ATI COMPREHENSIVE EXIT FINAL
A nurse in an emergency department completes an assessment on an adolescent client that
has conduct disorder. The client threatened suicide to a teacher at school. Which of the
following statements should the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - ANSTell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the following actions by the
client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - ANSViewing the newborns actions to be
uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following findings should
indicate that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
d- Decrease inflammation - ANSWeightloss this drug acts as T4 and will normalize the effects of
hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - ANSKeep the cord dry until it falls off (cord should be
kept clean and dry to prevent infection, it will turn black, clean with neutral ph cleanser, cord falls
off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates decreased
cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - ANSOliguria
,A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the
following client should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - ANSA client with indications of
hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients should the nurse asses
first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag - ANSA
client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
c- provide standby assist with the client from bed
d- encourage foods high in potassium - ANSProvide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring.
The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following
should the nurse expect?
a-Feta hypoxia
b- abrupto placentae
c- post maturity
d- head compressions - ANShead compressions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as an indication for hemodialysis?
a- Glomerular filtration rate of 14 ml/minute
b- BUN 16 ml/dl
c- serum magnesium 1.8 mg mg/dl
d- serum phosphorus 4.0 m mg/dl - ANSglomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
,a- placed infant under radiant warmer
b- move the probe site every 3 hrs
c- heat the skin one minute prior to placing the program
d- placed a sensor on the index finger - ANSHeat the skin one minute prior to placing the
program.
A nurse in a mental health facility receives a change to shift report on for clients. Which of the
following clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the past two months
c- client is receiving prn dose of health heard all two hours ago for increased anxiety
d- Applied he'll be receiving his first ect treatment today - ANSCliet placed in restraints to the
aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique
b- hypnosis promoted increased control of her pain perception during contractions
c- hypnosis uses therpeutic touch to reduce anxiety during labor
d- hynosis provides instructions to minimize pain - ANSHypnosis promotes increased control of
her pain perception during contractions.
A nurse is a county jail health clinic is leading group therapy sessions. A client who has
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? (reaction formation is when using opposite feelings, being super nice to someone
you dislike)
a- I steal things because it is the only way i can keep my mind off my bad marriage
b- i can't believe i was accused of something i didn't do
c- i don't want to talk about my feelings right now, we will talk more next time
d- i think that people are just lazy and should earn extra money - ANSI think that your people
are just lazy and should earn money honestly
A nurse is obtaining medical history of a client who has a new prescription for isosorbide
mononitrate. Which of the following should the nurse identify as a contraindication to
medication?
a- Glaucoma
b- hypertension
c- polycythemia
d- migraine headaches - ANSGlaucoma
, NA - ANSn/a
The nurse is caring for a client recovering from an acute myocardial infarction. Which of the
following intervention should the nurse include in the point of care?
a- Draw a troponin level every four hours
b- performance EKG every 12 hrs
c- plant oxygen tent fell over minutes via rebreather mask
d- obtain a cardiac rehabilitation consult - ANSObtain cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should the nurse report to the provider ?
a- WBC 3,000 /mm3
b- Hemoglobin 12 g/dl
c- Platelet 250,000/mm3
d- aPTT 30 seconds - ANSWBC 3,000/mm3
Home health nurse is carefully planned for alzheimer's disease. To the following actions should
the nurse include in the plan of care?
a- Place a daily calendar in the kitchen
b- replace the button clothing with zippered items
c- replace the carpet with hardwood floors
d- create variation in daily routine - ANSPlace a daily calendar in the kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following findings
should the nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst
b- client who has gastroenteritis and is lethargic and confused
c- the client has diabetes mellitus has morning fasting legal cost of 185 over deal
d- the client was sick of signing and reports pain 15 minutes after receiving oral analgesic -
ANSClient who has gastroenteritis and is lethargic and confused
A nurse is caring for a client who was in second trimester of preganancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
a- Decrease taking vitamins and supplements to every other day
b- Eat 15 g of fiber per day
c- consume 48 ounces of water each day
d- drink hot water with lemon juice each morning when you wake up - ANSDrink hot water with
leon juice every morning when you wake up.
