ATI COMPREHENSIVE EXIT EXAM ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /A+ GRADE ASSURED
A 3-day old newborn that has a congenital heart defect. Which of the following
interventions should the nurse include to decrease cardiac demands for the
newborn?
• Feed the infant when she is awake and crying
• Maintain the infant's temperature at 37° C (98.6° F)
• Encourage the infant's parents to limit visitation and physical touch d. Keep
theinfant's bed in a flat position
(Ans- b. Maintain the infant's temperature at 37° C (98.6° F)
A nurse is teaching a parent about absence seizures. Which of the
followinginformation should the nurse include?
• "The child usually has an aura prior to onset."
• "This type of seizure can be mistaken for daydreaming."
• "This type of seizure has a gradual onset."
• "This type of seizure lasts 30-60 seconds."
(Ans- b. "This type of seizure can be mistaken for daydreaming."
A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the
following client care tasks is within the scope of practice for the AP?
• Explaining the steps for a 24-hr urine collection
• Assisting with low-carbohydrate diet selections
• Interpreting blood glucose values
• Performing postmortem
care(Ans- d. Performing
,A nurse is caring for a client who has given informed consent for ECT. Just
beforethe procedure, the client tells the nurse she is considering not going
forward with the treatment. Which of the following statements by the nurse is
appropriate?
• "You don't have to go through with the treatment."
• "Most people who have this procedure feel better following the treatment."
c. "It's okay to be nervous before this treatment."
d. "Your doctor wouldn't have ordered this treatment unless it was
necessary."(Ans- a. "You don't have to go through with the treatment."
While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's CPM device. Which of the following actions should the nurse
take first?
• Report the defect to the equipment maintenance staff.
• Ensure the device inspection sticker is current
• Remove the device from the room
• Initiate a requisition for a replacement CPM
device(Ans- c. Remove the device from the room
A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
• Document administration of the medication upon removal from the
medication dispensing system
• Withhold the medication if the client does not appear to be in pain.
• Count the current number of unit doses available in the medication
dispensingsystem
• Withhold the medication if the client has a fever
(Ans- c. Count the current number of unit doses available in the medication
dispensing system
,A nurse performing a change-of-shift assessment. Which of the following
clientshas the priority finding?
• Type 2 DM and a blood glucose of 250 mg/dL
• Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
• 2 hr. post cast placement and has 2+ pitting edema and pallor
• First-degree heart block and a heart rate of 62/min
(Ans- c. 2 hr. post cast placement and has 2+ pitting edema and pallor
A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
• "I will limit my alcohol use to one drink daily while taking disulfiram."
• "I will avoid foods containing tyramine while taking fluoexetine."
• "I will take the sustained-release methylphenidate every morning."
• "I will take my lithium on an empty stomach."
(Ans- c. "I will take the sustained-release methylphenidate every morning."
A nurse is auscultating for crackles on a client who has pneumonia. Which of the
following anterior chest wall locations should the nurse auscultate?
A is the neck area above the
clavicleB = right upper lobe
C = right middle lobe/right lower
lobeD = mid left upper lobe
, (Ans- A, B and D
A nurse is caring for a newly client who has bacterial meningitis. Which of the
following actions should the nurse take?
• Implement seizure precautions
• Place the client in high-Fowler's position
• Perform ROM exercises once per shift
• Monitor the client for
hypoglycemia(Ans- a. Implement
seizure precautions
A nurse is reviewing the preadmission lab tests results of a client who is to
undergo hip arthroplasty in 2 days. Which of the following results should the
nurse report tothe provider?
• Na 142 mEq/L
• Blood glucose 80 mg/dL
• K 3.3 mEq/L
• PT 11.5 seconds
(Ans- c. K 3.3
mEq/L
A nurse is caring for a client who has undergone a modified radical
mastectomy. The client has a closed-suction drain. Which of the following
actions should the nurse take?
