ATI Exit Exam #2 version of
comprehensive retake test/ Questions &
Answers Updated 2024-2025
A nurse is collecting data from an adolescent during an annual physical examination.
Which of the following statements by the client is the nurse's priority? - CORRECT
ANSWERS-I would rather be alone than with my fiancé
A nurse is placing a dressing over a stage 1 pressure ulcer on a client's heel. Which of
the following types of wound dressing should the nurse use? - CORRECT ANSWERS-
Transparent film
A nurse is caring for an older adult client who reports pain and has a prescription for
ketorolac 15 mg IM every 5 hr PRN. The client's current bp is 114/55 mm Hg. Which of
the following actions should the nurse take? - CORRECT ANSWERS-Administer the
medication to the client
A charge nurse in a LTC is developing a performance improvement plan for an AP.
Which of the following actions should the nurse take when developing the plans?
(SATA-3) - CORRECT ANSWERS-1. Set a specific time frame for meeting performance
goals
2. Ask the nurse supervisor to review to plan
3. Include the performance standard that the AP should meet
A nurse is reinforcing teaching with a client who is undergoing radiation therapy to the
neck. Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWERS-Avoid exposing the neck to the cold
A nurse is assisting with the admission of an older adult client who has impaired mobility
and is at risk for falls. Which of the following fall precautions should the nurse plan to
implement? - CORRECT ANSWERS-Determine the client's ability to use the call light
A nurse is reinforcing teaching with a client about intermittent catheterization to
measure residual urine. Which of the following info should the nurse include in the
teaching? - CORRECT ANSWERS-"You will need to urinate before the procedure"
A nurse is caring for a client who has terminal cancer and has declined treatment. The
nurse attempts to convince the client to reconsider his decision and discusses this
attempt w the charge nurse. Which of the following actions should the charge nurse
take? - CORRECT ANSWERS-Talk with the nurse about the need to support the client's
decision
,A nurse is reinforcing teaching about breastfeeding w a client who gave birth 2 days
ago. Which of the following info should the nurse include? - CORRECT ANSWERS-
Feed newborn 8-12 times/day every 24 hr
A nurse is assisting w the admission of a school aged child. Which of the following
actions should the nurse plan to take? (Exhibit) - CORRECT ANSWERS-Initiate contact
precautions for the child
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness? - CORRECT
ANSWERS-The client has a decreased level of energy
A nurse is preparing to collect data on a preschooler. Which of the following behaviors
by the child indicates that he is ready to cooperate? (SATA-3) - CORRECT ANSWERS-
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first? - CORRECT ANSWERS-A client who has
schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The newborn is
crying and the client states, "I can't seem to do anything right. What should I do?" Which
of the following responses should the nurse make? - CORRECT ANSWERS-"Let me
show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level. Which
of the following actions should the nurse take? - CORRECT ANSWERS-Keep the finger
in dependent position
A nurse is reviewing the home medications with a client who recently had a transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client
that which of the following otc meds interact adversely w clopidogrel? - CORRECT
ANSWERS-Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first? - CORRECT ANSWERS-
Check for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking w a client.
Which of the following adverse effects should the nurse include in the teaching? -
CORRECT ANSWERS-Somnolence
, A nurse is contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the staff can medicate a client against his
will, without a court hearing in which of the following situations? - CORRECT
ANSWERS-A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWERS-"Monitor for muscle weakness while taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed nurse
when sharing a client's medical info. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client info? - CORRECT
ANSWERS-A social worker who's assigned an involuntary committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider? - CORRECT ANSWERS-
Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a hemicolectomy.
Which of the following findings is a nurse's priority, requiring immediate intervention? -
CORRECT ANSWERS-O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? - CORRECT ANSWERS-Blurred
vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of
the following actions should the nurse take first? - CORRECT ANSWERS-Elevate the
client's HOB
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following lab tests is most accurate of blood glucose effective management? -
CORRECT ANSWERS-Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? - CORRECT ANSWERS-Tells a client he will lose his phone privileges if he
does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure precautions.
