ATI COMPREHENSIVE RETAKE EXIT EXAM
s s s s
1. AsnursesisscaringsforsasclientswhoshassgivensinformedsconsentsforsECT.sJustsbeforesthesprocedure,sthesclientstel
lssthesnursesshesissconsideringsnotsgoingsforwardswithsthestreatment.sWhichsofsthesfollowingsstatementssbysth
esnursesissappropriate?
a. “Yousdon’tshavestosgosthroughswithsthestreatment.”
b. “Mostspeopleswhoshavesthissproceduresfeelsbettersfollowingsthestreatment.”
c. “It’ss okaystos bes nervouss befores thiss treatment.”
d. “Yoursdoctorswouldn’tshavesorderedsthisstreatmentsunlesssitswassnecessary.”
2. Whilesperformingsasroutinesassessment,sasnursesnoticessfrayingsonstheselectricalscordsofsasclient’ssCPMsde
vice.sWhichsofsthesfollowingsactionssshouldsthesnursestakesfirst?
a. Reportsthesdefectstosthesequipmentsmaintenancesstaff.
b. Ensures thes devices inspections stickers iss current
c. Removes thes devices fromsthes room
d. Initiates as requisitions fors as replacements CPMs device
3. Asnursesisscaringsforsasclientswhosisspostoperativesandshassasnewsprescriptionsforshydromorphone.sWhichsofsth
esfollowingsactionssshouldsthesnursestake?
a. Documentsadministrationsofsthesmedicationsuponsremovalsfromsthesmedicationsdispensingssystem
b. Withholdsthesmedicationsifsthesclientsdoessnotsappearstosbesinspain.
99sofs28
, c. Counts thes currents numbers ofs units dosess availables ins thes medications dispensings system
d. Withholds thes medications ifs thes clients hass as fever
4. Asnursesperformingsaschange-of-shiftsassessment.sWhichsofsthesfollowingsclientsshassthesprioritysfinding?
a. Types2sDMsandsasbloodsglucosesofs250smg/dL
b. Pneumoniaswithsasproductivescoughsandsasfeversofs38.8°sCs(101.8°sF)sc.
2shr.spostscastsplacementsandshass2+spittingsedemasandspallor
d. First-degreesheartsblocksandsasheartsratesofs62/min
5. Asnursesinsansoutpatientsmentalshealthsfacilitysissprovidingsteachingstosasgroupsofsadolescents.sWhichsofsthesfol
lowingsstatementssbysasclientsindicatessansunderstandingsofsthesteaching?
a. “Iswillslimitsmysalcoholsusestosonesdrinksdailyswhilestakingsdisulfiram.”
b. “Iswillsavoidsfoodsscontainingstyramineswhilestakingsfluoexetine.”
c. “Iswillstakesthessustained-releasesmethylphenidateseverysmorning.”
d. “Iswillstakesmyslithiumsonsansemptysstomach.”s(pharmspg.s64:stakingslithiumswithsfoodswillshelpsde
creasesGIsdistress)
6. Asnursesinsthesemergencysdepartmentsissassessingsclientswhoshassmajorsdepressivesdisorder.sWhichsofsthesfo
llowingsactionssshouldsthesnursestakesfirst?s[ViewsExhibit]
a. AdministersZofranstosthesclientsforsnauseasb.
Implementsseizuresprecautionssforsthesclient
c. Encourages thes clients tos verbalizes feelings
d. Obtainsthesclient’ssweight
7. Asnursesisscompletingsansadmissionsassessmentsforsasclientswhosahssnarcissisticspersonalitysdisorder.s
Whichsofsthesfollowingsshouldsthesnursesexpect?
a. Suspiciouss ofs others
b. Exhibitssseparationsanxiety
c. Ritualisticsbehavior
d. Preoccupiedswithsaging
8. DrugsCalc:sClientsweighss99slb.sPrescribedsdietsofs1.5sgsprotein/kg/day.sHowsmanysgramssofsproteinspersda
ysshouldsthesnursesincludesinsthesclient’ssdietarysplan?
