ATI EXIT EXAM #2 VERSION OF
COMPREHENSIVE RETAKE TEST –
BEACHES QUESTIONS AND
ANSWERS
Aynurseyisycaringyforyayclientywhoyhasyayrecentydiagnosisyofyayterminalyillness.yTheynur
seyshouldyidentifyywhichyofytheyfollowingyasyanyindicationyofyhopelessness?y-yanswer--
Theyclientyhasyaydecreasedylevelyofyenergy
Aynurseyisypreparingytoycollectydatayonyaypreschooler.yWhichyofytheyfollowingybehavior
sybyytheychildyindicatesythatyheyisyreadyytoycooperate?y(SATA-3)y-yanswer--
1.yAllowsytheynurseytoytouchyhimyonytheyarm
2.yAnswersyquestionsyaskedybyytheynurse
3.yMakesyeyeycontactywithytheynurse
Aynurseyonyaymentalyhealthyunityisyplanningycareyforyaygroupyofyclients.yWhichyofytheyfol
lowingyclientsyshouldytheynurseyseeyfirst?y-yanswer--
Ayclientywhoyhasyschizoyandyisyhavingycommandyhallucinations
Aynurseyisycaringyforyayclientywhoyrecentlyygaveybirthytoyheryfirstychild.yTheynewbornyisy
cryingyandytheyclientystates,y"Iycan'tyseemytoydoyanythingyright.yWhatyshouldyIydo?"yWhi
chyofytheyfollowingyresponsesyshouldytheynurseymake?y-
yanswer--"Letymeyshowyhowytoyswaddleyandycuddleyhim,ythenytry."
Aynurseyisyusingyayglucometerytoymeasureyayclient'sycapillaryybloodyglucoseylevel.yWhi
chyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Keepytheyfingeryinydependentyposition
Aynurseyisyreviewingytheyhomeymedicationsywithyayclientywhoyrecentlyyhadyaytransientyi
schemicyattacksyandyisytoybeginytakingyclopidogrel.yTheynurseyshouldyinstructytheyclien
tythatywhichyofytheyfollowingyotcymedsyinteractyadverselyywyclopidogrel?y-yanswer--
Naproxen
Aynurseyisycollectingydatayfromyayclientywhoyhasyaylongylegycastythatywasyappliedy2yday
syago.yTheyclient'syfootyisypaleywyayweakypedalypulseyandytheyclientyreportsyfootynumbn
ess.yWhichyofytheyfollowingyactionsyshouldytheynurseytakeyfirst?y-yanswer--
Checkyforypainywypassiveymovementyofytheyaffectedyextremity
Aynurseyinyayprovidersyofficeyisyreinforcingyteachingyaboutycigaretteysmokingywyayclient
.yWhichyofytheyfollowingyadverseyeffectsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--Somnolence
,Aynurseyisycontributingytoytheydevelopmentyofyanyin-
serviceyprogramyforymentalyhealthynursingystaff.yTheynurseyshouldyincludeythatytheystaf
fycanymedicateyayclientyagainstyhisywill,ywithoutyaycourtyhearingyinywhichyofytheyfollowin
gysituations?y-yanswer--Ayclientywhoyisyattemptingytoyhurtyhimselfyoryothers
Aynurseyisyreinforcingyteachingywithyayclientywhoyhasyaynewyprescriptionyforydigoxin.yW
hichyofytheyfollowingyinstructionsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--"Monitoryforymuscleyweaknessywhileytakingytheymedication"
Aychargeynurseyisydiscussingyconfidentialityyrequirementsywyaynewlyylicensedynurseyw
henysharingyayclient'symedicalyinfo.yWhichyofytheyfollowingyindividualsyshouldytheycharg
eynurseyidentifyyasyappropriateywithywhomytoyshareyclientyinfo?y-yanswer--
Aysocialyworkerywho'syassignedyanyinvoluntaryycommittedyschool-ageyclient
Aynurseyisyreviewingylabyvaluesyforyayclientywhoyisyaty34yweeksyofygestation.yWhichyofyt
heyfollowingyfindingsyshouldytheynurseyreportytoytheyprovider?y-yanswer--
Urineyproteinyplus
Aynurseyisycollectingydatayfromyayclientywhoyisy4yhrypostopyfollowingyayhemicolectomy.y
Whichyofytheyfollowingyfindingsyisyaynurse'sypriority,yrequiringyimmediateyintervention?
