ATI EXIT EXAM EVALUATED QUESTIONS
AND ANSWERS /LATEST UPDATE
A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following
actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - CORRECT ANSWER -B. Tell the child
they will feel discomfort during the catheter insertion.
A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator
which of the following statements demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - CORRECT ANSWER -B. "I will wear
loose clothing around my ICD"
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
,D. "When did you start having these feelings?" - CORRECT ANSWER -A. "Describe your feelings to me
about being pregnant"
A nurse in an emergency department is performing triage for multiple clients following a disaster in the
community. To which of the following types of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - CORRECT ANSWER -A. Below-the knee amputation
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines
should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive - CORRECT ANSWER -B. Document
the client's condition every 15 min
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should
identify that which of the following sexually transmitted infections is a nationally notifiable infectious
disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus - CORRECT ANSWER -A. Chlamydia
,A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client
has an area of no blanchable erythema over his ischium. Which of the following interventions should the
nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every - CORRECT ANSWER -B. Teach the client to shift his weight every 15 min
while sitting
A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durable power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client." - CORRECT ANSWER -C. "The proxy can make
treatment decisions if the client is under anesthesia."
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-
management (Unable to read) a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.
D. Butorphanol tartrate - CORRECT ANSWER -C. Pudendal block.
, A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to
a dietitian
A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that
contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass of
water" - CORRECT ANSWER -B. A client who has gout and states, "I can continue to eat anchovies on my
pizza."
A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in
the child's glucose. The nurse should identify this finding as an adverse effect of which of the following
medications?
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin - CORRECT ANSWER -A. Methylprednisolone.
A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should
the nurse report to the provider?
Exhibit 1
Blood pressure: 102/56 mm Hg.
Heart rate: 95/min
Respiratory rate: 18/min
Temperature: 37.4C (99.3F)
AND ANSWERS /LATEST UPDATE
A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following
actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - CORRECT ANSWER -B. Tell the child
they will feel discomfort during the catheter insertion.
A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator
which of the following statements demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - CORRECT ANSWER -B. "I will wear
loose clothing around my ICD"
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
,D. "When did you start having these feelings?" - CORRECT ANSWER -A. "Describe your feelings to me
about being pregnant"
A nurse in an emergency department is performing triage for multiple clients following a disaster in the
community. To which of the following types of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - CORRECT ANSWER -A. Below-the knee amputation
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines
should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive - CORRECT ANSWER -B. Document
the client's condition every 15 min
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should
identify that which of the following sexually transmitted infections is a nationally notifiable infectious
disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus - CORRECT ANSWER -A. Chlamydia
,A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client
has an area of no blanchable erythema over his ischium. Which of the following interventions should the
nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every - CORRECT ANSWER -B. Teach the client to shift his weight every 15 min
while sitting
A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durable power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client." - CORRECT ANSWER -C. "The proxy can make
treatment decisions if the client is under anesthesia."
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-
management (Unable to read) a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.
D. Butorphanol tartrate - CORRECT ANSWER -C. Pudendal block.
, A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to
a dietitian
A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that
contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass of
water" - CORRECT ANSWER -B. A client who has gout and states, "I can continue to eat anchovies on my
pizza."
A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in
the child's glucose. The nurse should identify this finding as an adverse effect of which of the following
medications?
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin - CORRECT ANSWER -A. Methylprednisolone.
A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should
the nurse report to the provider?
Exhibit 1
Blood pressure: 102/56 mm Hg.
Heart rate: 95/min
Respiratory rate: 18/min
Temperature: 37.4C (99.3F)
