ATI COMPREHENSIVE EXIT FINAL
QUESTIONS AND ANSWERS
Aynurseyinyanyemergencyydepartmentycompletesyanyassessmentyonyanyadolescentycli
entythatyhasyconductydisorder.yTheyclientythreatenedysuicideytoyayteacheryatyschool.yW
hichyofytheyfollowingystatementsyshouldytheynurseyincludeyinytheyassessment?
a)Tellymeyaboutyyourysiblings?y
B)Tellymeywhatykindyofymusicyyouylike?y
c)yTellymeyhowyoftenydoyyouydrinkyalcohol?
d)yTellymeyaboutyyouryschoolyschedule?y-yanswer--
Tellymeyhowyoftenydoyyouydrinkyalcohol
Aynurseyisyobservingybondingytoytheyclientyherynewborn.yWhichyofytheyfollowingyactions
ybyytheyclientyrequiresytheynurseytoyintervene?
A-yHoldingytheynewybornyinyanyenyfaceypositiony
b-yaskingytheyfatherytoychangeytheynewbornsydiapery
c-yrequestingytheynurseytoytakeytheynewbornynurseryysoysheycanyresty
d-yViewingytheynewbornsyactionsytoybeyuncooperativey-yanswer--
Viewingytheynewbornsyactionsytoybeyuncooperative
Aynurseyisycaringyforyayclientywhoyisytakingylevothyroxine.yWhichyofytheyfollowingyfindin
gsyshouldyindicateythatytheymedicationyisyeffective?
A-yWeightyloss
b-yAskingytheyfatherytoychangeytheynewbornsydiapery
c-yabsenceyofyseizuresy
d-yDecreaseyinflammationy-yanswer--
WeightlossythisydrugyactsyasyT4yandywillynormalizeytheyeffectsyofyhypothyroidism
Aynurseyisyplanningydischargeyteachingyforycordycareyforytheyparentyofyaynewborn.yWhi
chyinstructionsywouldyyouyincludeyinytheyteaching?
A-ycontactytheyprovideryifytheycordystillyturnsyblacky
b-ycleanytheybaseyofytheycordywithyhydrogenyperoxideydailyy
c-yKeepytheycordydryyunitlyityfallsyoffy
d-yTheycordystumpywillyfallyoffyinyfiveydaysy-yanswer--
Keepytheycordydryyuntilyityfallsyoffy(cordyshouldybeykeptycleanyandydryytoypreventyinfectio
n,yitywillyturnyblack,ycleanywithyneutralyphycleanser,ycordyfallsyoffyiny10-14ydays)
AynurseyisyassessingyayclientyinyPACU.yWhichyofytheyfollowingyfindingsyindicatesydecre
asedycardiacyoutput?
A-yShiveringy
b-yoliguriay
c-yBradypneay
d-yConstrictedypupilsy-yanswer--Oliguria
,Aynurseyisyassistingywithymassycasualtyytriage,yexplosionyatyaylocalyfactory.yWhichyofyth
eyfollowingyclientyshouldytheynurseyidentifyyasytheypriority?
A-yAyclientythatyhasymassiveyheadytrauma
B-yAyclientyhasyfullythicknessyburnsytoyfaceyandytrunky
C-yAyclientywithyindicationsyofyhypovolemicyshocky
D-yAyclientywithyopenyfractureyofytheyloweryextremityy-yanswer--
Ayclientywithyindicationsyofyhypovolemicyshock
Aynurseyisyreceivingyreportyonyfouryclients.yWhichyofytheyfollowingyclientsyshouldytheynu
rseyassesyfirst?
