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ATI COMPREHENSIVE EXIT FINAL with Answers ATI COMPREHENSIVE EXIT FINAL 1. A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client t... hreatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? 2. A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene? 3. A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective? 4. A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? 5. A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? 6. 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? 7. A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first? 8. A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention? 9. A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect? 10. A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an indication for hemodialysis? 11. 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? 12. A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should the nurse plan to assess first? 13. 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 statements by the nurse is an appropriate description of the use of hypnosis during labor? 14. 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? (rxn formation is when you use opposite feelings; ex: being super nice to someone you dislike) 15. A nurse is obtaining the 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? 16. The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care? 17. A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider? 18. Home health nurse is carefully planned for Alzheimer’s disease. To the following action should the nurse include in the plan of care 19. Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first? 20. A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? 21. A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply 22. A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? 23. A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? 24. Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? 25. A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention? 26. A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following action should the nurse take? 27. A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following? 28. A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply 29. Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first? 30. A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly? 31. A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take? 32. A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?) 33. Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to 34. A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highest priority? 35. Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate? 36. A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan? 37. A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, “I don’t know how much longer I can take this, but I’m afraid he’ll really hurt me if I leave. “Which of the following is an appropriate nursing intervention?” 38. A client was having suicidal thoughts tells the nurse “It just does not seem worth it anymore. Why not end my misery?” Which of the following responses for the nurses appropriate? 39. A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect? 40. A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take? There are 3 tabs that contain separate categories of data. 41. Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse? 42. Nurses caring for four clients. Which of the following client data should the nurse report to the provider? 43. Nurses caring for client was in end-stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. Which of the following medications should the nurse expect to be the highest priority to administer to the client? 44. A nurse is caring for a client who has DVT. Which of the following instructions the nurse include in the plan of care? 45. A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client’s contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse take? 46. A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? 47. Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? 48. Four clients present to the emergency department. The nurse should plan to see which of the following clients first? 49. A nurse is completing a dietary assessment for client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? 50. A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of the following interventions are appropriate? Select all that apply 51. The nurses reviewing clients admission laboratory results. Which of the findings required further evaluation? 52. A nurse is providing teaching for a client has a new prescription for methadone. Which of the phone following client statements indicates need for further teaching? 53. Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation? 54. A nurse is caring for a group of clients. Which of the following client should nurse assess first? 55. A nurse is taking a medication history from client was type II diabetes mellitus is scheduled for an arteriogram. Which of the following medications to the nurses instruct the client to discontinue 48 hrs prior to the procedure? 56. The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? 57. A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? 58. A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first? 59. A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first? 60. A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? 61. A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor? 62. The charge nurse for medical surgical units discovers client care assignments that should be reassigned. Which of the following delegated tasks should be reassigned? 63. A nurse caring for the client who has a cast due to a compound fracture to the right ankle. Which of the following findings requires immediate intervention? 64. The nurses providing care for preschoolers with acute gastroenteritis. Basing information below which of the following is an appropriate nursing action? Click on the links of this below for additional client information 65. The nurses caring for a client whose taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? 66. A nurse is caring for a client on the cardiac care unit who is hemodynamically unstable. Which of the following dysrhythmias should the nurse plan for cardioversion? 67. Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions? 68. A nurse assesses an older adult client with the decrease caloric intake and weight loss. Which of the following findings should the nurse report to the provider immediately? 69. A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate an AP? 70. A nurse from the state health department this is instructing a group nurses regarding reportable infections. Which of the following infections should the nurse report to the CDC? 71. The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is a priority finding by the nurse? 72. Nurses caring for a client whose 1 day postop following a Hypophysectomy for the removal of the pituitary tumor. Which of the following findings requires further assessment by nurse? 73. A client with the left leg cast is using crutches for ambulation. The nurse recognizes client needs further instruction of the client 74. A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take? 75. A nurse is admitting to a client to emergency department and initiates continuous cardiac monitoring. Which of the following ECG with strips indicates sinus tachycardia? 76. A nurse is planning care for client to prevent complications of immobility. With the following actions should the nurse including the plan of care? 77. A nurse discovers that the wrong dosage of medication was given to client. When determining what action to take your should recognize that which of the following ethical principles should be applied? 