1
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed A+ Actual Exam 2
/ RN ATI Comprehensive Exit Exam Prep Test Bank
VERIFIED QUESTIONS AND ANSWERS GRADED
EXAM VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the
mother, "What is your child playing with now?" Which response indicates to the
nurse that further teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
"Finger paints in the kitchen are a favorite pastime."
C.
"A marble run race track is set up in the playroom."
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RN Comprehensive Exit Detailed Answer Key
D. Actual Exam
"When outside, the wagon filled with soccer balls is the preferred toy."
E.
"We got a golf set because my other children play golf." –
Correct Answer :C, E
Rationale:
Avoid small objects that can be a choking hazard during the toddler stage. The
remaining play toys are appropriate for toddlers.
The nurse is orienting a new graduate to the reporting regulations often seen in
the emergency department. Which clients will the nurse need to report to the
nurse manager/supervisor to alert the proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has
bruising on the back in various stages of healing.
B.
An 88-year-old who states, "My child lives 5 minutes away no longer stops to
visit. My days are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next
thing I knew I was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their
home. I was no longer welcomed there."
E.
, 3
RN Comprehensive Exit Detailed Answer Key
Actual
A 30-year-old who states, "The brawl was worth the stab wound I got.Exam
My family
has never liked that family. It is just that way." –
Correct Answer :A, C, E
Rationale:
Nurses are mandatory reporters and must notify in the event of child and elder
abuse, domestic violence, animal bites, gun shot and stab wounds, assault, and
homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the
nurse, "What can I do for your other patients?" The nurse says to the LPN, "Go
ahead and start that blood on the client in 434B. It is primed and ready to go.
You have seen me do it a million times. You can do it." What is the LPN's best
response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an
unprofessional response. Telling the manager may be appropriate, but it does
, 4
RN Comprehensive Exit Detailed Answer Key
nothing to help the situation of needing to start blood andActual
resuscitateExam
a client.
Blood administration is the responsibility of the RN. The LPN can perform
compressions.
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
Observing the client directly will allow the nurse to determine if mastery of the
skill has been obtained and provide an opportunity to affirm the skill. Option A
may be therapeutic but will not provide an opportunity to evaluate the client's
ability to perform the procedure. Option B may be threatening to an older client
and will not determine his ability. Option C is not as effective as direct
observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care
center. The client has end-stage renal cancer and is admitted for palliative care
while awaiting hospice placement. The client often moans and groans, but is
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed A+ Actual Exam 2
/ RN ATI Comprehensive Exit Exam Prep Test Bank
VERIFIED QUESTIONS AND ANSWERS GRADED
EXAM VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the
mother, "What is your child playing with now?" Which response indicates to the
nurse that further teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
"Finger paints in the kitchen are a favorite pastime."
C.
"A marble run race track is set up in the playroom."
, 2
RN Comprehensive Exit Detailed Answer Key
D. Actual Exam
"When outside, the wagon filled with soccer balls is the preferred toy."
E.
"We got a golf set because my other children play golf." –
Correct Answer :C, E
Rationale:
Avoid small objects that can be a choking hazard during the toddler stage. The
remaining play toys are appropriate for toddlers.
The nurse is orienting a new graduate to the reporting regulations often seen in
the emergency department. Which clients will the nurse need to report to the
nurse manager/supervisor to alert the proper authorities? (Select all that apply.)
A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has
bruising on the back in various stages of healing.
B.
An 88-year-old who states, "My child lives 5 minutes away no longer stops to
visit. My days are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next
thing I knew I was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their
home. I was no longer welcomed there."
E.
, 3
RN Comprehensive Exit Detailed Answer Key
Actual
A 30-year-old who states, "The brawl was worth the stab wound I got.Exam
My family
has never liked that family. It is just that way." –
Correct Answer :A, C, E
Rationale:
Nurses are mandatory reporters and must notify in the event of child and elder
abuse, domestic violence, animal bites, gun shot and stab wounds, assault, and
homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the
nurse, "What can I do for your other patients?" The nurse says to the LPN, "Go
ahead and start that blood on the client in 434B. It is primed and ready to go.
You have seen me do it a million times. You can do it." What is the LPN's best
response?
A.
"No way am I starting the blood on that client!"
B.
"I am going to tell the manager you asked me to start blood."
C.
"Sure, no problem. I can do that. I have done it before."
D.
"I can take over compressions so you can start the blood." –
Correct Answer :D
Rationale:
The LPN needs to remain professional, and stating "No way ...." is an
unprofessional response. Telling the manager may be appropriate, but it does
, 4
RN Comprehensive Exit Detailed Answer Key
nothing to help the situation of needing to start blood andActual
resuscitateExam
a client.
Blood administration is the responsibility of the RN. The LPN can perform
compressions.
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A.
Determine how the client feels about changing the dressing.
B.
Ask the client to describe the procedure in writing.
C.
Seek a family member's evaluation of the client's ability to change the dressing.
D.
Observe the client change the dressing unassisted. –
Correct Answer :D
Rationale:
Observing the client directly will allow the nurse to determine if mastery of the
skill has been obtained and provide an opportunity to affirm the skill. Option A
may be therapeutic but will not provide an opportunity to evaluate the client's
ability to perform the procedure. Option B may be threatening to an older client
and will not determine his ability. Option C is not as effective as direct
observation by the nurse.
The nurse is talking with the spouse of a client admitted to the long-term care
center. The client has end-stage renal cancer and is admitted for palliative care
while awaiting hospice placement. The client often moans and groans, but is