A-yayclientywhoyhasyillegalyconduityandymucusyinytheypouchy
b-yClientypleasantyarteriovenousyadditionalyvibrationypalpatedy
c-yClientywhoseychronicykidneyydiseaseywithycloudyydiasylateyoutflow
D-
yAyclientywasytransurethralyresectionyofytheyprostateywithyredytingedyurineyinytheybagy-
yanswer--Ayclientywhoseychronicykidneyydiseaseywithycloudyydiasylateyoutflow
Aynurseyisycaringyforyayclientyjustyreceivedytheyfirstydoseyofylisinopril.yTheyfollowingyisya
nyappropriateynursingyintervention?
a-yplace'sycardiacymonitoringy
b-ymonitorytheyclientsyoxygenysaturationylevely
c-yprovideystandbyyassistywithytheyclientyfromybedy
d-yencourageyfoodsyhighyinypotassiumy-yanswer--
Provideystandbyyassistywithytheyclientyfromybed
Aynurseyisycaringyforyayclientywhoyisyinylaboryandyhisyseatyisyrecievingyelectronicyfetalym
onitoring.yTheynurseyisyreviewingytheymonitorytracingyandynotesyearlyydecelerations.yW
hichyofytheyfollowingyshouldytheynurseyexpect?
a-Fetayhypoxiay
b-yabruptoyplacentaey
c-ypostymaturityy
d-yheadycompressionsy-yanswer--headycompressions
Aynurseyisycaringyforyayclientywhoyhasychronicykidneyydisease.yTheynurseyshouldyidentif
yywhichyofytheyfollowingylaboratoryyvaluesyasyanyindicationyforyhemodialysis?
a-yGlomerularyfiltrationyrateyofy14yml/minutey
b-yBUNy16yml/dly
c-yserumymagnesiumy1.8ymgymg/dly
d-yserumyphosphorusy4.0ymymg/dly-yanswer--glomerularyfiltraionyrateyofy14yml/minute
Aynurseyisycaringyforyanyinfantywhoyhasyayprescriptionyforycontinuousypulseyoximetry.yT
heyfollowingyisyanyappropriateyactionyforytheynurseytoytake?
a-yplacedyinfantyunderyradiantywarmery
b-ymoveytheyprobeysiteyeveryy3yhrsy
c-yheatytheyskinyoneyminuteypriorytoyplacingytheyprogramy
d-yplacedyaysensoryonytheyindexyfingery-yanswer--
Heatytheyskinyoneyminuteypriorytoyplacingytheyprogram.
,Aynurseyinyaymentalyhealthyfacilityyreceivesyaychangeytoyshiftyreportyonyforyclients.yWhic
hyofytheyfollowingyclientsyshouldytheynurseyplanytoyassesyfirst?
a-yAyclientyplacedyinyrestraintsytoytheyaggressiveybehavior
b-yaynewylimitedyclientypleasuresyhistoryy4.5ykgyweightylossyinytheypastytwoymonthsy
c-yclientyisyreceivingyprnydoseyofyhealthyheardyallytwoyhoursyagoyforyincreasedyanxietyy
d-yAppliedyhe'llybeyreceivingyhisyfirstyectytreatmentytodayy-yanswer--
Clietyplacedyinyrestraintsytoytheyaggressiveybehavior
Aynurseyisyworkingyatytheyclinicyisyteachingyaygroupyofyclientsywhoyareypregnantyonythey
useyofynonpharmacologicalypainymanagement.yWhichyofytheyfollowingystatementsybyyt
heynurseyisyanyappropriateydescriptionyofytheyuseyofyhypnosisyduringylabor?
a-yHypnosisyfocusesyonybiofeedbackyasyayrelaxationytechniquey
b-yhypnosisypromotedyincreasedycontrolyofyherypainyperceptionyduringycontractionsy
c-yhypnosisyusesytherpeuticytouchytoyreduceyanxietyyduringylabory
d-yhynosisyprovidesyinstructionsytoyminimizeypainy-yanswer--
Hypnosisypromotesyincreasedycontrolyofyherypainyperceptionyduringycontractions.
Aynurseyisyaycountyyjailyhealthyclinicyisyleadingygroupytherapyysessions.yAyclientywhoyha
syincarceratedyforytheftyisyaddressingytheygroup.yWhichyofytheyfollowingyisyanyexampley
ofyreactionyformation?