Which of the following materials should the AP place in the client's room? - CORRECT
ANSWERS-Oral suction equipment
comprehensive retake test/ Questions &
Answers Updated 2024-2025
A nurse is collecting data from an adolescent during an annual physical examination.
Which of the following statements by the client is the nurse's priority? - CORRECT
ANSWERS-I would rather be alone than with my fiancé
A nurse is placing a dressing over a stage 1 pressure ulcer on a client's heel. Which of
the following types of wound dressing should the nurse use? - CORRECT ANSWERS-
Transparent film
A nurse is caring for an older adult client who reports pain and has a prescription for
ketorolac 15 mg IM every 5 hr PRN. The client's current bp is 114/55 mm Hg. Which of
the following actions should the nurse take? - CORRECT ANSWERS-Administer the
medication to the client
A charge nurse in a LTC is developing a performance improvement plan for an AP.
Which of the following actions should the nurse take when developing the plans?
(SATA-3) - CORRECT ANSWERS-1. Set a specific time frame for meeting performance
goals
2. Ask the nurse supervisor to review to plan
3. Include the performance standard that the AP should meet
A nurse is reinforcing teaching with a client who is undergoing radiation therapy to the
neck. Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWERS-Avoid exposing the neck to the cold
A nurse is assisting with the admission of an older adult client who has impaired mobility
and is at risk for falls. Which of the following fall precautions should the nurse plan to
implement? - CORRECT ANSWERS-Determine the client's ability to use the call light
A nurse is reinforcing teaching with a client about intermittent catheterization to
measure residual urine. Which of the following info should the nurse include in the
teaching? - CORRECT ANSWERS-"You will need to urinate before the procedure"
A nurse is caring for a client who has terminal cancer and has declined treatment. The
nurse attempts to convince the client to reconsider his decision and discusses this
attempt w the charge nurse. Which of the following actions should the charge nurse
take? - CORRECT ANSWERS-Talk with the nurse about the need to support the client's
decision
,A nurse is reinforcing teaching about breastfeeding w a client who gave birth 2 days
ago. Which of the following info should the nurse include? - CORRECT ANSWERS-
Feed newborn 8-12 times/day every 24 hr
A nurse is assisting w the admission of a school aged child. Which of the following
actions should the nurse plan to take? (Exhibit) - CORRECT ANSWERS-Initiate contact
precautions for the child
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness? - CORRECT
ANSWERS-The client has a decreased level of energy
A nurse is preparing to collect data on a preschooler. Which of the following behaviors
by the child indicates that he is ready to cooperate? (SATA-3) - CORRECT ANSWERS-
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first? - CORRECT ANSWERS-A client who has
schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The newborn is
crying and the client states, "I can't seem to do anything right. What should I do?" Which
of the following responses should the nurse make? - CORRECT ANSWERS-"Let me
show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level. Which
of the following actions should the nurse take? - CORRECT ANSWERS-Keep the finger
in dependent position
A nurse is reviewing the home medications with a client who recently had a transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client
that which of the following otc meds interact adversely w clopidogrel? - CORRECT
ANSWERS-Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first? - CORRECT ANSWERS-
Check for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking w a client.
Which of the following adverse effects should the nurse include in the teaching? -
CORRECT ANSWERS-Somnolence
, A nurse is contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the staff can medicate a client against his
will, without a court hearing in which of the following situations? - CORRECT
ANSWERS-A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWERS-"Monitor for muscle weakness while taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed nurse
when sharing a client's medical info. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client info? - CORRECT
ANSWERS-A social worker who's assigned an involuntary committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider? - CORRECT ANSWERS-
Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a hemicolectomy.
Which of the following findings is a nurse's priority, requiring immediate intervention? -
CORRECT ANSWERS-O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? - CORRECT ANSWERS-Blurred
vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of
the following actions should the nurse take first? - CORRECT ANSWERS-Elevate the
client's HOB
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following lab tests is most accurate of blood glucose effective management? -
CORRECT ANSWERS-Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? - CORRECT ANSWERS-Tells a client he will lose his phone privileges if he
does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure precautions.
Which of the following materials should the AP place in the client's room? - CORRECT
ANSWERS-Oral suction equipment
