ATI Exit Exam #2 version of comprehensive retake test
Study online at https://quizlet.com/_gc54v0
1. A nurse is caring for a client who has a recent diagnosis of a terminal
illness. The nurse should identify which of the following as an indication of
hopelessness?: The client has a decreased level of energy
2. A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (SATA-3): 1.
Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
3. 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?: A client who has schizo and
is having command hallucinations
4. 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?: "Let
me show how to swaddle and cuddle him, then try."
5. A nurse is using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take?: Keep the finger in
dependent position
6. 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?: Naproxen
7. 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?: Check for pain w passive movement of the affected extremity
8. 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?: Somnolence
9. 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 med-
icate a client against his will, without a court hearing in which of the following
situations?: A client who is attempting to hurt himself or others
10. 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?: "Monitor for muscle weakness while taking the medication"
11. A charge nurse is discussing confidentiality requirements w a newly li-
censed nurse when sharing a client's medical info. Which of the following in-
dividuals should the charge nurse identify as appropriate with whom to share
, ATI Exit Exam #2 version of comprehensive retake test
Study online at https://quizlet.com/_gc54v0
client info?: A social worker who's assigned an involuntary committed school-age
client
12. 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?: Urine
protein plus
13. 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?: O2 sat 89%
14. 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?: -
Blurred vision
15. A nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first?: Elevate
the client's HOB
16. 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?: Glycoslated Hemoglobin
17. 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?: Tells a client he will lose his phone privileges
if he does not take his medication
18. 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?: Oral suction equipment
19. A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take?: Encour-
age client to be assertive
20. 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?: "You should avoid crossing your legs for 3 months"
21. 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?: Eat a small meal every 2-3 hr
22. A nurse is reinforcing teaching with a client who has GERD and a prescrip-
tion for ranitidine. Which of the following statements by the client indicates
and understanding of the teaching?: "I should take this medication in the morning
and at night"
, ATI Exit Exam #2 version of comprehensive retake test
Study online at https://quizlet.com/_gc54v0
23. A nurse is assisting with the admission of a client who has pulmonary
tb. Which of the following types of isolation precautions should the nurse
include?: Airborne
24. A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include?: "Perform pulmonary hygiene 1 hr before
meals"
25. A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a thera-
peutic effects of the treatment?: Reduced fat in stools
26. A nurse is caring for a client who has paranoid schizo and believes that she
is being followed by FBI agents who are pretending to be the psychiatric staff.
Which of the following responses should the nurse make?: The psychiatric staff
not the FBI. They're here to help you
27. A nurse is assisting in the care of a client who has a fractured femur
and is in Buck's traction, which of the following actions should the nurse
take?: Ensure the weights are hanging freely
28. A nurse is reviewing the med record of a client who requires continuous
oxygen saturation monitoring. Which of the following should the nurse identify
as a factor that can affect the validity of the readings?: Peripheral Vascular
Disease
29. A nurse is collecting data from a group of clients. Which of the following
clients should the nurse identify as having xanthelasama?: Lady with eyes
closed with nodule on eyelid
30. A nurse is assisting with the admission of a client who has VRE of the urine.
Which of the following types of precautions should the nurse implement for
this client?: Contact precautions
31. A community health nurse is assisting in the development of a brochure
about hypertension. Which of the following actions should the nurse take?: -
Explain medical terminology using basic one-syllable words
32. A nurse is collecting data from an adolescent during an annual physical
examination. Which of the following statements by the client is the nurse's
priority?: I would rather be alone than with my fiance
33. A nurse is placing a dressing over a stage 1 pressure ulcer on a client's
heel. Which of the following types of wound dressing should the nurse use?-
: Transparent film
34. A nurse is caring for an older adult client who reports pain and has a
prescription for ketorolac 15 mg IM every 5 hr PRN. The client's current bp
Study online at https://quizlet.com/_gc54v0
1. A nurse is caring for a client who has a recent diagnosis of a terminal
illness. The nurse should identify which of the following as an indication of
hopelessness?: The client has a decreased level of energy
2. A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (SATA-3): 1.
Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
3. 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?: A client who has schizo and
is having command hallucinations
4. 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?: "Let
me show how to swaddle and cuddle him, then try."
5. A nurse is using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take?: Keep the finger in
dependent position
6. 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?: Naproxen
7. 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?: Check for pain w passive movement of the affected extremity
8. 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?: Somnolence
9. 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 med-
icate a client against his will, without a court hearing in which of the following
situations?: A client who is attempting to hurt himself or others
10. 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?: "Monitor for muscle weakness while taking the medication"
11. A charge nurse is discussing confidentiality requirements w a newly li-
censed nurse when sharing a client's medical info. Which of the following in-
dividuals should the charge nurse identify as appropriate with whom to share
, ATI Exit Exam #2 version of comprehensive retake test
Study online at https://quizlet.com/_gc54v0
client info?: A social worker who's assigned an involuntary committed school-age
client
12. 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?: Urine
protein plus
13. 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?: O2 sat 89%
14. 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?: -
Blurred vision
15. A nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first?: Elevate
the client's HOB
16. 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?: Glycoslated Hemoglobin
17. 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?: Tells a client he will lose his phone privileges
if he does not take his medication
18. 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?: Oral suction equipment
19. A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take?: Encour-
age client to be assertive
20. 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?: "You should avoid crossing your legs for 3 months"
21. 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?: Eat a small meal every 2-3 hr
22. A nurse is reinforcing teaching with a client who has GERD and a prescrip-
tion for ranitidine. Which of the following statements by the client indicates
and understanding of the teaching?: "I should take this medication in the morning
and at night"
, ATI Exit Exam #2 version of comprehensive retake test
Study online at https://quizlet.com/_gc54v0
23. A nurse is assisting with the admission of a client who has pulmonary
tb. Which of the following types of isolation precautions should the nurse
include?: Airborne
24. A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include?: "Perform pulmonary hygiene 1 hr before
meals"
25. A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a thera-
peutic effects of the treatment?: Reduced fat in stools
26. A nurse is caring for a client who has paranoid schizo and believes that she
is being followed by FBI agents who are pretending to be the psychiatric staff.
Which of the following responses should the nurse make?: The psychiatric staff
not the FBI. They're here to help you
27. A nurse is assisting in the care of a client who has a fractured femur
and is in Buck's traction, which of the following actions should the nurse
take?: Ensure the weights are hanging freely
28. A nurse is reviewing the med record of a client who requires continuous
oxygen saturation monitoring. Which of the following should the nurse identify
as a factor that can affect the validity of the readings?: Peripheral Vascular
Disease
29. A nurse is collecting data from a group of clients. Which of the following
clients should the nurse identify as having xanthelasama?: Lady with eyes
closed with nodule on eyelid
30. A nurse is assisting with the admission of a client who has VRE of the urine.
Which of the following types of precautions should the nurse implement for
this client?: Contact precautions
31. A community health nurse is assisting in the development of a brochure
about hypertension. Which of the following actions should the nurse take?: -
Explain medical terminology using basic one-syllable words
32. A nurse is collecting data from an adolescent during an annual physical
examination. Which of the following statements by the client is the nurse's
priority?: I would rather be alone than with my fiance
33. A nurse is placing a dressing over a stage 1 pressure ulcer on a client's
heel. Which of the following types of wound dressing should the nurse use?-
: Transparent film
34. A nurse is caring for an older adult client who reports pain and has a
prescription for ketorolac 15 mg IM every 5 hr PRN. The client's current bp
