to urinate B. Client with heart failure and report shortness of breath while ambulating C. Client who has open cholecystectomy and has green drainage from tube D. Client who has abdomen pain and is vomiting coffee ground emesis - d A nurse is taking med history from a client who has type 2 dm and is scheduled for an arteriogram. Which of the following medications should the nurse instruct the client to discontinue 48hrs prior to procedure? A. Atorvastatin B. Digoxin C. Nifedipine D. Metformin - d The nurse is assessing a client with ptsd. Which of the following findings is the nurse to expect? A. Dependence on family and friends B. Loss of interest in usual activities C. Ritualistic behaviors D. Passive aggressive behavior - b A nurse working in long term care facility is caring for an older adult client who has dementia. The client is often agitated and frequently wanders the halls. Which of the following interventions should the nurse include in the plan of care? A. Give the client several choices B. Confront the client regarding unacceptable behavior C. Maintain nutritional requirements by offering finger foods D. Simulate the client by leaving the television on throughout the day - c A nurse on a mental heath unit receives report on four clients. Which of the following clients should the nurse attend to first? A. A client who is demonstrating catatonic behavior B. Client with compulsive behaviors and is frequently drinking from the water fountain C. Client having auditory hallucinations is becoming agitated D. Client making sexual comments to clients - c A nurse is caring for a full term newborn immediately following birth. Which of the following actions should the nurse take first? A. Instill erythromycin ophthalmic ointment and the newborns eyes B. Place identification bracelet C. Weigh the newborn D. Dry the newborn - d A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? A. A client who was admitted with asthma and has a sao2 of 92% receiving 1 l per min nasal cannula B. A client was admitted with angina and reports left arm pain of 4 on a scale of 0- 10 C. The client with type 2 dm and blood glucose of 80 D. A client who had a gastric endoscopy and whose nasogastric tube is draining 30ml per hour of green fluid - b A client at 38 weeks of gestation enters the ed. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor? A. Client reports urge to push B. Cervix is dilated 2cm C. Contractions are 2-3 min apart D. Client reports nausea and vomiting - b The charge nurse discovers client care assignments that should be reassigned. Which of the following delegated tasks should be reassigned? A. Ap is to calculate i&o every 2 hours for a client who has acute renal failure B. Ap is to collect vital signs every 30 min for client who had a cholecystectomy C. A licensed practical nurse is to check ng tube placement for a client who had a bowel resection D. A licensed practical nurse is to provide initial feeding for a client who had a cerebrovascular accident - d A nurse is caring for client who has a cast due to a compound fracture to the right ankle. Which of the following findings requires immediate intervention? A. Pruitis under the cast B. Localized stabbing pain upon movement C. Paresthesia of distal extremity D. Edema present when leg is in dependent position - c The nurse is providing care for preschoolers with acute gastroenteritis. Basing information below which of the following is an appropriate nursing action? A. Offer the child a cup of chicken broth B. Encourage the child intake of gelatin C. Admin oral rehydration solutions D. Institute a banana, rice, applesauce and toast diet - c The nurse is caring for a client who is taking allopurinol. The nurse should monito which of the following lab findings to determine the effectiveness of the medication? A. Serum chloride B. Uric acid level C. Serum albumin D. Mag level - b A nurse is caring for a client on the cardiac care unit who is hemodynamically unstable. Which of the following dysrhythmias should the nurse plan for cardioversion? A. Ventricular asystole B. Third degree av block C. Atrial fib D. Ventricular fib - c Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions? A. Scarlet fever B. Herpes simplex C. Varicella D. Streptococcal pharyngitis - b A nurse is assessing an older client with the a decrease caloric intake and weight loss. Which of the following findings should the nurse report to the provider immediately? A. The client experiences coughing and wheezing after eating B. Cleint reports abdominal pain at 5 out of 10 C. Client experiences a drop in ox sat to 91% while eating D. Client reports a burning sensation in epigastric area - a A nurse and ap are caring for a group of clients. Which of the following task is appropriate for the nurse to delegate to the ap? A. Applying condom cath for spinal cord injury pt B. Admin oral fluids to client who is post op C. Documenting report of pain from client D. Reviewing active rom with client who had stroke - b A nurse from the health department is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the cdc? A. Candida albicans B. Herpes simplex C. Staph aureus D. Lyme disease - d The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is priority finding by the nurse? A. Pain score 7 out of 10 B. Sob C. New onset of enuresis D. Priapism - b Nurse caring for a client who is 1 day post op following a hypophysectomy for the removal of a pituitary tumor. Which if the following findings requires further assessment by the nurse? A. Glasgow scale