ATI RN COMPREHENSIVE EXIT
EXAM|LATEST UPDATED
A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
A. Perform the procedure twice each day.
B. Hold the hand flat to perform percussions on the child. C. Administer a bronchodilator
after the procedure.
D. Perform the procedure prior to meals. - ANSWERS--D. Perform the procedure prior
to meals.
Question 3:
A nurse is admitting a client to a medical-surgical unit. When performing
medication reconciliation for the client, which of the following actions should the
nurse take?
A. Include any adverse effects of the medications the client might develop.
B. Exclude nutritional supplements from the list of medications the client reports.
C. Encourage the client to make his own list after he returns to his home.
D. Compare new prescriptions with the list of medications the client reports. -
ANSWERS--D. Compare new prescriptions with the list of medications the client
reports.
A school nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
A. "The child usually has an aura prior to onset."
B. "This type of seizure can be mistaken for daydreaming."
C. "This type of seizure lasts 30 to 60 seconds."
,D. "This type of seizure has a gradual onset." - ANSWERS--B. "This type of seizure can
be mistaken for daydreaming."
A nurse is obtaining a client's manual blood pressure and is having difficulty
auscultating sounds. Which of the following actions should the nurse take?
A. Apply the largest cuff available.
B. Place the arm above the level of the client's heart.
C. Deflate the cuff quickly.
D. Use the palpatory method to determine blood pressure. - ANSWERS--D. Use the
palpatory method to determine blood pressure.
A nurse is planning care for an older adult client who has dementia. Which of the
following interventions should the nurse include in the plan of care? (Select al
A. Reinforce orientation to time, place, and person.
B. Allow the client to choose among a variety of activities each day.
C. Give the client one simple direction at a time.
D. Establish eye contact when communicating with the client.
E. Refute the client's delusions using logic - ANSWERS--A. Reinforce orientation to
time, place, and person.
B. Allow the client to choose among a variety of activities each day.
C. Give the client one simple direction at a time.
D. Establish eye contact when communicating with the client.
A nurse is providing teaching to a client who is at 14 weeks of gestation about
findings to report to the provider. Which of the following findings should the
nurse include in the teaching?
A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency - ANSWERS--B. Faintness upon rising
A charge nurse is delegating care for a group of clients. Which of the following
tasks should the charge nurse assign to a licensed practical nurse?
A. Perform a sterile dressing change for a client who has an abdominal wound.
B. Complete discharge teaching for a client who has a new diagnosis of diabetes
mellitus.
C. Perform an admission assessment for a client who is scheduled for surgery.
D. Complete the Glasgow Coma Scale for a client who has an evolving stroke. -
ANSWERS--A. Perform a sterile dressing change for a client who has an abdominal
wound.
A nurse is developing a plan of care for a newborn whose mother tested positive
for heroin during pregnancy. The newborn is experiencing neonatal abstinence
syndrome. Which of the following actions should the nurse include in the plan?
A. Maintain eye contact with the newborn during feedings.
,B. Swaddle the newborn with his legs extended.
C. Minimize noise in the newborn's environment.
D. Administer naloxone to the newborn. - ANSWERS--C. Minimize noise in the
newborn's environment.
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited.
Which of the following actions should the nurse perform first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device. - ANSWERS--A. Provide oral hygiene
care.
or D?
A nurse is providing discharge teaching about home care of a surgical incision to
a client who speaks a different language from the nurse. The nurse is
communicating with the client using an interpreter. Which of the following
actions should the nurse take?
A. Use gestures to convey meaning.
B. Speak slowly when talking to the interpreter.
C. Speak directly to the client.
D. Pause in the middle of sentences. - ANSWERS--C. Speak directly to the client.
A public health nurse working in a rural area is developing a program to improve
health for the local population. Which of the following actions should the nurse
plan to take?
A. Encourage rural residents to focus health spending on tertiary health interventions.
B. Launch a media campaign to increase awareness about industrial pollution.
C. Have a nurse from outside the community provide health lectures at the county
hospital.
D. Provide anticipatory guidance classes to parents through public schools. -
ANSWERS--D. Provide anticipatory guidance classes to parents through public schools.
