ATIComprehensive Exit Exam –180 2021/2022 n n n n
1. A nnurse nis ncaring nfora nclient nwho nhas ngiven ninformed nconsent nfor nECT. nJust nbefore nthe nprocedure, nthe nclient
ntells nthenursesheis considering notgoingforward nwith nthetreatment. nWhichofthe following statements n
z. n bythe z.
n n nurse nis nappropriate?
a. “You ndon’t n havento ngothrough n with n the n treatment.”
b. “Mostnpeople n who have n this procedure n feel n better following the n treatment.”
c. “It’s n n okay ntobe nnervous n before n this n treatment.”
d. “Your n doctor n wouldn’t n have n ordered n thisntreatment nunlessit n wasnnecessary.”
2. While performing a routinenassessment,na nurse n notices n fraying n onthe n electrical n cord
z. z.
n ofa n client’sCPM n device. nWhich nofthe n following nactions n should n the n nurse n take
z.
n first?
a. Report the n defect n n to n the n equipment maintenance n staff.
b. Ensure n n the n device n inspection n sticker n is n current
c. Remove n thed evice n fromthe room
z. .z
d. Initiate n anrequisition for n anreplacement CPM n n device
3. Anurse n iscaring n foraclient n whoispostoperative n and nhasanewprescription n forhydromorphone.Which z.
n ofthe n following n actions n should n the n nurse n take?
a. Document n administration nofthe n medication n upon n removal n from nthe
z. z. z.
n medication ndispensingsystem z.
b. Withhold n n the n medication if n the n client n n does n not n appear n n to n be n in n pain.
c. Count n n the n current n number ofunit n doses navailable inthe
n medication dispensing nsystem z.
d. Withhold n the n medication n ifnthe n client n has n afever
4. Anurseperformingachange-of-shiftassessment.nWhichofthefollowingclients n n has n n the n n priorityfinding?
a. Typen2 nDM n and n a n blood n glucose nof250 n n mg/dL
b. Pneumonia n with n n a n productive n n cough nand n anfever n of38.8° Cn(101.8° F)
c. 2hr.post n castplacement nand n has n2+ npitting n n edema and npallor
z. z.
d. First-degree n heart n n block n and n aheart n n rate n n of62/min z.
5. Anurse n in n annoutpatient n mental n health n facility n is n providing nteaching n to n a group z.
n ofadolescents. nWhicho f t he n following nstatements nby na nclient n indicates n an nunderstanding n of nthe
z. z.
n teaching?
a. “I n will n limit n my n alcohol n use n tonone n drink n n daily n while n taking n disulfiram.”
b. “I n will n avoid n foods n containing n n tyramine n n while n n taking n fluoexetine.”
c. “Iwill n take n the n sustained-release methylphenidate every morning.”
z. z. z.
d. “I willntakemylithium n on n annempty n stomach.” n (pharm
z.
n pg.64:takinglithiumwithfood nwillhelp ndecreasenGI n distress)
6. Anurse n in n the n emergency n department n is n assessing n client n who n has n major
n depressive n disorder. nWhich oft he n following nactions n should n the n nurse n take n first? n [View
z. z.
n Exhibit]
a. Administer n n Zofran n tothe n client n n for nnausea
b. Implement n seizure n precautions for n the n client
c. Encourage nthe n client n n to nverbalize feelings
d. Obtain n the n client’s n weight
7. Anurse niscompleting nanadmission nassessment nforaclient nwhoahs nnarcissistic npersonality ndisorder.Which
n ofthe n following n should n the n nurse n expect?
a. Suspicious n of n others
b. Exhibits n n separation n n anxiety
c. Ritualistic nbehavior
d. Preoccupied n with n n aging
,8. Drug n Calc: n Client n weighs n99 n lb. n Prescribed n diet n of1.5 n g nprotein/kg/day. n How nmany
n grams of
nprotein per n day n should n the n nurse n include n in n the
z. n client’s n dietary n plan?
