ATI COMPREHENSIVE EXIT FINAL EXAM 180 QUESTIONS AND CORRECT ANSWERS
2024-2025 LATEST GRADED A+
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 an SaO2 of 92% long receiving oxygen at 1 L per
minute via nasal cannula
b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL
d) A client who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green
fluid - answer-A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that
which of the following indicates that the client is in the latent phase of labor?
a) The client reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
d) The client reports nausea and vomiting - answer-The cervix is dilated 2 cm
The charge nurse for medical surgical units discovers client care assignments that should be reassigned.
Which of the following delegated tasks should be reassigned?
a) An AP is to calculate intake and output every two hours for client in acute renal failure.
b) An AP is to collect vital signs every 30 minutes for client who had a cholecystectomy
c) A licensed practical nurse is to check nasogastric tube placement for client list had a bowel resection.
d) A licensed practical nurses to provide initial feeding for client who had a cerebrovascular accident. -
answer-A lvn to provide initial feeding for a client who had cerebrovascular accident
A nurse caring for a client who has a cast due to compound fracture too the right ankle. Which of the
following findings requires immediate intervention?
a) pruiritus under the cast
b) Localized stabbing pain upon movement
c) paresthesia of the distal extremity
,d) Edema present when leg is in the dependent position - answer-Paresthesia of the distal extemity
The nurses providing care for preschoolers with acute gastroenteritis. Basing information below which
of t/he following is an appropriate nursing action?
a) Offer the child a cup of chicken broth.
b) Encourage the child's intake of gelatin.
c) Administer oral rehydration solutions.
d) Institute a banana, Rice, applesauce, and toast diet. - answer-Administer oral rehydration solution
The nurse caring for. client who is taking allopurinol. The nurse should monitor which of the following
laboratory findings to determine the effectiveness of the medication?
a) Serum chloride
b) Uric acid level
c) Serum albumin
d) Magnesium level - answer-Uric acid level
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 fibrillation
d) Ventricular fibrillation - answer-Atrial fibrillation
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 - answer-Herpes simplex
A nurse assesses an older adult client with the decrease caloric intake and weight-loss. Which of the
following findings should the nurse report to the provider immediately?
,a) The clinic experiences coughing and wheezing after eating.
b) The client reports abdominal pain at a five on a scale of 0 to 10.
c) The client experience is a drop in oxygen saturation to 91% while eating.
d) The client reports a burning sensation in epigastric area. - answer-The client experiences coughing
and wheezing after eating
A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is
appropriate for the nurse to delegate to an AP?
a) Applying condom catheter for client for spinal cord injury
b) Administrative oral fluids to client was dysphasia
c) Documenting the report of pain from client who is postoperative
d) Reviewing active range of motion exercises with a client who is had a stroke - answer-Apply condom
catheter for a client with spinal injury
A nurse from the health state 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 virus 2
c) staphylococcus aureus
d) Lyme disease - answer-Lyme disease
The nurse is assessing an adolescent client for sickle cell anemia. which of the following is a priority
finding by the nurse?
a) A pain score 7 on a scale of 0 to 10
b) Shortness of breath
c) New onset of a new enuresis
d) Priapism - answer-Shortness of breathe
Nurses caring for a client whose 1 day postop following a hypophyysectomy for the removal of the
pituitary tumor. Which of the findings requires further assessment by the nurse?
a) Glascow scale score a 15
, b) Blood drainage on initial dressing measuring 3 cm
c) Report of dry mouth
d) Urinary output greater than fluid intake - answer-Urinary output greater than fluid intake
A nurse is caring for a client wh has diabetes insipidus and is receiving desmopressin. Which of the
following should the nurse monitor ?
a) Fasting blood glucose
b) Carbohydrate intake
c) Hematocrit
d) Weight - answer-weight
The nurse providing discharge instructions about engorgement for a client who has decided not to
breastfeed. Which of the following statements by the client indicates a need for further instruction by
the nurse?
a) I can wear support bra
b) I will play cold compression my breasts
c) I will manually express breastmilk
d) I can take a mild analgesic - answer-I will manually express breastmilk
A nurses is caring for a client in preterm labor who is receiving magnesium sulfate by continuous IV
infusion. Which of the following findings indicates medication toxicity?
a) Blood glucose of 150 mg/dL
b) Urine output of 20 mL per hour
c) Systolic blood pressure at 140 mm Hg
d) BUN 20 mg/dL - answer-Urine output 20 ml per hour
2024-2025 LATEST GRADED A+
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 an SaO2 of 92% long receiving oxygen at 1 L per
minute via nasal cannula
b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL
d) A client who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green
fluid - answer-A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that
which of the following indicates that the client is in the latent phase of labor?
a) The client reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
d) The client reports nausea and vomiting - answer-The cervix is dilated 2 cm
The charge nurse for medical surgical units discovers client care assignments that should be reassigned.
