lOMoAR cPSD| 5422489
ATI COMPREHENSIVE 2023 EXIT EXAM
Role of Respiratory Therapist, Physical Therapist, Occupational Therapist, Speech
Therapist
1. The nurse is caring for the following assigned clients. The nurse should refer to the? A.
Respiratory therapist, the client who has chronic obstructive pulmonary disease (COPD)
and has developed dysphagia.
B. Occupational therapist, the client who had a stroke and needs instruction on the use
ofkitchen tools.
C. Psychiatrist, the client who has terminal cancer and is requesting to complete
anadvance directive
D. Speech therapist, the client who had outpatient surgery and needs an interpreter
fordischarge instructions
Additional Question:
The nurse is caring for the following assigned clients. The nurse should refer to the?
a. OT stroke and needs instruction on use of a walker.
b. Patient with COPD who just developed dysphagia to a speech therapist.
Rationale: OT assists with ADLs, instruction on the use of a walker would be referred to
physical therapy.
Delegation
2. The nurse working on a medical-surgical unit is delegating tasks to UAP. Which of the
following tasks would require follow up by the charge nurse?
A. Providing catheter care to a client who has a catheter-associated urinary tract
infection(CAUTI).
B. Taking the vital signs of a client who returned from the postanesthesia care unit
(PACU)C. Assisting a client who had a paracentesis two hours ago to get out of bed for
the first time.
D. Assisting a client who had a total hip arthroplasty to transfer from the bed to the chair for
the second time since surgery.
Prioritization (Acute Pancreatitis, Myasthenia Gravis, PAD, COPD)
3. The nurse working on the medical-surgical unit has just received a hand-off report on
assigned clients. The nurse should first plan to assess the client who has A. Acute pancreatitis
and is reporting the development of pain on deep inspiration. B. A history of myasthenia gravis
and has developed ptosis of the eyelid. C. Peripheral artery disease (PAD) and reports a
burning pain in the calf that occurs when walking.
D. COPD who intermittently coughs up a moderate amount of secretions.
Sterile Field
4. The nurse is reviewing prescriptions for assigned clients. Which of the following should the
nurse question?
A. Remove chest tube and apply a sterile dressing
B. Type and crossmatch for 2 units of packed red blood cells (PRBCs)
, lOMoAR cPSD| 5422489
C. Complete a Glasgow coma scale (GCS) assessment every 1 hour
D. Irrigate the Jackson-Pratt drain every 4 hours with 5 mL of normal saline (NS)
Rationale: The nurse would question this because you should apply an occlusive dressing,
NOT a sterile dressing.
Proper sterile field:
➔ Open flap furthest from you first
➔ Place a sterile package 1 inch from the border.
➔ Hold sterile object above waist level
➔ Open a sterile package 6 inches in the middle above another sterile field?
Clients Rights
5. The nurse working on a pediatric unit is caring for a client who is scheduled to
haveelectroconvulsive therapy (ECT) treatment the next day. The client asks, “Can I refuse
the ECT treatment tomorrow?” Which of the following responses should the nurse make? A.
“You have already given signed consent to treatment.”
B. “I think you might feel better after you have the treatment.”
C. “Let’s talk with your doctor before you make a final decision.”D. “You have a right to
refuse even though you have signed the consent.”
?
6. The nurse working on a pediatric unit is caring for the following assigned clients. The nurse
should recommend an interdisciplinary conference for the client who
A. Was diagnosed with cystic fibrosis (CF) and has a distended abdomen B.
Is 10 hours postoperative and just urinated 30 mL of clear yellow urine
C. Is receiving hemodialysis and is reporting they feel itchy all over
D. Was diagnosed with norovirus and is experiencing acute diarrhea
?
7. The nurse is teaching a client who has pelvic inflammatory disease about self-care.
Theclient does not speak English. Which of the following actions should the nurse take? A.
Ask an unlicensed assistive personnel (UAP) who speaks the client’s language to serve as
an interpreter
B. Have a family member who speaks both English and the client’s languager interpret
theinstruction
C. Contact the charge nurse to obtain assistance from a facility-approved interpreter
D. Utilize a translation dictionary found on the unit to conduct the teaching
Prioritization (Lyme Disease, Graves Disease, Pleurisy, Polycystic Kidney Disease
(PKD)) 8. The nurse working in a community health clinic is assessing clients who are waiting
to be seen. Which of the following clients should the nurse have the PHCP see first? A.
