ATI COMPREHENSIVE EXIT FINAL 2025 LATEST UPDATE

ATI COMPREHENSIVE EXIT FINAL 2025 LATEST UPDATE A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? a)Tell me about your siblings? B)Tell me what kind of music you like? c) Tell me how often do you drink alcohol? d) Tell me about your school schedule? - CORRECT ANSWER - Tell me how often do you drink alcohol A nurse is observing bonding to the client her newborn. Which of the following actions by the client requires the nurse to intervene? A- Holding the new born in an en face position b- asking the father to change the newborns diaper c- requesting the nurse to take the newborn nursery so she can rest d- Viewing the newborns actions to be uncooperative - CORRECT ANSWER - Viewing the newborns actions to be uncooperative A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate that the medication is effective? A- Weight loss b- Asking the father to change the newborns diaper c- absence of seizures d- Decrease inflammation - CORRECT ANSWER - Weightloss this drug acts as T4 and will normalize the effects of hypothyroidism A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? A- contact the provider if the cord still turns black b- clean the base of the cord with hydrogen peroxide daily c- Keep the cord dry unitl it falls off d- The cord stump will fall off in five days - CORRECT ANSWER - Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection, it will turn black, clean with neutral ph cleanser, cord falls off in 10-14 days) A nurse is assessing a client in PACU. Which of the following findings indicates decreased cardiac output? A- Shivering b- oliguria c- Bradypnea d- Constricted pupils - CORRECT ANSWER - Oliguria A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the following client should the nurse identify as the priority? A- A client that has massive head trauma B- A client has full thickness burns to face and trunk C- A client with indications of hypovolemic shock D- A client with open fracture of the lower extremity - CORRECT ANSWER - A client with indications of hypovolemic shock A nurse is receiving report on four clients. Which of the following clients should the nurse asses first? A- a client who has illegal conduit and mucus in the pouch b- Client pleasant arteriovenous additional vibration palpated c- Client whose chronic kidney disease with cloudy diasylate outflow D- A client was transurethral resection of the prostate with red tinged urine in the bag - CORRECT ANSWER - A client whose chronic kidney disease with cloudy diasylate outflow A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention? a- place's cardiac monitoring b- monitor the clients oxygen saturation level c- provide standby assist with the client from bed d- encourage foods high in potassium - CORRECT ANSWER - Provide standby assist with the client from bed A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? a-Feta hypoxia b- abrupto placentae c- post maturity d- head compressions - CORRECT ANSWER - head compressions A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis? a- Glomerular filtration rate of 14 ml/minute b- BUN 16 ml/dl c- serum magnesium 1.8 mg mg/dl d- serum phosphorus 4.0 m mg/dl - CORRECT ANSWER - glomerular filtraion rate of 14 ml/minute A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? a- placed infant under radiant warmer b- move the probe site every 3 hrs c- heat the skin one minute prior to placing the program d- placed a sensor on the index finger - CORRECT ANSWER - Heat the skin one minute prior to placing the program. A nurse in a mental health facility receives a change to shift report on for clients. Which of the following clients should the nurse plan to asses first? a- A client placed in restraints to the aggressive behavior b- a new limited client pleasures history 4.5 kg weight loss in the past two months c- client is receiving prn dose of health heard all two hours ago for increased anxiety d- Applied he'll be receiving his first ect treatment today - CORRECT ANSWER - Cliet placed in restraints to the aggressive behavior A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor? a- Hypnosis focuses on biofeedback as a relaxation technique b- hypnosis promoted increased control of her pain perception during contractions c- hypnosis uses therpeutic touch to reduce anxiety during labor d- hynosis provides instructions to minimize pain - CORRECT ANSWER - Hypnosis promotes increased control of her pain perception during contractions. A nurse is a county jail health clinic is leading group therapy sessions. A client who has incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? (reaction formation is when using opposite feelings, being super nice to someone you dislike) a- I steal things because it is the only way i can keep my mind off my bad marriage