ATI COMPREHENSIVE EXIT EXAM 2024 WITH NGN|
ACTUAL EXAM| COMPLETE 180 QUESTIONS AND
VERIFIED ANSWERS (100% CORRECT ANSWERS)
ALREADY GRADED A+
Positive symptoms of schizophrenia - ANSWER - hallucinations, delusions,
alterations in speech, bizarre behavior
Negative symptoms of schizophrenia - ANSWER - flat, blunt affect; alogia (poverty of
thought/speech); avolition (lack of motivation); anhedonia (lack of pleasure/joy);
anergia (lack of energy)
Nursing interventions for domestic partner abuse - ANSWER - help Pt develop a
safety plan, identify behaviors and situations that might trigger violence and
provide information regarding safe places to live; encourage participation in
support groups
Nursing interventions for Pt who is manic - ANSWER - decrease stimulation,
frequent rest periods, observe for escalating behavior, provide outlets for physical
activity, provide portable nutritious food, use a calm, matter-of-fact approach, give
concise explanations
Nursing interventions for alcohol withdrawal syndrome - ANSWER - self-assess one’s
own feelings regarding abuses; use open-ended questions, close/one-on-one
observation; low-stimulation enviro, encourage attendance of self-help groups
pg. 1
,Nursing interventions for Pt with PTSD - ANSWER - provide safety and comfort,
remain w/ Pt through episode, give reassurance, group/family therapy is best,
assist client to eval. coping mechanisms that work, assist Pt in determining triggers
Nursing interventions for dementia - ANSWER - reinforce reality, orientation to
Person Place Time, encourage reminiscence about happy times, talk about familiar
things, minimize need for decision making and abstract thinking to avoid
frustration
Ileostomy Care - ANSWER - apply skin barriers to stoma, empty bag when it is 1/3
full, assess for fluid and electrolyte imbalances
Normal post-op output for an ileostomy is what? - ANSWER - 1 L/day; may be bile
colored and liquid; normal to see small amounts of blood
Stoma appearance should normally look - ANSWER - pink or red and moist/red and
beefy
Steps in performing closed intermittent irrigation - ANSWER - clamp catheter w/
injection port and extension tubing, cleanse port
slowly inject syringe w/ irritant into catheter
remove syringe and unclamp
allow irritant to drain into drainage bag
Benefits of applying ice to extremity - ANSWER - decreases inflammation, bleeding,
fever, swelling, muscle spasms and pain
pg. 2
,Kosher foods - ANSWER - animals which chew cud and have split hooves (cattle,
sheep, goats, & deer), seafood with fins and scales, NO PORK (hotdogs, sausage,
gelatin), and no meats mixed with milk
Nutritional needs for Hepatic Encephalopathy - ANSWER - high carb, high cal,
low to mod fat, and low to mod protein;
small, frequent meals;
supplement w/ vitamins (B complex), folic acid, and iron
Uses for methadone (Dolophine) - ANSWER - relief of mod to severe pain; sedation;
reduction of bowel motility
Equation for calculating pulse pressure - ANSWER - systolic - diastolic = pulse
pressure
120-80=40
When should a trough level be scheduled for a once daily dosing of Gentamycin? -
ANSWER - 1hr prior to next dose
When should a peak level be drawn for divided doses of Gentamycin? - ANSWER -
30m after admin of med or infusion has finished
When should a trough level be drawn for divided doses of Gentamycin? - ANSWER -
right before next dose
pg. 3
, S/S of dehydration - ANSWER - hyperthermia, tachycardia, thready pulse, hypo TN,
orthostatic hypotension, decreased CVP, tachypnea, dizziness, cool clammy skin,
diaphoresis, sunken eyeballs
S/S for overhydration - ANSWER - tachycardia, bounding pulse, HTN, tachypnea,
increased CVP, confusion, muscle weakness, wt. gain, ascites, dyspnea, crackles
S/S of hyponatremia - ANSWER - hypothermia, tachycardia, rapid thready pulse,
hypo TN, ortho hypo, headache, confusion, decreased DTRs, hyperactive bowel
sounds
S/S of hypernatremia - ANSWER - hyperthermia, tachycardia, rapid thready pulse,
ortho hypo, restlessness, irritability, muscle twitching, reduced to absent DTRs,
hyperactive bowel sounds
S/S of hypokalemia - ANSWER - hyperthermia, weak irregular pulse, hypo TN, resp.
