ATI COMPREHENSIVE EXIT EXAM
Question 1
A nurse is caring for a client who has just returned from surgery with a newly placed
tracheostomy. Which of the following interventions should the nurse implement
first?
A. Check the tightness of the ties and adjust if necessary.
B. Clean the tracheostomy stoma with sterile saline.
C. Change the tracheostomy dressing.
D. Suction the tracheostomy tube.
Answer: A. Check the tightness of the ties and adjust if necessary.
Question 2
A nurse is caring for a client who has a prescription for total parenteral nutrition
(TPN). Which of the following is an appropriate nursing intervention?
A. Monitor the client's blood glucose levels.
B. Change the TPN solution bag every 48 hours.
C. Administer the TPN solution at room temperature.
D. Assess the client's bowel sounds every 8 hours.
Answer: A. Monitor the client's blood glucose levels.
Question 3
A nurse is teaching a client who has a new prescription for digoxin. Which of the
following statements indicates an understanding of the teaching?
A. "I should take my pulse before taking this medication."
B. "I should avoid eating bananas while taking this medication."
C. "I should notify my provider if I experience blurred vision."
D. "I should take this medication with antacids to avoid stomach upset."
,Answer: C. "I should notify my provider if I experience blurred vision."
Question 4
A client with chronic kidney disease (CKD) has been prescribed erythropoietin. Which
of the following findings should indicate to the nurse that the treatment is effective?
A. Hematocrit 33%
B. Blood pressure 120/80 mm Hg
C. Serum potassium 4.5 mEq/L
D. BUN 15 mg/dL
Answer: A. Hematocrit 33%
Question 5
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates a need for further
teaching?
A. "I will avoid eating large amounts of leafy green vegetables."
B. "I will use an electric razor for shaving."
C. "I will take ibuprofen for my headaches."
D. "I will report any signs of bleeding to my healthcare provider."
Answer: C. "I will take ibuprofen for my headaches."
Question 6
A nurse is caring for a client who is receiving continuous enteral feedings. Which of
the following actions should the nurse take to prevent aspiration?
A. Flush the feeding tube with water every 4 hours.
B. Monitor the client's daily weight.
C. Elevate the head of the bed to at least 30 degrees.
D. Check gastric residual every 8 hours.
Answer: C. Elevate the head of the bed to at least 30 degrees.
,Question 7
A nurse is preparing to administer an intramuscular injection to a client. Which of
the following sites is most appropriate for an adult client?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Dorsogluteal muscle
Answer: B. Ventrogluteal muscle
Question 8
A nurse is assessing a client who is experiencing a panic attack. Which of the
following actions should the nurse take first?
A. Administer an anti-anxiety medication.
B. Instruct the client to take slow, deep breaths.
C. Encourage the client to talk about their feelings.
D. Provide a quiet and non-stimulating environment.
Answer: B. Instruct the client to take slow, deep breaths.
Question 9
A nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of
the following instructions should the nurse include?
A. "Shake the inhaler well before each use."
B. "Inhale quickly and deeply as you release the medication."
C. "Exhale immediately after inhaling the medication."
D. "Hold your breath for 10 seconds after inhaling the medication."
Answer: D. "Hold your breath for 10 seconds after inhaling the medication."
Question 10
, A nurse is planning care for a client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse include in the plan of care?
A. Massage reddened areas over bony prominences.
B. Reposition the client every 2 hours.
C. Elevate the head of the bed to 45 degrees.
D. Apply heat packs to bony prominences.
Answer: B. Reposition the client every 2 hoursQuestion 11
A nurse is caring for a client who has returned to the unit following a bronchoscopy.
Which of the following is the nurse’s priority assessment?
A. Check for the return of the gag reflex.
B. Monitor for signs of bleeding.
C. Assess breath sounds.
D. Monitor oxygen saturation.
Answer: A. Check for the return of the gag reflex.
Question 12
A nurse is assessing a client who has hypocalcemia. Which of the following findings
should the nurse expect?
A. Constipation
B. Positive Chvostek’s sign
C. Polyuria
D. Bradycardia
Answer: B. Positive Chvostek’s sign
Question 13
A nurse is providing dietary teaching to a client who has a new diagnosis of celiac
disease. Which of the following foods should the nurse instruct the client to avoid?
