1
ATI Comprehensive Exit Exam: 180
Questions & Answers
Informed Consent for ECT - -CORRECT ANSWER--✔️A client has the right
to withdraw consent for the treatment at any time.
Fraying on Electrical Cord - -CORRECT ANSWER--✔️The nurse should first
remove the device from the room.
Hydromorphone Prescription - -CORRECT ANSWER--✔️The nurse should
count the current number of unit doses available in the medication
dispensing system.
Priority Finding Post Cast Placement - -CORRECT ANSWER--✔️A client 2
hours post cast placement with 2+ pitting edema and pallor has the
priority finding.
Disulfiram Alcohol Use - -CORRECT ANSWER--✔️A client should limit
alcohol use to one drink daily while taking disulfiram.
Fluoxetine and Tyramine - -CORRECT ANSWER--✔️A client should avoid
foods containing tyramine while taking fluoxetine.
Sustained-Release Methylphenidate - -CORRECT ANSWER--✔️A client
should take the sustained-release methylphenidate every morning.
1
, 2
Major Depressive Disorder Precautions - -CORRECT ANSWER--✔️The
nurse should implement seizure precautions for the client.
Narcissistic Personality Disorder Expectation - -CORRECT ANSWER--
✔️The nurse should expect the client to be preoccupied with aging.
Time Management in Nursing - -CORRECT ANSWER--✔️The nurse should
first determine goals of the day.
Change-of-Shift Assessment Priority - -CORRECT ANSWER--✔️The
priority finding is a client with pneumonia, productive cough, and fever
of 38.8° C (101.8° F).
Medication Administration Documentation - -CORRECT ANSWER--✔️The
nurse should document administration of the medication upon removal
from the medication dispensing system.
Withholding Medication - -CORRECT ANSWER--✔️The nurse should
withhold hydromorphone if the client does not appear to be in pain.
Client Teaching in Mental Health - -CORRECT ANSWER--
✔️Understanding is indicated when a client states they will take their
lithium on an empty stomach.
Seizure Precautions - -CORRECT ANSWER--✔️Implementing seizure
precautions is a priority action for a client with major depressive
disorder.
2
, 3
Client Assessment in Mental Health - -CORRECT ANSWER--
✔️Encouraging the client to verbalize feelings is an important action but
not the first priority.
Electrical Device Safety - -CORRECT ANSWER--✔️Reporting the defect to
the equipment maintenance staff is necessary but should follow
immediate removal of the device.
Medication Dispensing System - -CORRECT ANSWER--✔️The nurse
should ensure the device inspection sticker is current as part of routine
safety checks.
Postoperative Care - -CORRECT ANSWER--✔️Monitoring for pain is
crucial after administering hydromorphone.
Effective Client Teaching - -CORRECT ANSWER--✔️Clients should be able
to articulate the importance of medication adherence.
Managing Nursing Tasks - -CORRECT ANSWER--✔️Developing an hourly
time frame for tasks can help manage time effectively.
Client Assessment Findings - -CORRECT ANSWER--✔️Identifying priority
findings is essential during shift changes.
Understanding Medication Effects - -CORRECT ANSWER--✔️Clients must
understand the effects and side effects of their medications.
3
, 4
Determine goals of the day - -CORRECT ANSWER--✔️Establish specific
objectives for daily activities.
Magnesium sulfate via continuous IV infusion - -CORRECT ANSWER--✔️A
treatment for preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - -CORRECT ANSWER-
-✔️A guideline for fluid management in certain medical conditions.
Measure the client's urine output every hour - -CORRECT ANSWER--✔️A
critical action to monitor kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate toxicity occur - -
CORRECT ANSWER--✔️An emergency intervention for reversing
magnesium toxicity.
Monitor the FHR via Doppler every 30 min - -CORRECT ANSWER--✔️A
procedure to assess fetal heart rate during labor.
Wounds healing by primary intention - -CORRECT ANSWER--✔️Wounds
that heal with minimal scarring, typically surgical incisions.
Approximated surgical incision - -CORRECT ANSWER--✔️A type of
wound expected to heal by primary intention.