y(reactionyformationyisywhenyusingyoppositeyfeelings,ybeingysuperyniceytoysomeoneyyo
uydislike)
a-yIystealythingsybecauseyityisytheyonlyywayyiycanykeepymyymindyoffymyybadymarriagey
b-yiycan'tybelieveyiywasyaccusedyofysomethingyiydidn'tydoy
c-yiydon'tywantytoytalkyaboutymyyfeelingsyrightynow,yweywillytalkymoreynextytimey
d-yiythinkythatypeopleyareyjustylazyyandyshouldyearnyextraymoneyy-yanswer--
Iythinkythatyyourypeopleyareyjustylazyyandyshouldyearnymoneyyhonestly
Aynurseyisyobtainingymedicalyhistoryyofyayclientywhoyhasyaynewyprescriptionyforyisosorbi
deymononitrate.yWhichyofytheyfollowingyshouldytheynurseyidentifyyasyaycontraindicationy
toymedication?
a-yGlaucomay
b-yhypertensiony
c-ypolycythemiay
d-ymigraineyheadachesy-yanswer--Glaucoma
NAy-yanswer--n/a
Theynurseyisycaringyforyayclientyrecoveringyfromyanyacuteymyocardialyinfarction.yWhichy
ofytheyfollowingyinterventionyshouldytheynurseyincludeyinytheypointyofycare?
a-yDrawyaytroponinylevelyeveryyfouryhoursy
b-yperformanceyEKGyeveryy12yhrsy
c-yplantyoxygenytentyfellyoveryminutesyviayrebreatherymasky
, d-yobtainyaycardiacyrehabilitationyconsulty-yanswer--
Obtainycardiacyrehabilitationyconsult
Aynurseyisycaringyforyayclientywhoyhasybreastycanceryandyhasybeenycoveringyreceivingy
chemotherapy.yWhichyofytheyfollowingylaboratoryyvaluesyshouldytheynurseyreportytoythe
yprovidery?
a-yWBCy3,000y/mm3y
b-yHemoglobiny12yg/dly
c-yPlatelety250,000/mm3y
d-yaPTTy30ysecondsy-yanswer--WBCy3,000/mm3
Homeyhealthynurseyisycarefullyyplannedyforyalzheimer'sydisease.yToytheyfollowingyactio
nsyshouldytheynurseyincludeyinytheyplanyofycare?
a-yPlaceyaydailyycalendaryinytheykitcheny
b-yreplaceytheybuttonyclothingywithyzipperedyitemsy
c-yreplaceytheycarpetywithyhardwoodyfloorsy
d-ycreateyvariationyinydailyyroutiney-yanswer--Placeyaydailyycalendaryinytheykitchen
Nurseyisyperformingychangeyofyshiftyassessmentyony4yclients.yWhichyofytheyfollowingyfi
ndingsyshouldytheynurseyreportytoytheyprovidersyfirst?
a-yTheyclientywasycysticyfibrosisyandyhasyaythickyproductiveyclockyandyreportythirsty
b-yclientywhoyhasygastroenteritisyandyisylethargicyandyconfusedy
c-ytheyclientyhasydiabetesymellitusyhasymorningyfastingylegalycostyofy185yoverydealy
d-
ytheyclientywasysickyofysigningyandyreportsypainy15yminutesyafteryreceivingyoralyanalges
icy-yanswer--Clientywhoyhasygastroenteritisyandyisylethargicyandyconfused
Aynurseyisycaringyforyayclientywhoywasyinysecondytrimesteryofypreganancyyandyasksyho
wytoytreatyconstipation.yWhichyofytheyfollowingystatementsybyytheynurseyisyappropriate?
a-yDecreaseytakingyvitaminsyandysupplementsytoyeveryyotherydayy
b-yEaty15ygyofyfiberyperydayy
c-yconsumey48youncesyofywateryeachydayy
d-ydrinkyhotywaterywithylemonyjuiceyeachymorningywhenyyouywakeyupy-yanswer--
Drinkyhotywaterywithyleonyjuiceyeveryymorningywhenyyouywakeyup.
n/ay-yanswer--n/a
Aynurseyisycaringyforyayclientywhoyisypreparingyhisyadvanceydirectives.yWhichyisytheyfoll
owingystatementsybyytheyclientyindicatesyanyunderstandingyofyadvancedydirectives?