The n nursenshould n includenin n the n dietn75 n grams n of nprotein per n day
9. A nnursenis nplanning ncare n for na n group n ofclients n and n is n working n with none n LPN nand n one n AP.
z.
nWhich n of nthefollowing n actionsshould n the n nurse ntake n first n to n manage nher n time n effectively?
z.
a. Develop nan n hourly n time n n frame n n fortasks
b. Schedule n daily n activities
c. Determine n goals n ofthe nday
d. Delegate n tasks n to n the n AP
, 10. Anurse isdevelopinga plannofcareforaclientwhohaspreeclampsia n and n isto n receive
z.
n magnesiumsulfate n via ncontinuousnIVninfusion. n Which n ofthe n following n actions n should
z. z.
n the n nurse n include n in n the nplan?
a. Restrictnthe n client’s total n fluid n intake n n ton250 n n mL/hr.
b. Measure n theclient’s n urineoutput n n every n hour
z.
c. Give n theclientnprotamine nif nsigns nofmagnesium n sulfatetoxicitynoccur n (antidote:ncalciu
nm ngluconate)
d. Monitor n the n FHR n vianDoppler n n every n 30 n min
11. Anurseiscaringforagroupofclients. n Which n ofthe n following n wounds n should n the n nurse
n expect n toh eal n by nprimary n intention?
z.
a. Infected n laceration
b. Stage n IInpressure ulcer
c. Approximated surgical incision
d. Partial-thickness n burn
z.
12. A nnurse nin n an nacute n mental nhealth ncare n facility n is n prioritizing n care n for n multiple n clients.
n Which n of nthefollowing nclients n should n the nnurse n see n first?
a. Clienttaking nclozapine ntotreatschizophrenia nandreports nsorethroat n(pharmpg.
n 72:monitor n forinfection n [fever, n sorethroat, n etc.])
b. Client n has n OCD n and n is n upset n about n a nchange n in n daily n routine
c. Client n has n narcissistic n n personality n disorder n n and n is n mocking n n others n during n group
n therapy
d. Client n who n has n depressive n n disorder n n and n requires n assistance n with n n ADLs
13. A n nurse n is n caring nfor n a nclientnwho n has n an n implanted z. n n venous n access n port. n Which n ofthe
n following nshouldthe n nurse n useto n assess nthe n port?
a. An n angiocatheter
b. A nbutterfly needle
c. Anoncoring n needle
d. A n 25 n n gauge nneedle
14. Anurseiscaringfor n aclient n who n haspneumonia n and n tells n thenurse, n “I n feel like n an z.
n elephant n is n sittingo nnmychest.” n Theclient n is weak n and n unable n towalk. n Afterthe n nurse
z. z.
n indicates n chest n pain nprotocol,nwhich n ofthe n following nis nthe n priority n diagnostic n test?
a. PTnand n n INR
b. 12 n lead n ECG
c. Chest n X-ray
d. Serum n n potassium
15. A nnurse n is n assessing nthe ngrowth n and ndevelopment nofa n3 n y/o nchild. n Which n ofnthe
nfollowing nquestionsshould n the n nurse n ask nthe n parent n to ndetermine nif n the n child nis
z.
n exhibiting ntypical ndevelopmental
expectations?
a. “Can n your n child n draw n astick n figure?”
b. “Can n your n child n catch n and n throw n ansmall n n ball?”
c. “Can n your nchildnride n atricycle?”
d. “Can n your n child n name n n fivecolors?”