9. AsnursesissplanningscaresforsasgroupsofsclientssandsissworkingswithsonesLPNsandsonesAP.sWhichsofsthesfol
lowingsactionssshouldsthesnursestakesfirststosmanagesherstimeseffectively?
a. Developsanshourlystimesframesforstasks
b. Schedulesdailysactivities
c. Determinesgoalssofsthesday
d. DelegatestasksstosthesAP
10. Asnursesissdevelopingsasplansofscaresforsasclientswhoshasspreeclampsiasandsisstosreceivesmagnesiumssulfatesvi
ascontinuoussIVsinfusion.sWhichsofsthesfollowingsactionssshouldsthesnursesincludesinsthesplan?
a. Restrictsthesclient’sstotalsfluidsintakestos250smL/hr.
b. Measuresthesclient’ssurinesoutputseveryshour
c. Gives thes clients protamines ifs signss ofs magnesiums sulfates toxicitys occurs (antidote:s calciumsgl
uconate)
d. MonitorsthesFHRsviasDopplerseverys30smin
11. Asnursesisscaringsforsasgroupsofsclients.sWhichsofsthesfollowingswoundssshouldsthesnursesexpectstoshealsbyspri
marysintention?
a. Infectedslaceration
b. StagesIIspressuresulcer
c. Approximatedssurgicalsincision
d. Partial-thicknesssburn
12. Asnursesinsansacutesmentalshealthscaresfacilitysissprioritizingscaresforsmultiplesclients.sWhichsofsthesfo
llowingsclientssshouldsthesnursesseesfirst?
a. Clientstakingsclozapinestostreatsschizophreniasandsreportsssoresthroats(pharmspg.s72:smonitorsfo
rsinfections[fever,ssoresthroat,setc.])
b. ClientshassOCDsandsissupsetsaboutsaschangesinsdailysroutine
c. Clientshassnarcissisticspersonalitysdisordersandsissmockingsotherssduringsgroupstherapy
d. ClientswhoshassdepressivesdisordersandsrequiressassistanceswithsADLs
13. Asnursesisscaringsforsasclientswhoshassansimplantedsvenoussaccesssport.sWhichsofsthesfollowingsshouldsthesnu
rsesusestosassesssthesport?
100sof
, a. Ansangiocatheter
b. As butterflys needlesc
. Asnoncoringsneedle
d. As25sgaugesneedle
14. Asnursesisscaringsforsasclientswhoshasspneumoniasandstellssthesnurse,s“Isfeelslikesanselephantsisssittingsonsmysche
st.”sThesclientsissweaksandsunablestoswalk.sAftersthesnursesindicatesschestspainsprotocol,swhichsofsthesfollowi
ngsissthesprioritysdiagnosticstest?
a. PTsandsINR
b. 12sleadsECG
c. ChestsX-ray
d. Serumspotassium
15. As nurses iss assessings thes growths ands developments ofs as 3s y/os child.s Whichs ofs thes followings questionss shouldsthe
snursesasksthesparentstosdeterminesifstheschild sissexhibitingstypicalsdevelopmentalsexpectations?
a. “Cansyourschildsdrawsassticksfigure?”
b. “Cans yours childs catchs ands throws as smalls ball?”sc
. “Cansyourschildsridesastricycle?”
d. “Cansyourschildsnamesfivescolors?”
16. Asnursesisspreparingstosassesssfetalsheartstonessforsasclientswhosissats12sweekssofsgestation.sWhichsofsthesfol
lowingsactionssshouldsthesnursestake?
a. Measuresthesfundalsheightstosdeterminesthesplacementsofsthesultrasoundsstethoscope
b. PerformsLeopoldsmaneuversspriorstosauscultatingsthesFHR
c. PositionsthesultrasoundsstethoscopesabovesthessymphysisspubisstosassesssthesFHR
d. Placesthesclientsinsasside-lyingspositionspriorstosassessingsthesFHR
17. Asnursesissassessingsasclientswhoshassascheststubeswithsaswaterssealsdrainagessystem.sUponsassessment,sthesnu
rsesnotesstidalingsinsthes watersseal.sWhichsofsthesfollowingsissansexplanationsforsthestidaling?