y-yanswer--O2ysaty89%
Aynurseyinyayprovider'syofficeyisycollectingydatayfromyayclientywhoyhasyayhistoryyofyhyper
tensionyduringyhisyannualyphysicalyexamination.yWhichyofytheyfollowingyfindingsyshoul
dytheynurseyreportytoytheyprovideryimmediately?y-yanswer--Blurredyvision
Aynurseyisycaringyforyayclientywhoysuddenlyydevelopsychestypainyandydyspnea.yWhichy
ofytheyfollowingyactionsyshouldytheynurseytakeyfirst?y-yanswer--Elevateytheyclient'syHOB
Aynurseyisyreinforcingyteachingyonyayclientywhoyhasydiabetesymellitus.yWhichyofytheyfoll
owingylabytestsyisymostyaccurateyofybloodyglucoseyeffectiveymanagement?y-yanswer--
GlycoslatedyHemoglobin
Aynurseychargeyonyaymentalyhealthyunityisysupervisingyaynewlyylicensedynurse.yForywhi
chyofytheyfollowingyactionsybyytheynewlyylicensedynurseyshouldytheysupervisingynurseyi
ntervene?y-yanswer--
Tellsyayclientyheywillyloseyhisyphoneyprivilegesyifyheydoesynotytakeyhisymedication
AynurseyisysupervisingyanyAPyobtainysuppliesyforyayclientywhoyisyonyseizureyprecaution
s.yWhichyofytheyfollowingymaterialsyshouldytheyAPyplaceyinytheyclient'syroom?y-
yanswer--Oralysuctionyequipment
Aynurseyisyreinforcingydischargeyteachingywithyayfamilyyofyayclientywhoyhasydependenty
personalityydisorder.yWhatyactionyshouldytheynurseytake?y-yanswer--
Encourageyclientytoybeyassertive
Aynurseyisyreinforcingydischargeyteachingywithyayclientywhoyhadyayrightytotalyhipyarthrop
lasty.yWhichyofytheyfollowingyinstructionsyshouldytheynurseyindicate?y-
yanswer--"Youyshouldyavoidycrossingyyourylegsyfory3ymonths"
, Aynurseyisyreinforcingydietaryyteachingywithyayclientywhoyhasyhyperemesisygravidarum.
yWhichyofytheyfollowingyinstructionsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--Eatyaysmallymealyeveryy2-3yhr
AynurseyisyreinforcingyteachingywithyayclientywhoyhasyGERDyandyayprescriptionyforyrani
tidine.yWhichyofytheyfollowingystatementsybyytheyclientyindicatesyandyunderstandingyofyt
heyteaching?y-yanswer--"Iyshouldytakeythisymedicationyinytheymorningyandyatynight"
Aynurseyisyassistingywithytheyadmissionyofyayclientywhoyhasypulmonaryytb.yWhichyofythe
yfollowingytypesyofyisolationyprecautionsyshouldytheynurseyinclude?y-yanswer--Airborne
AynurseyisyreinforcingydischargeyteachingywithyayclientywhoyhasyCOPDyandyreportsypro
blemsywithymaintainingyadequateynutrition.yWhichyofytheyfollowingyinstructionsyshouldyt
heynurseyinclude?y-yanswer--"Performypulmonaryyhygieney1yhrybeforeymeals"
Aynurseyisyadministeringypancreaticyenzymesytoyayclientywhoyhasycysticyfibrosis.yWhich
yofytheyfollowingyoutcomesyshouldytheynurseyexpectyasyaytherapeuticyeffectsyofytheytrea
tment?y-yanswer--Reducedyfatyinystools
