ATI RN COMPREHENSIVE EXIT EXAM 2019 180 VERIFIED
QUESTIONS AND ANSWERS LATEST 2023/2024|A+ GRADED|
1. A nurse is reviewing the laboratory results for teaching aboutthe diagnosis age- related
a client who is at 32 gestation. For which of the changes with the client’sfamily, which of the
following results should the nurse notify the following alterations should the nurse
provider? include?
a. Hgb 12 g/dL a. Increased inflation of the basilar lungs
b. Platelet count 90,000/mm2 b. Increased elasticity of the thoracic cage
c. Hematocrit 37% c. Hypertrophy of the bronchial mucous gland
d. Creatinine 0.7 mg/dL d. Hyperactive cough reflex
2. After receiving change-of-shift report, which of 6. A client is participating in an anger
the following clients should the nurse collect data management session explain that his recent
from first? behavior are related to his job loss. Which
a. A client who has a history of pancreatitis of thefollowing mechanism is the client
and reports severe abdominal pain using?
b. A client who has heart failure and reports a. Projection
severe dyspnea b. Rationalism
c. A client who is scheduled for abdominal c. Repression
surgery in 1 hrs d. Sublimation
d. A postoperative client who has diabetes
mellitus and a blood glucose of 280 mg/dK 7. A nurse is reinforcing teaching with the
client who is about to undergo a
3. A nurse is preparing a client for surgery. The thoracentesis. Which ifthe following
client tells the nurse that he is concerned about the statements by the client indicates an
safety of a large sum of money in his wallet. understanding of the information?
Which of the following actions is appropriate for a. “I will have general anesthesia
the nurse to take? during theprocedure.”
a. Place the money in an envelope and lock it b. “I will lie flat for 6 hours
in the client’s medication drawer before theprocedure.”
b. Contact security personnel to place the c. “I will have the chest x-ray
money in the facility safe following theprocedure.”
c. Hold the money for the client until he d. “I will breathe deeply through my
returns from surgery noseduring the procedure.”
d. Label the money and leave it with the unit
secretary. 8. A nurse is reviewing the medical record
of a client who is requesting an oral
4. A nurse is preparing to instill an otic suspension contraceptive. Which of the following
into an adult client’ ear. Which of the following findings should the nurse identify as a
methods should the nurse plan to use? contraindication to the use of oral
a. Pull the auricle upward and outward. contraceptive?
b. Pull the auricle downward and backward. a. History of renal calculi
c. Pull the auricle upward and backward. b. Migraines with aura
d. Pull the auricle downward an outward. c. BMI of 26
d. History of cholecystectomy
9. A nurse is reinforcing discharge teaching about
5. A nurse is caring for an older adult client transmission precautions with a client who has
who has pneumonia. When reinforcing
,Hepatitis C. Which of the following information 13. A nurse is reinforcing teaching about
should the nurse include? colostomy care with a client. Which of the
a. Avoid sharing razors with other family following client statements indicate an
members. understanding of how to care for the
b. Clean toilet surfaces with bleach after each colostomy?
use a. I will cleanse the stoma site gently
c. Advice family members to receive a with anantiseptic solution.
hepatitis c immunization b. I will contact my doctor right away
d. Do not prepare food for other family if mystoma is red
member s while infectious. c. I will cut the water opening 1 inch
biggerthan my stoma.
10. A nurse is preparing to administer an IM d. I will empty the colostomy bag
injection to a client. To reduce the risk of a needle when is Ione half full.
stick injury, the nurse should take which of the
following actions? 14. A nurse is reinforcing teaching with a
a. Place a cap hold securely on the used needle client who has a permanent pacemaker in
a before disposal. place. Whichof the following statements by
b. Recap the needle using a one-handed scoop the client indicates an understanding of the
approach before proper disposal. teaching?
c. Dispose of the used needle immediately in a. “I should have my doctor replace the
a puncture proof sharps container. batteryin the pacemaker in a year.”
d. Detach and dispose of the use needle b. “I need to record my pulse rate daily.”
promptly following injection. c. “I should avoid taking tub baths.”
d. “I will remove my microwave oven
11. A nurse is reinforcing teaching with a client from myhouse.”
who has new prescription for levothyroxine.