a. Theresissasloopsofstubingsbelowsthesdrainagessystem
b. Thessystemsissworkingsproperlys(medsurgspg.s104:stidalingsinstheswaterssealschambersandsc
ontinuoussbubblingsonlysinsthessuctionschamber)
c. Theslungshassre-expanded
d. Thes tubings iss partiallysobstructeds bys clots
18. Aschargesnursesonsasmedicalssurgicalsunitsissassistingswithsthesemergencysresponsesplansfollowingsansext
ernalsdisastersinsthescommunity.sInsanticipationsofsmultiplesclientsadmissions,swhichsofsthesfollowingscurre
ntsclientssshouldsthesnursesrecommendsforsearlysdischarge?
a. As clients whos iss receivings heparins fors DVT
b. Asclientswhosiss1sdayspostoperativesfollowingsasvertebroplasty
c. As clients whos hass COPDs ands as respiratorysrates ofs 44/min
d. Asclientswhoshasscancerswithsassealedsimplantsforsradiationstherapy
19. AsnursesisscaringsforsasclientswhoshassESRD.sThesclient’ssadultschildsaskssthesnursesaboutsbecomingsaslivin
gskidneysdonorsforshersfather.sWhichsofsthesfollowingsconditionssinstheschild’ssmedicalshistorysshouldsthesnur
sesidentifysassascontraindicationstosthesprocedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primarys glaucoma
20. Asnursesisscaringsforsasclientswhosiss4sdaysspostpartum.sWhichsofsthesfollowingsassessmentsfindingssshouldsth
esnursesexpect?s(SATA)
a. Foulsperineals odor
b. Funduss displaceds tos thes rights
c. Lochiasserosa
d. Funduss 4s cms (1.6s in)s belowsthes umbilicus
e. Postpartumschill
21. Asnursesisscaringsforsaschildswhoshasscysticsfibrosissandsrequiressposturalsdrainage.sWhichsofsthesfollowingsact
ionssshouldsthesnursestake?
a. Performsthes procedures twices as day
b. Holdshandstosperformspercussionssonstheschild
c. Administers as bronchodilators afters thes procedure
101sof
s s s s
1. AsnursesisscaringsforsasclientswhoshassgivensinformedsconsentsforsECT.sJustsbeforesthesprocedure,sthesclientstel
lssthesnursesshesissconsideringsnotsgoingsforwardswithsthestreatment.sWhichsofsthesfollowingsstatementssbysth
esnursesissappropriate?
a. “Yousdon’tshavestosgosthroughswithsthestreatment.”
b. “Mostspeopleswhoshavesthissproceduresfeelsbettersfollowingsthestreatment.”
c. “It’ss okaystos bes nervouss befores thiss treatment.”
d. “Yoursdoctorswouldn’tshavesorderedsthisstreatmentsunlesssitswassnecessary.”
2. Whilesperformingsasroutinesassessment,sasnursesnoticessfrayingsonstheselectricalscordsofsasclient’ssCPMsde
vice.sWhichsofsthesfollowingsactionssshouldsthesnursestakesfirst?
a. Reportsthesdefectstosthesequipmentsmaintenancesstaff.
b. Ensures thes devices inspections stickers iss current
c. Removes thes devices fromsthes room
d. Initiates as requisitions fors as replacements CPMs device
3. Asnursesisscaringsforsasclientswhosisspostoperativesandshassasnewsprescriptionsforshydromorphone.sWhichsofsth
esfollowingsactionssshouldsthesnursestake?
a. Documentsadministrationsofsthesmedicationsuponsremovalsfromsthesmedicationsdispensingssystem
b. Withholdsthesmedicationsifsthesclientsdoessnotsappearstosbesinspain.
99sofs28
, c. Counts thes currents numbers ofs units dosess availables ins thes medications dispensings system
d. Withholds thes medications ifs thes clients hass as fever
4. Asnursesperformingsaschange-of-shiftsassessment.sWhichsofsthesfollowingsclientsshassthesprioritysfinding?
a. Types2sDMsandsasbloodsglucosesofs250smg/dL
b. Pneumoniaswithsasproductivescoughsandsasfeversofs38.8°sCs(101.8°sF)sc.