16. Anurseispreparing n toassess n fetalheart n tones n for n a client n who n is n at n 12 n weeks
z.
n ofgestation. n Which n oft he n following nactions n should n the n nurse n take?
z.
a. Measure the n fundal n height to n determine n n the n placement n of nthe n ultrasound n n stethoscope z
b. Perform n Leopold n maneuvers n prior n n toauscultating n n the n FHR
c. Position n the n ultrasound n stethoscope n n above n the n symphysis n pubis n n to nassess n the n FHR
d. Place n the n client n n in n aside-lying n position n n prior n n tonassessing n theFHR
1. A nnurse nis ncaring nfora nclient nwho nhas ngiven ninformed nconsent nfor nECT. nJust nbefore nthe nprocedure, nthe nclient
ntells nthenursesheis considering notgoingforward nwith nthetreatment. nWhichofthe following statements n
z. n bythe z.
n n nurse nis nappropriate?
a. “You ndon’t n havento ngothrough n with n the n treatment.”
b. “Mostnpeople n who have n this procedure n feel n better following the n treatment.”
c. “It’s n n okay ntobe nnervous n before n this n treatment.”
d. “Your n doctor n wouldn’t n have n ordered n thisntreatment nunlessit n wasnnecessary.”
2. While performing a routinenassessment,na nurse n notices n fraying n onthe n electrical n cord
z. z.
n ofa n client’sCPM n device. nWhich nofthe n following nactions n should n the n nurse n take
z.
n first?
a. Report the n defect n n to n the n equipment maintenance n staff.
b. Ensure n n the n device n inspection n sticker n is n current
c. Remove n thed evice n fromthe room
z. .z
d. Initiate n anrequisition for n anreplacement CPM n n device
3. Anurse n iscaring n foraclient n whoispostoperative n and nhasanewprescription n forhydromorphone.Which z.
n ofthe n following n actions n should n the n nurse n take?
a. Document n administration nofthe n medication n upon n removal n from nthe
z. z. z.
n medication ndispensingsystem z.
b. Withhold n n the n medication if n the n client n n does n not n appear n n to n be n in n pain.
c. Count n n the n current n number ofunit n doses navailable inthe
n medication dispensing nsystem z.
d. Withhold n the n medication n ifnthe n client n has n afever
4. Anurseperformingachange-of-shiftassessment.nWhichofthefollowingclients n n has n n the n n priorityfinding?
a. Typen2 nDM n and n a n blood n glucose nof250 n n mg/dL
b. Pneumonia n with n n a n productive n n cough nand n anfever n of38.8° Cn(101.8° F)
c. 2hr.post n castplacement nand n has n2+ npitting n n edema and npallor
z. z.
d. First-degree n heart n n block n and n aheart n n rate n n of62/min z.
5. Anurse n in n annoutpatient n mental n health n facility n is n providing nteaching n to n a group z.
n ofadolescents. nWhicho f t he n following nstatements nby na nclient n indicates n an nunderstanding n of nthe
z. z.
n teaching?
a. “I n will n limit n my n alcohol n use n tonone n drink n n daily n while n taking n disulfiram.”
b. “I n will n avoid n foods n containing n n tyramine n n while n n taking n fluoexetine.”
c. “Iwill n take n the n sustained-release methylphenidate every morning.”
z. z. z.
d. “I willntakemylithium n on n annempty n stomach.” n (pharm
z.
n pg.64:takinglithiumwithfood nwillhelp ndecreasenGI n distress)
6. Anurse n in n the n emergency n department n is n assessing n client n who n has n major
n depressive n disorder. nWhich oft he n following nactions n should n the n nurse n take n first? n [View
z. z.
n Exhibit]
a. Administer n n Zofran n tothe n client n n for nnausea
b. Implement n seizure n precautions for n the n client
c. Encourage nthe n client n n to nverbalize feelings
d. Obtain n the n client’s n weight
7. Anurse niscompleting nanadmission nassessment nforaclient nwhoahs nnarcissistic npersonality ndisorder.Which
n ofthe n following n should n the n nurse n expect?
a. Suspicious n of n others
b. Exhibits n n separation n n anxiety
c. Ritualistic nbehavior
d. Preoccupied n with n n aging
,8. Drug n Calc: n Client n weighs n99 n lb. n Prescribed n diet n of1.5 n g nprotein/kg/day. n How nmany
n grams of
nprotein per n day n should n the n nurse n include n in n the
z. n client’s n dietary n plan?
