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ATI COMPREHENSIVE EXIT 180 EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND N, Exams of Advanced Education

Harvard UniversityAdvanced Education

ATI COMPREHENSIVE EXIT 180 EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025

Typology: Exams

2024/2025

Available from 07/06/2025

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ATI COMPREHENSIVE EXIT 180 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW
2025
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? -
ANSWER - >a. "You don't have to go through with the
treatment."
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 first? - ANSWER -
>c. Remove the device from the room
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? - ANSWER - >c. Count the
current number of unit doses available in the medication
dispensing system
4. A nurse performing a change-of-shift assessment. Which of
the following clients has the priority finding? - ANSWER - >c. 2
hr. post cast placement and has 2+ pitting edema and pallor
pf3
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pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f

Partial preview of the text

Download ATI COMPREHENSIVE EXIT 180 EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND N and more Exams Advanced Education in PDF only on Docsity!

ATI COMPREHENSIVE EXIT 180 EXAM QUESTIONS WITH

COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW

  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? - ANSWER - >a. "You don't have to go through with the treatment."
  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 first? - ANSWER -

c. Remove the device from the room

  1. 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? - ANSWER - >c. Count the current number of unit doses available in the medication dispensing system
  2. A nurse performing a change-of-shift assessment. Which of the following clients has the priority finding? - ANSWER - >c. 2 hr. post cast placement and has 2+ pitting edema and pallor
  1. 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? - ANSWER - >c. "I will take the sustained-release methylphenidate every morning."
  2. A nurse in the emergency department is assessing client who has major depressive disorder. Which of the following actions should the nurse take first? [View Exhibit] - ANSWER - >b. Implement seizure precautions for the client
  3. A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder. Which of the following should the nurse expect? - ANSWER - >d. Preoccupied with aging
  4. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many grams of protein perday should the nurse include in the client's dietary plan? - ANSWER - >(no answer provided)
  5. 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 first to manage her time effectively? - ANSWER - >c. Determine goals of the day
  6. 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
  1. A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? - ANSWER - >c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
  2. A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? - ANSWER - >b. The system is working properly (medsurg pg. 104: tidaling in the water seal chamber and continuous bubbling only in the suction chamber)
  3. A charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? - ANSWER - >a. A client who is receiving heparin for DVT
  4. A nurse is caring for a client who has ESRD. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? - ANSWER - >b. HTN
  5. A nurse is caring for a client who is 4 days postpartum. Which of the following assessment findings should the nurse expect? (SATA) - ANSWER - >c. Lochia serosa/ d. Fundus 4 cm (1.6 in) below the umbilicus"
  1. A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? - ANSWER - >a. Perform the procedure twice a day
  2. A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following action should the nurse take? - ANSWER - >d. Place the oxygen tank away from curtains or drapes
  3. Location of crackles [IMAGE] - ANSWER - >(Image & answer not provided)
    1. A nurse is caring for a newly client who has bacterial meningitis. Which of the following actions should the nurse take? (medsurg pg. 31) - ANSWER - >a. Implement seizure precautions
  5. A nurse is reviewing the preadmission lab tests results of a client who is to undergo hip arthroplasty in 2 days. Which of the following results should the nurse report to the provider? - ANSWER - >c. K 3.3 mEq/L
  6. A nurse is caring for a client who has undergone a modified radical mastectomy. The client has a closed- suction drain. Which of the following actions should the nurse take? - ANSWER - >a. Reset the vacuum by compressing the container
  1. A nurse is receiving change of shift report for a group of clients. Which of the following clients should the nurse plan to assess first? - ANSWER - >a. Hip fracture and a new onset of tachypnea
  2. Nurse accidently punctures IV bag causing the medication to leak on the counter. Which of the following medications requires the nurse to follow facility procedures in the safe handling of a bio hazardous material spill? - ANSWER - >b. Doxorubicin hydrochloride
  3. Postoperative client following appendectomy and receiving gentamicin. Which is an adverse effect of this medication? - ANSWER - >d. Creatinine 2.3 mg/dL (pharm pg. 365: nephrotoxicity)
  4. Which of the following clients should the nurse recommend referral to a dietitian? - ANSWER - >d. Client who has a nonhealing leg ulcer
  5. Support group for clients whose family have committed suicide. Which of the following should the nurse plan to use during the group session? - ANSWER - >d. Initiate a discussion with clients about ways to cope with changes in family dynamics
  6. Which of the following risk factors should the nurse include as the best predictor of future violence? - ANSWER - >d. Previous violent behavior
  1. Arial fibrillation places the client at risk for which of the following conditions? - ANSWER - >a. Pulmonary emboli