score 15 B. Blood drainage on initial dressing measuring 3 cm C. Report of dry mouth D. Urinary output greater than fluid intake - d A client with left leg cast is using crutches for ambulation. The nurse recognizes client needs further instruction? A. Flexes elbows at 30 degrees B. Maintains 3-4 finger width between the crutch pad and axilla C. Places crutches 6 in in front and side of each foot when standing D. Pushes up from chair with crutches on the unaffected side - b A nurse is caring for a toddler who has respiratory syncytial virus. Which if the following actions should the nurse plan to take? A. Use a designated stethoscope when caring for the toddler B. Wear an n95 mask C. Remove disposable gown after leaving the room D. Place toddler in neg pressure room - a A nurse is planning care for a client to prevent complications of immobility. Which of the following actions should the nurse include in the plan of care? A. Massage lower extremities to prevent dvt B. Limit intake of food high in calcium to prevent renal calculi C. Encourage client to lie supine to prevent constipation D. Remove stockings for 3 hrs each day to decrease skin breakdown - d A nurse discovers that the wrong dosage of a medication was given to a client. When determining what action to take you should recognize that which of the following ethical principles should be applied? A. Utility B. Paternalism C. Veracity D. Fidelity - c A nurse is reviewing prescription for doxazosin with a client. Which of the following should be included in the teaching? A. Decrease calorie intake to reduce weight gain B. Increase dietary fiber to prevent constipation C. Rise slowly when sitting up from bed D. Take this med in the morning - c Provide teaching to young adult client who has insomnia. Which of the following should the nurse include in the teaching? A. Exercising an hour before bedtime B. Take a short nap today C. Keep bedroom cool at night D. Consume a high carb snack at bedtime - d A nurse is caring for a client who has a stool culture that is positive for c diff. Which of the following infection control precautions is appropriate? A. Wear a face shield prior to entering the room B. Place client in private room C. Place client in neg pressure room D. Use alcohol based hand rub following client care - b A nurse is planning care for a child who has increased intracranial pressure with a decreased loc. Which of the following intervention should the nurse include in the plan of care? A. Perform active rom B. Perform neuro checks q4h C. Suction airway frequently D. Maintain head at midline position - d The nurse is assessing a client who is receiving radiation therapy. Which of the following findings should the nurse expect? A. Wbc 12,500 B. Excessive salivation C. 3+ pitting edema D. Platelets 95,000 - d A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated? A. Methylergonovine B.misoprostol C. Dinoprostone D. Oxytocin - a A nurse is caring for a client who has gerd. Which of the following assessment findings should the nurse expect to find? A. Sob B. Rebound tenderness C. Atypical chest pain D. Vomiting - c A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action? A. Ensure eye shield is covering the eyes B. Apply lotion to exposed skin C. Offer glucose water between feedings D. Discontinue breast feeding during treatment - a The nurse is assessing client who has a long arm cast. Which of the following when assessing for acute compartment syndrome? A. Sob B. Petechiae C. Change in mental status D. Edema - d Client is receiving iv sedation with midazolam. The client has a rr of 9/min and is not responding to commands. Which of the following is an appropriate action? A. Placed client in prone position B. Implement positive pressure vent C. Perform nasopharyngeal suctioning D. Admin flumazenil - d A nurse in the hospital cafeteria overhears two uaps discussing a client. They are using the clients name and discussing details of his diagnosis. Which of the following actions should the nurse take first? A. Report aps behavior to supervisor B. Complete an incident report C. Provide ap with written documentation regarding client confidentiality D. Tell ap to discontinue their conversation - d A community health nurse is teaching a group of adults about the importance of health screenings. The nurse should include african american males almost twice as likely as a caucasian male to experience which of the following? A. Testicular cancer B. Obesity C. Stroke D. Melanoma - c A nurse is caring for a client who sprained his left ankle 12 hrs ago. Which of the following prescription by the provider should the nurse clarify? A. Apply heat to the affected extremity for 45 min on and 45 min off B. Wrap affected extremity with compression dressing C. Assess affected extremity for sensation every 4 hrs - a A nurse is providing dietary teachings for a client who has hepatic encephalopathy. Which of the following food selections indicates an understanding of teaching? A. Sandwich and milkshake B. Rice with black beans C. Cottage cheese and tuna lettuce D. Three egg omelette with low sodium ham - b A nurse is planning care for client with a sealed radiation implant and is to remain in the hospital for 1 wk. Which of the following should the nurse include in the plan of care? A. Remove dirty linens from the room after double bagging B. Wear a dosimeter film badge while in the clients room C. Limit each of the clients visits to 1 hour per dat D. Ensure family members remain at least 3 ft from client - b