y(selectyallythatyapply)
a-yIycan'tychangeymyyinstructionsyonceyayminutey
b-ymyydoctorywillyneedytoyapproveymyyadvanceydirectivesy
c-yiyneedyanyattorneyytoywitnessymyysignatureyonytheyadvanceydirectivesy
d-yIyhaveytheyrightytoyrefuseytreatmenty
QUESTIONS AND ANSWERS
Aynurseyinyanyemergencyydepartmentycompletesyanyassessmentyonyanyadolescentycli
entythatyhasyconductydisorder.yTheyclientythreatenedysuicideytoyayteacheryatyschool.yW
hichyofytheyfollowingystatementsyshouldytheynurseyincludeyinytheyassessment?
a)Tellymeyaboutyyourysiblings?y
B)Tellymeywhatykindyofymusicyyouylike?y
c)yTellymeyhowyoftenydoyyouydrinkyalcohol?
d)yTellymeyaboutyyouryschoolyschedule?y-yanswer--
Tellymeyhowyoftenydoyyouydrinkyalcohol
Aynurseyisyobservingybondingytoytheyclientyherynewborn.yWhichyofytheyfollowingyactions
ybyytheyclientyrequiresytheynurseytoyintervene?
A-yHoldingytheynewybornyinyanyenyfaceypositiony
b-yaskingytheyfatherytoychangeytheynewbornsydiapery
c-yrequestingytheynurseytoytakeytheynewbornynurseryysoysheycanyresty
d-yViewingytheynewbornsyactionsytoybeyuncooperativey-yanswer--
Viewingytheynewbornsyactionsytoybeyuncooperative
Aynurseyisycaringyforyayclientywhoyisytakingylevothyroxine.yWhichyofytheyfollowingyfindin
gsyshouldyindicateythatytheymedicationyisyeffective?
A-yWeightyloss
b-yAskingytheyfatherytoychangeytheynewbornsydiapery
c-yabsenceyofyseizuresy
d-yDecreaseyinflammationy-yanswer--
WeightlossythisydrugyactsyasyT4yandywillynormalizeytheyeffectsyofyhypothyroidism
Aynurseyisyplanningydischargeyteachingyforycordycareyforytheyparentyofyaynewborn.yWhi
chyinstructionsywouldyyouyincludeyinytheyteaching?
A-ycontactytheyprovideryifytheycordystillyturnsyblacky
b-ycleanytheybaseyofytheycordywithyhydrogenyperoxideydailyy
c-yKeepytheycordydryyunitlyityfallsyoffy
d-yTheycordystumpywillyfallyoffyinyfiveydaysy-yanswer--
Keepytheycordydryyuntilyityfallsyoffy(cordyshouldybeykeptycleanyandydryytoypreventyinfectio
n,yitywillyturnyblack,ycleanywithyneutralyphycleanser,ycordyfallsyoffyiny10-14ydays)
AynurseyisyassessingyayclientyinyPACU.yWhichyofytheyfollowingyfindingsyindicatesydecre
asedycardiacyoutput?
A-yShiveringy
b-yoliguriay
c-yBradypneay
d-yConstrictedypupilsy-yanswer--Oliguria
,Aynurseyisyassistingywithymassycasualtyytriage,yexplosionyatyaylocalyfactory.yWhichyofyth
eyfollowingyclientyshouldytheynurseyidentifyyasytheypriority?
A-yAyclientythatyhasymassiveyheadytrauma
B-yAyclientyhasyfullythicknessyburnsytoyfaceyandytrunky
C-yAyclientywithyindicationsyofyhypovolemicyshocky
D-yAyclientywithyopenyfractureyofytheyloweryextremityy-yanswer--
Ayclientywithyindicationsyofyhypovolemicyshock
Aynurseyisyreceivingyreportyonyfouryclients.yWhichyofytheyfollowingyclientsyshouldytheynu
rseyassesyfirst?
A-yayclientywhoyhasyillegalyconduityandymucusyinytheypouchy
b-yClientypleasantyarteriovenousyadditionalyvibrationypalpatedy
c-yClientywhoseychronicykidneyydiseaseywithycloudyydiasylateyoutflow
D-
yAyclientywasytransurethralyresectionyofytheyprostateywithyredytingedyurineyinytheybagy-
yanswer--Ayclientywhoseychronicykidneyydiseaseywithycloudyydiasylateyoutflow
Aynurseyisycaringyforyayclientyjustyreceivedytheyfirstydoseyofylisinopril.yTheyfollowingyisya
nyappropriateynursingyintervention?