A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at 25
mL/hr. Which of the following interventions should the nurse anticipate?
A. Clamp the catheter tubing for 30 min.
B. Obtain a urine specimen for culture and sensitivity.
C. Initiate continuous bladder irrigation.
D. Administer a fluid bolus - ANSWERS--B. Obtain a urine specimen for culture and
sensitivity.
D???
, A nurse is caring for a client whose partner recently died. The nurse sits with the
client to provide comfort. Which of the following ethical principles is the nurse
demonstrating?
A. Beneficence
B. Autonomy
C. Fidelity
D. Veracity - ANSWERS--A. Beneficence
A nurse is admitting an adolescent who has rubella. Which of the following
actions should the nurse take?
A. Initiate airborne precautions.
B. Monitor for the development of Koplik spots.
C. Administer aspirin to the client.
D. Isolate the client from staff who are pregnant. - ANSWERS--D. Isolate the client from
staff who are pregnant.
Question 14:
A nurse is caring for a female client who requests a contraceptive diaphragm.
Which of the following actions should the nurse take first?
A. Document the client's level of understanding about potential adverse effects.
B. Teach the client how to insert the diaphragm.
C. Determine the client's knowledge about diaphragm use.
C. Determine the client's knowledge about diaphragm use.
D. Supervise return demonstration of diaphragm use - ANSWERS--C. Determine the
client's knowledge about diaphragm use.
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A. Encourage the client to watch television.
B. Sit with the client to provide a sense of security.
C. Administer a dose of atomoxetine to decrease anxiety.
D. Teach the client how to meditate. - ANSWERS--B. Sit with the client to provide a
sense of security.
A nurse inadvertently administered 160 mg of valsartan PO to a client who was
scheduled to receive 80 mg. Which of the following actions is the priority for the
nurse to take?
A. Evaluate the client for orthostatic hypotension.
B. Check the client for nasal congestion.
C. Obtain the client's laboratory results.
D. Monitor the client's urine output. - ANSWERS--A. Evaluate the client for orthostatic
hypotension.
A charge nurse is teaching a newly licensed nurse about the facility's
EXAM|LATEST UPDATED
A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
A. Perform the procedure twice each day.
B. Hold the hand flat to perform percussions on the child. C. Administer a bronchodilator
after the procedure.
D. Perform the procedure prior to meals. - ANSWERS--D. Perform the procedure prior
to meals.
Question 3:
A nurse is admitting a client to a medical-surgical unit. When performing
medication reconciliation for the client, which of the following actions should the
nurse take?
A. Include any adverse effects of the medications the client might develop.
B. Exclude nutritional supplements from the list of medications the client reports.
C. Encourage the client to make his own list after he returns to his home.
D. Compare new prescriptions with the list of medications the client reports. -
ANSWERS--D. Compare new prescriptions with the list of medications the client
reports.
A school nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
A. "The child usually has an aura prior to onset."
B. "This type of seizure can be mistaken for daydreaming."
C. "This type of seizure lasts 30 to 60 seconds."
,D. "This type of seizure has a gradual onset." - ANSWERS--B. "This type of seizure can
be mistaken for daydreaming."
A nurse is obtaining a client's manual blood pressure and is having difficulty
auscultating sounds. Which of the following actions should the nurse take?
A. Apply the largest cuff available.
B. Place the arm above the level of the client's heart.
C. Deflate the cuff quickly.
D. Use the palpatory method to determine blood pressure. - ANSWERS--D. Use the
palpatory method to determine blood pressure.
A nurse is planning care for an older adult client who has dementia. Which of the
following interventions should the nurse include in the plan of care? (Select al
A. Reinforce orientation to time, place, and person.
B. Allow the client to choose among a variety of activities each day.
C. Give the client one simple direction at a time.
D. Establish eye contact when communicating with the client.
E. Refute the client's delusions using logic - ANSWERS--A. Reinforce orientation to
time, place, and person.
B. Allow the client to choose among a variety of activities each day.
C. Give the client one simple direction at a time.
D. Establish eye contact when communicating with the client.
A nurse is providing teaching to a client who is at 14 weeks of gestation about
findings to report to the provider. Which of the following findings should the
nurse include in the teaching?
