ATI Comprehensive Exit Exam Retake 3 – Updated
Review & Practice Test Qs & As | PDF
1.
A nurse is caring for a client whose vented NG tube is set to low intermittent
suction. The client has just vomited. Which of the following actions should the
nurse perform first?
A. Administer an antiemetic medication
B. Evaluate the functioning of the suction device
C. Provide oral hygiene
D. Replace the NG tube
Correct Answer: B. Evaluate the functioning of the suction device
Rationale: Priority is to ensure the NG tube and suction are working properly to
reduce the risk of aspiration.
2.
A nurse notices fraying on the electrical cord of a client's continuous passive
motion (CPM) device during a routine assessment. Which action should the nurse
take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to equipment maintenance staff
C. Remove the device from the client's room
D. Verify the device's inspection sticker is current
Correct Answer: C. Remove the device from the client's room
Rationale: The nurse must immediately remove faulty equipment from the client
to prevent electrical or fire hazards.
, 3.
A nurse is setting up a sterile field to irrigate a client's wound. Which action should
the nurse take when opening a sterile package?
A. Place the cap sterile-side up on the work surface
B. Peel the package open from the bottom to the top
C. Reach across the sterile field to access supplies
D. Hold the package above waist level only
Correct Answer: A. Place the cap sterile-side up on the work surface
Rationale: Placing the cap sterile-side up prevents contamination, allowing
breaching sterility only on the outer surface.
4.
A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections (UTIs). Which intervention should the nurse include?
A. Take a bubble bath immediately after intercourse
B. Wear loose-fitting underwear
C. Limit fluid intake to about 4 cups (32 oz) per day
D. Void every 5 to 6 hours during the day
Correct Answer: B. Wear loose-fitting underwear
Rationale: Cotton or loose-fitting underwear promotes ventilation and helps
prevent bacterial growth that leads to recurrent UTIs.
5.
A home health nurse is caring for a child who has Lyme disease. Which action
should the nurse take first?
A. Administer antitoxin
B. Ensure the state health department has been notified
Review & Practice Test Qs & As | PDF
1.
A nurse is caring for a client whose vented NG tube is set to low intermittent
suction. The client has just vomited. Which of the following actions should the
nurse perform first?
A. Administer an antiemetic medication
B. Evaluate the functioning of the suction device
C. Provide oral hygiene
D. Replace the NG tube
Correct Answer: B. Evaluate the functioning of the suction device
Rationale: Priority is to ensure the NG tube and suction are working properly to
reduce the risk of aspiration.
2.
A nurse notices fraying on the electrical cord of a client's continuous passive
motion (CPM) device during a routine assessment. Which action should the nurse
take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to equipment maintenance staff
C. Remove the device from the client's room
D. Verify the device's inspection sticker is current
Correct Answer: C. Remove the device from the client's room
Rationale: The nurse must immediately remove faulty equipment from the client
to prevent electrical or fire hazards.
, 3.
A nurse is setting up a sterile field to irrigate a client's wound. Which action should
the nurse take when opening a sterile package?
A. Place the cap sterile-side up on the work surface
B. Peel the package open from the bottom to the top
C. Reach across the sterile field to access supplies
D. Hold the package above waist level only
Correct Answer: A. Place the cap sterile-side up on the work surface
Rationale: Placing the cap sterile-side up prevents contamination, allowing
breaching sterility only on the outer surface.
4.
A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections (UTIs). Which intervention should the nurse include?
A. Take a bubble bath immediately after intercourse
B. Wear loose-fitting underwear
C. Limit fluid intake to about 4 cups (32 oz) per day
D. Void every 5 to 6 hours during the day
Correct Answer: B. Wear loose-fitting underwear
Rationale: Cotton or loose-fitting underwear promotes ventilation and helps
prevent bacterial growth that leads to recurrent UTIs.
5.
A home health nurse is caring for a child who has Lyme disease. Which action
should the nurse take first?
A. Administer antitoxin
B. Ensure the state health department has been notified
