ATI comprehensive EXIT EXAM
A nurse, an emergency department complete an assessment on an adolescent client that has conduct
disorder. The client threaten suicide to a teacher at school which of the following statements should the
nurse include in the assessment. - (correct Answer) - Tell 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 - (correct Answer) - Viewing the newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding should indicate
that the medication was effective - (correct Answer) - Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which instructions would
you include in the teaching - (correct Answer) - Keep the cord dry until it falls off (cord should be kept
clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac output -
(correct Answer) - oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the following client.
Should the nurse identify as a priority. - (correct Answer) - A client with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess first -
(correct Answer) - A client who is chronic kidney disease with cloudy, diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate nursing
intervention. - (correct Answer) - Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The nurse is
reviewing the monitor tracing in notes early decelerations, which of the following should the nurse
expect - (correct Answer) - Head compression
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 of hemodialysis. - (correct Answer) - Glomerular filtration
rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take. - (correct Answer) - Heat the skin one minute prior to placing
the program
A nurse in a mental health facility receives a change of shift report on four clients which of the following
client. Should the nurse plan to assess first. - (correct Answer) - Client placed in restraints to the
aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is an appropriate
description of the use of hypnosis during labor - (correct Answer) - Hypnosis promotes increase control
of her pain perception during contractions
, A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? - (correct
Answer) - I think that people just you're just lazy and should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide monotitrate
which of the following should the nurse identify as a contraindication to medication - (correct Answer) -
glaucoma
16 - (correct Answer) - No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the following
intervention should the nurse include in the point of care - (correct Answer) - Obtain a 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 value should nurse report to the provider - (correct Answer) - WBC
3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action. Should the nurse
include in the plan of care - (correct Answer) - Place a daily calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following findings. Should
the nurse report to the provider first. - (correct Answer) - Client who has gastroenteritis and his lethargic
and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat
constipation which of the following statements by the nurse is appropriate - (correct Answer) - Drink hot
water with lemon juice each morning when you wake up
22 - (correct Answer) - No question
A nurse is caring for a client who is preparing his advance directives, which of the following statements
by the client indicates an understanding of advance directives SATA - (correct Answer) - I have the right
to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of cardiac disease which of the
following positions to the nurse place the client to best promote optimal, cardiac output - (correct
Answer) - Left lateral
A nurse is caring for a group of clients which of the following client. Should the nurse assigned to an AP. -
(correct Answer) - Client who had a cerebral vascular accident two days ago, and needs help toileting
A nurse is providing discharge, teaching to a client who has schizophrenia, isn't starting therapy with
clozapine which of the following is the highest priority for the client to report to the provider - (correct
Answer) - Fever
A nurse observes an AP providing care to a child, who is in a skeletal traction, which of the following
A nurse, an emergency department complete an assessment on an adolescent client that has conduct
disorder. The client threaten suicide to a teacher at school which of the following statements should the
nurse include in the assessment. - (correct Answer) - Tell 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 - (correct Answer) - Viewing the newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding should indicate
that the medication was effective - (correct Answer) - Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which instructions would
you include in the teaching - (correct Answer) - Keep the cord dry until it falls off (cord should be kept
clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac output -
(correct Answer) - oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the following client.
Should the nurse identify as a priority. - (correct Answer) - A client with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess first -
(correct Answer) - A client who is chronic kidney disease with cloudy, diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate nursing
intervention. - (correct Answer) - Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The nurse is
reviewing the monitor tracing in notes early decelerations, which of the following should the nurse
expect - (correct Answer) - Head compression
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 of hemodialysis. - (correct Answer) - Glomerular filtration
rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take. - (correct Answer) - Heat the skin one minute prior to placing
the program
A nurse in a mental health facility receives a change of shift report on four clients which of the following
client. Should the nurse plan to assess first. - (correct Answer) - Client placed in restraints to the
aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is an appropriate
description of the use of hypnosis during labor - (correct Answer) - Hypnosis promotes increase control
of her pain perception during contractions
, A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? - (correct
Answer) - I think that people just you're just lazy and should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide monotitrate
which of the following should the nurse identify as a contraindication to medication - (correct Answer) -
glaucoma
16 - (correct Answer) - No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the following
intervention should the nurse include in the point of care - (correct Answer) - Obtain a 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 value should nurse report to the provider - (correct Answer) - WBC
3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action. Should the nurse
include in the plan of care - (correct Answer) - Place a daily calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following findings. Should
the nurse report to the provider first. - (correct Answer) - Client who has gastroenteritis and his lethargic
and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat
constipation which of the following statements by the nurse is appropriate - (correct Answer) - Drink hot
water with lemon juice each morning when you wake up
22 - (correct Answer) - No question
A nurse is caring for a client who is preparing his advance directives, which of the following statements
by the client indicates an understanding of advance directives SATA - (correct Answer) - I have the right
to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of cardiac disease which of the
following positions to the nurse place the client to best promote optimal, cardiac output - (correct
Answer) - Left lateral
A nurse is caring for a group of clients which of the following client. Should the nurse assigned to an AP. -
(correct Answer) - Client who had a cerebral vascular accident two days ago, and needs help toileting
A nurse is providing discharge, teaching to a client who has schizophrenia, isn't starting therapy with
clozapine which of the following is the highest priority for the client to report to the provider - (correct
Answer) - Fever
A nurse observes an AP providing care to a child, who is in a skeletal traction, which of the following
