1
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed A+ Actual
Exam / RN ATI Comprehensive Exit Exam Prep
Test Bank VERIFIED QUESTIONS AND
ANSWERS GRADED EXAM VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
The nurse is providing care to clients at a day treatment center. One of the clients who is
usually talkative and eats well is now confused and did not eat lunch. The nurse learns these
are new findings as of today. What are the next nursing actions? (Select all that apply.)
A.
Obtain a clean catch urine sample.
B.
Take the client's vital signs.
, 2
RN Comprehensive Exit Detailed Answer Key
C. Actual Exam
Assess for the initiation of any new medications.
D.
Obtain an oxygen saturation.
E.
Call the client's children to report the confusion.
F.
Call the facility's bus service to return the client home. –
Correct Answer :A, B, C, D
Rationale:
Until the assessment is complete, there is no need to contact the client's children. With the
client's state of confusion, the nurse cannot dismiss the client to home. The client is exhibiting
signs of an infection with the confusion and anorexia. The remaining assessments will help the
nurse determine if the client has an infection or if there is another reason for the confusion.
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's
next steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
, 3
RN Comprehensive Exit Detailed Answer Key
E. Actual Exam
Call the client's clergy member to make the final decisions for the client. –
Correct Answer :B, D
Rationale:
A living will is one type of advance directive. The living will outlines the medical treatment the
client elects in the event that the client is no longer able to participate in the decision-making
process. As long as the client has capacity, the client is the sole determinant for the AD. While
a living will describes the wishes of the client, it does not have to be obtained from the
physician. Clients may be assisted by the social work staff. The forms can be completed
outside of a medical facility and it is the client's responsibility to provide a copy of the AD to all
health care providers.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. –
Correct Answer :C
Rationale:
, 4
RN Comprehensive Exit Detailed Answer Key
Actual
It is the surgeon's responsibility to explain the procedure to the client Exam
and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure
must first be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit is signed.
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which nursing action is best for this client?
A.
Encourage the client to use a nicotine patch.
B.
Reassure the client that it is almost time for another break.
C.
Have the client leave the unit with another staff member.
D.
Review the schedule of outdoor breaks with the client. –
Correct Answer :D
Rationale:
The best nursing action is to review the schedule of outdoor breaks and provide concrete
information about the schedule. Option A is contraindicated if the client wants to continue
smoking. Option B is insufficient to encourage a trusting relationship with the client. Option C
is preferential for this client only and is inconsistent with unit rules.
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
RN Comprehensive Exit Detailed Answer Key
Actual Exam
RN Comprehensive Exit Detailed A+ Actual
Exam / RN ATI Comprehensive Exit Exam Prep
Test Bank VERIFIED QUESTIONS AND
ANSWERS GRADED EXAM VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
The nurse is providing care to clients at a day treatment center. One of the clients who is
usually talkative and eats well is now confused and did not eat lunch. The nurse learns these
are new findings as of today. What are the next nursing actions? (Select all that apply.)
A.
Obtain a clean catch urine sample.
B.
Take the client's vital signs.
, 2
RN Comprehensive Exit Detailed Answer Key
C. Actual Exam
Assess for the initiation of any new medications.
D.
Obtain an oxygen saturation.
E.
Call the client's children to report the confusion.
F.
Call the facility's bus service to return the client home. –
Correct Answer :A, B, C, D
Rationale:
Until the assessment is complete, there is no need to contact the client's children. With the
client's state of confusion, the nurse cannot dismiss the client to home. The client is exhibiting
signs of an infection with the confusion and anorexia. The remaining assessments will help the
nurse determine if the client has an infection or if there is another reason for the confusion.
The nurse is providing care to an 86-year-old admitted for a heart catheterization. The nurse
determines the client does not have an advance directive (AD) on file. What are the nurse's
next steps? (Select all that apply.)
A.
Ask the client's cardiologist to come to the hospital and obtain the AD.
B.
Ask the client, "Have you considered completing the paperwork for an AD?"
C.
Ask the client's spouse to complete the AD.
D.
Tell the client, "An AD helps the staff provide care according to your wishes."
, 3
RN Comprehensive Exit Detailed Answer Key
E. Actual Exam
Call the client's clergy member to make the final decisions for the client. –
Correct Answer :B, D
Rationale:
A living will is one type of advance directive. The living will outlines the medical treatment the
client elects in the event that the client is no longer able to participate in the decision-making
process. As long as the client has capacity, the client is the sole determinant for the AD. While
a living will describes the wishes of the client, it does not have to be obtained from the
physician. Clients may be assisted by the social work staff. The forms can be completed
outside of a medical facility and it is the client's responsibility to provide a copy of the AD to all
health care providers.
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
C.
Inform the surgeon the client has questions about the surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. –
Correct Answer :C
Rationale:
, 4
RN Comprehensive Exit Detailed Answer Key
Actual
It is the surgeon's responsibility to explain the procedure to the client Exam
and obtain the client's
signature on the permit. Although the nurse can witness an operative permit, the procedure
must first be explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit is signed.
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which nursing action is best for this client?
A.
Encourage the client to use a nicotine patch.
B.
Reassure the client that it is almost time for another break.
C.
Have the client leave the unit with another staff member.
D.
Review the schedule of outdoor breaks with the client. –
Correct Answer :D
Rationale:
The best nursing action is to review the schedule of outdoor breaks and provide concrete
information about the schedule. Option A is contraindicated if the client wants to continue
smoking. Option B is insufficient to encourage a trusting relationship with the client. Option C
is preferential for this client only and is inconsistent with unit rules.
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
