ATI RN EXIT EXAM
1. A nurse is reviewing the laboratory results of a client who
has rheumatoid arthritis. Which of the following findings
should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
2. A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of
the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
3. A nurse is caring for a client following application of a cast. Which of the
following actions should the nurse take first?
A. Place an ice pack over the cast.
B. P alpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
4. A nurse is caring for a client who has vision loss. Which of the
following actions should the nurse take? (Select all that apply)
,A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C . Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E . Touch the client gently to announce presence.
5. A nurse is caring for a client who is newly diagnosed with
pancreatic cancer and has questions about the disease. To research
the nurse should identify that which of the following electronic
database has the most comprehensive collection of nursing (Unable
to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
6. A nurse in an emergency department is assessing newly
admitted client who is experiencing drooling and hoarseness
following a burn injury. Which of the following should actions
should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
7. A nurse is planning care for a client who has unilateral
paralysis and dysphagia following a right hemispheric stroke.
Which of the following interventions should the nurse include
in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
,B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. P lace the client’s left arm on a pillow while he is sitting.
8. A nurse is caring for a client who is in a seclusion room
following violent behavior. The client continues to display aggressive
behavior. Which of the following actions should the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
9. A nurse is caring for a client who is receiving brachytherapy
for treatment of prostate cancer. Which of the following actions
should the nurse take?
A. Cleanse equipment before removal from the client’s room.
B. L imit the client’s visitors to 30 min per day.
C. Discard the
client’s
linens in a
double bag.
D. Discard the
radioactive
source in a
biohazard
bag
, 10. A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse
discontinues the magnesium sulfate after the client displaces
toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
11. A charge nurse is teaching new staff members about factors that
increase a client’s risk to become violent. Which of the following risk
factors should the nurse include as the best predictor of future
violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
12. A nurse is preparing to perform a sterile dressing change.
Which of the following actions should the nurse take when setting
up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the
body→ flap AWAY from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the
edge of the sterile field → 2.5 cm (1-inch) border around any
sterile drape or wrap that is considered contaminated.
d. Set up the sterile field 5 cm (2 in) below waist level→ it
says BELOW waist level; should be ABOVE waist level
13. A nurse is providing teaching to an older adult client about
methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
a. Eat a light snack before bedtime
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
1. A nurse is reviewing the laboratory results of a client who
has rheumatoid arthritis. Which of the following findings
should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
2. A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of
the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
3. A nurse is caring for a client following application of a cast. Which of the
following actions should the nurse take first?
A. Place an ice pack over the cast.
B. P alpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
4. A nurse is caring for a client who has vision loss. Which of the
following actions should the nurse take? (Select all that apply)
,A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C . Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E . Touch the client gently to announce presence.
5. A nurse is caring for a client who is newly diagnosed with
pancreatic cancer and has questions about the disease. To research
the nurse should identify that which of the following electronic
database has the most comprehensive collection of nursing (Unable
to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
6. A nurse in an emergency department is assessing newly
admitted client who is experiencing drooling and hoarseness
following a burn injury. Which of the following should actions
should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
7. A nurse is planning care for a client who has unilateral
paralysis and dysphagia following a right hemispheric stroke.
Which of the following interventions should the nurse include
in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
,B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. P lace the client’s left arm on a pillow while he is sitting.
8. A nurse is caring for a client who is in a seclusion room
following violent behavior. The client continues to display aggressive
behavior. Which of the following actions should the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
9. A nurse is caring for a client who is receiving brachytherapy
for treatment of prostate cancer. Which of the following actions
should the nurse take?
A. Cleanse equipment before removal from the client’s room.
B. L imit the client’s visitors to 30 min per day.
C. Discard the
client’s
linens in a
double bag.
D. Discard the
radioactive
source in a
biohazard
bag
, 10. A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse
discontinues the magnesium sulfate after the client displaces
toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
11. A charge nurse is teaching new staff members about factors that
increase a client’s risk to become violent. Which of the following risk
factors should the nurse include as the best predictor of future
violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
12. A nurse is preparing to perform a sterile dressing change.
Which of the following actions should the nurse take when setting
up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the
body→ flap AWAY from the body's first
c. Place the sterile dressing within 1.25 cm (0.5in) of the
edge of the sterile field → 2.5 cm (1-inch) border around any
sterile drape or wrap that is considered contaminated.
d. Set up the sterile field 5 cm (2 in) below waist level→ it
says BELOW waist level; should be ABOVE waist level
13. A nurse is providing teaching to an older adult client about
methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
a. Eat a light snack before bedtime
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
