COMPREHENSIVE
EXIT EXAM
LATEST
QUESTIONS -
Newly Updated
Complete
Solutions
, ATI COMPREHENSIVE EXIT
EXAM LATEST QUESTIONS -
Newly Updated Complete
Solutions
1. A charge nurse on a medical surgical unit is assisting with the emergency
responsesplan following an external disaster in the community. In anticipation
of multiple client admissions, which of the following current client should the
nurse recommend for early discharge ?
a. A client who has COPD and a respiratory rate of 44/ min - RR is too
high out ofrange
b. A client who has cancer with a sealed implant for radiation therapy - an
implant isinside them, and its active
c. A client who is 1 day postoperative following a vertebroplasty - 1 day seems
to soon - p. 1528 of lewis , verteborlplasty patients can be discharge as soon
as they lear tge home care . this procdure is not major.
d. A client who is receiving heparin for deep vein thrombosis - as said in class
Heparinfor Hospital and that other Coumadin for home
2. A nurse is caring for four client who are scheduled for surgery the same day.
Which ofthe following laboratory values indicates the need for intervention before
surgery ?
a. Fasting blood glucose 108 mg/ dl
b. WBC 9,800 mm3 > 4,800 is normal
c. Creatnine 0.9 mg/dl , < 1.0 is normal
d. Potaissium 5.2 meq / L 3.5 - 5.0 = imbalance = CARDIAC
DYSRHYTHMIASRationale: Med Surg ATI page 382: Avoid NA, K, Mg,
Phosphorus. Imbalances before surgery
3. A nurse is providing teaching to family members of a client who has
,dementia. Whichof the following instructions should the nurse include in the
teaching ?
a. Engage the client in activities that increase sensory stimulation.
b. Discourage physical activity during the day
c. Establish a toileting schedule for the client
d. Use clothing with buttons and zippers
4. A charge nurse is preparing to lead negotiations among nursing staff due to
conflictabout overtime requirements. Which of the following strategies should
the charge nurse use to promote effective negotiation?
a. Identify Solutions prior to negotiation
b. personalize the conflict
c. Attempt to understand both sides of the issue
d. Focus on how the conflict occurred
Assess the situation first prior to trying to solve it.
5. A nurse is preparing to remove an IV catheter from the arm of a client who
has phlebitis at the peripheral IV site. Which of the following actions should the
nurse plan totake?
a. Insert a new IV catheter distal to the discontinued IV site
b. apply pressure dressing at the IV site
c. Please a warm moist compress on the site
d. Express drainage from the IV site and send it to be cultured
Phlebitis is characterized by pain, increased skin temperature, and redness along the
vein. It iscommonly treated by discontinuing the IV line and applying a moist, warm
compress over the area.
6. A nurse is preparing to administer three medications to a client who is
receiving continuous enteral tube feeding through an NG tube. Which of the
following actions isappropriate for the nurse to take?
a. ADD medication directly to enteral feeding - not without crushing them
, first
b. Dissolve the medications together- some medications can mix others can’t
c. Use a syringe to allow the medications to Flow by gravity
d. Flush the NG tube with 5 ml water- 10ml
ATI Fundamentals - “use syringe & allow med to flow in by gravity or push it in w/ the plunger
of the syringe” p. 264
7. The nurse is caring for a client who has histrionic personality disorder.
Which of thefollowing findings should the nurse expect?
a. Repeated acts of unlawful Behavior
b. Suspicious demeanor
c. Seductive Behavior
d. Lack of remorse
They want attention
ATI Mental Health - Histrionic: emotional, attention seeking; center of attention; seductive &
flirtatious
8. A nurse in a prenatal Clinic is teaching a client about non
pharmacological pain management during labor.Which of the following
statements by the client indicates anunderstanding of the teaching?
a. My nurse can teach me biofeedback at the beginning of labor- biofeedback
would betaught earlier to control other pain, not pain of labor
b. A transcutaneous electrical nerve stimulator will help with pelvic
pressure- Thiswould mess with the readings of the pt and baby
c. The nurse will initiate acupuncture when I arrive at the unit - Needles
during laborno.
d. I can use my ultrasound picture as a focal point during contractions-
Distraction
9. A nurse is assessing a client Telemetry strip. Which of the following
findings shouldthe nurse report to the provider?
a. Heart rate 98 per minute - wnr
b. ST segment elevations_ Remember this could possibly lead to infarctions
c. 2 PVCs per minute