ATI COMPREHENSIVE RETAKE EXIT
EXAM WITH NGN QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has given informed consent for ECT. Just before
the procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate?
◦ a. "You don't have to go through with the treatment."
◦ b. "Most people who have this procedure feel better following the treatment."
◦ c. "It's okay to be nervous before this treatment."
◦ d. "Your doctor wouldn't have ordered this treatment unless it was necessary."
◦ Correct Answer: a
◦ Rationale: The client has the right to withdraw consent at any time before the
procedure. The nurse should respect the client’s autonomy and acknowledge that
they can choose not to proceed, aligning with ethical and legal standards of
informed consent.
2. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's CPM device. Which of the following actions should the nurse take
rst?
◦ a. Report the defect to the equipment maintenance staff.
◦ b. Ensure the device inspection sticker is current.
◦ c. Remove the device from the room.
◦ d. Initiate a requisition for a replacement CPM device.
◦ Correct Answer: c
◦ Rationale: Fraying on an electrical cord poses an immediate safety hazard (e.g.,
risk of electrical shock or re). The nurse’s rst action should be to remove the
device from the room to prevent harm, followed by reporting and requisitioning a
replacement.
3. A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
fi fi fi
, ◦ a. Document administration of the medication upon removal from the medication
dispensing system.
◦ b. Withhold the medication if the client does not appear to be in pain.
◦ c. Count the current number of unit doses available in the medication dispensing
system.
◦ d. Withhold the medication if the client has a fever.
◦ Correct Answer: c
◦ Rationale: Hydromorphone is a controlled substance, and the nurse must verify
the count of available doses in the medication dispensing system to ensure
accurate inventory and prevent diversion. Documentation should occur after
administration, not upon removal, and withholding based on appearance or fever
is inappropriate without a provider’s order.
4. A nurse performing a change-of-shift assessment. Which of the following clients has
the priority nding?
◦ a. Type 2 DM and a blood glucose of 250 mg/dL.
◦ b. Pneumonia with a productive cough and a fever of 38.8°C (101.8°F).
◦ c. 2 hr. post cast placement and has 2+ pitting edema and pallor.
◦ d. First-degree heart block and a heart rate of 62/min.
◦ Correct Answer: c
◦ Rationale: Edema and pallor 2 hours after cast placement suggest possible
compartment syndrome, a medical emergency requiring immediate intervention to
prevent tissue damage. The other ndings, while concerning, are less urgent.
5. A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
◦ a. "I will limit my alcohol use to one drink daily while taking disul ram."
◦ b. "I will avoid foods containing tyramine while taking uoxetine."
◦ c. "I will take the sustained-release methylphenidate every morning."
◦ d. "I will take my lithium on an empty stomach."
◦ Correct Answer: c
fi fi fl fi
, ◦ Rationale: Sustained-release methylphenidate is typically taken in the morning to
manage ADHD symptoms during the day and avoid insomnia (pharm pg. 64).
Disul ram requires complete alcohol avoidance, uoxetine does not have
tyramine restrictions, and lithium should be taken with food to reduce GI distress.
6. A nurse in the emergency department is assessing a client who has major depressive
disorder. Which of the following actions should the nurse take rst? [View Exhibit]
◦ a. Administer Zofran to the client for nausea.
◦ b. Implement seizure precautions for the client.
◦ c. Encourage the client to verbalize feelings.
◦ d. Obtain the client’s weight.
◦ Correct Answer: b
◦ Rationale: Clients with major depressive disorder may be at risk for seizures,
especially if prescribed certain antidepressants (e.g., bupropion). Implementing
seizure precautions is the priority to ensure safety. The exhibit is not provided, but
this is the most likely urgent action.
7. A nurse is completing an admission assessment for a client who has narcissistic
personality disorder. Which of the following should the nurse expect?
◦ a. Suspicious of others.
◦ b. Exhibits separation anxiety.
◦ c. Ritualistic behavior.
◦ d. Preoccupied with aging.