a-yplace'sycardiacymonitoringy
b-ymonitorytheyclientsyoxygenysaturationylevely
c-yprovideystandbyyassistywithytheyclientyfromybedy
d-yencourageyfoodsyhighyinypotassiumy-yanswer--
Provideystandbyyassistywithytheyclientyfromybed
Aynurseyisycaringyforyayclientywhoyisyinylaboryandyhisyseatyisyrecievingyelectronicyfetalym
onitoring.yTheynurseyisyreviewingytheymonitorytracingyandynotesyearlyydecelerations.yW
hichyofytheyfollowingyshouldytheynurseyexpect?
a-Fetayhypoxiay
b-yabruptoyplacentaey
c-ypostymaturityy
d-yheadycompressionsy-yanswer--headycompressions
Aynurseyisycaringyforyayclientywhoyhasychronicykidneyydisease.yTheynurseyshouldyidentif
yywhichyofytheyfollowingylaboratoryyvaluesyasyanyindicationyforyhemodialysis?
a-yGlomerularyfiltrationyrateyofy14yml/minutey
b-yBUNy16yml/dly
c-yserumymagnesiumy1.8ymgymg/dly
d-yserumyphosphorusy4.0ymymg/dly-yanswer--glomerularyfiltraionyrateyofy14yml/minute
Aynurseyisycaringyforyanyinfantywhoyhasyayprescriptionyforycontinuousypulseyoximetry.yT
heyfollowingyisyanyappropriateyactionyforytheynurseytoytake?
a-yplacedyinfantyunderyradiantywarmery
b-ymoveytheyprobeysiteyeveryy3yhrsy
c-yheatytheyskinyoneyminuteypriorytoyplacingytheyprogramy
d-yplacedyaysensoryonytheyindexyfingery-yanswer--
Heatytheyskinyoneyminuteypriorytoyplacingytheyprogram.
,Aynurseyinyaymentalyhealthyfacilityyreceivesyaychangeytoyshiftyreportyonyforyclients.yWhic
hyofytheyfollowingyclientsyshouldytheynurseyplanytoyassesyfirst?
a-yAyclientyplacedyinyrestraintsytoytheyaggressiveybehavior
b-yaynewylimitedyclientypleasuresyhistoryy4.5ykgyweightylossyinytheypastytwoymonthsy
c-yclientyisyreceivingyprnydoseyofyhealthyheardyallytwoyhoursyagoyforyincreasedyanxietyy
d-yAppliedyhe'llybeyreceivingyhisyfirstyectytreatmentytodayy-yanswer--
Clietyplacedyinyrestraintsytoytheyaggressiveybehavior
Aynurseyisyworkingyatytheyclinicyisyteachingyaygroupyofyclientsywhoyareypregnantyonythey
useyofynonpharmacologicalypainymanagement.yWhichyofytheyfollowingystatementsybyyt
heynurseyisyanyappropriateydescriptionyofytheyuseyofyhypnosisyduringylabor?
a-yHypnosisyfocusesyonybiofeedbackyasyayrelaxationytechniquey
b-yhypnosisypromotedyincreasedycontrolyofyherypainyperceptionyduringycontractionsy
c-yhypnosisyusesytherpeuticytouchytoyreduceyanxietyyduringylabory
d-yhynosisyprovidesyinstructionsytoyminimizeypainy-yanswer--
Hypnosisypromotesyincreasedycontrolyofyherypainyperceptionyduringycontractions.
Aynurseyisyaycountyyjailyhealthyclinicyisyleadingygroupytherapyysessions.yAyclientywhoyha
syincarceratedyforytheftyisyaddressingytheygroup.yWhichyofytheyfollowingyisyanyexampley
ofyreactionyformation?
y(reactionyformationyisywhenyusingyoppositeyfeelings,ybeingysuperyniceytoysomeoneyyo
uydislike)
a-yIystealythingsybecauseyityisytheyonlyywayyiycanykeepymyymindyoffymyybadymarriagey
b-yiycan'tybelieveyiywasyaccusedyofysomethingyiydidn'tydoy
c-yiydon'tywantytoytalkyaboutymyyfeelingsyrightynow,yweywillytalkymoreynextytimey
d-yiythinkythatypeopleyareyjustylazyyandyshouldyearnyextraymoneyy-yanswer--
Iythinkythatyyourypeopleyareyjustylazyyandyshouldyearnymoneyyhonestly
Aynurseyisyobtainingymedicalyhistoryyofyayclientywhoyhasyaynewyprescriptionyforyisosorbi
deymononitrate.yWhichyofytheyfollowingyshouldytheynurseyidentifyyasyaycontraindicationy
toymedication?