Aynurseyisycaringyforyayclientywhoyhasyparanoidyschizoyandybelievesythatysheyisybeingyf
ollowedybyyFBIyagentsywhoyareypretendingytoybeytheypsychiatricystaff.yWhichyofytheyfoll
owingyresponsesyshouldytheynurseymake?y-yanswer--
TheypsychiatricystaffynotytheyFBI.yThey'reyhereytoyhelpyyou
AynurseyisyassistingyinytheycareyofyayclientywhoyhasyayfracturedyfemuryandyisyinyBuck'sytr
action,ywhichyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Ensureytheyweightsyareyhangingyfreely
Aynurseyisyreviewingytheymedyrecordyofyayclientywhoyrequiresycontinuousyoxygenysatur
ationymonitoring.yWhichyofytheyfollowingyshouldytheynurseyidentifyyasyayfactorythatycany
affectytheyvalidityyofytheyreadings?y-yanswer--PeripheralyVascularyDisease
Aynurseyisycollectingydatayfromyaygroupyofyclients.yWhichyofytheyfollowingyclientsyshould
ytheynurseyidentifyyasyhavingyxanthelasama?y-yanswer--
Ladyywithyeyesyclosedywithynoduleyonyeyelid
AynurseyisyassistingywithytheyadmissionyofyayclientywhoyhasyVREyofytheyurine.yWhichyofy
theyfollowingytypesyofyprecautionsyshouldytheynurseyimplementyforythisyclient?y-
yanswer--Contact yprecautions
Aycommunityyhealthynurseyisyassistingyinytheydevelopmentyofyaybrochureyaboutyhypert
ension.yWhichyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Explainymedicalyterminologyyusingybasicyone-syllableywords
Aynurseyisycollectingydatayfromyanyadolescentyduringyanyannualyphysicalyexamination.y
Whichyofytheyfollowingystatementsybyytheyclientyisytheynurse'sypriority?y-yanswer--
Iywouldyratherybeyaloneythanywithymyyfiance
COMPREHENSIVE RETAKE TEST –
BEACHES QUESTIONS AND
ANSWERS
Aynurseyisycaringyforyayclientywhoyhasyayrecentydiagnosisyofyayterminalyillness.yTheynur
seyshouldyidentifyywhichyofytheyfollowingyasyanyindicationyofyhopelessness?y-yanswer--
Theyclientyhasyaydecreasedylevelyofyenergy
Aynurseyisypreparingytoycollectydatayonyaypreschooler.yWhichyofytheyfollowingybehavior
sybyytheychildyindicatesythatyheyisyreadyytoycooperate?y(SATA-3)y-yanswer--
1.yAllowsytheynurseytoytouchyhimyonytheyarm
2.yAnswersyquestionsyaskedybyytheynurse
3.yMakesyeyeycontactywithytheynurse
Aynurseyonyaymentalyhealthyunityisyplanningycareyforyaygroupyofyclients.yWhichyofytheyfol
lowingyclientsyshouldytheynurseyseeyfirst?y-yanswer--
Ayclientywhoyhasyschizoyandyisyhavingycommandyhallucinations
Aynurseyisycaringyforyayclientywhoyrecentlyygaveybirthytoyheryfirstychild.yTheynewbornyisy
cryingyandytheyclientystates,y"Iycan'tyseemytoydoyanythingyright.yWhatyshouldyIydo?"yWhi
chyofytheyfollowingyresponsesyshouldytheynurseymake?y-
yanswer--"Letymeyshowyhowytoyswaddleyandycuddleyhim,ythenytry."