Which of the following statements indicates 15. A nurse is collecting data from a
understanding of the instructions? parent of apreschooler at a well-child
a. “I should take this medication with meals.” visit. Which of the following findings is a
b. This medication will take 2 weeks to reach contraindication to a measles, mumps and
full effectiveness.” rubella (MMR) immunization?
c. “I need to take this medication for the a. Family history of allergies to penicillin
rest of my life.” b. Erythema at injection site with
d. “If I forget to take the medication, I can previousimmunization.
double the next dose.” c. Long-term use of immunosuppressants
d. Current use of antimicrobial therapy.
12. A nurse is caring for a client who is receiving
prazosin. The client’s blood pressure is 100/60 mm 16. A nurse is reinforcing teaching with a
Hg. which of the following actions should the nurse client who has a vitamin C deficiency.
take? Which of the following foods should the
a. Administer a reversal agent nurse include as havingthe highest vitamin
b. Initiate cardiac monitoring C content?
c. Instruct the client to stand up slowly a. 1 cup yogurt
d. Inform the client to report urinary retention b. 1 cup raw broccoli
c. 1 large baked potato
d. 1 cup boiled carrots
17. A nurse is checking the home environment of a
client for safety hazards. Which of the following
, items require intervention by the nurse? 22. A nurse is collecting data from a client
a. The television set is turned to a loud volume who hasdiabetes mellitus. Which of the
b. The dining room table has low chairs with following indicatesthe client might be
no armrests experiencing diabetic ketoacidosis?
c. The bedroom extension cord is placed under a. Negative urine ketones
a heavy nightstand b. Kussmaul respirations
d. The living room contains wall to wall c. Hypoglycemia
carpeting. d. Anuria
18. A nurse is caring for a 17-yr. old client who is 23. A nurse receives a verbal order for a
admitted for an emergency appendectomy. Which client to receive a stat dose of meperidine
of the following is an appropriate action by the 100 mg PO. Sheadministers the medication,
nurse in obtaining informed consent? charts the administration and then realizes
a. Have the client’s older sibling give she has administered phenytoin 100 mg.
consent if parent is not available. which of the following actions should the
b. Delay the procedure if the provider cannot nurse take first?
contact the parents. a. Check client’s vital signs.
c. Witness the signature of the client’s parents b. Complete an incident report.
when he arrives. c. Notify the provider
d. Obtain verbal consent from the client while d. Administer the meperidine.
waiting for the parents to arrive.
24. A nurse is caring for a client and begins to
19. A nurse is reinforcing teaching with a parent suspect he is experiencing transference.
about appropriate snacks for a toddler. Which of Which ofthe following client statements
the following food should the nurse include? should the nurse identify as an indicator of
a. Marshmallows transference?
b. Graham crackers a. I’m going to inform my provider
c. Almonds that I’mgoing to quit taking my
d. Carrot sticks medication
b. I don’t want to talk to you about
20. A nurse is preparing to catheterize a client’s how I’mfeeling right now
bladder to check for residual urine. The nurse c. I feel really close to you
should schedule this procedure at which of the because youremind me of my
following times? ex-boyfriend.
a. Right after the client void d. I feel happy about the progress I have
b. When the client feels an urge to void beenmaking in my life.
c. While voiding on a bedpan
d. Before obtaining a bladder scan. 25. A nurse is reinforcing teaching about
self- administration of nasal drops with a
21. A nurse is caring for a client who has viral client. Whichof the following position
pneumonia. Which of the following actions should should the nurse recommend for installation
the nurse take? of the drops?