• Reset the vacuum by compressing the container
• Secure the drain to the bedding
• Position the affected extremity below the level of the client's heart
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /A+ GRADE ASSURED
A 3-day old newborn that has a congenital heart defect. Which of the following
interventions should the nurse include to decrease cardiac demands for the
newborn?
• Feed the infant when she is awake and crying
• Maintain the infant's temperature at 37° C (98.6° F)
• Encourage the infant's parents to limit visitation and physical touch d. Keep
theinfant's bed in a flat position
(Ans- b. Maintain the infant's temperature at 37° C (98.6° F)
A nurse is teaching a parent about absence seizures. Which of the
followinginformation should the nurse include?
• "The child usually has an aura prior to onset."
• "This type of seizure can be mistaken for daydreaming."
• "This type of seizure has a gradual onset."
• "This type of seizure lasts 30-60 seconds."
(Ans- b. "This type of seizure can be mistaken for daydreaming."
A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the
following client care tasks is within the scope of practice for the AP?
• Explaining the steps for a 24-hr urine collection
• Assisting with low-carbohydrate diet selections
• Interpreting blood glucose values
• Performing postmortem
care(Ans- d. Performing
,A nurse is caring for a client who has given informed consent for ECT. Just
beforethe procedure, the client tells the nurse she is considering not going
forward with the treatment. Which of the following statements by the nurse is
appropriate?
• "You don't have to go through with the treatment."
• "Most people who have this procedure feel better following the treatment."
c. "It's okay to be nervous before this treatment."
d. "Your doctor wouldn't have ordered this treatment unless it was
necessary."(Ans- a. "You don't have to go through with the treatment."
While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's CPM device. Which of the following actions should the nurse
take first?
• Report the defect to the equipment maintenance staff.
• Ensure the device inspection sticker is current
• Remove the device from the room
• Initiate a requisition for a replacement CPM
device(Ans- c. Remove the device from the room
A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
• Document administration of the medication upon removal from the
medication dispensing system
• Withhold the medication if the client does not appear to be in pain.
• Count the current number of unit doses available in the medication
dispensingsystem
• Withhold the medication if the client has a fever
(Ans- c. Count the current number of unit doses available in the medication
dispensing system
,A nurse performing a change-of-shift assessment. Which of the following
clientshas the priority finding?
• Type 2 DM and a blood glucose of 250 mg/dL
• Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
• 2 hr. post cast placement and has 2+ pitting edema and pallor
• First-degree heart block and a heart rate of 62/min
(Ans- c. 2 hr. post cast placement and has 2+ pitting edema and pallor
A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
• "I will limit my alcohol use to one drink daily while taking disulfiram."
• "I will avoid foods containing tyramine while taking fluoexetine."
• "I will take the sustained-release methylphenidate every morning."
• "I will take my lithium on an empty stomach."
(Ans- c. "I will take the sustained-release methylphenidate every morning."
A nurse is auscultating for crackles on a client who has pneumonia. Which of the
following anterior chest wall locations should the nurse auscultate?
A is the neck area above the
clavicleB = right upper lobe
C = right middle lobe/right lower
lobeD = mid left upper lobe
, (Ans- A, B and D
A nurse is caring for a newly client who has bacterial meningitis. Which of the
following actions should the nurse take?
• Implement seizure precautions
• Place the client in high-Fowler's position
• Perform ROM exercises once per shift
• Monitor the client for
hypoglycemia(Ans- a. Implement
seizure precautions
A nurse is reviewing the preadmission lab tests results of a client who is to
undergo hip arthroplasty in 2 days. Which of the following results should the
nurse report tothe provider?
• Na 142 mEq/L
• Blood glucose 80 mg/dL
• K 3.3 mEq/L
• PT 11.5 seconds
(Ans- c. K 3.3
mEq/L
A nurse is caring for a client who has undergone a modified radical
mastectomy. The client has a closed-suction drain. Which of the following
actions should the nurse take?
• Reset the vacuum by compressing the container
• Secure the drain to the bedding
• Position the affected extremity below the level of the client's heart