Aynurseyisyusingyayglucometerytoymeasureyayclient'sycapillaryybloodyglucoseylevel.yWhi
chyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Keepytheyfingeryinydependentyposition
Aynurseyisyreviewingytheyhomeymedicationsywithyayclientywhoyrecentlyyhadyaytransientyi
schemicyattacksyandyisytoybeginytakingyclopidogrel.yTheynurseyshouldyinstructytheyclien
tythatywhichyofytheyfollowingyotcymedsyinteractyadverselyywyclopidogrel?y-yanswer--
Naproxen
Aynurseyisycollectingydatayfromyayclientywhoyhasyaylongylegycastythatywasyappliedy2yday
syago.yTheyclient'syfootyisypaleywyayweakypedalypulseyandytheyclientyreportsyfootynumbn
ess.yWhichyofytheyfollowingyactionsyshouldytheynurseytakeyfirst?y-yanswer--
Checkyforypainywypassiveymovementyofytheyaffectedyextremity
Aynurseyinyayprovidersyofficeyisyreinforcingyteachingyaboutycigaretteysmokingywyayclient
.yWhichyofytheyfollowingyadverseyeffectsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--Somnolence
,Aynurseyisycontributingytoytheydevelopmentyofyanyin-
serviceyprogramyforymentalyhealthynursingystaff.yTheynurseyshouldyincludeythatytheystaf
fycanymedicateyayclientyagainstyhisywill,ywithoutyaycourtyhearingyinywhichyofytheyfollowin
gysituations?y-yanswer--Ayclientywhoyisyattemptingytoyhurtyhimselfyoryothers
Aynurseyisyreinforcingyteachingywithyayclientywhoyhasyaynewyprescriptionyforydigoxin.yW
hichyofytheyfollowingyinstructionsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--"Monitoryforymuscleyweaknessywhileytakingytheymedication"
Aychargeynurseyisydiscussingyconfidentialityyrequirementsywyaynewlyylicensedynurseyw
henysharingyayclient'symedicalyinfo.yWhichyofytheyfollowingyindividualsyshouldytheycharg
eynurseyidentifyyasyappropriateywithywhomytoyshareyclientyinfo?y-yanswer--
Aysocialyworkerywho'syassignedyanyinvoluntaryycommittedyschool-ageyclient
Aynurseyisyreviewingylabyvaluesyforyayclientywhoyisyaty34yweeksyofygestation.yWhichyofyt
heyfollowingyfindingsyshouldytheynurseyreportytoytheyprovider?y-yanswer--
Urineyproteinyplus
Aynurseyisycollectingydatayfromyayclientywhoyisy4yhrypostopyfollowingyayhemicolectomy.y
Whichyofytheyfollowingyfindingsyisyaynurse'sypriority,yrequiringyimmediateyintervention?
y-yanswer--O2ysaty89%
Aynurseyinyayprovider'syofficeyisycollectingydatayfromyayclientywhoyhasyayhistoryyofyhyper
tensionyduringyhisyannualyphysicalyexamination.yWhichyofytheyfollowingyfindingsyshoul
dytheynurseyreportytoytheyprovideryimmediately?y-yanswer--Blurredyvision
Aynurseyisycaringyforyayclientywhoysuddenlyydevelopsychestypainyandydyspnea.yWhichy
ofytheyfollowingyactionsyshouldytheynurseytakeyfirst?y-yanswer--Elevateytheyclient'syHOB
Aynurseyisyreinforcingyteachingyonyayclientywhoyhasydiabetesymellitus.yWhichyofytheyfoll
owingylabytestsyisymostyaccurateyofybloodyglucoseyeffectiveymanagement?y-yanswer--
GlycoslatedyHemoglobin
Aynurseychargeyonyaymentalyhealthyunityisysupervisingyaynewlyylicensedynurse.yForywhi
chyofytheyfollowingyactionsybyytheynewlyylicensedynurseyshouldytheysupervisingynurseyi
ntervene?y-yanswer--
Tellsyayclientyheywillyloseyhisyphoneyprivilegesyifyheydoesynotytakeyhisymedication
AynurseyisysupervisingyanyAPyobtainysuppliesyforyayclientywhoyisyonyseizureyprecaution
s.yWhichyofytheyfollowingymaterialsyshouldytheyAPyplaceyinytheyclient'syroom?y-
yanswer--Oralysuctionyequipment
Aynurseyisyreinforcingydischargeyteachingywithyayfamilyyofyayclientywhoyhasydependenty
personalityydisorder.yWhatyactionyshouldytheynurseytake?y-yanswer--
Encourageyclientytoybeyassertive
Aynurseyisyreinforcingydischargeyteachingywithyayclientywhoyhadyayrightytotalyhipyarthrop
lasty.yWhichyofytheyfollowingyinstructionsyshouldytheynurseyindicate?y-
yanswer--"Youyshouldyavoidycrossingyyourylegsyfory3ymonths"
, Aynurseyisyreinforcingydietaryyteachingywithyayclientywhoyhasyhyperemesisygravidarum.