b- i can't believe i was accused of something i didn't do c- i don't want to talk about my feelings right now, we will talk more next time d- i think that people are just lazy and should earn extra money - CORRECT ANSWER - I think that your people are just lazy and should earn money honestly A nurse is obtaining medical history of a client who has a new prescription for isosorbide mononitrate. Which of the following should the nurse identify as a contraindication to medication? a- Glaucoma b- hypertension c- polycythemia d- migraine headaches - CORRECT ANSWER - Glaucoma NA - CORRECT ANSWER - n/a The nurse is caring for a client recovering from an acute myocardial infarction. Which of the following intervention should the nurse include in the point of care? a- Draw a troponin level every four hours b- performance EKG every 12 hrs c- plant oxygen tent fell over minutes via rebreather mask d- obtain a cardiac rehabilitation consult - CORRECT ANSWER - Obtain cardiac rehabilitation consult A nurse is caring for a client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider ? a- WBC 3,000 /mm3 b- Hemoglobin 12 g/dl c- Platelet 250,000/mm3 d- aPTT 30 seconds - CORRECT ANSWER - WBC 3,000/mm3 Home health nurse is carefully planned for alzheimer's disease. To the following actions should the nurse include in the plan of care? a- Place a daily calendar in the kitchen b- replace the button clothing with zippered items c- replace the carpet with hardwood floors d- create variation in daily routine - CORRECT ANSWER - Place a daily calendar in the kitchen Nurse is performing change of shift assessment on 4 clients. Which of the following findings should the nurse report to the providers first? a- The client was cystic fibrosis and has a thick productive clock and report thirst b- client who has gastroenteritis and is lethargic and confused c- the client has diabetes mellitus has morning fasting legal cost of 185 over deal d- the client was sick of signing and reports pain 15 minutes after receiving oral analgesic - CORRECT ANSWER - Client who has gastroenteritis and is lethargic and confused A nurse is caring for a client who was in second trimester of preganancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a- Decrease taking vitamins and supplements to every other day b- Eat 15 g of fiber per day c- consume 48 ounces of water each day d- drink hot water with lemon juice each morning when you wake up - CORRECT ANSWER - Drink hot water with leon juice every morning when you wake up. n/a - CORRECT ANSWER - n/a A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? (select all that apply) a- I can't change my instructions once a minute b- my doctor will need to approve my advance directives c- i need an attorney to witness my signature on the advance directives d- I have the right to refuse treatment e- my health care proxy can make medical decisions for me - CORRECT ANSWER - I have the right to refuse treatment My healthcare proxy can make medical decisions for me A nurse is caring for a client who has 32 weeks gestation and has history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a- the chest b- standing c- supine d- left lateral - CORRECT ANSWER - Left lateral A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a- client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry b- client who has awoken following a bronchoscopy and requests a drink c- client who had a myocardial infarction 3 days ago and reports chest comfort d- client who had a cerebrovascular accident two days ago and needs help toileting - CORRECT ANSWER - Client who had a cerebrovascular accident two days ago and needs help toileting Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? a- constipation b- blurred vision c- fever d- dry mouth - CORRECT ANSWER - Fever A nurse observes an AP providng care to a child who is in skeletal traction. Which of the following action requires intervention? a- providing a high protein snack b- assisting the child to reposition c- placing weights on a child's bed d- Massaging pressure points causes skin breakdown - CORRECT ANSWER - Placing weights asa a childs bed A nurse is planning to delegate an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following action should the nurse take? a- Determine if the AP is qualified to perform the test b- help the AP performed the blood glucose test c- assign the ap to ask the client is taking his diabetic medication today d- Have the AP check the medical record for prior blood glucose test redults - CORRECT ANSWER - Determine if the AP is qualified to perform the test A nurse is assessing a client brought to the hospital psychiatric emergency services by a law enforcement officer. The client is disorganzied, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following? a- Alzheimers