ATI COMPREHENSIVE EXIT EXAM 2024 WITH NGN VERSION
2 WITH VERIFIED QUESTION AND ANSWERS(GRADED A+
When assessing a multiparous client following a vacuum-assisted birth, the nurse should be
alert for what complication? - answer-Cervical laceration.
Maternal complications with vacuum-assisted birth are rare but can include perineal, vaginal, or
cervical lacerations.
A nurse is assessing a client q15min during the immediate postpartum period- which requires
immediate action? - answer-Boggy uterus.
This indicates that the client is at greatest rush for uterine atony; therefore, the nurse should
immediately massage the fundus to prevent blood loss.
Client has two different types of eye drops- what to include in teaching? - answer-Close eyes for
1 min following administration of each medication to allow for absorption. Wait 10-15 min
between administration of each med to prevent diluting the medication.
Following a delivery- notes heavy lochia and a boggy fundus. What meds should the nurse
administer? - answer-Pitocin.
This stimulates uterine contractions, and prevents bleeding.
Magnesium sulfate in labor? - answer-Smooth muscle relaxant. Decreases contractions during
preterm labor.
Theophylline toxicity- - answer-Anorexia.
Also hypotension, albuminuria, tachycardia.
, Prevent discomfort of breast engorgement? - answer-I've packs on the breasts for 15 mins, 3-4
times per day to reduce swelling and relieve pain.
Thorazine teaching- - answer-Sip fluids throughout the day to relieve dry mouth symptoms.
Minimize exposure to sun to prevent photosensitivity reactions.
How should the nurse manager evaluate a new nurse's time management skills? - answer-
Maintain regular notes about the nurse's time management skills. This provides a
comprehensive view of the nurse's abilities.
Cytoxan teaching- - answer-Maintain hydration with liberal fluid intake. Should consume 1-1.5
times more than the recommended daily fluid requirement to maintain hydration and prevent
hemorrhagic. Cystitis.
Child from emergency department with fever and fluid filled vesicles on the trunk and
extremities. What intervention is the highest priority? - answer-Implement transmission-based
precautions.
The child most likely has varicella, an infectious disease, which indicates the child is at greatest
risk for transmitting the infectious agent to others. Therefore, the priority intervention is to
implement transmission-based precautions.
Eviscerated bowel resection interventions- - answer-1) stay with the client and call for help
2) cover wound with saline-soaked gauze.
3) place in supine position with knees bent.
4) take client's vitals
Estradiol (Climara) adverse reaction to report- - answer-Headache, hypertension.
Patient is in active labor and is recording Pitocin. FHR shows variability with accelerations.
Appropriate nursing response? - answer-Document and continue to monitor. Variable
accelerations are a reassuring FHR pattern indicating an intact fetal CNS and a healthy
placental/fetal exchange of oxygen. The nurse should continue to monitor the client.
2 WITH VERIFIED QUESTION AND ANSWERS(GRADED A+
When assessing a multiparous client following a vacuum-assisted birth, the nurse should be
alert for what complication? - answer-Cervical laceration.
Maternal complications with vacuum-assisted birth are rare but can include perineal, vaginal, or
cervical lacerations.
A nurse is assessing a client q15min during the immediate postpartum period- which requires
immediate action? - answer-Boggy uterus.
This indicates that the client is at greatest rush for uterine atony; therefore, the nurse should
immediately massage the fundus to prevent blood loss.
Client has two different types of eye drops- what to include in teaching? - answer-Close eyes for
1 min following administration of each medication to allow for absorption. Wait 10-15 min
between administration of each med to prevent diluting the medication.
Following a delivery- notes heavy lochia and a boggy fundus. What meds should the nurse
administer? - answer-Pitocin.
This stimulates uterine contractions, and prevents bleeding.
Magnesium sulfate in labor? - answer-Smooth muscle relaxant. Decreases contractions during
preterm labor.
Theophylline toxicity- - answer-Anorexia.
Also hypotension, albuminuria, tachycardia.
, Prevent discomfort of breast engorgement? - answer-I've packs on the breasts for 15 mins, 3-4
times per day to reduce swelling and relieve pain.
Thorazine teaching- - answer-Sip fluids throughout the day to relieve dry mouth symptoms.
Minimize exposure to sun to prevent photosensitivity reactions.
How should the nurse manager evaluate a new nurse's time management skills? - answer-
Maintain regular notes about the nurse's time management skills. This provides a
comprehensive view of the nurse's abilities.
Cytoxan teaching- - answer-Maintain hydration with liberal fluid intake. Should consume 1-1.5
times more than the recommended daily fluid requirement to maintain hydration and prevent
hemorrhagic. Cystitis.
Child from emergency department with fever and fluid filled vesicles on the trunk and
extremities. What intervention is the highest priority? - answer-Implement transmission-based
precautions.
The child most likely has varicella, an infectious disease, which indicates the child is at greatest
risk for transmitting the infectious agent to others. Therefore, the priority intervention is to
implement transmission-based precautions.
Eviscerated bowel resection interventions- - answer-1) stay with the client and call for help
2) cover wound with saline-soaked gauze.
3) place in supine position with knees bent.
4) take client's vitals
Estradiol (Climara) adverse reaction to report- - answer-Headache, hypertension.
Patient is in active labor and is recording Pitocin. FHR shows variability with accelerations.
Appropriate nursing response? - answer-Document and continue to monitor. Variable
accelerations are a reassuring FHR pattern indicating an intact fetal CNS and a healthy
placental/fetal exchange of oxygen. The nurse should continue to monitor the client.