a. Place the client in a private room a. Sims’
b. Administer azithromycin b. Prone
c. Recommend a pneumococcal immunization. c. Supine
d. Limit fluid intake to 1L per day. d. Orthopneic
QUESTIONS AND ANSWERS LATEST 2023/2024|A+ GRADED|
1. A nurse is reviewing the laboratory results for teaching aboutthe diagnosis age- related
a client who is at 32 gestation. For which of the changes with the client’sfamily, which of the
following results should the nurse notify the following alterations should the nurse
provider? include?
a. Hgb 12 g/dL a. Increased inflation of the basilar lungs
b. Platelet count 90,000/mm2 b. Increased elasticity of the thoracic cage
c. Hematocrit 37% c. Hypertrophy of the bronchial mucous gland
d. Creatinine 0.7 mg/dL d. Hyperactive cough reflex
2. After receiving change-of-shift report, which of 6. A client is participating in an anger
the following clients should the nurse collect data management session explain that his recent
from first? behavior are related to his job loss. Which
a. A client who has a history of pancreatitis of thefollowing mechanism is the client
and reports severe abdominal pain using?
b. A client who has heart failure and reports a. Projection
severe dyspnea b. Rationalism
c. A client who is scheduled for abdominal c. Repression
surgery in 1 hrs d. Sublimation
d. A postoperative client who has diabetes
mellitus and a blood glucose of 280 mg/dK 7. A nurse is reinforcing teaching with the
client who is about to undergo a
3. A nurse is preparing a client for surgery. The thoracentesis. Which ifthe following
client tells the nurse that he is concerned about the statements by the client indicates an
safety of a large sum of money in his wallet. understanding of the information?
Which of the following actions is appropriate for a. “I will have general anesthesia
the nurse to take? during theprocedure.”
a. Place the money in an envelope and lock it b. “I will lie flat for 6 hours
in the client’s medication drawer before theprocedure.”
b. Contact security personnel to place the c. “I will have the chest x-ray
money in the facility safe following theprocedure.”
c. Hold the money for the client until he d. “I will breathe deeply through my
returns from surgery noseduring the procedure.”
d. Label the money and leave it with the unit
secretary. 8. A nurse is reviewing the medical record
of a client who is requesting an oral
4. A nurse is preparing to instill an otic suspension contraceptive. Which of the following
into an adult client’ ear. Which of the following findings should the nurse identify as a
methods should the nurse plan to use? contraindication to the use of oral
a. Pull the auricle upward and outward. contraceptive?
b. Pull the auricle downward and backward. a. History of renal calculi
c. Pull the auricle upward and backward. b. Migraines with aura
d. Pull the auricle downward an outward. c. BMI of 26
d. History of cholecystectomy
9. A nurse is reinforcing discharge teaching about
5. A nurse is caring for an older adult client transmission precautions with a client who has
who has pneumonia. When reinforcing
,Hepatitis C. Which of the following information 13. A nurse is reinforcing teaching about
should the nurse include? colostomy care with a client. Which of the
a. Avoid sharing razors with other family following client statements indicate an
members. understanding of how to care for the
b. Clean toilet surfaces with bleach after each colostomy?
use a. I will cleanse the stoma site gently
c. Advice family members to receive a with anantiseptic solution.
hepatitis c immunization b. I will contact my doctor right away
d. Do not prepare food for other family if mystoma is red
member s while infectious. c. I will cut the water opening 1 inch
biggerthan my stoma.
10. A nurse is preparing to administer an IM d. I will empty the colostomy bag
injection to a client. To reduce the risk of a needle when is Ione half full.
stick injury, the nurse should take which of the
following actions? 14. A nurse is reinforcing teaching with a
a. Place a cap hold securely on the used needle client who has a permanent pacemaker in
a before disposal. place. Whichof the following statements by
b. Recap the needle using a one-handed scoop the client indicates an understanding of the
approach before proper disposal. teaching?
c. Dispose of the used needle immediately in a. “I should have my doctor replace the
a puncture proof sharps container. batteryin the pacemaker in a year.”
d. Detach and dispose of the use needle b. “I need to record my pulse rate daily.”
promptly following injection. c. “I should avoid taking tub baths.”
d. “I will remove my microwave oven
11. A nurse is reinforcing teaching with a client from myhouse.”
who has new prescription for levothyroxine.