57-year-old who has Graves disease and has developed a temperature of 100.5 F within
the past two hours.
, lOMoAR cPSD| 5422489
B. 37-year-old who has PKD and urinalysis results indicate leukocytes in the urine. C. 45-
year-old who has pleurisy and is reporting knife-like pain when taking a deep breath and
coughing.
D. 15-year-old who reports the development of a bull’s eye rash two days after being on a
camping trip.
Vital Signs: Newborn/Pediatrics
9. A nurse working on a pediatric cardiac unit is reviewing the telemetry monitors for assigned
clients. Which of the following clients should the nurse initially plan to assess? A. A 15-year
old adolescent who is sleeping and has a heart rate (HR) of 55 beats/minute B. A 5-year old
child who is watching television and has a HR of 78 beats/minute C. A 2-year old toddler who
is walking in the hallway and has a HR of 160 beats/minute D. A 1-month-old infant who is
crying and has a HR of 180 beats/minute
Additional Question: Priority patient in mom/baby unit: a neonate with a heart rate of 95/min
Normal resting= 120-160
Sleeping= 90-110
Crying= up to 180
Burns & Rules of Nines
10. The nurse is caring for a male client who has deep-partial thickness and full thickness burns
to 45% of the lower body. It is a priority for the nurse to notify the PHCP if the client has a? A.
Pulse oximeter reading of 91%.
B. Hematocrit (Hct) level of 60%.
C. Temperature (T) of 100.2 F.
D. Urinary output of 45mL for the past two hours.
RATIONALE: 35mL per hour
Emergent, Urgent, Non-Urgent Patient
11. The nurse working in the emergency department (ED) is triaging clients following a mass
casualty incident. Which of the following clients should the nurse classify as emergent? A. A
client who has a punctured femoral artery.
B. A client who has multiple fractures to both arms. - NON-URGENT
C. A client who has a red rash over the abdomen. - NON-URGENT
D. A client who reports flank pain radiating to the groin.
Types of Isolation
12. The nurse is caring for a client who is suspected of having bacterial meningitis. Which of
the following actions is the priority for the nurse to take? A. Prepare the client for a lumbar
puncture.
B. Administer IV antibiotics.
C. Obtain a set of blood cultures.
D. Initiate droplet precautions.
ATI COMPREHENSIVE 2023 EXIT EXAM
Role of Respiratory Therapist, Physical Therapist, Occupational Therapist, Speech
Therapist
1. The nurse is caring for the following assigned clients. The nurse should refer to the? A.
Respiratory therapist, the client who has chronic obstructive pulmonary disease (COPD)
and has developed dysphagia.
B. Occupational therapist, the client who had a stroke and needs instruction on the use
ofkitchen tools.
C. Psychiatrist, the client who has terminal cancer and is requesting to complete
anadvance directive
D. Speech therapist, the client who had outpatient surgery and needs an interpreter
fordischarge instructions
Additional Question:
The nurse is caring for the following assigned clients. The nurse should refer to the?
a. OT stroke and needs instruction on use of a walker.
b. Patient with COPD who just developed dysphagia to a speech therapist.
Rationale: OT assists with ADLs, instruction on the use of a walker would be referred to
physical therapy.
Delegation
2. The nurse working on a medical-surgical unit is delegating tasks to UAP. Which of the
following tasks would require follow up by the charge nurse?
A. Providing catheter care to a client who has a catheter-associated urinary tract
infection(CAUTI).
B. Taking the vital signs of a client who returned from the postanesthesia care unit
(PACU)C. Assisting a client who had a paracentesis two hours ago to get out of bed for
the first time.
D. Assisting a client who had a total hip arthroplasty to transfer from the bed to the chair for
the second time since surgery.
Prioritization (Acute Pancreatitis, Myasthenia Gravis, PAD, COPD)
3. The nurse working on the medical-surgical unit has just received a hand-off report on
assigned clients. The nurse should first plan to assess the client who has A. Acute pancreatitis
and is reporting the development of pain on deep inspiration. B. A history of myasthenia gravis
and has developed ptosis of the eyelid. C. Peripheral artery disease (PAD) and reports a
burning pain in the calf that occurs when walking.
D. COPD who intermittently coughs up a moderate amount of secretions.
Sterile Field
4. The nurse is reviewing prescriptions for assigned clients. Which of the following should the
nurse question?
