ATI Exit Exam
14 weeks gestation, what should patient report to the MD - ANS-Swelling of the face (sign of
preeclampsia)
\24-month old should be able to what - ANS-walk up steps
\3 year old child be able to - ANS-Ride a tricycle
\7 warning signs of cancer - ANS-Change in bowel or bladder habits.
A sore that does not heal
Unusual bleeding or discharge.
Thickening or lump in the breast, testicles, or elsewhere.
Indigestion or difficulty swallowing.
Obvious change in the size, color, shape, or thickness of a wart, mole, or mouth sore.
Nagging cough or hoarseness.
\A baby who has failure to thrive, what can you do to help have a positive feeding response -
ANS-Develop a structured routine
\A patient is 14 weeks pregnant, where should you check to find the FHR - ANS-Below the
pubis symphysis area
\A pregnant woman comes in with herpes, what question should the nurse ask - ANS-Do you
have any active lesions?
\A wound that would heal be primary intention - ANS-A surgical incision
\Absence seizure - ANS-brief sudden lapse in attention
Patient appear to be day dreaming or staring into space
\Accessing a PICC line, you need what type of needle - ANS-noncoring needle
\Acupuncture contraindication - ANS-herpes zoster
\Acute MI with alteplase contraindication - ANS-acute cardiac failure 6 months ago
\Administering medications through a NG tube - ANS-Administer meds separately
Do NOT mix with enteral feedings
Dissolve crushed tablets in 15-30 mL
Flush tubing before & before each medications with 10-30mL of water
\Adolescent nutrition - ANS-1300mg of calcium
\Advanced directives - ANS-do not need a lawyer
\Adverse reaction of giving a patient a cooling blanket - ANS-shivering
\Adverse side effect of estradiol - ANS-Headache
\Albumin is an indicator of - ANS-being well nourished
\Amitriptyline adverse reaction to monitor for - ANS-urinary retention
\Amniocentesis patient teaching - ANS-Empty bladder before procedure
\Anorexia expected finding - ANS-Prealbumin 10
\Antisocial personality characteristics - ANS-Lack of remorse
\Appropriate action the nurse should take with a patient who needs physical therapy -
ANS-Include the patient in the selection of the patients PT provider
\Assessing for nephrotoxicity - ANS-Lethargy, jaundice, hematuria, cloudy urine
proteinuria, casts in the urine, dilute urine, elevated BUN, creatinine levels
\Betamethasone - ANS-Used to promote fetal lung maturity
\Betamethasone causes? - ANS-Hyperglycemia in mom & hypoglycemia in the neonate
\Biofeedback is - ANS-a technique used to learn to control your body's functions
, \Biohazard material spill - ANS-a.Doxorubicin hydrochloride
b. phenytoin
c. metronidazole
d. ampicillin
\Burn patient fluid/electrolyte imbalance - ANS-metabolic acidosis
\Cannot donate kidney if you have what? - ANS-Hypertension
\Caregiver states they are becoming tired when caring for their parent with Alzheimer's
disease, nurse should suggest what? - ANS-Respite Care- care to give caregivers a break
\Celiacs disease - ANS-Avoid : barley, rye, oats, wheat, gluten
Can eat rice
\Change of shift report should include? - ANS-blood lost
\Chlorpromazine may cause _____ so the patient should ____ - ANS-Dry mouth; sip water
throughout the day
\Chronic kidney disease, hemodialysis patient teaching - ANS-1g/kg of protein a day
\Cleansing a radiation area - ANS-clean with mild soap or water
Avoid powders/lotions/creams
\Cleft palate teaching for feeding - ANS-Do not use a spoon
position infant upright while cradling head & burp frequently
\Client education regarding an electroencephalogram (EEG) - ANS-clean hair, no conditioner
or gel/hairspray in it
\Client teaching about Phenelzine - ANS-may eat smoked fish
\Client teaching for Beta Blocker medications - ANS-bradycardia (metoprolol)
\Clozapine lab contraindications
(antipsychotic) - ANS-WBC 2,900
(normal 4,500-11,000)
\co-worker impaired, what do you do? - ANS-report it to charge nurse? (unsure)
\Coarctation of the aorta symptoms - ANS-Diminished pulses in extremities
\Cocaine patient s/s - ANS-Increased temperature
\Combination oral contraceptives contraindication - ANS-Hypertension
\Complication of immobility - ANS-swollen area in calf
\Confirming placement of NG tube - ANS-Aspirate gastric contents (pH less than 4)
\Contraindication of MMR - ANS-blood transfusions
\Contraindications for thrombolytic therapy - ANS-●Pregnancy Risk Category C.●
Any prior intracranial hemorrhage (hemorrhagic stroke).
Known structural cerebral vascular lesion (arteriovenous malformation).
Active internal bleeding.
History of significant closed head or spinal trauma within past 2 months.
Acute pericarditis or bacterial endocarditis, Brain tumors, Severe hepatic or renal disorders.
Use cautiously in clients who have severe hypertension, cerebral vascular disorders, recent
GU or GI bleeding, major surgery within past 10 days, or in older adult clients
\Correct statement for patient with stomatitis - ANS-Use a soft bristle toothbrush
\Crohns dietary teaching - ANS-Decrease fiber
\dabigatran patient teaching - ANS-report bleeding (anticoagulant)
\Decrease cardiac demands in an infant you should - ANS-Feed the infant when awake &
crying
\Dehydration improving in baby sign - ANS-flat fontanelle
\Diverticulitis dietary teaching - ANS-low fiber diet
\Diverticulosis - ANS-high-fiber diet (pockets, need to bulk stool)
14 weeks gestation, what should patient report to the MD - ANS-Swelling of the face (sign of
preeclampsia)
\24-month old should be able to what - ANS-walk up steps
\3 year old child be able to - ANS-Ride a tricycle
\7 warning signs of cancer - ANS-Change in bowel or bladder habits.