Which of the following delegated tasks should be reassigned?
a) An AP is to calculate intake and output every two hours for client in acute renal failure.
b) An AP is to collect vital signs every 30 minutes for client who had a cholecystectomy
c) A licensed practical nurse is to check nasogastric tube placement for client list had a bowel resection.
d) A licensed practical nurses to provide initial feeding for client who had a cerebrovascular accident. -
answer-A lvn to provide initial feeding for a client who had cerebrovascular accident
A nurse caring for a client who has a cast due to compound fracture too the right ankle. Which of the
following findings requires immediate intervention?
a) pruiritus under the cast
b) Localized stabbing pain upon movement
c) paresthesia of the distal extremity
,d) Edema present when leg is in the dependent position - answer-Paresthesia of the distal extemity
The nurses providing care for preschoolers with acute gastroenteritis. Basing information below which
of t/he following is an appropriate nursing action?
a) Offer the child a cup of chicken broth.
b) Encourage the child's intake of gelatin.
c) Administer oral rehydration solutions.
d) Institute a banana, Rice, applesauce, and toast diet. - answer-Administer oral rehydration solution
The nurse caring for. client who is taking allopurinol. The nurse should monitor which of the following
laboratory findings to determine the effectiveness of the medication?
a) Serum chloride
b) Uric acid level
c) Serum albumin
d) Magnesium level - answer-Uric acid level
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 fibrillation
d) Ventricular fibrillation - answer-Atrial fibrillation
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 - answer-Herpes simplex
A nurse assesses an older adult client with the decrease caloric intake and weight-loss. Which of the
following findings should the nurse report to the provider immediately?
,a) The clinic experiences coughing and wheezing after eating.
b) The client reports abdominal pain at a five on a scale of 0 to 10.
c) The client experience is a drop in oxygen saturation to 91% while eating.
d) The client reports a burning sensation in epigastric area. - answer-The client experiences coughing
and wheezing after eating
A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is
appropriate for the nurse to delegate to an AP?
a) Applying condom catheter for client for spinal cord injury
b) Administrative oral fluids to client was dysphasia
c) Documenting the report of pain from client who is postoperative
d) Reviewing active range of motion exercises with a client who is had a stroke - answer-Apply condom
catheter for a client with spinal injury
A nurse from the health state 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 virus 2
c) staphylococcus aureus
d) Lyme disease - answer-Lyme disease
The nurse is assessing an adolescent client for sickle cell anemia. which of the following is a priority
finding by the nurse?
a) A pain score 7 on a scale of 0 to 10
b) Shortness of breath
c) New onset of a new enuresis
d) Priapism - answer-Shortness of breathe
Nurses caring for a client whose 1 day postop following a hypophyysectomy for the removal of the
pituitary tumor. Which of the findings requires further assessment by the nurse?
a) Glascow scale score a 15
, b) Blood drainage on initial dressing measuring 3 cm
c) Report of dry mouth
d) Urinary output greater than fluid intake - answer-Urinary output greater than fluid intake
A nurse is caring for a client wh has diabetes insipidus and is receiving desmopressin. Which of the
following should the nurse monitor ?
a) Fasting blood glucose
b) Carbohydrate intake
c) Hematocrit
d) Weight - answer-weight
The nurse providing discharge instructions about engorgement for a client who has decided not to
breastfeed. Which of the following statements by the client indicates a need for further instruction by
the nurse?
a) I can wear support bra
b) I will play cold compression my breasts
c) I will manually express breastmilk
d) I can take a mild analgesic - answer-I will manually express breastmilk
A nurses is caring for a client in preterm labor who is receiving magnesium sulfate by continuous IV
infusion. Which of the following findings indicates medication toxicity?
a) Blood glucose of 150 mg/dL
b) Urine output of 20 mL per hour
c) Systolic blood pressure at 140 mm Hg
d) BUN 20 mg/dL - answer-Urine output 20 ml per hour