78. A nurse is review in the prescription for doxazosin with a client. Which of the following should be included in the teaching? 79. Addresses planning to provide teaching to young adult client who is insomnia. Which of the following should the nurse include in the teaching? 80. A nurse is caring for client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions is appropriate? 81. A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse including the plan of care? 82. The nurse is assessing a client is receiving radiation therapy. Which of the following findings should the nurse expect? 83. A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated? 84. A nurse is caring for client was GERD. Which of the following assessment findings the nurse expect to find? 85. A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action? 86. This is assessing clients as had a long arm cast. Which of the following findings of the dress moderate and when assessing for acute compartment syndrome? 87. I Just came from client is receiving IV moderate (Conscious) sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse? 88. A nurses in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the clients name and discussing details of his diagnosis. Which of following actions should the nurse take first? 89. A community health nurse is teaching a group of adults about the importance of health screenings. The nurse should include African American males almost twice as likely as caucasian males to experience which of the following? 90. A nurse is caring for a client who sprained his left ankle 12 hrs ago . Which of the following prescription is given by the provider should the nurse clarify? 91. A nurse is providing dietary teachings for client who has hepatic encephalopathy. Which the following food selections indicates that client understands teaching? 93. A nurse is planning care for client sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? 94. A nurses for Caring for four clients. Which of the following client should the nurse care for first? 95. The nurses planning care for newly admitted adolescent who has bacterial meningitis. Which the following instructions is appropriate for the nurse to include in the plan of care? 96. Nurse is giving discharge instructions to client has new ileostomy. The nurse should recognize that the teaching has been effective when the client states. 97. A nurse in a provider’s office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client’s history is a contraindication to use in combination oral contraceptives? 98. The nurses providing teaching to a client who has mild persistent asthma has been prescribed montelukast. Which of the following statements to the nursing put in teaching? 99. I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client should the nurse assess first? 100. A nurse is assessing a client who has pericarditis. Which of the following findings is priority 101. A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces contaminated with blood. Which of the following agents said the nurse include in the teaching? 102. A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the following actions in response take? 103. A nurses caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel telling the client. “If you don't eat, I’ll put restraints on your wrists and feed you.” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? a) Assault 104. A charge nurse is evaluating the time management skills for new licensed nurse. The charge nurse should intervene when a newly licensed nurse does which of the following? 105. A nurse is monitoring the client during an IV urography procedure. Which of the following client reports is the priority finding? 106. A nurse is planning to delegate client assignments to the assistive personnel. which of the following task is appropriate for the nurse to delegate? 107. A nurse is assessing a client wasn’t following vital signs: Oral temperature of 37.2°C (99 F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min, and blood pressure of 132/40 mm Hg. What is the clients pulse pressure? 109. 111) A nurse if caring for a group of clients in a medical surgical unit. Which of the following situations requires completion of an incident report? 110. A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin. Which of the following should nurse monitor? 111. The nurses providing discharge instructions about engorgement for client has decided not to breastfeed. Which of the following statements by the client indicates a need for further instruction by the nurse? 112. A nurses caring for client in preterm labor who is receiving magnesium sulfate by continuous IV infusion. Which of the following client findings indicates medication toxicity? 113. The nurse is completing an assessment for newborn who is 2 hrs old. Which of the following findings are indicative of cold stress? 114. A nurse is planning care for four clients. Which of the following clients is the highest priority? 115. A nurse is caring for a male adolescent client who has heart failure. Based on the client’s chart finds. Which of the following actions should the nurse plan to take? 116. The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the following clinical manifestations are associated with this finding? 117. A nurse is assessing for allergies before administering Propofol to a client placed on the mechanical ventilator. Which of the following allergies is a contraindication to the medication? 118. A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client to interpret the following statement, “When the cat’s away, the mice will play”. The client response was, “The mice come out when the cat is not around”. The nurse should document this finding which of the following in the client’s chart? 119. A nurse caring for a client who is receiving total parental nutrition. Which of the following assessment findings required immediate intervention by the nurse? 120. A nurse in the telemetry unit is receiving the laboratory findings for adult male client who’s been treated for myocardial function. The following is an expected finding for the client? 121. A nurse is reviewing the results of an ABG performed on a client with chronic emphysema. Which of the following results suggests the need for further treatment? 122. A nurse is teaching a client about nutritional intake. The nurse should include which of the following in the teaching? 123. A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times? 124. A nurse is planning an education session for a client who has type 1 diabetes mellitus. Which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? 125. A nurse in an urgent-care clinic is collecting admission history from a client who is 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are associated with this infection? 126. A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should be included when initiating feeding? 127. A nurse receives a change-of-shift report. Which of the following clients should the nurse attend to first? 128. A nurse is caring for a client who has lactose intolerance and has eliminated dairy products from his diet. The nurse should instruct the client to increase consumption of which of the following foods? 129. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravida 2, para 2, and her blood type is AB negative. The newborns blood type is B positive. Which of the following statements is appropriate? 130. A nurse is caring for the mother of an adolescent who was killed in a motor-vehicle crash after a school event. The mother states, I never should have let him take the car. Its all my fault!" Which of the following responses by the nurse is appropriate? 