A sore that does not heal
Unusual bleeding or discharge.
Thickening or lump in the breast, testicles, or elsewhere.
Indigestion or difficulty swallowing.
Obvious change in the size, color, shape, or thickness of a wart, mole, or mouth sore.
Nagging cough or hoarseness.
\A baby who has failure to thrive, what can you do to help have a positive feeding response -
ANS-Develop a structured routine
\A patient is 14 weeks pregnant, where should you check to find the FHR - ANS-Below the
pubis symphysis area
\A pregnant woman comes in with herpes, what question should the nurse ask - ANS-Do you
have any active lesions?
\A wound that would heal be primary intention - ANS-A surgical incision
\Absence seizure - ANS-brief sudden lapse in attention
Patient appear to be day dreaming or staring into space
\Accessing a PICC line, you need what type of needle - ANS-noncoring needle
\Acupuncture contraindication - ANS-herpes zoster
\Acute MI with alteplase contraindication - ANS-acute cardiac failure 6 months ago
\Administering medications through a NG tube - ANS-Administer meds separately
Do NOT mix with enteral feedings
Dissolve crushed tablets in 15-30 mL
Flush tubing before & before each medications with 10-30mL of water
\Adolescent nutrition - ANS-1300mg of calcium
\Advanced directives - ANS-do not need a lawyer
\Adverse reaction of giving a patient a cooling blanket - ANS-shivering
\Adverse side effect of estradiol - ANS-Headache
\Albumin is an indicator of - ANS-being well nourished
\Amitriptyline adverse reaction to monitor for - ANS-urinary retention
\Amniocentesis patient teaching - ANS-Empty bladder before procedure
\Anorexia expected finding - ANS-Prealbumin 10
\Antisocial personality characteristics - ANS-Lack of remorse
\Appropriate action the nurse should take with a patient who needs physical therapy -
ANS-Include the patient in the selection of the patients PT provider
\Assessing for nephrotoxicity - ANS-Lethargy, jaundice, hematuria, cloudy urine
proteinuria, casts in the urine, dilute urine, elevated BUN, creatinine levels
\Betamethasone - ANS-Used to promote fetal lung maturity
\Betamethasone causes? - ANS-Hyperglycemia in mom & hypoglycemia in the neonate
\Biofeedback is - ANS-a technique used to learn to control your body's functions
, \Biohazard material spill - ANS-a.Doxorubicin hydrochloride
b. phenytoin
c. metronidazole
d. ampicillin
\Burn patient fluid/electrolyte imbalance - ANS-metabolic acidosis
\Cannot donate kidney if you have what? - ANS-Hypertension
\Caregiver states they are becoming tired when caring for their parent with Alzheimer's
disease, nurse should suggest what? - ANS-Respite Care- care to give caregivers a break
\Celiacs disease - ANS-Avoid : barley, rye, oats, wheat, gluten
Can eat rice
\Change of shift report should include? - ANS-blood lost
\Chlorpromazine may cause _____ so the patient should ____ - ANS-Dry mouth; sip water
throughout the day
\Chronic kidney disease, hemodialysis patient teaching - ANS-1g/kg of protein a day
\Cleansing a radiation area - ANS-clean with mild soap or water
Avoid powders/lotions/creams
\Cleft palate teaching for feeding - ANS-Do not use a spoon
position infant upright while cradling head & burp frequently
\Client education regarding an electroencephalogram (EEG) - ANS-clean hair, no conditioner
or gel/hairspray in it
\Client teaching about Phenelzine - ANS-may eat smoked fish
\Client teaching for Beta Blocker medications - ANS-bradycardia (metoprolol)
\Clozapine lab contraindications
(antipsychotic) - ANS-WBC 2,900
(normal 4,500-11,000)
\co-worker impaired, what do you do? - ANS-report it to charge nurse? (unsure)
\Coarctation of the aorta symptoms - ANS-Diminished pulses in extremities
\Cocaine patient s/s - ANS-Increased temperature
\Combination oral contraceptives contraindication - ANS-Hypertension
\Complication of immobility - ANS-swollen area in calf
\Confirming placement of NG tube - ANS-Aspirate gastric contents (pH less than 4)
\Contraindication of MMR - ANS-blood transfusions
\Contraindications for thrombolytic therapy - ANS-●Pregnancy Risk Category C.●
Any prior intracranial hemorrhage (hemorrhagic stroke).
Known structural cerebral vascular lesion (arteriovenous malformation).
Active internal bleeding.
History of significant closed head or spinal trauma within past 2 months.
Acute pericarditis or bacterial endocarditis, Brain tumors, Severe hepatic or renal disorders.
Use cautiously in clients who have severe hypertension, cerebral vascular disorders, recent
GU or GI bleeding, major surgery within past 10 days, or in older adult clients
\Correct statement for patient with stomatitis - ANS-Use a soft bristle toothbrush
\Crohns dietary teaching - ANS-Decrease fiber
\dabigatran patient teaching - ANS-report bleeding (anticoagulant)
\Decrease cardiac demands in an infant you should - ANS-Feed the infant when awake &
crying
\Dehydration improving in baby sign - ANS-flat fontanelle
\Diverticulitis dietary teaching - ANS-low fiber diet
\Diverticulosis - ANS-high-fiber diet (pockets, need to bulk stool)
