Final ATI Comprehensive final exit exam
Prep questions and verified answers for guar
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings
should the nurse expect?
A) Muscle aches and chills
B) Fatigue and depression
C) Anxiety and diaphoresis
D) Arrhythmia and respiratory depression
C) Anxiety and diaphoresis
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the
following actions should the nurse take first?
A) Discuss alternative coping strategies with the client.
B) Identify precipitating factors for ritualistic behaviors.
C) Instruct the client on relaxation techniques for use when anxiety increases.
D) Provide a structured activity schedule for the client.
B) Identify precipitating factors for ritualistic behaviors.
A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a
prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client
statements should the nurse consider administering alprazolam?
A) The clients states, "I see purple bugs crawling on the wall."
B) The client tells the nurse that he is too tired to attend the group meeting.
C) The client tells the nurse he is a government agent.
D) The client states, "My heart is pounding out of my chest."
D) The client states, "My heart is pounding out of my chest."
,A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the
following statements by the client reflects an adaptive use of sublimation?
A) "I will work out in the gym every time I get mad about what happened."
B) "I do not have anxiety, and I'm not sure why not you think I do."
C) "I can't remember anything that happened, but I am okay."
D) "I'm not capable of moving past this time in my life."
A) "I will work out in the gym every time I get mad about what happened."
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client
reports having discontinued the medication after experiencing severe nausea and vomiting. Which of
the following reasons should the nurse suspect to be a likely cause of the client's distress?
A) The client demonstrated an allergic response to the medication.
B) The client experienced a common side effect to the medication.
C) The client consumed alcohol while taking the medication.
D) The client took an overdose of the medication.
C) The client consumed alcohol while taking the medication.
During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which
of the following client statements demonstrates the maladaptive use of regression?
A) "I wrote a short story about a heroic woman when I was really mad at my boss."
B) "I don't care about work anymore since I was not given a promotion."
C) "I mentally separate myself from distractions around me when I paint on canvas."
D) "I still cannot remember the scene of my husband's car accident."
B) "I don't care about work anymore since I was not given a promotion."
,A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse
should recognize the client might exhibit which of the following manifestations?
A) Attention-seeking conduct
B) Mild difficulty problem solving
C) Mild fidgeting
D) Threatening behavior
D) Threatening behavior
A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse
expect?
A) Increased vital capacity
B) Moist skin
C) Heat intolerance
D) Decreased mental status
D) Decreased mental status
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head
down, and he is wringing his hands. Which of the following actions should the nurse take?
A) Encourage the client to go back to bed.
B) Give the client a PRN sleeping medication.
C) Remain with the client.
D) Explore alternatives to pacing the floor with the client.
C) Remain with the client.
A nurse is caring for a client who was admitted with delirium tremens five days ago. The client seeks
permission from the nurse before performing activities of daily living. This behavior indicates which of
the following findings to the nurse?
, A) The client is ready for discharge.
B) The client may be having a recurrence of delirium tremens.
C) The client is able to function independently.
D) The client is exhibiting dependency.
D) The client is exhibiting dependency.
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing
interventions should the nurse take?
A) Compliment the client for weight gain.
B) Allow the client to eat at any time.
C) Provide privacy when friends visit.
D) Schedule regular weigh-in times.
D) Schedule regular weigh-in times.
A nurse is caring for a client who has severe manifestations of acute alcohol withdrawal. To ensure safe
care, which of the following nursing actions should the nurse take? (Select all that apply.)
A) Administer a sedative.
B) Keep the lights on in the client's room.
C) Ambulate the client in the hallway.
D) Reduce unnecessary stimuli.
E) Limit daily fluid intake.
C) Ambulate the client in the hallway.
D) Reduce unnecessary stimuli.
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following
findings should the nurse expect?
A) Hand tremors
Prep questions and verified answers for guar
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings
should the nurse expect?
A) Muscle aches and chills
B) Fatigue and depression
C) Anxiety and diaphoresis
D) Arrhythmia and respiratory depression
C) Anxiety and diaphoresis
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the
following actions should the nurse take first?
A) Discuss alternative coping strategies with the client.
B) Identify precipitating factors for ritualistic behaviors.
C) Instruct the client on relaxation techniques for use when anxiety increases.
D) Provide a structured activity schedule for the client.
B) Identify precipitating factors for ritualistic behaviors.
A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a
prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client
statements should the nurse consider administering alprazolam?
A) The clients states, "I see purple bugs crawling on the wall."
B) The client tells the nurse that he is too tired to attend the group meeting.
C) The client tells the nurse he is a government agent.
D) The client states, "My heart is pounding out of my chest."
D) The client states, "My heart is pounding out of my chest."
,A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the
following statements by the client reflects an adaptive use of sublimation?
A) "I will work out in the gym every time I get mad about what happened."
B) "I do not have anxiety, and I'm not sure why not you think I do."
C) "I can't remember anything that happened, but I am okay."
D) "I'm not capable of moving past this time in my life."
A) "I will work out in the gym every time I get mad about what happened."
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client
reports having discontinued the medication after experiencing severe nausea and vomiting. Which of
the following reasons should the nurse suspect to be a likely cause of the client's distress?
A) The client demonstrated an allergic response to the medication.
B) The client experienced a common side effect to the medication.
C) The client consumed alcohol while taking the medication.
D) The client took an overdose of the medication.
C) The client consumed alcohol while taking the medication.
During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which
of the following client statements demonstrates the maladaptive use of regression?
A) "I wrote a short story about a heroic woman when I was really mad at my boss."
B) "I don't care about work anymore since I was not given a promotion."
C) "I mentally separate myself from distractions around me when I paint on canvas."
D) "I still cannot remember the scene of my husband's car accident."
B) "I don't care about work anymore since I was not given a promotion."
,A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse
should recognize the client might exhibit which of the following manifestations?
A) Attention-seeking conduct
B) Mild difficulty problem solving
C) Mild fidgeting
D) Threatening behavior
D) Threatening behavior
A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse
expect?
A) Increased vital capacity
B) Moist skin
C) Heat intolerance
D) Decreased mental status
D) Decreased mental status
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head
down, and he is wringing his hands. Which of the following actions should the nurse take?
A) Encourage the client to go back to bed.
B) Give the client a PRN sleeping medication.
C) Remain with the client.
D) Explore alternatives to pacing the floor with the client.
C) Remain with the client.
A nurse is caring for a client who was admitted with delirium tremens five days ago. The client seeks
permission from the nurse before performing activities of daily living. This behavior indicates which of
the following findings to the nurse?
, A) The client is ready for discharge.
B) The client may be having a recurrence of delirium tremens.
C) The client is able to function independently.
D) The client is exhibiting dependency.
D) The client is exhibiting dependency.
A nurse is providing care for a client who has anorexia nervosa. Which of the following nursing
interventions should the nurse take?
A) Compliment the client for weight gain.
B) Allow the client to eat at any time.
C) Provide privacy when friends visit.
D) Schedule regular weigh-in times.
D) Schedule regular weigh-in times.
A nurse is caring for a client who has severe manifestations of acute alcohol withdrawal. To ensure safe
care, which of the following nursing actions should the nurse take? (Select all that apply.)
A) Administer a sedative.
B) Keep the lights on in the client's room.
C) Ambulate the client in the hallway.
D) Reduce unnecessary stimuli.
E) Limit daily fluid intake.
C) Ambulate the client in the hallway.
D) Reduce unnecessary stimuli.
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following
findings should the nurse expect?
A) Hand tremors
