ATI COMPREHENSIVE EXIT EXAM LATEST
UPDATED ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT)
/A+ GRADE ASSURED
• A nurse is caring for a client who has given informed consent for ECT. Just
before the 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 followingthe treatment.”
• “It’s okay to be nervous before this treatment.”
• “Your doctor wouldn’t have ordered this treatment unless itwas
necessary.”
• While performing a routine assessment, a nurse notices frayingon 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
• A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the followingactions should the nurse
take?
• Document administration of the medication upon removalfrom the
medication dispensing system
,• Withhold the medication if the client does not appear to be inpain.
• Count the current number of unit doses available in themedication
dispensing system
• Withhold the medication if the client has a fever
• A nurse performing a change-of-shift assessment. Which of thefollowing
clients has 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
• A nurse in an outpatient mental health facility is providingteaching to a
group of adolescents. Which of the followingstatements by a client indicates an
understanding of the teaching?
• “I will limit my alcohol use to one drink daily while takingdisulfiram.”
• “I will avoid foods containing tyramine while takingfluoexetine.”
• “I will take the sustained-release methylphenidate everymorning.”
• “I will take my lithium on an empty stomach.” (pharm pg. 64:taking lithium
with food will help decrease GI distress)
• A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
[View Exhibit]
• Administer Zofran to the client for nausea
• Implement seizure precautions for the client
• Encourage the client to verbalize feelings
,• Obtain the client’s weight
• A nurse is completing an admission assessment for a clientwho ahs
narcissistic personality disorder. Which of the following should the nurse expect?
• Suspicious of others
• Exhibits separation anxiety
• Ritualistic behavior
• Preoccupied with aging
• Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How
many grams of protein per day shouldthe nurse include in the client’s dietary
plan?
• A nurse is planning care for a group of clients and is workingwith one LPN
and one AP. Which of the following actions should the nurse take first to manage
her time effectively?
• Develop an hourly time frame for tasks
• Schedule daily activities
• Determine goals of the day
• Delegate tasks to the AP
• A nurse is developing a plan of care for a client who has preeclampsia and is
to receive magnesium sulfate via continuous IV infusion. Which of the following
actions shouldthe nurse include in the plan?
• Restrict the client’s total fluid intake to 250 mL/hr.
• Measure the client’s urine output every hour
• Give the client protamine if signs of magnesium sulfate toxicityoccur
( antidote: calcium gluconate )
• Monitor the FHR via Doppler every 30 min
, • A nurse is caring for a group of clients. Which of the following wounds
should the nurse expect to heal by primary intention?
• Infected laceration
• Stage II pressure ulcer
• Approximated surgical incision
• Partial-thickness burn
• A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients shouldthe nurse see first?
• Client taking clozapine to treat schizophrenia and reports sorethroat
( pharm pg. 72: monitor for infection [fever, sore throat, etc. ])
• Client has OCD and is upset about a change in daily routine
• Client has narcissistic personality disorder and is mockingothers during
group therapy
• Client who has depressive disorder and requires assistancewith ADLs
• A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use toassess the port?
• An angiocatheter
• A butterfly needle
• A noncoring needle
• A 25 gauge needle
• A nurse is caring for a client who has pneumonia and tells the nurse, “I feel
like an elephant is sitting on my chest.” The clientis weak and unable to walk.
After the nurse indicates chest pain protocol, which of the following is the priority
diagnostic test?
UPDATED ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT)
/A+ GRADE ASSURED
• A nurse is caring for a client who has given informed consent for ECT. Just
before the 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 followingthe treatment.”
• “It’s okay to be nervous before this treatment.”
• “Your doctor wouldn’t have ordered this treatment unless itwas
necessary.”
• While performing a routine assessment, a nurse notices frayingon 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
• A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the followingactions should the nurse
take?
• Document administration of the medication upon removalfrom the
medication dispensing system
,• Withhold the medication if the client does not appear to be inpain.
• Count the current number of unit doses available in themedication
dispensing system
• Withhold the medication if the client has a fever
• A nurse performing a change-of-shift assessment. Which of thefollowing
clients has 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
• A nurse in an outpatient mental health facility is providingteaching to a
group of adolescents. Which of the followingstatements by a client indicates an
understanding of the teaching?
• “I will limit my alcohol use to one drink daily while takingdisulfiram.”
• “I will avoid foods containing tyramine while takingfluoexetine.”
• “I will take the sustained-release methylphenidate everymorning.”
• “I will take my lithium on an empty stomach.” (pharm pg. 64:taking lithium
with food will help decrease GI distress)
• A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
[View Exhibit]
• Administer Zofran to the client for nausea
• Implement seizure precautions for the client
• Encourage the client to verbalize feelings
,• Obtain the client’s weight
• A nurse is completing an admission assessment for a clientwho ahs
narcissistic personality disorder. Which of the following should the nurse expect?
• Suspicious of others
• Exhibits separation anxiety
• Ritualistic behavior
• Preoccupied with aging
• Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How
many grams of protein per day shouldthe nurse include in the client’s dietary
plan?
• A nurse is planning care for a group of clients and is workingwith one LPN
and one AP. Which of the following actions should the nurse take first to manage
her time effectively?
• Develop an hourly time frame for tasks
• Schedule daily activities
• Determine goals of the day
• Delegate tasks to the AP
• A nurse is developing a plan of care for a client who has preeclampsia and is
to receive magnesium sulfate via continuous IV infusion. Which of the following
actions shouldthe nurse include in the plan?
• Restrict the client’s total fluid intake to 250 mL/hr.
• Measure the client’s urine output every hour
• Give the client protamine if signs of magnesium sulfate toxicityoccur
( antidote: calcium gluconate )
• Monitor the FHR via Doppler every 30 min
, • A nurse is caring for a group of clients. Which of the following wounds
should the nurse expect to heal by primary intention?
• Infected laceration
• Stage II pressure ulcer
• Approximated surgical incision
• Partial-thickness burn
• A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients shouldthe nurse see first?
• Client taking clozapine to treat schizophrenia and reports sorethroat
( pharm pg. 72: monitor for infection [fever, sore throat, etc. ])
• Client has OCD and is upset about a change in daily routine
• Client has narcissistic personality disorder and is mockingothers during
group therapy
• Client who has depressive disorder and requires assistancewith ADLs
• A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use toassess the port?
• An angiocatheter
• A butterfly needle
• A noncoring needle
• A 25 gauge needle
• A nurse is caring for a client who has pneumonia and tells the nurse, “I feel
like an elephant is sitting on my chest.” The clientis weak and unable to walk.
After the nurse indicates chest pain protocol, which of the following is the priority
diagnostic test?
