ATI COMPREHENSIVE EXIT EXAM/RN ATI
COMPREHENSIVE EXIT EXAM NEWEST 2025
ACTUAL EXAM COMPLETE ALL 180
QUESTIONS and answers WITH DETAILED
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1. An elderly client admitted to an acute care facility is agitated, quarrelsome, angry, and
assaultive with peers. Risperidone (Risperdal) is prescribed for the client. Whichbehavior
should the nurse use to evaluate the effectiveness of the medication?
Incorrect: Drowsiness is a side effect rather than a therapeutic effect of risperidone.Incorrect:
Akathisia is
motor restlessness and is an adverse reaction of antipsychotics. This is a component of the
extrapyramidal side
effects of these medications.Correct: Risperidone is an antipsychotic medication that has a
more rapid onset than
haloperidol (Haldol) and has fewer extrapyrmidal symptoms. Anger and assaultive behavior
are the target symptoms
that the medication is intended to diminish. Relaxation is a therapeutic effect along with an
interest in surroundings,
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improvement in self-care, and the increased ability to concentrate.Incorrect: It is unlikely that
the client will becomeeuphoric and hyperactive with the use of risperidone.
Drowsiness
Akathisia
Relaxation
Euphoria
2. A client experiencing a dissociative fugue engages in unexplained, intentional
wandering. Which other characteristic occurs with this dissociative disorder?
Incorrect: Memory loss associated with a fugue is transient. The individual has no recollection
of the
activities related to the fugue.Incorrect: The person who experiences a fugue often maintains
the ability to perform
ordinary tasks, however, has no memory of past identity or wandering activities.Correct: A
dissociative fugue is the
state of purposeful wandering or travel, often with an assumed identity. The inability to recall
personal information is
typical. A fugue is similar to dissociative amnesia; both are triggered by a traumatic event or
severely disturbing
situation.Incorrect: The language use of the person experiencing a dissociative fugue is clear,
coherent and
appropriate. This individual engages in purposeful wandering in response to a traumatic
event. He/she appears lucid,
in spite of the common adoption of a new identity and lack of recollection for past events.
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Permanent memory loss
Failure to perform ordinary tasks
Inability to recall personal identity
Incoherent language use
3. A client tells the nurse on the night shift that she cannot sleep because a man is in her
room. The client points to a coat hanging in the closet and says, "There he is!" Whichthought
process disturbance is the client experiencing?
Correct: An illusion is a misinterpretation or distortion of an object present in the
environment. In this
scenario, the coat represents an illusion.Incorrect: A hallucination is a false sensory impression
that does not exist in
reality. Most hallucinations are visual or auditory.Incorrect: Confabulation is a fabrication of
events or situations to fill
in the gaps in memory, usually in a plausible way.Incorrect: A delusion is an intensely-held,
false belief that cannot be
corrected by logical reasoning. Delusions of paranoia are defined by excessive suspiciousness;
grandiosity ischaracterized by exaggerated self worth; reference is evidenced by statements
of unrealistic associations; andpersecution relates feelings of unjust action, thought, behavior
or judgement.
Illusion
Hallucination
Confabulation
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Delusion
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