A. Remove chest tube and apply a sterile dressing
B. Type and crossmatch for 2 units of packed red blood cells (PRBCs)
, lOMoAR cPSD| 5422489
C. Complete a Glasgow coma scale (GCS) assessment every 1 hour
D. Irrigate the Jackson-Pratt drain every 4 hours with 5 mL of normal saline (NS)
Rationale: The nurse would question this because you should apply an occlusive dressing,
NOT a sterile dressing.
Proper sterile field:
➔ Open flap furthest from you first
➔ Place a sterile package 1 inch from the border.
➔ Hold sterile object above waist level
➔ Open a sterile package 6 inches in the middle above another sterile field?
Clients Rights
5. The nurse working on a pediatric unit is caring for a client who is scheduled to
haveelectroconvulsive therapy (ECT) treatment the next day. The client asks, “Can I refuse
the ECT treatment tomorrow?” Which of the following responses should the nurse make? A.
“You have already given signed consent to treatment.”
B. “I think you might feel better after you have the treatment.”
C. “Let’s talk with your doctor before you make a final decision.”D. “You have a right to
refuse even though you have signed the consent.”
?
6. The nurse working on a pediatric unit is caring for the following assigned clients. The nurse
should recommend an interdisciplinary conference for the client who
A. Was diagnosed with cystic fibrosis (CF) and has a distended abdomen B.
Is 10 hours postoperative and just urinated 30 mL of clear yellow urine
C. Is receiving hemodialysis and is reporting they feel itchy all over
D. Was diagnosed with norovirus and is experiencing acute diarrhea
?
7. The nurse is teaching a client who has pelvic inflammatory disease about self-care.
Theclient does not speak English. Which of the following actions should the nurse take? A.
Ask an unlicensed assistive personnel (UAP) who speaks the client’s language to serve as
an interpreter
B. Have a family member who speaks both English and the client’s languager interpret
theinstruction
C. Contact the charge nurse to obtain assistance from a facility-approved interpreter
D. Utilize a translation dictionary found on the unit to conduct the teaching
Prioritization (Lyme Disease, Graves Disease, Pleurisy, Polycystic Kidney Disease
(PKD)) 8. The nurse working in a community health clinic is assessing clients who are waiting
to be seen. Which of the following clients should the nurse have the PHCP see first? A.
57-year-old who has Graves disease and has developed a temperature of 100.5 F within
the past two hours.
, lOMoAR cPSD| 5422489
B. 37-year-old who has PKD and urinalysis results indicate leukocytes in the urine. C. 45-
year-old who has pleurisy and is reporting knife-like pain when taking a deep breath and
coughing.
D. 15-year-old who reports the development of a bull’s eye rash two days after being on a
camping trip.
Vital Signs: Newborn/Pediatrics
9. A nurse working on a pediatric cardiac unit is reviewing the telemetry monitors for assigned
clients. Which of the following clients should the nurse initially plan to assess? A. A 15-year
old adolescent who is sleeping and has a heart rate (HR) of 55 beats/minute B. A 5-year old
child who is watching television and has a HR of 78 beats/minute C. A 2-year old toddler who
is walking in the hallway and has a HR of 160 beats/minute D. A 1-month-old infant who is
crying and has a HR of 180 beats/minute
Additional Question: Priority patient in mom/baby unit: a neonate with a heart rate of 95/min
Normal resting= 120-160
Sleeping= 90-110
Crying= up to 180
Burns & Rules of Nines
10. The nurse is caring for a male client who has deep-partial thickness and full thickness burns
to 45% of the lower body. It is a priority for the nurse to notify the PHCP if the client has a? A.
Pulse oximeter reading of 91%.
B. Hematocrit (Hct) level of 60%.
C. Temperature (T) of 100.2 F.
D. Urinary output of 45mL for the past two hours.
RATIONALE: 35mL per hour
Emergent, Urgent, Non-Urgent Patient
11. The nurse working in the emergency department (ED) is triaging clients following a mass
casualty incident. Which of the following clients should the nurse classify as emergent? A. A
client who has a punctured femoral artery.
B. A client who has multiple fractures to both arms. - NON-URGENT
C. A client who has a red rash over the abdomen. - NON-URGENT
D. A client who reports flank pain radiating to the groin.
Types of Isolation
12. The nurse is caring for a client who is suspected of having bacterial meningitis. Which of
the following actions is the priority for the nurse to take? A. Prepare the client for a lumbar
puncture.
B. Administer IV antibiotics.
C. Obtain a set of blood cultures.
D. Initiate droplet precautions.