  2. Client with schizophrenia and experiences auditory hallucinations. Which actions should the nurse include in the plan? - ANSWER - >c. Ask the client directly what he is hearing
  3. Circumcised newborn. Which of the following instructions should the nurse include in the teaching? - ANSWER - >c. "Apply petroleum jelly to the glans with diaper changes."
  4. Crohn's disease. Which of the following diagnostic procedures should the nurse plan to teach the client regarding pernicious anemia? - ANSWER - >a. Schilling test (medsurg pg.
  1. A nurse is creating a care plan for a client who is postoperative following a CABG. To prevent complications of cardiac surgery, which of the following instructions should the nurse include in the plan of care? - ANSWER - >d. Check the client's hemoglobin level if chest tube drainage is 300 mL in the first 1 hr ((medsurg pg. 185: volume exceeding 150 mL/hr could be a sign of hemorrhage)
  2. A nurse is reviewing the medication administration record of a client who has rheumatoid arthritis and is 1 day postoperative following a left total hip arthroplasty. Which of
  1. Operating fire extinguisher [arrange] - ANSWER - >"1) Unlock the handle by pulling on the pin - > 2) Point the hose at the base of the fire - > 3) Squeeze the handle by pulling on the pin - > 4) Sweep the extinguisher from side to side"
  2. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy obtain a copy of the therapist's notes. Which of the following responses should the nurse make? - ANSWER - >d. "We can provide a copy of your records, but the therapist's notes are not included."
  3. A nurse is assessing a client who has hypervolemia. Which of the findings should the nurse expect? - ANSWER - >c. Bounding pulse (medsurg pg. 267)
  4. Inserting indwelling urinary catheter to a male client. Which of the following actions should the nurse take? - ANSWER - >d. Lift the penis so that it is perpendicular to the client's body
  5. A nurse is caring for a client who is febrile. To reduce fever, the nurse applies a cooling blanket. Which of the findings indicates the client is having an adverse reaction to the cooling?
  • ANSWER - >c. Shivering
  1. Teaching for misoprostol. Which information should be included in the teaching? - ANSWER - >d. "You will have intermittent fetal monitoring while you receive the medication."
  1. Client in psychiatric unit. The client states, "The voices are telling me to jump." Which of the following is an appropriate response by the nurse? - ANSWER - >b. "You shouldn't be afraid when you think the voices are telling you to hurt yourself."
  2. Teaching the parent of an infant who has positional plagiocephaly. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER - >d. "I should keep the helmet on my baby for 23 hours a day."
  3. Which of the following lab findings should the nurse recognize as indicative of rheumatic fever? - ANSWER - >c. Elevated sedimentation rate and C-reactive protein
  4. Client with pneumonia gained 4.2 (9.3 lb.) over the last 5 days. Lab values this morning are: WBC 10,000/mm3, RBC 5. million/mm3, platelets 250,000/mm3, BUN 32 mg/dL, and serum creatinine 2.1 mg/dL. The nurse should report these findings to which of the following members of the interdisciplinary team? - ANSWER - >a. Nephrologist
  5. A nurse received change of shift report. Which of the following actions should the nurse take to manage time effectively? - ANSWER - >d. Make a client to-do list for the day
  6. Protocols for belt restraints. Which of the following guidelines should the nurse include? - ANSWER - >d. Document the client's condition every 15 min
  1. A home health nurse is completing screenings for elder abuse during client visits. Which of the following findings should the nurse identify as an indication of potential elder abuse? - ANSWER - >b. Client who is taking warfarin and has several small bruises on her shins and hands
  2. A nurse is caring for a school age child who is postoperative and received morphine IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority? - ANSWER - >a. Bradypnea
  3. A nurse is planning to administer 2 units of packed RBCs to an older adult who has anemia. Which of the following actions should the nurse plan to take? [SATA] (medsurg pg. 249) - ANSWER - >"d. Assess the client's lung sounds prior to the infusion/ e. Verify with another nurse that the unit of blood is compatible with the client's blood type"
  4. A nurse is planning care for a client who is scheduled to receive a PICC in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care? (medsurg pg. 166) - ANSWER - >b. Measure the arm circumference above the insertion site daily
  5. Which of the following clients should the nurse place near the nurses' station? - ANSWER - >b. A client who has orthostatic hypotension
  1. Older client transferred from another facility. Nurse notes ulcers on the coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? - ANSWER - >c. Privately interview the client about her condition
  2. Client receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? - ANSWER - >a. History of GERD
  3. Adverse effects of sertraline - ANSWER - >d. Excessive sweating (pharm pg. 53: serotonin syndrome)
  4. Teaching for a client undergoing radiation therapy and has stomatitis. Which of the responses by the client indicates an understanding of the teaching? - ANSWER - >b. "I should use a soft-bristle toothbrush to clean my teeth after meals."
  5. Client placed in seclusion and restraints. Which of the following actions should the nurse plan to take? - ANSWER - >c. Plan to monitor the client every 30 min while restrained
  6. Client with acute glomerulonephritis. Which of the following food choices should the nurse recommend? (low in potassium, sodium, and protein) - ANSWER - >a. Bagel
  7. Client asks about acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following
  1. Client on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? - ANSWER - >d. Swollen area on calf
  2. A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? (medsurg pg. 164) - ANSWER -

