ATI EXIT EXAM WITH 170+ QUESTIONS & CORECT
ANSWERS GADED A
A nurse on a mental health unit is planning care for a group of clients. Which of
the following clients should the nurse see first? - ANSWER-A client who has
schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, "I can't seem to do anything right. What
should I do?" Which of the following responses should the nurse make? -
ANSWER-"Let me show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level.
Which of the following actions should the nurse take? - ANSWER-Keep the finger
in dependent position
A nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following otc meds interact adversely w
clopidogrel? - ANSWER-Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2
days ago. The client's foot is pale w a weak pedal pulse and the client reports foot
numbness. Which of the following actions should the nurse take first? - ANSWER-
Check for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking w a
client. Which of the following adverse effects should the nurse include in the
teaching? - ANSWER-Somnolence
,A nurse is contributing to the development of an in-service program for mental
health nursing staff. The nurse should include that the staff can medicate a client
against his will, without a court hearing in which of the following situations? -
ANSWER-A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching? - ANSWER-"Monitor for muscle weakness while taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed nurse
when sharing a client's medical info. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client info? - ANSWER-A
social worker who's assigned an involuntary committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which
of the following findings should the nurse report to the provider? - ANSWER-
Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring
immediate intervention? - ANSWER-O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately? - ANSWER-Blurred
vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - ANSWER-Elevate the
client's HOB
, A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following lab tests is most accurate of blood glucose effective management? -
ANSWER-Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWER-Tells a client he will lose his phone privileges if he
does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client's
room? - ANSWER-Oral suction equipment
A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take? - ANSWER-
Encourage client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate? -
ANSWER-"You should avoid crossing your legs for 3 months"
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in the
teaching? - ANSWER-Eat a small meal every 2-3 hr
A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates and
understanding of the teaching? - ANSWER-"I should take this medication in the
morning and at night"
ANSWERS GADED A
A nurse on a mental health unit is planning care for a group of clients. Which of
the following clients should the nurse see first? - ANSWER-A client who has
schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, "I can't seem to do anything right. What
should I do?" Which of the following responses should the nurse make? -
ANSWER-"Let me show how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level.
Which of the following actions should the nurse take? - ANSWER-Keep the finger
in dependent position
A nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse should
instruct the client that which of the following otc meds interact adversely w
clopidogrel? - ANSWER-Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2
days ago. The client's foot is pale w a weak pedal pulse and the client reports foot
numbness. Which of the following actions should the nurse take first? - ANSWER-
Check for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking w a
client. Which of the following adverse effects should the nurse include in the
teaching? - ANSWER-Somnolence
,A nurse is contributing to the development of an in-service program for mental
health nursing staff. The nurse should include that the staff can medicate a client
against his will, without a court hearing in which of the following situations? -
ANSWER-A client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching? - ANSWER-"Monitor for muscle weakness while taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed nurse
when sharing a client's medical info. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client info? - ANSWER-A
social worker who's assigned an involuntary committed school-age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which
of the following findings should the nurse report to the provider? - ANSWER-
Urine protein plus
A nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring
immediate intervention? - ANSWER-O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately? - ANSWER-Blurred
vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - ANSWER-Elevate the
client's HOB
, A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following lab tests is most accurate of blood glucose effective management? -
ANSWER-Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWER-Tells a client he will lose his phone privileges if he
does not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client's
room? - ANSWER-Oral suction equipment
A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take? - ANSWER-
Encourage client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate? -
ANSWER-"You should avoid crossing your legs for 3 months"
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in the
teaching? - ANSWER-Eat a small meal every 2-3 hr
A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates and
understanding of the teaching? - ANSWER-"I should take this medication in the
morning and at night"