Which of the following statements indicates 15. A nurse is collecting data from a
understanding of the instructions? parent of apreschooler at a well-child
a. “I should take this medication with meals.” visit. Which of the following findings is a
b. This medication will take 2 weeks to reach contraindication to a measles, mumps and
full effectiveness.” rubella (MMR) immunization?
c. “I need to take this medication for the a. Family history of allergies to penicillin
rest of my life.” b. Erythema at injection site with
d. “If I forget to take the medication, I can previousimmunization.
double the next dose.” c. Long-term use of immunosuppressants
d. Current use of antimicrobial therapy.
12. A nurse is caring for a client who is receiving
prazosin. The client’s blood pressure is 100/60 mm 16. A nurse is reinforcing teaching with a
Hg. which of the following actions should the nurse client who has a vitamin C deficiency.
take? Which of the following foods should the
a. Administer a reversal agent nurse include as havingthe highest vitamin
b. Initiate cardiac monitoring C content?
c. Instruct the client to stand up slowly a. 1 cup yogurt
d. Inform the client to report urinary retention b. 1 cup raw broccoli
c. 1 large baked potato
d. 1 cup boiled carrots
17. A nurse is checking the home environment of a
client for safety hazards. Which of the following
, items require intervention by the nurse? 22. A nurse is collecting data from a client
a. The television set is turned to a loud volume who hasdiabetes mellitus. Which of the
b. The dining room table has low chairs with following indicatesthe client might be
no armrests experiencing diabetic ketoacidosis?
c. The bedroom extension cord is placed under a. Negative urine ketones
a heavy nightstand b. Kussmaul respirations
d. The living room contains wall to wall c. Hypoglycemia
carpeting. d. Anuria
18. A nurse is caring for a 17-yr. old client who is 23. A nurse receives a verbal order for a
admitted for an emergency appendectomy. Which client to receive a stat dose of meperidine
of the following is an appropriate action by the 100 mg PO. Sheadministers the medication,
nurse in obtaining informed consent? charts the administration and then realizes
a. Have the client’s older sibling give she has administered phenytoin 100 mg.
consent if parent is not available. which of the following actions should the
b. Delay the procedure if the provider cannot nurse take first?
contact the parents. a. Check client’s vital signs.
c. Witness the signature of the client’s parents b. Complete an incident report.
when he arrives. c. Notify the provider
d. Obtain verbal consent from the client while d. Administer the meperidine.
waiting for the parents to arrive.
24. A nurse is caring for a client and begins to
19. A nurse is reinforcing teaching with a parent suspect he is experiencing transference.
about appropriate snacks for a toddler. Which of Which ofthe following client statements
the following food should the nurse include? should the nurse identify as an indicator of
a. Marshmallows transference?
b. Graham crackers a. I’m going to inform my provider
c. Almonds that I’mgoing to quit taking my
d. Carrot sticks medication
b. I don’t want to talk to you about
20. A nurse is preparing to catheterize a client’s how I’mfeeling right now
bladder to check for residual urine. The nurse c. I feel really close to you
should schedule this procedure at which of the because youremind me of my
following times? ex-boyfriend.
a. Right after the client void d. I feel happy about the progress I have
b. When the client feels an urge to void beenmaking in my life.
c. While voiding on a bedpan
d. Before obtaining a bladder scan. 25. A nurse is reinforcing teaching about
self- administration of nasal drops with a
21. A nurse is caring for a client who has viral client. Whichof the following position
pneumonia. Which of the following actions should should the nurse recommend for installation
the nurse take? of the drops?
a. Place the client in a private room a. Sims’
b. Administer azithromycin b. Prone
c. Recommend a pneumococcal immunization. c. Supine
d. Limit fluid intake to 1L per day. d. Orthopneic