A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency - ANSWERS--B. Faintness upon rising
A charge nurse is delegating care for a group of clients. Which of the following
tasks should the charge nurse assign to a licensed practical nurse?
A. Perform a sterile dressing change for a client who has an abdominal wound.
B. Complete discharge teaching for a client who has a new diagnosis of diabetes
mellitus.
C. Perform an admission assessment for a client who is scheduled for surgery.
D. Complete the Glasgow Coma Scale for a client who has an evolving stroke. -
ANSWERS--A. Perform a sterile dressing change for a client who has an abdominal
wound.
A nurse is developing a plan of care for a newborn whose mother tested positive
for heroin during pregnancy. The newborn is experiencing neonatal abstinence
syndrome. Which of the following actions should the nurse include in the plan?
A. Maintain eye contact with the newborn during feedings.
,B. Swaddle the newborn with his legs extended.
C. Minimize noise in the newborn's environment.
D. Administer naloxone to the newborn. - ANSWERS--C. Minimize noise in the
newborn's environment.
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited.
Which of the following actions should the nurse perform first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device. - ANSWERS--A. Provide oral hygiene
care.
or D?
A nurse is providing discharge teaching about home care of a surgical incision to
a client who speaks a different language from the nurse. The nurse is
communicating with the client using an interpreter. Which of the following
actions should the nurse take?
A. Use gestures to convey meaning.
B. Speak slowly when talking to the interpreter.
C. Speak directly to the client.
D. Pause in the middle of sentences. - ANSWERS--C. Speak directly to the client.
A public health nurse working in a rural area is developing a program to improve
health for the local population. Which of the following actions should the nurse
plan to take?
A. Encourage rural residents to focus health spending on tertiary health interventions.
B. Launch a media campaign to increase awareness about industrial pollution.
C. Have a nurse from outside the community provide health lectures at the county
hospital.
D. Provide anticipatory guidance classes to parents through public schools. -
ANSWERS--D. Provide anticipatory guidance classes to parents through public schools.
A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at 25
mL/hr. Which of the following interventions should the nurse anticipate?
A. Clamp the catheter tubing for 30 min.
B. Obtain a urine specimen for culture and sensitivity.
C. Initiate continuous bladder irrigation.
D. Administer a fluid bolus - ANSWERS--B. Obtain a urine specimen for culture and
sensitivity.
D???
, A nurse is caring for a client whose partner recently died. The nurse sits with the
client to provide comfort. Which of the following ethical principles is the nurse
demonstrating?
A. Beneficence
B. Autonomy
C. Fidelity
D. Veracity - ANSWERS--A. Beneficence
A nurse is admitting an adolescent who has rubella. Which of the following
actions should the nurse take?
A. Initiate airborne precautions.
B. Monitor for the development of Koplik spots.
C. Administer aspirin to the client.
D. Isolate the client from staff who are pregnant. - ANSWERS--D. Isolate the client from
staff who are pregnant.
Question 14:
A nurse is caring for a female client who requests a contraceptive diaphragm.
Which of the following actions should the nurse take first?
A. Document the client's level of understanding about potential adverse effects.
B. Teach the client how to insert the diaphragm.
C. Determine the client's knowledge about diaphragm use.
C. Determine the client's knowledge about diaphragm use.
D. Supervise return demonstration of diaphragm use - ANSWERS--C. Determine the
client's knowledge about diaphragm use.
A nurse is caring for a client who is experiencing a panic attack. Which of the
following actions should the nurse take?
A. Encourage the client to watch television.
B. Sit with the client to provide a sense of security.
C. Administer a dose of atomoxetine to decrease anxiety.
D. Teach the client how to meditate. - ANSWERS--B. Sit with the client to provide a
sense of security.
A nurse inadvertently administered 160 mg of valsartan PO to a client who was
scheduled to receive 80 mg. Which of the following actions is the priority for the
nurse to take?
A. Evaluate the client for orthostatic hypotension.
B. Check the client for nasal congestion.
C. Obtain the client's laboratory results.
D. Monitor the client's urine output. - ANSWERS--A. Evaluate the client for orthostatic
hypotension.
A charge nurse is teaching a newly licensed nurse about the facility's