disease b- schizophrenia c- substance intoxication d- depression - CORRECT ANSWER - Schizophrenia A nurse is caring for a child who has infectious mononucleosis. which of the following findings are associated with this diagnosis? a- splenomegaly b- Koplik spots c- malaise d- vertigo e- sore throat - CORRECT ANSWER - Splenomegaly malaise sore throat Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first? a- apply skin preparation to wound edges b- normal saline c- don sterile gloves d- determine pain level - CORRECT ANSWER - Determine pain level A nurse is caring for a client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube may be functioning properly? a- drainage fluid is greenish-yellow b- aspirate ph of 3 c- abdominal rigidity d- air bubbles noted in the ng tube - CORRECT ANSWER - abdominal rigidity A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take ? a- piggyback 0.9 sodium chloride with TPN solutions b- check for allergy to eggs c- Discuss the TPS solution for 12 hours d- monitor for hypoglycemia - CORRECT ANSWER - check for allergey to eggs A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit (A/) a) Systemic analgesic effect b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - CORRECT ANSWER - Decreased capillary permeability Nurse is developing discharge care plans for client who has osteoporosis. To prevent injury the nurse should instruct the client to? a) Perform weight bearing exercises 5 of 28 b) Avoid crossing the legs beyond the midline c) Avoid sitting in one position for prolonged periods d) Split affected area - CORRECT ANSWER - To perform weight bearing exercises A nurse on acute med-surgical unite is performing assessments on a group of clients. Which is the highest priority? a) The client has surgical hypoparathyroidism and positive Trousseau's sign b) A client who was Clostridium difficile with acute diarrhea c) A client who is acute kidney injury and urine with a low specific gravity d) The client who has oral cancer and reports a sore on his gums - CORRECT ANSWER - The client has surgical hypoparathyroidism and positive trousseaus sign Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate? a) Call the provider to clients respiratory rate is less 18/min b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr c) Give the client enalapril 2.5 mg PO twice daily d) Call the provider if the clients pulse rate is less than 80/min - CORRECT ANSWER - Give the client enapril 2.5 mg PO twice daily A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan? a) I will be able starting this medication with feel better b) I can expect to urinate frequently while on this medication c) I understand I may experience difficulty sleeping on this medication d) I should decrease my sodium intake while on this medication - CORRECT ANSWER - I understand i may experience difficulty sleeping on this medication A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states " i don't know how much longer i can take this but i am afraid he will hurt me if i leave." Which of the following is an appropriate nursing intervention ? a) Offer to speak to the client's husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior c) Assist the client to identify personal behaviors that trigger abusive behavior d) Assist the client to Reports abusive behavior to the proper authority - CORRECT ANSWER - Help the client to recognize the signs of escalation of abuse behavior. A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not end my misery?" Which of the following responses for the nurses is appropriate? a) Why do you think your life is not worth it anymore? b) Do you have a plan to end your life? c) I need to know what you mean my misery d) You can trust me and tell me what you're thinking - CORRECT ANSWER - Do you have a plan to end your life? A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect? a) Decreased level consciousness b) Unable to identify common objects c) Poor problem solving ability d) Preoccupation was somatic disturbances - CORRECT ANSWER - Poor problem solving skills A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should the nurse take? There are 3 tabs that contain separate categories of data? a) Position the client with the affected extremity lower than the heart b) Administration of acetaminophen c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion - CORRECT ANSWER - Withold heparin IV infusion Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse? a) Expel air bubble at the top of the pre filled syringe b) Massage the injection site to evenly distribute the medication c) Inject the medication the lateral abdominal wall d) Administer an NSAID for injection site discomfort - CORRECT ANSWER - Inject the medication the lateral abdominal wall Nurses caring for 4 clients. Which of the