a-yGlaucomay
b-yhypertensiony
c-ypolycythemiay
d-ymigraineyheadachesy-yanswer--Glaucoma
NAy-yanswer--n/a
Theynurseyisycaringyforyayclientyrecoveringyfromyanyacuteymyocardialyinfarction.yWhichy
ofytheyfollowingyinterventionyshouldytheynurseyincludeyinytheypointyofycare?
a-yDrawyaytroponinylevelyeveryyfouryhoursy
b-yperformanceyEKGyeveryy12yhrsy
c-yplantyoxygenytentyfellyoveryminutesyviayrebreatherymasky
, d-yobtainyaycardiacyrehabilitationyconsulty-yanswer--
Obtainycardiacyrehabilitationyconsult
Aynurseyisycaringyforyayclientywhoyhasybreastycanceryandyhasybeenycoveringyreceivingy
chemotherapy.yWhichyofytheyfollowingylaboratoryyvaluesyshouldytheynurseyreportytoythe
yprovidery?
a-yWBCy3,000y/mm3y
b-yHemoglobiny12yg/dly
c-yPlatelety250,000/mm3y
d-yaPTTy30ysecondsy-yanswer--WBCy3,000/mm3
Homeyhealthynurseyisycarefullyyplannedyforyalzheimer'sydisease.yToytheyfollowingyactio
nsyshouldytheynurseyincludeyinytheyplanyofycare?
a-yPlaceyaydailyycalendaryinytheykitcheny
b-yreplaceytheybuttonyclothingywithyzipperedyitemsy
c-yreplaceytheycarpetywithyhardwoodyfloorsy
d-ycreateyvariationyinydailyyroutiney-yanswer--Placeyaydailyycalendaryinytheykitchen
Nurseyisyperformingychangeyofyshiftyassessmentyony4yclients.yWhichyofytheyfollowingyfi
ndingsyshouldytheynurseyreportytoytheyprovidersyfirst?
a-yTheyclientywasycysticyfibrosisyandyhasyaythickyproductiveyclockyandyreportythirsty
b-yclientywhoyhasygastroenteritisyandyisylethargicyandyconfusedy
c-ytheyclientyhasydiabetesymellitusyhasymorningyfastingylegalycostyofy185yoverydealy
d-
ytheyclientywasysickyofysigningyandyreportsypainy15yminutesyafteryreceivingyoralyanalges
icy-yanswer--Clientywhoyhasygastroenteritisyandyisylethargicyandyconfused
Aynurseyisycaringyforyayclientywhoywasyinysecondytrimesteryofypreganancyyandyasksyho
wytoytreatyconstipation.yWhichyofytheyfollowingystatementsybyytheynurseyisyappropriate?
a-yDecreaseytakingyvitaminsyandysupplementsytoyeveryyotherydayy
b-yEaty15ygyofyfiberyperydayy
c-yconsumey48youncesyofywateryeachydayy
d-ydrinkyhotywaterywithylemonyjuiceyeachymorningywhenyyouywakeyupy-yanswer--
Drinkyhotywaterywithyleonyjuiceyeveryymorningywhenyyouywakeyup.
n/ay-yanswer--n/a
Aynurseyisycaringyforyayclientywhoyisypreparingyhisyadvanceydirectives.yWhichyisytheyfoll
owingystatementsybyytheyclientyindicatesyanyunderstandingyofyadvancedydirectives?
y(selectyallythatyapply)
a-yIycan'tychangeymyyinstructionsyonceyayminutey
b-ymyydoctorywillyneedytoyapproveymyyadvanceydirectivesy
c-yiyneedyanyattorneyytoywitnessymyysignatureyonytheyadvanceydirectivesy
d-yIyhaveytheyrightytoyrefuseytreatmenty
