ATI RN EXIT EXAM SET 2.
Questions & Answers (100% Correct)
1. A nurse is providing teaching to a client about the adverse effects of sertraline. Which
of the following adverse effects should the nurse include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
2. A nurse is caring for a client who has a new temporary synchronous pacemaker.
Which of the following should the nurse report to the provider?
A. The client’s pulse oximetry level is 96%.
B. The client develops hiccups.
C. The ECG shows pacing spikes after the QRS complex.
D. Do nothing
3. A nurse is preparing discharge information for a client who has type 2 diabetes
mellitus. Which of the following resources should the nurse provide to the client?
A. Personal blogs about managing the adverse effects of diabetes medications
B. Food label recommendations from the Institute of Medicine
C. Diabetes medication information from the Physicians’ Desk Reference
D. Food exchange lists for meal planning from the American Diabetes Association
4. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client.
Which of the following statements should the nurse include in the teaching?
A. “The PCA will deliver a double dose of medication when you push the button
twice.”
B. “You can adjust the amount of pain medication you receive by pushing on the
keypad.”
C. “Continuous PCA infusion is designed to allow fluctuating plasma
medication levels.”
D. “You should push the button before physical activity to allow maximum pain
control.”
5. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting
insulin for blood glucose management. The nurse should anticipate administering
which of the following types of insulin?
, A. Glargine insulin.
B. Regular insulin.
C. NPH insulin.
D. Adrenaline Shot.
6. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the
following should the toddler participate?
A. Looking at alphabet flashcards.
B. Playing with a large plastic truck.
C. Use scissors cut out paper shapes.
D. Watching a cartoon in the dayroom.
7. A nurse in an emergency department is caring for a client who received a dose of
penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing.
Which of the following actions is the nurse’s priority?
A. Monitor the client’s ECG
B. Take the client’s vital signs.
C. Administer oxygen
D. Insert an IV line.
8. A nurse is caring for a client who has Raynaud’s disease. Which of the following
actions should the nurse take?
A. Provide information about stress management.
B. Maintain a cool temperature in the client’s room.
C. Administer epinephrine for acute episodes.
D. Give glucocorticoid steroid twice per day.
9. A nurse is reviewing the medical history of a client who has angina. Which of the
following findings in the client’s medical history should identify as a risk factor for
angina?
A. Hyperlipidemia.
B. COPD
C. Seizure Disorder
D. Hyponatremia
10. A nurse is caring for a client who is 12 hr. postpartum and has a third- degree perineal
laceration. The client reports not having a bowel movement for 4 days. Which of the
following medications should the nurse administer?
A. Bisacodyl 10 mg rectal suppository.
B. Magnesium hydroxide 30 ml PO.
C. Famotidine 20 mg PO.
, D. Loperamide 4 mg PO.
11. A nurse overhears two assistive personnel (AP) discussing care for a client while in the
elevator. Which of the following actions should the nurse take?
A. Contact the client’s family about the incident.
B. Notify the client’s provider about the incident.
C. File a complaint with the facility’s ethics committee.
D. Report the incident to the AP’s charge nurse.
12. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
13. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
14. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-
sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following
action should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s
concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
15. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
Questions & Answers (100% Correct)
1. A nurse is providing teaching to a client about the adverse effects of sertraline. Which
of the following adverse effects should the nurse include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
2. A nurse is caring for a client who has a new temporary synchronous pacemaker.
Which of the following should the nurse report to the provider?
A. The client’s pulse oximetry level is 96%.
B. The client develops hiccups.
C. The ECG shows pacing spikes after the QRS complex.
D. Do nothing
3. A nurse is preparing discharge information for a client who has type 2 diabetes
mellitus. Which of the following resources should the nurse provide to the client?
A. Personal blogs about managing the adverse effects of diabetes medications
B. Food label recommendations from the Institute of Medicine
C. Diabetes medication information from the Physicians’ Desk Reference
D. Food exchange lists for meal planning from the American Diabetes Association
4. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client.
Which of the following statements should the nurse include in the teaching?
A. “The PCA will deliver a double dose of medication when you push the button
twice.”
B. “You can adjust the amount of pain medication you receive by pushing on the
keypad.”
C. “Continuous PCA infusion is designed to allow fluctuating plasma
medication levels.”
D. “You should push the button before physical activity to allow maximum pain
control.”
5. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting
insulin for blood glucose management. The nurse should anticipate administering
which of the following types of insulin?
, A. Glargine insulin.
B. Regular insulin.
C. NPH insulin.
D. Adrenaline Shot.
6. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the
following should the toddler participate?
A. Looking at alphabet flashcards.
B. Playing with a large plastic truck.
C. Use scissors cut out paper shapes.
D. Watching a cartoon in the dayroom.
7. A nurse in an emergency department is caring for a client who received a dose of
penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing.
Which of the following actions is the nurse’s priority?
A. Monitor the client’s ECG
B. Take the client’s vital signs.
C. Administer oxygen
D. Insert an IV line.
8. A nurse is caring for a client who has Raynaud’s disease. Which of the following
actions should the nurse take?
A. Provide information about stress management.
B. Maintain a cool temperature in the client’s room.
C. Administer epinephrine for acute episodes.
D. Give glucocorticoid steroid twice per day.
9. A nurse is reviewing the medical history of a client who has angina. Which of the
following findings in the client’s medical history should identify as a risk factor for
angina?
A. Hyperlipidemia.
B. COPD
C. Seizure Disorder
D. Hyponatremia
10. A nurse is caring for a client who is 12 hr. postpartum and has a third- degree perineal
laceration. The client reports not having a bowel movement for 4 days. Which of the
following medications should the nurse administer?
A. Bisacodyl 10 mg rectal suppository.
B. Magnesium hydroxide 30 ml PO.
C. Famotidine 20 mg PO.
, D. Loperamide 4 mg PO.
11. A nurse overhears two assistive personnel (AP) discussing care for a client while in the
elevator. Which of the following actions should the nurse take?
A. Contact the client’s family about the incident.
B. Notify the client’s provider about the incident.
C. File a complaint with the facility’s ethics committee.
D. Report the incident to the AP’s charge nurse.
12. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
13. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
14. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-
sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following
action should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s
concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
15. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
