ATI EXIT EXAM 2021 160
QUESTIONS AND ANSWERS
©2021
, 1. A nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit.
Which of the following statements by the parent indicates an understanding of the
teaching?
I will use the cool mist vaporizer in my baby's room
2. A nurse is reinforcing teaching with a client who has a new prescription for verapamil. Which
of the following instructions should the nurse include in the teachings?
Change positions slowly
3. A nurse receives change of shift report for a group of clients. Which of the following clients
should the nurse check first?
A client admitted to the facility who has ascending Guillain barrel syndrome
4. A nurse is caring for a client who has chlamydial infection and the new prescription for
doxycycline the client reports nausea and vomiting after starting medication. Which of the
following recommendations should the nurse make?
Take the medications with crackers
5. A nurse is caring for a client who is postoperative following joint replacement and has a new
prescription for enoxaparin for which of the following adverse effects should the nurse
monitor?
Epistaxis
6. A nurse is collecting a health history from a parent of 4 year old child. Which of the following
statements to be is the priority for the nurse to address?
I have noticed that my child is withdrawn since we switched day care providers
7. A nurse is caring for a client who has heart failure and is taking furosemide. Which of the
following findings should the nurse recognize as an adverse effect of this medication?
hypokalaemia
8. A nurse is reinforcing teaching about home safety with a parent of a 12 month old infant.
Which of the following statements by the parent indicates understanding of the teaching?
I will turn pot handles to the side of the stove while cooking
, 9. A nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian
culture which of the following communication techniques by the nurse demonstrates
cultural sensitivity?
Holding eye contact for brief instances
10. A nurse is checking for gastric residual volume (GRV) on a client who is scheduled to receive
an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML
on two consecutive measurements. Which of the following actions should the nurse take?
Hold the feeding and recheck the GRV in 1 Hr
11. A nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the
following tasks should the nurse delegate to the AP?
Performing indwelling urinary catheter care
12. A nurse is caring for a client who has terminal cancer which of the following actions should
the nurse take to promote the clients autonomy?
Be honest with the client about prognosis
13. A nurse finds client's partner crying in the hallway the partner states I just don't know how I
am to go on after my husband is gone. Which of the following responses should the nurse
make?
Explain to me more about how you are feeling
14. A nurse is caring for an adolescent client who has bulimia nervosa. Which of the following
action should the nurse take?
Observe the client during and after meals
15. A nurse is checking a client who is postoperative and has a midline abdominal incision. The
nurse notes a separate of the incision. Which of the following actions should the nurse take?
Place the client supine with the knee flexed
16. A nurse is caring for a school age child who has ADHD and is taking methylphenidate. The
nurse should identify which of the following is the adverse effect of this medication?
Tinnitus
QUESTIONS AND ANSWERS
©2021
, 1. A nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit.
Which of the following statements by the parent indicates an understanding of the
teaching?
I will use the cool mist vaporizer in my baby's room
2. A nurse is reinforcing teaching with a client who has a new prescription for verapamil. Which
of the following instructions should the nurse include in the teachings?
Change positions slowly
3. A nurse receives change of shift report for a group of clients. Which of the following clients
should the nurse check first?
A client admitted to the facility who has ascending Guillain barrel syndrome
4. A nurse is caring for a client who has chlamydial infection and the new prescription for
doxycycline the client reports nausea and vomiting after starting medication. Which of the
following recommendations should the nurse make?
Take the medications with crackers
5. A nurse is caring for a client who is postoperative following joint replacement and has a new
prescription for enoxaparin for which of the following adverse effects should the nurse
monitor?
Epistaxis
6. A nurse is collecting a health history from a parent of 4 year old child. Which of the following
statements to be is the priority for the nurse to address?
I have noticed that my child is withdrawn since we switched day care providers
7. A nurse is caring for a client who has heart failure and is taking furosemide. Which of the
following findings should the nurse recognize as an adverse effect of this medication?
hypokalaemia
8. A nurse is reinforcing teaching about home safety with a parent of a 12 month old infant.
Which of the following statements by the parent indicates understanding of the teaching?
I will turn pot handles to the side of the stove while cooking
, 9. A nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian
culture which of the following communication techniques by the nurse demonstrates
cultural sensitivity?
Holding eye contact for brief instances
10. A nurse is checking for gastric residual volume (GRV) on a client who is scheduled to receive
an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML
on two consecutive measurements. Which of the following actions should the nurse take?
Hold the feeding and recheck the GRV in 1 Hr
11. A nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the
following tasks should the nurse delegate to the AP?
Performing indwelling urinary catheter care
12. A nurse is caring for a client who has terminal cancer which of the following actions should
the nurse take to promote the clients autonomy?
Be honest with the client about prognosis
13. A nurse finds client's partner crying in the hallway the partner states I just don't know how I
am to go on after my husband is gone. Which of the following responses should the nurse
make?
Explain to me more about how you are feeling
14. A nurse is caring for an adolescent client who has bulimia nervosa. Which of the following
action should the nurse take?
Observe the client during and after meals
15. A nurse is checking a client who is postoperative and has a midline abdominal incision. The
nurse notes a separate of the incision. Which of the following actions should the nurse take?
Place the client supine with the knee flexed
16. A nurse is caring for a school age child who has ADHD and is taking methylphenidate. The
nurse should identify which of the following is the adverse effect of this medication?
Tinnitus
