ATI Comprehensive Exit
Exam: Complete Questions
& Answers Guide
S
Informed Consent for ECT A client has the right to withdraw consent for the treatment at any time.
Fraying on Electrical Cord The nurse should first remove the device from the room.
Hydromorphone Prescription The nurse should count the current number of unit doses available in the
medication dispensing system.
Priority Finding Post Cast Placement A client 2 hours post cast placement with 2+ pitting edema and pallor has the
priority finding.
Disulfiram Alcohol Use A client should limit alcohol use to one drink daily while taking disulfiram.
Fluoxetine and Tyramine A client should avoid foods containing tyramine while taking fluoxetine.
Sustained-Release Methylphenidate A client should take the sustained-release methylphenidate every morning.
Major Depressive Disorder Precautions The nurse should implement seizure precautions for the client.
Narcissistic Personality Disorder Expectation The nurse should expect the client to be preoccupied with aging.
Time Management in Nursing The nurse should first determine goals of the day.
Change-of-Shift Assessment Priority The priority finding is a client with pneumonia, productive cough, and fever of
38.8° C (101.8° F).
Medication Administration Documentation The nurse should document administration of the medication upon removal from
the medication dispensing system.
Withholding Medication The nurse should withhold hydromorphone if the client does not appear to be in
pain.
,Client Teaching in Mental Health Understanding is indicated when a client states they will take their lithium on an
empty stomach.
Seizure Precautions Implementing seizure precautions is a priority action for a client with major
depressive disorder.
Client Assessment in Mental Health Encouraging the client to verbalize feelings is an important action but not the first
priority.
Electrical Device Safety Reporting the defect to the equipment maintenance staff is necessary but should
follow immediate removal of the device.
Medication Dispensing System The nurse should ensure the device inspection sticker is current as part of routine
safety checks.
Postoperative Care Monitoring for pain is crucial after administering hydromorphone.
Effective Client Teaching Clients should be able to articulate the importance of medication adherence.
Managing Nursing Tasks Developing an hourly time frame for tasks can help manage time effectively.
Client Assessment Findings Identifying priority findings is essential during shift changes.
Understanding Medication Effects Clients must understand the effects and side effects of their medications.
Determine goals of the day Establish specific objectives for daily activities.
Magnesium sulfate via continuous IV infusion A treatment for preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr A guideline for fluid management in certain medical conditions.
Measure the client's urine output every hour A critical action to monitor kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate An emergency intervention for reversing magnesium toxicity.
toxicity occur
Monitor the FHR via Doppler every 30 min A procedure to assess fetal heart rate during labor.
Wounds healing by primary intention Wounds that heal with minimal scarring, typically surgical incisions.
Approximated surgical incision A type of wound expected to heal by primary intention.
Client taking clozapine to treat schizophrenia and reports A priority client due to potential agranulocytosis risk.
sore throat
Client has OCD and is upset about a change in daily A client with stable condition, less urgent than others.
routine
, Client has narcissistic personality disorder and is mocking A client displaying disruptive behavior, but not immediately life-threatening.
others during group therapy
Client who has depressive disorder and requires A client needing support but not in immediate danger.
assistance with ADLs
Implanted venous access port A device for long-term venous access in patients.
A non-coring needle A specialized needle used to access implanted ports.
Client who has pneumonia and feels chest pain A patient requiring urgent assessment for potential cardiac issues.
12 lead ECG A priority diagnostic test for evaluating cardiac function.
Assessing growth and development of a 3 y/o child Evaluating developmental milestones in early childhood.
Can your child ride a tricycle? A question to assess gross motor skills in a 3-year-old.
Fetal heart tones assessment at 12 weeks of gestation A procedure to monitor fetal health early in pregnancy.
Position the ultrasound stethoscope above the symphysis A technique for detecting fetal heart tones during early pregnancy.
pubis to assess the FHR
Chest tube with a water seal drainage system A system used to manage pleural effusions or pneumothorax.
Tidaling in the water seal Indicates that the chest tube system is functioning correctly.
The system is working properly An indication that the drainage system is effectively managing fluid.
Heparin for DVT A client who is receiving heparin for DVT should be recommended for early
discharge.
HTN as contraindication Hypertension (HTN) in the child's medical history is a contraindication for
becoming a living kidney donor.
Lochia serosa Lochia serosa is an expected assessment finding for a client who is 4 days
postpartum.
Fundus 4 cm below umbilicus A fundus 4 cm (1.6 in) below the umbilicus is an expected assessment finding for a
client who is 4 days postpartum.
Postural drainage for cystic fibrosis The nurse should perform postural drainage twice a day for a child with cystic
fibrosis.
Oxygen tank safety The oxygen tank should be placed away from curtains or drapes in a home care
setting.
Seizure precautions for meningitis Implementing seizure precautions is an action the nurse should take for a client
with bacterial meningitis.