A nurse in an emergency department completes an assessment on an adolescent client that
has conduct disorder. The client threatened suicide to a teacher at school. Which of the
following statements should the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - ANSTell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the following actions by the
client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - ANSViewing the newborns actions to be
uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following findings should
indicate that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
d- Decrease inflammation - ANSWeightloss this drug acts as T4 and will normalize the effects of
hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - ANSKeep the cord dry until it falls off (cord should be
kept clean and dry to prevent infection, it will turn black, clean with neutral ph cleanser, cord falls
off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates decreased
cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - ANSOliguria
,A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the
following client should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - ANSA client with indications of
hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients should the nurse asses
first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag - ANSA
client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
c- provide standby assist with the client from bed
d- encourage foods high in potassium - ANSProvide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring.
The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following
should the nurse expect?
a-Feta hypoxia
b- abrupto placentae
c- post maturity
d- head compressions - ANShead compressions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as an indication for hemodialysis?
a- Glomerular filtration rate of 14 ml/minute
b- BUN 16 ml/dl
c- serum magnesium 1.8 mg mg/dl
d- serum phosphorus 4.0 m mg/dl - ANSglomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
,a- placed infant under radiant warmer
b- move the probe site every 3 hrs
c- heat the skin one minute prior to placing the program
d- placed a sensor on the index finger - ANSHeat the skin one minute prior to placing the
program.
A nurse in a mental health facility receives a change to shift report on for clients. Which of the
following clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the past two months
c- client is receiving prn dose of health heard all two hours ago for increased anxiety
d- Applied he'll be receiving his first ect treatment today - ANSCliet placed in restraints to the
aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique
b- hypnosis promoted increased control of her pain perception during contractions
c- hypnosis uses therpeutic touch to reduce anxiety during labor
d- hynosis provides instructions to minimize pain - ANSHypnosis promotes increased control of
her pain perception during contractions.
A nurse is a county jail health clinic is leading group therapy sessions. A client who has
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? (reaction formation is when using opposite feelings, being super nice to someone
you dislike)
a- I steal things because it is the only way i can keep my mind off my bad marriage
b- i can't believe i was accused of something i didn't do
c- i don't want to talk about my feelings right now, we will talk more next time
d- i think that people are just lazy and should earn extra money - ANSI think that your people
are just lazy and should earn money honestly
A nurse is obtaining medical history of a client who has a new prescription for isosorbide
mononitrate. Which of the following should the nurse identify as a contraindication to
medication?
a- Glaucoma
b- hypertension
c- polycythemia
d- migraine headaches - ANSGlaucoma
, NA - ANSn/a
The nurse is caring for a client recovering from an acute myocardial infarction. Which of the
following intervention should the nurse include in the point of care?
a- Draw a troponin level every four hours
b- performance EKG every 12 hrs
c- plant oxygen tent fell over minutes via rebreather mask
d- obtain a cardiac rehabilitation consult - ANSObtain cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should the nurse report to the provider ?
a- WBC 3,000 /mm3
b- Hemoglobin 12 g/dl
c- Platelet 250,000/mm3
d- aPTT 30 seconds - ANSWBC 3,000/mm3
Home health nurse is carefully planned for alzheimer's disease. To the following actions should
the nurse include in the plan of care?
a- Place a daily calendar in the kitchen
b- replace the button clothing with zippered items
c- replace the carpet with hardwood floors
d- create variation in daily routine - ANSPlace a daily calendar in the kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following findings
should the nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst
b- client who has gastroenteritis and is lethargic and confused
c- the client has diabetes mellitus has morning fasting legal cost of 185 over deal
d- the client was sick of signing and reports pain 15 minutes after receiving oral analgesic -
ANSClient who has gastroenteritis and is lethargic and confused
A nurse is caring for a client who was in second trimester of preganancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
a- Decrease taking vitamins and supplements to every other day
b- Eat 15 g of fiber per day
c- consume 48 ounces of water each day
d- drink hot water with lemon juice each morning when you wake up - ANSDrink hot water with
leon juice every morning when you wake up.