4
ATI Comprehensive Exit Exam: 180
Questions & Answers
Informed Consent for ECT - -CORRECT ANSWER--✔️A client has the right
to withdraw consent for the treatment at any time.
Fraying on Electrical Cord - -CORRECT ANSWER--✔️The nurse should first
remove the device from the room.
Hydromorphone Prescription - -CORRECT ANSWER--✔️The nurse should
count the current number of unit doses available in the medication
dispensing system.
Priority Finding Post Cast Placement - -CORRECT ANSWER--✔️A client 2
hours post cast placement with 2+ pitting edema and pallor has the
priority finding.
Disulfiram Alcohol Use - -CORRECT ANSWER--✔️A client should limit
alcohol use to one drink daily while taking disulfiram.
Fluoxetine and Tyramine - -CORRECT ANSWER--✔️A client should avoid
foods containing tyramine while taking fluoxetine.
Sustained-Release Methylphenidate - -CORRECT ANSWER--✔️A client
should take the sustained-release methylphenidate every morning.
1
, 2
Major Depressive Disorder Precautions - -CORRECT ANSWER--✔️The
nurse should implement seizure precautions for the client.
Narcissistic Personality Disorder Expectation - -CORRECT ANSWER--
✔️The nurse should expect the client to be preoccupied with aging.
Time Management in Nursing - -CORRECT ANSWER--✔️The nurse should
first determine goals of the day.
Change-of-Shift Assessment Priority - -CORRECT ANSWER--✔️The
priority finding is a client with pneumonia, productive cough, and fever
of 38.8° C (101.8° F).
Medication Administration Documentation - -CORRECT ANSWER--✔️The
nurse should document administration of the medication upon removal
from the medication dispensing system.
Withholding Medication - -CORRECT ANSWER--✔️The nurse should
withhold hydromorphone if the client does not appear to be in pain.
Client Teaching in Mental Health - -CORRECT ANSWER--
✔️Understanding is indicated when a client states they will take their
lithium on an empty stomach.
Seizure Precautions - -CORRECT ANSWER--✔️Implementing seizure
precautions is a priority action for a client with major depressive
disorder.
2
, 3
Client Assessment in Mental Health - -CORRECT ANSWER--
✔️Encouraging the client to verbalize feelings is an important action but
not the first priority.
Electrical Device Safety - -CORRECT ANSWER--✔️Reporting the defect to
the equipment maintenance staff is necessary but should follow
immediate removal of the device.
Medication Dispensing System - -CORRECT ANSWER--✔️The nurse
should ensure the device inspection sticker is current as part of routine
safety checks.
Postoperative Care - -CORRECT ANSWER--✔️Monitoring for pain is
crucial after administering hydromorphone.
Effective Client Teaching - -CORRECT ANSWER--✔️Clients should be able
to articulate the importance of medication adherence.
Managing Nursing Tasks - -CORRECT ANSWER--✔️Developing an hourly
time frame for tasks can help manage time effectively.
Client Assessment Findings - -CORRECT ANSWER--✔️Identifying priority
findings is essential during shift changes.
Understanding Medication Effects - -CORRECT ANSWER--✔️Clients must
understand the effects and side effects of their medications.
3
, 4
Determine goals of the day - -CORRECT ANSWER--✔️Establish specific
objectives for daily activities.
Magnesium sulfate via continuous IV infusion - -CORRECT ANSWER--✔️A
treatment for preeclampsia requiring careful monitoring.
Restrict the client's total fluid intake to 250 mL/hr - -CORRECT ANSWER-
-✔️A guideline for fluid management in certain medical conditions.
Measure the client's urine output every hour - -CORRECT ANSWER--✔️A
critical action to monitor kidney function and fluid balance.
Give the client protamine if signs of magnesium sulfate toxicity occur - -
CORRECT ANSWER--✔️An emergency intervention for reversing
magnesium toxicity.
Monitor the FHR via Doppler every 30 min - -CORRECT ANSWER--✔️A
procedure to assess fetal heart rate during labor.
Wounds healing by primary intention - -CORRECT ANSWER--✔️Wounds
that heal with minimal scarring, typically surgical incisions.
Approximated surgical incision - -CORRECT ANSWER--✔️A type of
wound expected to heal by primary intention.
4