yWhichyofytheyfollowingyinstructionsyshouldytheynurseyincludeyinytheyteaching?y-
yanswer--Eatyaysmallymealyeveryy2-3yhr
AynurseyisyreinforcingyteachingywithyayclientywhoyhasyGERDyandyayprescriptionyforyrani
tidine.yWhichyofytheyfollowingystatementsybyytheyclientyindicatesyandyunderstandingyofyt
heyteaching?y-yanswer--"Iyshouldytakeythisymedicationyinytheymorningyandyatynight"
Aynurseyisyassistingywithytheyadmissionyofyayclientywhoyhasypulmonaryytb.yWhichyofythe
yfollowingytypesyofyisolationyprecautionsyshouldytheynurseyinclude?y-yanswer--Airborne
AynurseyisyreinforcingydischargeyteachingywithyayclientywhoyhasyCOPDyandyreportsypro
blemsywithymaintainingyadequateynutrition.yWhichyofytheyfollowingyinstructionsyshouldyt
heynurseyinclude?y-yanswer--"Performypulmonaryyhygieney1yhrybeforeymeals"
Aynurseyisyadministeringypancreaticyenzymesytoyayclientywhoyhasycysticyfibrosis.yWhich
yofytheyfollowingyoutcomesyshouldytheynurseyexpectyasyaytherapeuticyeffectsyofytheytrea
tment?y-yanswer--Reducedyfatyinystools
Aynurseyisycaringyforyayclientywhoyhasyparanoidyschizoyandybelievesythatysheyisybeingyf
ollowedybyyFBIyagentsywhoyareypretendingytoybeytheypsychiatricystaff.yWhichyofytheyfoll
owingyresponsesyshouldytheynurseymake?y-yanswer--
TheypsychiatricystaffynotytheyFBI.yThey'reyhereytoyhelpyyou
AynurseyisyassistingyinytheycareyofyayclientywhoyhasyayfracturedyfemuryandyisyinyBuck'sytr
action,ywhichyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Ensureytheyweightsyareyhangingyfreely
Aynurseyisyreviewingytheymedyrecordyofyayclientywhoyrequiresycontinuousyoxygenysatur
ationymonitoring.yWhichyofytheyfollowingyshouldytheynurseyidentifyyasyayfactorythatycany
affectytheyvalidityyofytheyreadings?y-yanswer--PeripheralyVascularyDisease
Aynurseyisycollectingydatayfromyaygroupyofyclients.yWhichyofytheyfollowingyclientsyshould
ytheynurseyidentifyyasyhavingyxanthelasama?y-yanswer--
Ladyywithyeyesyclosedywithynoduleyonyeyelid
AynurseyisyassistingywithytheyadmissionyofyayclientywhoyhasyVREyofytheyurine.yWhichyofy
theyfollowingytypesyofyprecautionsyshouldytheynurseyimplementyforythisyclient?y-
yanswer--Contact yprecautions
Aycommunityyhealthynurseyisyassistingyinytheydevelopmentyofyaybrochureyaboutyhypert
ension.yWhichyofytheyfollowingyactionsyshouldytheynurseytake?y-yanswer--
Explainymedicalyterminologyyusingybasicyone-syllableywords
Aynurseyisycollectingydatayfromyanyadolescentyduringyanyannualyphysicalyexamination.y
Whichyofytheyfollowingystatementsybyytheyclientyisytheynurse'sypriority?y-yanswer--
Iywouldyratherybeyaloneythanywithymyyfiance