◦ Correct Answer: None explicitly correct (likely d)
◦ Rationale: Narcissistic personality disorder is characterized by grandiosity, need
for admiration, and lack of empathy. Preoccupation with aging may relate to
concerns about losing attractiveness or status, though not explicitly listed in the
document. Other options align with different disorders (e.g., paranoia, OCD, or
dependent personality disorder).
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client's dietary plan?
◦ Correct Answer: 67.5 g
fi fl fi
, ◦ Rationale: Convert 99 lb to kg: 99 ÷ 2.2 = 45 kg. Calculate protein: 45 kg × 1.5
g/kg = 67.5 g/day.
9. A nurse is planning care for a group of clients and is working with one LPN and one
AP. Which of the following actions should the nurse take rst to manage her time
effectively?
◦ a. Develop an hourly time frame for tasks.
◦ b. Schedule daily activities.
◦ c. Determine goals of the day.
◦ d. Delegate tasks to the AP.
◦ Correct Answer: c
◦ Rationale: Determining the goals of the day provides a framework for prioritizing
tasks, scheduling, and delegating, ensuring effective time management.
10. A nurse is developing a plan of care for a client who has preeclampsia and is to
receive magnesium sulfate via continuous IV infusion. Which of the following
actions should the nurse include in the plan?
◦ a. Restrict the client's total uid intake to 250 mL/hr.
◦ b. Measure the client's urine output every hour.
◦ c. Give the client protamine if signs of magnesium sulfate toxicity occur
(antidote: calcium gluconate).
◦ d. Monitor the FHR via Doppler every 30 min.
◦ Correct Answer: b
◦ Rationale: Magnesium sulfate is used to prevent seizures in preeclampsia, but it
can cause toxicity. Monitoring urine output hourly ensures renal function is
adequate to excrete the drug. The antidote for magnesium toxicity is calcium
gluconate, not protamine (used for heparin).
11. A nurse is caring for a group of clients. Which of the following wounds should the
nurse expect to heal by primary intention?
◦ a. Infected laceration.
◦ b. Stage II pressure ulcer.
◦ c. Approximated surgical incision.
◦ d. Partial-thickness burn.
fl fi
EXAM WITH NGN QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has given informed consent for ECT. Just before
the procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate?
◦ a. "You don't have to go through with the treatment."
◦ b. "Most people who have this procedure feel better following the treatment."
◦ c. "It's okay to be nervous before this treatment."
◦ d. "Your doctor wouldn't have ordered this treatment unless it was necessary."
◦ Correct Answer: a
◦ Rationale: The client has the right to withdraw consent at any time before the
procedure. The nurse should respect the client’s autonomy and acknowledge that
they can choose not to proceed, aligning with ethical and legal standards of
informed consent.
2. While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's CPM device. Which of the following actions should the nurse take
rst?
◦ a. Report the defect to the equipment maintenance staff.
◦ b. Ensure the device inspection sticker is current.
◦ c. Remove the device from the room.
◦ d. Initiate a requisition for a replacement CPM device.
◦ Correct Answer: c
◦ Rationale: Fraying on an electrical cord poses an immediate safety hazard (e.g.,
risk of electrical shock or re). The nurse’s rst action should be to remove the
device from the room to prevent harm, followed by reporting and requisitioning a
replacement.
3. A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
fi fi fi
, ◦ a. Document administration of the medication upon removal from the medication
dispensing system.
◦ b. Withhold the medication if the client does not appear to be in pain.
◦ c. Count the current number of unit doses available in the medication dispensing
system.
◦ d. Withhold the medication if the client has a fever.
◦ Correct Answer: c
◦ Rationale: Hydromorphone is a controlled substance, and the nurse must verify
the count of available doses in the medication dispensing system to ensure
accurate inventory and prevent diversion. Documentation should occur after
administration, not upon removal, and withholding based on appearance or fever
is inappropriate without a provider’s order.
4. A nurse performing a change-of-shift assessment. Which of the following clients has
the priority nding?
◦ a. Type 2 DM and a blood glucose of 250 mg/dL.
◦ b. Pneumonia with a productive cough and a fever of 38.8°C (101.8°F).