2shr.spostscastsplacementsandshass2+spittingsedemasandspallor
d. First-degreesheartsblocksandsasheartsratesofs62/min
5. Asnursesinsansoutpatientsmentalshealthsfacilitysissprovidingsteachingstosasgroupsofsadolescents.sWhichsofsthesfol
lowingsstatementssbysasclientsindicatessansunderstandingsofsthesteaching?
a. “Iswillslimitsmysalcoholsusestosonesdrinksdailyswhilestakingsdisulfiram.”
b. “Iswillsavoidsfoodsscontainingstyramineswhilestakingsfluoexetine.”
c. “Iswillstakesthessustained-releasesmethylphenidateseverysmorning.”
d. “Iswillstakesmyslithiumsonsansemptysstomach.”s(pharmspg.s64:stakingslithiumswithsfoodswillshelpsde
creasesGIsdistress)
6. Asnursesinsthesemergencysdepartmentsissassessingsclientswhoshassmajorsdepressivesdisorder.sWhichsofsthesfo
llowingsactionssshouldsthesnursestakesfirst?s[ViewsExhibit]
a. AdministersZofranstosthesclientsforsnauseasb.
Implementsseizuresprecautionssforsthesclient
c. Encourages thes clients tos verbalizes feelings
d. Obtainsthesclient’ssweight
7. Asnursesisscompletingsansadmissionsassessmentsforsasclientswhosahssnarcissisticspersonalitysdisorder.s
Whichsofsthesfollowingsshouldsthesnursesexpect?
a. Suspiciouss ofs others
b. Exhibitssseparationsanxiety
c. Ritualisticsbehavior
d. Preoccupiedswithsaging
8. DrugsCalc:sClientsweighss99slb.sPrescribedsdietsofs1.5sgsprotein/kg/day.sHowsmanysgramssofsproteinspersda
ysshouldsthesnursesincludesinsthesclient’ssdietarysplan?
9. AsnursesissplanningscaresforsasgroupsofsclientssandsissworkingswithsonesLPNsandsonesAP.sWhichsofsthesfol
lowingsactionssshouldsthesnursestakesfirststosmanagesherstimeseffectively?
a. Developsanshourlystimesframesforstasks
b. Schedulesdailysactivities
c. Determinesgoalssofsthesday
d. DelegatestasksstosthesAP
10. Asnursesissdevelopingsasplansofscaresforsasclientswhoshasspreeclampsiasandsisstosreceivesmagnesiumssulfatesvi
ascontinuoussIVsinfusion.sWhichsofsthesfollowingsactionssshouldsthesnursesincludesinsthesplan?
a. Restrictsthesclient’sstotalsfluidsintakestos250smL/hr.
b. Measuresthesclient’ssurinesoutputseveryshour
c. Gives thes clients protamines ifs signss ofs magnesiums sulfates toxicitys occurs (antidote:s calciumsgl
uconate)
d. MonitorsthesFHRsviasDopplerseverys30smin
11. Asnursesisscaringsforsasgroupsofsclients.sWhichsofsthesfollowingswoundssshouldsthesnursesexpectstoshealsbyspri
marysintention?
a. Infectedslaceration
b. StagesIIspressuresulcer
c. Approximatedssurgicalsincision
d. Partial-thicknesssburn
12. Asnursesinsansacutesmentalshealthscaresfacilitysissprioritizingscaresforsmultiplesclients.sWhichsofsthesfo
llowingsclientssshouldsthesnursesseesfirst?
a. Clientstakingsclozapinestostreatsschizophreniasandsreportsssoresthroats(pharmspg.s72:smonitorsfo
rsinfections[fever,ssoresthroat,setc.])
b. ClientshassOCDsandsissupsetsaboutsaschangesinsdailysroutine
c. Clientshassnarcissisticspersonalitysdisordersandsissmockingsotherssduringsgroupstherapy
d. ClientswhoshassdepressivesdisordersandsrequiressassistanceswithsADLs
13. Asnursesisscaringsforsasclientswhoshassansimplantedsvenoussaccesssport.sWhichsofsthesfollowingsshouldsthesnu
rsesusestosassesssthesport?