Question 1
A nurse is caring for a client who has just returned from surgery with a newly placed
tracheostomy. Which of the following interventions should the nurse implement
first?
A. Check the tightness of the ties and adjust if necessary.
B. Clean the tracheostomy stoma with sterile saline.
C. Change the tracheostomy dressing.
D. Suction the tracheostomy tube.
Answer: A. Check the tightness of the ties and adjust if necessary.
Question 2
A nurse is caring for a client who has a prescription for total parenteral nutrition
(TPN). Which of the following is an appropriate nursing intervention?
A. Monitor the client's blood glucose levels.
B. Change the TPN solution bag every 48 hours.
C. Administer the TPN solution at room temperature.
D. Assess the client's bowel sounds every 8 hours.
Answer: A. Monitor the client's blood glucose levels.
Question 3
A nurse is teaching a client who has a new prescription for digoxin. Which of the
following statements indicates an understanding of the teaching?
A. "I should take my pulse before taking this medication."
B. "I should avoid eating bananas while taking this medication."
C. "I should notify my provider if I experience blurred vision."
D. "I should take this medication with antacids to avoid stomach upset."
,Answer: C. "I should notify my provider if I experience blurred vision."
Question 4
A client with chronic kidney disease (CKD) has been prescribed erythropoietin. Which
of the following findings should indicate to the nurse that the treatment is effective?
A. Hematocrit 33%
B. Blood pressure 120/80 mm Hg
C. Serum potassium 4.5 mEq/L
D. BUN 15 mg/dL
Answer: A. Hematocrit 33%
Question 5
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates a need for further
teaching?
A. "I will avoid eating large amounts of leafy green vegetables."
B. "I will use an electric razor for shaving."
C. "I will take ibuprofen for my headaches."
D. "I will report any signs of bleeding to my healthcare provider."
Answer: C. "I will take ibuprofen for my headaches."
Question 6
A nurse is caring for a client who is receiving continuous enteral feedings. Which of
the following actions should the nurse take to prevent aspiration?
A. Flush the feeding tube with water every 4 hours.
B. Monitor the client's daily weight.
C. Elevate the head of the bed to at least 30 degrees.
D. Check gastric residual every 8 hours.
Answer: C. Elevate the head of the bed to at least 30 degrees.
,Question 7
A nurse is preparing to administer an intramuscular injection to a client. Which of
the following sites is most appropriate for an adult client?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis muscle
D. Dorsogluteal muscle
Answer: B. Ventrogluteal muscle
Question 8
A nurse is assessing a client who is experiencing a panic attack. Which of the
following actions should the nurse take first?
A. Administer an anti-anxiety medication.
B. Instruct the client to take slow, deep breaths.
C. Encourage the client to talk about their feelings.
D. Provide a quiet and non-stimulating environment.
Answer: B. Instruct the client to take slow, deep breaths.
Question 9
A nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of
the following instructions should the nurse include?
A. "Shake the inhaler well before each use."
B. "Inhale quickly and deeply as you release the medication."
C. "Exhale immediately after inhaling the medication."
D. "Hold your breath for 10 seconds after inhaling the medication."
Answer: D. "Hold your breath for 10 seconds after inhaling the medication."
Question 10
, A nurse is planning care for a client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse include in the plan of care?
A. Massage reddened areas over bony prominences.
B. Reposition the client every 2 hours.
C. Elevate the head of the bed to 45 degrees.
D. Apply heat packs to bony prominences.
Answer: B. Reposition the client every 2 hoursQuestion 11
A nurse is caring for a client who has returned to the unit following a bronchoscopy.
Which of the following is the nurse’s priority assessment?
A. Check for the return of the gag reflex.
B. Monitor for signs of bleeding.
C. Assess breath sounds.
D. Monitor oxygen saturation.
Answer: A. Check for the return of the gag reflex.
Question 12
A nurse is assessing a client who has hypocalcemia. Which of the following findings
should the nurse expect?
A. Constipation
B. Positive Chvostek’s sign
C. Polyuria
D. Bradycardia
Answer: B. Positive Chvostek’s sign
Question 13
A nurse is providing dietary teaching to a client who has a new diagnosis of celiac
disease. Which of the following foods should the nurse instruct the client to avoid?