distress, muscle cramping, hypoactive DTRs, PVCs, bradycardia, decreased motility
S/S of hyperkalemia - ANSWER - slow, irregular pulse; hypo TN, restlessness,
irritability, weakness with ascending flaccid paralysis, N/V/D, hyperactive bowel
sounds
S/S of hypocalcemia - ANSWER - muscle twitches/tetany, hyperactive DTRs, positive
Chvostek's sign (tapping on the facial nerve triggering facial twitching), positive
Trousseau's sign (hand/finger spasms with sustained blood pressure cuff inflation),
seizures
S/S of hypomagnesaemia - ANSWER - hyperactive DTRs, muscle tetany, positive
Chvostek's and Trousseau's signs, hypoactive bowel sounds, paralytic ileus
pg. 4
ACTUAL EXAM| COMPLETE 180 QUESTIONS AND
VERIFIED ANSWERS (100% CORRECT ANSWERS)
ALREADY GRADED A+
Positive symptoms of schizophrenia - ANSWER - hallucinations, delusions,
alterations in speech, bizarre behavior
Negative symptoms of schizophrenia - ANSWER - flat, blunt affect; alogia (poverty of
thought/speech); avolition (lack of motivation); anhedonia (lack of pleasure/joy);
anergia (lack of energy)
Nursing interventions for domestic partner abuse - ANSWER - help Pt develop a
safety plan, identify behaviors and situations that might trigger violence and
provide information regarding safe places to live; encourage participation in
support groups
Nursing interventions for Pt who is manic - ANSWER - decrease stimulation,
frequent rest periods, observe for escalating behavior, provide outlets for physical
activity, provide portable nutritious food, use a calm, matter-of-fact approach, give
concise explanations
Nursing interventions for alcohol withdrawal syndrome - ANSWER - self-assess one’s
own feelings regarding abuses; use open-ended questions, close/one-on-one
observation; low-stimulation enviro, encourage attendance of self-help groups
pg. 1
,Nursing interventions for Pt with PTSD - ANSWER - provide safety and comfort,
remain w/ Pt through episode, give reassurance, group/family therapy is best,
assist client to eval. coping mechanisms that work, assist Pt in determining triggers
Nursing interventions for dementia - ANSWER - reinforce reality, orientation to
Person Place Time, encourage reminiscence about happy times, talk about familiar
things, minimize need for decision making and abstract thinking to avoid
frustration
Ileostomy Care - ANSWER - apply skin barriers to stoma, empty bag when it is 1/3
full, assess for fluid and electrolyte imbalances
Normal post-op output for an ileostomy is what? - ANSWER - 1 L/day; may be bile
colored and liquid; normal to see small amounts of blood
Stoma appearance should normally look - ANSWER - pink or red and moist/red and
beefy
Steps in performing closed intermittent irrigation - ANSWER - clamp catheter w/
injection port and extension tubing, cleanse port
slowly inject syringe w/ irritant into catheter
remove syringe and unclamp
allow irritant to drain into drainage bag
Benefits of applying ice to extremity - ANSWER - decreases inflammation, bleeding,
fever, swelling, muscle spasms and pain
pg. 2
,Kosher foods - ANSWER - animals which chew cud and have split hooves (cattle,
sheep, goats, & deer), seafood with fins and scales, NO PORK (hotdogs, sausage,
gelatin), and no meats mixed with milk
Nutritional needs for Hepatic Encephalopathy - ANSWER - high carb, high cal,
low to mod fat, and low to mod protein;
small, frequent meals;
supplement w/ vitamins (B complex), folic acid, and iron
Uses for methadone (Dolophine) - ANSWER - relief of mod to severe pain; sedation;
reduction of bowel motility
Equation for calculating pulse pressure - ANSWER - systolic - diastolic = pulse
pressure
120-80=40
When should a trough level be scheduled for a once daily dosing of Gentamycin? -
ANSWER - 1hr prior to next dose
When should a peak level be drawn for divided doses of Gentamycin? - ANSWER -
30m after admin of med or infusion has finished
When should a trough level be drawn for divided doses of Gentamycin? - ANSWER -
right before next dose
pg. 3
, S/S of dehydration - ANSWER - hyperthermia, tachycardia, thready pulse, hypo TN,
orthostatic hypotension, decreased CVP, tachypnea, dizziness, cool clammy skin,
diaphoresis, sunken eyeballs
S/S for overhydration - ANSWER - tachycardia, bounding pulse, HTN, tachypnea,
increased CVP, confusion, muscle weakness, wt. gain, ascites, dyspnea, crackles
S/S of hyponatremia - ANSWER - hypothermia, tachycardia, rapid thready pulse,
hypo TN, ortho hypo, headache, confusion, decreased DTRs, hyperactive bowel
sounds
S/S of hypernatremia - ANSWER - hyperthermia, tachycardia, rapid thready pulse,
ortho hypo, restlessness, irritability, muscle twitching, reduced to absent DTRs,
hyperactive bowel sounds
S/S of hypokalemia - ANSWER - hyperthermia, weak irregular pulse, hypo TN, resp.
distress, muscle cramping, hypoactive DTRs, PVCs, bradycardia, decreased motility
S/S of hyperkalemia - ANSWER - slow, irregular pulse; hypo TN, restlessness,
irritability, weakness with ascending flaccid paralysis, N/V/D, hyperactive bowel
sounds
S/S of hypocalcemia - ANSWER - muscle twitches/tetany, hyperactive DTRs, positive
Chvostek's sign (tapping on the facial nerve triggering facial twitching), positive
Trousseau's sign (hand/finger spasms with sustained blood pressure cuff inflation),
seizures
S/S of hypomagnesaemia - ANSWER - hyperactive DTRs, muscle tetany, positive
Chvostek's and Trousseau's signs, hypoactive bowel sounds, paralytic ileus
pg. 4
