ATI COMPREHENSIVE EXIT EXAM WITH
NGN
Question 1 of 180
A nurse on a medical-surgical unit is assessing a client who has had a stroke. For which of the following findings should
the nurse initiate a referral for occupational therapy?
o Difficulty performing ADLs
o Inability to swallow clear liquids
o Elevated blood glucose levels
o Unsteady gait when ambulating (email for more exams)
Correct Answer by professor is . Difficulty performing ADLs such as dressing, grooming, bathing, or feeding may indicate
that the client has impaired motor function, sensory perception, or cognitive ability due to the stroke, which can affect thei
independence and quality of life. Occupational therapy can help the client regain or adapt their skills and abilities for daily
living.
,Question 2 of 180
A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurs
plan to take?
o Select a 1-inch needle.
o Use a 45° angle when inserting the needle.
o Use the ventrogluteal site. (email for more)
o Pinch the skin up during injection.
Explanation by Professor ((email for more)
A. Incorrect. A 1-inch needle may not be long enough to reach the muscle layer in an obese client, which may result in
subcutaneous injection and reduced absorption of the medication.
B. Incorrect. A 45° angle may not be appropriate for an IM injection, as it may cause the needle to enter at an oblique angl
and miss the muscle layer or hit a bone or nerve.
C. Correct. The ventrogluteal site is preferred for IM injections in obese clients, as it has less subcutaneous fat and a large
muscle mass that can accommodate larger volumes of medication.
D. Incorrect. Pinching the skin up during injection may cause the needle to enter at a shallow angle and deposit the
medication in the subcutaneous tissue instead of the muscle layer.
,
, Question 3 of 180
A nurse is assessing an older adult client who is receiving 2 units of packed RBCs. Which of the following manifestations
should indicate to the nurse that the client is experiencing circulatory overload?
o Hypotension
o Flattened jugular veins
o Lethargy
o Bounding pulse
NGN
Question 1 of 180
A nurse on a medical-surgical unit is assessing a client who has had a stroke. For which of the following findings should
the nurse initiate a referral for occupational therapy?
o Difficulty performing ADLs
o Inability to swallow clear liquids
o Elevated blood glucose levels
o Unsteady gait when ambulating (email for more exams)
Correct Answer by professor is . Difficulty performing ADLs such as dressing, grooming, bathing, or feeding may indicate
that the client has impaired motor function, sensory perception, or cognitive ability due to the stroke, which can affect thei
independence and quality of life. Occupational therapy can help the client regain or adapt their skills and abilities for daily
living.
,Question 2 of 180
A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurs
plan to take?
o Select a 1-inch needle.
o Use a 45° angle when inserting the needle.
o Use the ventrogluteal site. (email for more)
o Pinch the skin up during injection.
Explanation by Professor ((email for more)
A. Incorrect. A 1-inch needle may not be long enough to reach the muscle layer in an obese client, which may result in
subcutaneous injection and reduced absorption of the medication.
B. Incorrect. A 45° angle may not be appropriate for an IM injection, as it may cause the needle to enter at an oblique angl
and miss the muscle layer or hit a bone or nerve.
C. Correct. The ventrogluteal site is preferred for IM injections in obese clients, as it has less subcutaneous fat and a large
muscle mass that can accommodate larger volumes of medication.
D. Incorrect. Pinching the skin up during injection may cause the needle to enter at a shallow angle and deposit the
medication in the subcutaneous tissue instead of the muscle layer.
,
, Question 3 of 180
A nurse is assessing an older adult client who is receiving 2 units of packed RBCs. Which of the following manifestations
should indicate to the nurse that the client is experiencing circulatory overload?
o Hypotension
o Flattened jugular veins
o Lethargy
o Bounding pulse
