ATI Exit Exam
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home
visit. which of the following statements by the parent indicates an understanding of
the teaching ?
(ANS- I will use the cool mist vaporizor in my baby's room
a nurse is reinforcing teaching with a client who has a new presciption for
verapamil. which of the following instructions should the nurse include in the
PR
teachings?
(ANS- change positions slowly
O
a nurse recieves change of shift report for a group of clients. which of the
following clients should the nurse check first?
FD
(ANS- a client admitted to the facility who has ascending Guillain barrel syndrome
a nurse is caring for a client who has chlamydial infection and the new prescription
O
for doxycycline the client reports nausea and vomiting after starting medication.
which of the following recommendations should the nurse make?
C
(ANS- take the medications with crackers
a nurse is caring for a client who is postopperative following joint replacement and
has a new prescription for enoxaparin for which of the following adverse effects
should the nurse monitor?
(ANS- epistaxis
,a nurse is collecting a health history from a parent of 4 year old child. which of the
following statements to be is the priority for the nurse to address?
(ANS- I have noticed that my child is withdrawn since we switched day care
providers
a nurse is caring for a client who has heart failure and is taking furosemide. which
of the following findings should the nurse recognize as an adverse effect of this
medication?
PR
(ANS- hypokalemia
a nurse is reinforcing teaching about home safety with a parent of a 12 month old
O
infant. which of the following statements by the parent indicates understanding of
the teaching?
FD
(ANS- I will turn pot handles to the side of the stove while cooking
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an
O
Asian culture which of the following communication techniques by the nurse
demonstrates cultural sensitivity?
C
(ANS- holding eye contact for brief instances
a nurse is checking for gastric residual volume(GRV) on a client who is scheduled
to receive an intermitted enteral feeding the nurse finds the client to have a GRV
greater than 250 ML on two consecutive measurements. which of the following
actions should the nurse take?
(ANS- hold the feeding and recheck the GRV in 1 Hr
,a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP)
which of the following tasks should the nurse delegate to the AP?
(ANS- performing indwelling urinary catheter care
a nurse is caring for a client who has terminal cancer which of the following
actions should the nurse take to promote the clients autonomy?
(ANS- be honest with the client about prognosis
a nurse finds client's partner crying in the hallway the partner states I just don't
PR
know how I am to go on after my husband is gone. which of the following
responses should the nurse make?
(ANS- explain to me more about how you are feeling
O
a nurse is caring for an adolescent client who has bulimia nervosa. which of the
FD
following action should the nurse take?
(ANS- observe the client during and after meals
O
a nurse is checking a client who is postoperative and has a midline abdominal
incision. the nurse notes a separate of the incision. which of the following actions
C
should the nurse take?
(ANS- place the client supine with the knee flexed
a nurse is caring for a school age child who has ADHD and is taking
methylphenidate. the nurse should identify which of the following is the adverse
effect of this medication?
(ANS- Tinnitus
, a nurse is administering medication to a client. which of the following actions
should the nurse take?
(ANS- verify with another nurse when calculating a new dose of medication
a nurse is preparing to administer protamine to a client. which of the following
therapeutic effects should the nurse expect to document in the clients medical
record?
(ANS- decreased clotting time
PR
a nurse is caring for a client in a mental health facility who is pacing back and
fourth and wringing his hands. which of the following actions should the nurse
take?
O
(ANS- walk with the client to the recreation room
FD
a nurse is caring for a client who is 2 days postoperative following an above the
knew amputation. which of the following actions should the nurse take to promote
progression toward independence and mobility for the client?
O
(ANS- encourage the client to use the over the bed trapeze
C
a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant
prior to administrating immunizations. the nurse should recognize that a respiratory
rate of 30/min indicates which of the following findings?
(ANS- the reference rate is within the expected reference range
a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks
ago. which of the following findings should the nurse expect?
(ANS- report of lochia
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home
visit. which of the following statements by the parent indicates an understanding of
the teaching ?
(ANS- I will use the cool mist vaporizor in my baby's room
a nurse is reinforcing teaching with a client who has a new presciption for
verapamil. which of the following instructions should the nurse include in the
PR
teachings?
(ANS- change positions slowly
O
a nurse recieves change of shift report for a group of clients. which of the
following clients should the nurse check first?
FD
(ANS- a client admitted to the facility who has ascending Guillain barrel syndrome
a nurse is caring for a client who has chlamydial infection and the new prescription
O
for doxycycline the client reports nausea and vomiting after starting medication.
which of the following recommendations should the nurse make?
C
(ANS- take the medications with crackers
a nurse is caring for a client who is postopperative following joint replacement and
has a new prescription for enoxaparin for which of the following adverse effects
should the nurse monitor?
(ANS- epistaxis
,a nurse is collecting a health history from a parent of 4 year old child. which of the
following statements to be is the priority for the nurse to address?
(ANS- I have noticed that my child is withdrawn since we switched day care
providers
a nurse is caring for a client who has heart failure and is taking furosemide. which
of the following findings should the nurse recognize as an adverse effect of this
medication?
PR
(ANS- hypokalemia
a nurse is reinforcing teaching about home safety with a parent of a 12 month old
O
infant. which of the following statements by the parent indicates understanding of
the teaching?
FD
(ANS- I will turn pot handles to the side of the stove while cooking
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an
O
Asian culture which of the following communication techniques by the nurse
demonstrates cultural sensitivity?
C
(ANS- holding eye contact for brief instances
a nurse is checking for gastric residual volume(GRV) on a client who is scheduled
to receive an intermitted enteral feeding the nurse finds the client to have a GRV
greater than 250 ML on two consecutive measurements. which of the following
actions should the nurse take?
(ANS- hold the feeding and recheck the GRV in 1 Hr
,a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP)
which of the following tasks should the nurse delegate to the AP?
(ANS- performing indwelling urinary catheter care
a nurse is caring for a client who has terminal cancer which of the following
actions should the nurse take to promote the clients autonomy?
(ANS- be honest with the client about prognosis
a nurse finds client's partner crying in the hallway the partner states I just don't
PR
know how I am to go on after my husband is gone. which of the following
responses should the nurse make?
(ANS- explain to me more about how you are feeling
O
a nurse is caring for an adolescent client who has bulimia nervosa. which of the
FD
following action should the nurse take?
(ANS- observe the client during and after meals
O
a nurse is checking a client who is postoperative and has a midline abdominal
incision. the nurse notes a separate of the incision. which of the following actions
C
should the nurse take?
(ANS- place the client supine with the knee flexed
a nurse is caring for a school age child who has ADHD and is taking
methylphenidate. the nurse should identify which of the following is the adverse
effect of this medication?
(ANS- Tinnitus
, a nurse is administering medication to a client. which of the following actions
should the nurse take?
(ANS- verify with another nurse when calculating a new dose of medication
a nurse is preparing to administer protamine to a client. which of the following
therapeutic effects should the nurse expect to document in the clients medical
record?
(ANS- decreased clotting time
PR
a nurse is caring for a client in a mental health facility who is pacing back and
fourth and wringing his hands. which of the following actions should the nurse
take?
O
(ANS- walk with the client to the recreation room
FD
a nurse is caring for a client who is 2 days postoperative following an above the
knew amputation. which of the following actions should the nurse take to promote
progression toward independence and mobility for the client?
O
(ANS- encourage the client to use the over the bed trapeze
C
a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant
prior to administrating immunizations. the nurse should recognize that a respiratory
rate of 30/min indicates which of the following findings?
(ANS- the reference rate is within the expected reference range
a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks
ago. which of the following findings should the nurse expect?
(ANS- report of lochia