◦ c. 2 hr. post cast placement and has 2+ pitting edema and pallor.
◦ d. First-degree heart block and a heart rate of 62/min.
◦ Correct Answer: c
◦ Rationale: Edema and pallor 2 hours after cast placement suggest possible
compartment syndrome, a medical emergency requiring immediate intervention to
prevent tissue damage. The other ndings, while concerning, are less urgent.
5. A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an
understanding of the teaching?
◦ a. "I will limit my alcohol use to one drink daily while taking disul ram."
◦ b. "I will avoid foods containing tyramine while taking uoxetine."
◦ c. "I will take the sustained-release methylphenidate every morning."
◦ d. "I will take my lithium on an empty stomach."
◦ Correct Answer: c
fi fi fl fi
, ◦ Rationale: Sustained-release methylphenidate is typically taken in the morning to
manage ADHD symptoms during the day and avoid insomnia (pharm pg. 64).
Disul ram requires complete alcohol avoidance, uoxetine does not have
tyramine restrictions, and lithium should be taken with food to reduce GI distress.
6. A nurse in the emergency department is assessing a client who has major depressive
disorder. Which of the following actions should the nurse take rst? [View Exhibit]
◦ a. Administer Zofran to the client for nausea.
◦ b. Implement seizure precautions for the client.
◦ c. Encourage the client to verbalize feelings.
◦ d. Obtain the client’s weight.
◦ Correct Answer: b
◦ Rationale: Clients with major depressive disorder may be at risk for seizures,
especially if prescribed certain antidepressants (e.g., bupropion). Implementing
seizure precautions is the priority to ensure safety. The exhibit is not provided, but
this is the most likely urgent action.
7. A nurse is completing an admission assessment for a client who has narcissistic
personality disorder. Which of the following should the nurse expect?
◦ a. Suspicious of others.
◦ b. Exhibits separation anxiety.
◦ c. Ritualistic behavior.
◦ d. Preoccupied with aging.
◦ Correct Answer: None explicitly correct (likely d)
◦ Rationale: Narcissistic personality disorder is characterized by grandiosity, need
for admiration, and lack of empathy. Preoccupation with aging may relate to
concerns about losing attractiveness or status, though not explicitly listed in the
document. Other options align with different disorders (e.g., paranoia, OCD, or
dependent personality disorder).
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client's dietary plan?
◦ Correct Answer: 67.5 g
fi fl fi
, ◦ Rationale: Convert 99 lb to kg: 99 ÷ 2.2 = 45 kg. Calculate protein: 45 kg × 1.5
g/kg = 67.5 g/day.
9. A nurse is planning care for a group of clients and is working with one LPN and one
AP. Which of the following actions should the nurse take rst to manage her time
effectively?
◦ a. Develop an hourly time frame for tasks.
◦ b. Schedule daily activities.
◦ c. Determine goals of the day.
◦ d. Delegate tasks to the AP.
◦ Correct Answer: c
◦ Rationale: Determining the goals of the day provides a framework for prioritizing
tasks, scheduling, and delegating, ensuring effective time management.
10. A nurse is developing a plan of care for a client who has preeclampsia and is to
receive magnesium sulfate via continuous IV infusion. Which of the following
actions should the nurse include in the plan?
◦ a. Restrict the client's total uid intake to 250 mL/hr.
◦ b. Measure the client's urine output every hour.
◦ c. Give the client protamine if signs of magnesium sulfate toxicity occur
(antidote: calcium gluconate).
◦ d. Monitor the FHR via Doppler every 30 min.
◦ Correct Answer: b
◦ Rationale: Magnesium sulfate is used to prevent seizures in preeclampsia, but it
can cause toxicity. Monitoring urine output hourly ensures renal function is
adequate to excrete the drug. The antidote for magnesium toxicity is calcium
gluconate, not protamine (used for heparin).
11. A nurse is caring for a group of clients. Which of the following wounds should the
nurse expect to heal by primary intention?
◦ a. Infected laceration.
◦ b. Stage II pressure ulcer.
◦ c. Approximated surgical incision.
◦ d. Partial-thickness burn.
fl fi