The n nursenshould n includenin n the n dietn75 n grams n of nprotein per n day
9. A nnursenis nplanning ncare n for na n group n ofclients n and n is n working n with none n LPN nand n one n AP.
z.
nWhich n of nthefollowing n actionsshould n the n nurse ntake n first n to n manage nher n time n effectively?
z.
a. Develop nan n hourly n time n n frame n n fortasks
b. Schedule n daily n activities
c. Determine n goals n ofthe nday
d. Delegate n tasks n to n the n AP
, 10. Anurse isdevelopinga plannofcareforaclientwhohaspreeclampsia n and n isto n receive
z.
n magnesiumsulfate n via ncontinuousnIVninfusion. n Which n ofthe n following n actions n should
z. z.
n the n nurse n include n in n the nplan?
a. Restrictnthe n client’s total n fluid n intake n n ton250 n n mL/hr.
b. Measure n theclient’s n urineoutput n n every n hour
z.
c. Give n theclientnprotamine nif nsigns nofmagnesium n sulfatetoxicitynoccur n (antidote:ncalciu
nm ngluconate)
d. Monitor n the n FHR n vianDoppler n n every n 30 n min
11. Anurseiscaringforagroupofclients. n Which n ofthe n following n wounds n should n the n nurse
n expect n toh eal n by nprimary n intention?
z.
a. Infected n laceration
b. Stage n IInpressure ulcer
c. Approximated surgical incision
d. Partial-thickness n burn
z.
12. A nnurse nin n an nacute n mental nhealth ncare n facility n is n prioritizing n care n for n multiple n clients.
n Which n of nthefollowing nclients n should n the nnurse n see n first?
a. Clienttaking nclozapine ntotreatschizophrenia nandreports nsorethroat n(pharmpg.
n 72:monitor n forinfection n [fever, n sorethroat, n etc.])
b. Client n has n OCD n and n is n upset n about n a nchange n in n daily n routine
c. Client n has n narcissistic n n personality n disorder n n and n is n mocking n n others n during n group
n therapy
d. Client n who n has n depressive n n disorder n n and n requires n assistance n with n n ADLs
13. A n nurse n is n caring nfor n a nclientnwho n has n an n implanted z. n n venous n access n port. n Which n ofthe
n following nshouldthe n nurse n useto n assess nthe n port?
a. An n angiocatheter
b. A nbutterfly needle
c. Anoncoring n needle
d. A n 25 n n gauge nneedle
14. Anurseiscaringfor n aclient n who n haspneumonia n and n tells n thenurse, n “I n feel like n an z.
n elephant n is n sittingo nnmychest.” n Theclient n is weak n and n unable n towalk. n Afterthe n nurse
z. z.
n indicates n chest n pain nprotocol,nwhich n ofthe n following nis nthe n priority n diagnostic n test?
a. PTnand n n INR
b. 12 n lead n ECG
c. Chest n X-ray
d. Serum n n potassium
15. A nnurse n is n assessing nthe ngrowth n and ndevelopment nofa n3 n y/o nchild. n Which n ofnthe
nfollowing nquestionsshould n the n nurse n ask nthe n parent n to ndetermine nif n the n child nis
z.
n exhibiting ntypical ndevelopmental
expectations?
a. “Can n your n child n draw n astick n figure?”
b. “Can n your n child n catch n and n throw n ansmall n n ball?”
c. “Can n your nchildnride n atricycle?”
d. “Can n your n child n name n n fivecolors?”
16. Anurseispreparing n toassess n fetalheart n tones n for n a client n who n is n at n 12 n weeks
z.
n ofgestation. n Which n oft he n following nactions n should n the n nurse n take?
z.
a. Measure the n fundal n height to n determine n n the n placement n of nthe n ultrasound n n stethoscope z
b. Perform n Leopold n maneuvers n prior n n toauscultating n n the n FHR
c. Position n the n ultrasound n stethoscope n n above n the n symphysis n pubis n n to nassess n the n FHR
d. Place n the n client n n in n aside-lying n position n n prior n n tonassessing n theFHR