131. A nurse is educating a client about caloric intake and weight reduction. Which of the following client statements indicates an understanding of the teaching? 132. A nurses is teaching post-operative care with the parents of a toddler following a cleft palate repair. Which of the following should be included in the teaching? 133. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel? 134. A nurse in an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness. The nurse should recommend that the protocol include which of the following as a clinical manifestation of smallpox? 135. A nurse is preparing to perform closed intermittent bladder irrigation for a client following a transurethral resection of the prostate (TURP). Which of the following actions is appropriate by the nurse? 136. A nurse is caring for a client who has been taking haloperidol for several years. Which of the following assessment findings should the nurse recognize as a long-term side effect of this medication? 137. A nurse is planning care for a client who has Alzheimers disease and demonstrates confusion and wandering behavior. Which of the following should the nurse include in the plan of care? 138. A nurse is reviewing the laboratory data of a client who has diabetes mellitus. Which of the following laboratory tests is an indicator of long-term disease management? 139. A nurse on a pediatric care unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel? 140. A nurse is caring for a client who has been taking propranolol. Which of the following findings indicates a need to withhold the medication? 141. A nurse working in a mental health facility observes a client who has bipolar disorder walk over to a table occupied by other clients and knock their game off the table. Which of the following is an appropriate response by the nurse? 142. A nurse is caring for a client who has human immunodeficiency virus (HIV) with neutropenia. 143. A nurse is checking laboratory results for a client. Which of the following laboratory findings indicates hypervolemia? 144. A nurse is caring for a group of clients in a long-term care facility. Which of the following situations should the nurse recognize as a safety hazard? 145. A nurse is caring for a client in a mental health facility. The clients daughter is crying and tells the nurse that she feels guilty for leaving her father in the hospital. Which of the following is an appropriate response? 146. A nurse is planning care for a client following gastric bypass surgery. The nurse should include which of the following dietary instructions when preparing the client for discharge? 147. 149 A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse? 148. A provider has written a do not resuscitate order for a client who is comatose and does not have advance directives. A member of the clients family says to the nurse, “I wonder when the doctor will tell us what’s going on" Which of the following actions should the nurse take first 149. A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is 150. A nurse is interviewing an older adult client about the physiological changes he has been experiencing. Which of the following changes should the nurse recognize is normally associated with the aging process? 151. A nurse in an intensive care unit is planning care for a client who has alcohol withdrawal syndrome. Which of the following should the nurse include in the plan of care? 152. A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (Selectable areas or Hot Spots" can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer.) 153. A nurse manager is planning an audit to measure the quality of care on the unit. Which of the following is the most appropriate source for the nurse to consult? 154. A nurse is caring for a client who had gastric bypass surgery 1 week ago and has signs of early dumping syndrome. Which of the following findings should the nurse expect? (Select all that apply) 155. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? 156. A nurse is delegating tasks to an assistive personnel. Which of the following instructions demonstrates appropriate communication of the task? 157. A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should recognize that these findings are potential manifestations of which of the following? 158. A nurse is assessing an older adult client who had a stroke. Which of the following findings should the nurse recognize as an indication of dysphagia? 159. *A nurse is providing preoperative teaching to a client who will use PCA morphine sulfate following surgery. Which of the following information should the nurse include? 160. A nurse is assisting the provider with a paracentesis for a client who has ascites. Following collection of the specimen, which of the following actions should the nurse take next 161. A nurse is caring for a client in an inpatient facility who tells the nurse that she is leaving because the facility policy prohibits smoking inside. Which of the following actions should the nurse take? 162. A nurse is preparing to administer a measles, mumps, rubella (MMR) immunization to a child. Which of the following is a contraindication for administration? 163. A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client. Which of the following is the safest site for the nurse to use? 164. A nurse is teaching a female client how to reduce the risk of urinary tract infections (UTIs). Which of the following should the nurse include as a risk factor for developing a UTI? 165. A nurse is providing discharge instructions for a client who has a new prescription for furosemide. Which of the following client statements indicates a need for further teaching? 166. A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client conditions is a contraindication to this medication? 167. A nurse is planning care for an adolescent who has chronic renal failure. Which of the following actions should the nurse include in the plan of care? 168. A nurse is assessing a client 1 hr following birth and notes that her uterus is boggy and located 2 cm above the umbilicus. Which of the following actions should the nurse take first? 169. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following interventions should the nurse perform 170. A nurse is caring for a 7 month-old infant who is being treated for severe dehydration. Which of the following assessment findings indicates treatment has been effective? 171. A nurse is providing teaching to a client who has esophageal cancer and is scheduled to start radiation therapy. Which of the following should the nurse include in the teaching? 172. A nurse in a provider's office is providing education to a client who is 16 weeks of gestation and has a new prescription for ferrous sulfate. Which of the following instructions should the nurse provide 173. 175 A nurse receives a change-of-shift report on four clients. Based on the shift report information, which of the following clients should the nurse plan to assess 174. A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment. Which of the following medications should the nurse administer? 175. A client who does not speak English arrives at the emergency department accompanied by a child. Which of the following actions should the nurse take? 176. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take? 177. A nurse is using Naegeles rule to calculate the expected delivery date for a newly pregnant primigravida. The first day of the clients last period was October. What is the expected delivery date? (Provide the date using four numerals, the first two for the month and the second two for the day. For example, January 2 0102) 178. A nurse on a medical-surgical unit is receiving report on four clients. Which of the following clients should the nurse assess first? [Show More]

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