following client data should the nurse report to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 - CORRECT ANSWER - The client has a prescription for chemotherapy and an absolute neitrophil count of 75/mm3 Nurses caring for client in end stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. which of the following medications should the nurse expect to be the highest priority to administer to the client? a) Promethazine b) Hydromorphone c) Ketorolac d) Amitriptyline - CORRECT ANSWER - Hydromophone A nurse is caring for a client who has DVT. Which of the following instructions should the nurse include in the plan of care? a) Live with the clients fluid intake to 1500 mL per day b) Massage place affected extremity to relieve pain c) Apply cold packs of clients affected extremity d) Elevate the client's affected extremity when in bed - CORRECT ANSWER - Elevate the clients affected extermity when in the bed A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The clients contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180 minutes. Which of the following actions should the nurse take? a) Discontinue oxytocin infusion b) Increased oxytocin infusion c) Decreased oxytocin infusion d) Maintain oxytocin infusion - CORRECT ANSWER - Discontinue oxytocin infuion A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? a) Have your membranes ruptured? 7 of 28 b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - CORRECT ANSWER - Do you have any active lesions? Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - CORRECT ANSWER - Take with a glass of orange juice Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6 year old client whose left shoulder is dislocated b) A 26 year old client for sickle cell disease and a severe joint pain c) A 76 year old client was confused, febrile and has foul smelling urine - uti d) A 50- year old client who has slurred speech, is disoriented, and reports a headache - stroke - CORRECT ANSWER - A 50 year old client who has slurred speech is dioriented and reportsa headache- stroke A nurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? a) Leavened bread maybe eaten during Passover. b) Shellfish is commonly consumed in the diet. c) Meat and dairy products are eaten separately. d) Fasting from meat occurs during Hanukkah. - CORRECT ANSWER - Meat and dairy products are eaten seperately n/a - CORRECT ANSWER - n/a A nurse in an ER caring for a client of multiple wounds due to motor vehicle crash. Which of the following interventions are appropriate? (select all that apply) a) Apply direct pressure to bleeding wounds b) Clean rest last rations and abrasions with hydrogen peroxide c) Cover wounds with a sterile dressing d) Administer 650 mg aspirin PO as needed for pain e) Determine date of last tetanus toxoid vaccination - CORRECT ANSWER - Apply direct pressure Cover wounds with sterile dressing Determine date of last tetanus toxoid vaccination The nurses reviewing clients admission laboratory results. Which of the following findings required further evaluation? a) Sodium 138 b) Creatinine 1.8 c) Hemoglobin 15 d) Potassium 4.2 - CORRECT ANSWER - Creatine 1.8 A nurse is providing teaching for a client who has a new prescription for methadone. Which of the following client statements indicates a need for further teaching? a) I understand the methadone tends to slow my breathing b) I understand the methadone may cause me to have difficulty sleeping c) I will avoid alcohol while I'm taking this medication d) I'll change positions gradually especially from lying down to standing - CORRECT ANSWER - I understand the methadone may cause me to have difficulty sleeping Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation? a) Premature infant with a poor suck reflex and failure to thrive b) An older adults who has difficulty taking in fluids c) Adolescent who anorexia who is cachectic d) A middle aged adults was gastroesophageal reflux disease - CORRECT ANSWER - An older adult who has difficulty taking in fluids A nurse is caring for a group of clients. Which of the following client should the nurse asses first? a) A client whose benign prostatic hyperplasia and is unable to urinate b) The client was heart failure and report shortness of breath while ambulating c) A client who is open cholecystectomy and has green drainage from the T-tube d) A client whose abdominal pain and is vomiting coffee ground emesis - CORRECT ANSWER - A client who has abdominal pain and is vomiting coffee ground emesis A nurse is taking medication history from client who is type 2 diabetes mellitus and is scheduled for an arteriogram. Which of the following medications to the nurses instructs the client to discontinue 48 hrs prior to the procedure? a) Atorvastatin b) Digoxin c) Nifedipine d) Metformin - CORRECT ANSWER - Metformin