100sof
, a. Ansangiocatheter
b. As butterflys needlesc
. Asnoncoringsneedle
d. As25sgaugesneedle
14. Asnursesisscaringsforsasclientswhoshasspneumoniasandstellssthesnurse,s“Isfeelslikesanselephantsisssittingsonsmysche
st.”sThesclientsissweaksandsunablestoswalk.sAftersthesnursesindicatesschestspainsprotocol,swhichsofsthesfollowi
ngsissthesprioritysdiagnosticstest?
a. PTsandsINR
b. 12sleadsECG
c. ChestsX-ray
d. Serumspotassium
15. As nurses iss assessings thes growths ands developments ofs as 3s y/os child.s Whichs ofs thes followings questionss shouldsthe
snursesasksthesparentstosdeterminesifstheschild sissexhibitingstypicalsdevelopmentalsexpectations?
a. “Cansyourschildsdrawsassticksfigure?”
b. “Cans yours childs catchs ands throws as smalls ball?”sc
. “Cansyourschildsridesastricycle?”
d. “Cansyourschildsnamesfivescolors?”
16. Asnursesisspreparingstosassesssfetalsheartstonessforsasclientswhosissats12sweekssofsgestation.sWhichsofsthesfol
lowingsactionssshouldsthesnursestake?
a. Measuresthesfundalsheightstosdeterminesthesplacementsofsthesultrasoundsstethoscope
b. PerformsLeopoldsmaneuversspriorstosauscultatingsthesFHR
c. PositionsthesultrasoundsstethoscopesabovesthessymphysisspubisstosassesssthesFHR
d. Placesthesclientsinsasside-lyingspositionspriorstosassessingsthesFHR
17. Asnursesissassessingsasclientswhoshassascheststubeswithsaswaterssealsdrainagessystem.sUponsassessment,sthesnu
rsesnotesstidalingsinsthes watersseal.sWhichsofsthesfollowingsissansexplanationsforsthestidaling?
a. Theresissasloopsofstubingsbelowsthesdrainagessystem
b. Thessystemsissworkingsproperlys(medsurgspg.s104:stidalingsinstheswaterssealschambersandsc
ontinuoussbubblingsonlysinsthessuctionschamber)
c. Theslungshassre-expanded
d. Thes tubings iss partiallysobstructeds bys clots
18. Aschargesnursesonsasmedicalssurgicalsunitsissassistingswithsthesemergencysresponsesplansfollowingsansext
ernalsdisastersinsthescommunity.sInsanticipationsofsmultiplesclientsadmissions,swhichsofsthesfollowingscurre
ntsclientssshouldsthesnursesrecommendsforsearlysdischarge?
a. As clients whos iss receivings heparins fors DVT
b. Asclientswhosiss1sdayspostoperativesfollowingsasvertebroplasty
c. As clients whos hass COPDs ands as respiratorysrates ofs 44/min
d. Asclientswhoshasscancerswithsassealedsimplantsforsradiationstherapy
19. AsnursesisscaringsforsasclientswhoshassESRD.sThesclient’ssadultschildsaskssthesnursesaboutsbecomingsaslivin
gskidneysdonorsforshersfather.sWhichsofsthesfollowingsconditionssinstheschild’ssmedicalshistorysshouldsthesnur
sesidentifysassascontraindicationstosthesprocedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primarys glaucoma
20. Asnursesisscaringsforsasclientswhosiss4sdaysspostpartum.sWhichsofsthesfollowingsassessmentsfindingssshouldsth
esnursesexpect?s(SATA)
a. Foulsperineals odor
b. Funduss displaceds tos thes rights
c. Lochiasserosa
d. Funduss 4s cms (1.6s in)s belowsthes umbilicus
e. Postpartumschill
21. Asnursesisscaringsforsaschildswhoshasscysticsfibrosissandsrequiressposturalsdrainage.sWhichsofsthesfollowingsact
ionssshouldsthesnursestake?
a. Performsthes procedures twices as day
b. Holdshandstosperformspercussionssonstheschild
c. Administers as bronchodilators afters thes procedure
101sof