c. Transport the client to radiology for a CT scan

  1. A nurse is providing teaching to the parents of a newborn genetic screening. Which of the following statements should the nurse include in the teaching? - ANSWER - >a. "This test should be performed after your baby is 24 hours old."
  2. New prescription for carbidopa-levodopa. Which of the following instructions should the nurse include? - ANSWER - >d. "Change positions slowly." (pharm pg. 93: orthostatic hypotension)
  3. Identify ECG [IMAGE] of client with potassium toxicity - ANSWER - >
  4. Client in postpartum taking methylergonovine. The nurse should recognize that which of the following is a contraindiction for this medication? - ANSWER - >a. HTN (pharm pg. 253: contraindications/precautions)
  1. Parent of an infant who has a cleft lip palate. Which of the following feeding techniques should the nurse include in the teaching? - ANSWER - >b. Burp the infant frequently during feedings (peds pg. 139)
  2. Client with Alzheimer's disease. Which of the following should the nurse include in the plan of care? - ANSWER - >d. Place locks at the top of exterior doors (medsurg pg. 46: installing door locks that cannot be easily opened)
  3. A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal? - ANSWER - >d. Hypertonicity
  4. A newly LPN working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?
  • ANSWER - >a. Using an electronic massaging system to remind clients when to take medications
  1. Client who has bipolar disorder and is experiencing mania. Which of the following should the nurse include in the plan? - ANSWER - >a. Encourage the client to take frequent rest periods
  2. A nurse in the ER is receiving report for four clients. Which should the nurse see first? - ANSWER - >a. Client who has HTN and reports severe headache (stroke)
  1. A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? - ANSWER

  • c. Folate

  1. The nurse practices the ethical principles of distributive justice by performing which of the following? - ANSWER - >a. Ensuring that a client who is homeless receives preventive medical care
  2. Client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? - ANSWER - >a. Observe for bruising of the skin
  3. Client with dementia. Which of the following actions should the nurse take to reduce the risk for client injury? - ANSWER - >d. Assist the client to the toilet frequently
  4. Assessment of an 8 y/o child. Which of the following findings indicates the need for intervention by the nurse? - ANSWER - >b. Client's weight has increased by 0.9 kg (2 lb.)
  5. Client following thyroidectomy. For which of the following complications should the nurse assess the client? - ANSWER -

b. Laryngeal stridor

  1. Teaching to a client who is at 12 weeks gestation. The nurse should tell the client that she will undergo which of the

following screening tests at 16 weeks of gestation? - ANSWER -

b. Chorionic villus sampling

  1. A certified IV nurse is providing education about PICC to a newly LPN. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (medsurg pg. 166) - ANSWER - >b. "Informed consent is required prior to PICC placement."
  2. Which of the following clients should the nurse refer for speech therapy? - ANSWER - >a. Client who has dysphagia following a stroke
  3. Teaching a client who is 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching? - ANSWER - >d. "You will have a Doppler transducer applied to your abdomen during the test."
  4. Management of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team? - ANSWER - >c. Speech- language pathologist
  5. A nurse is developing an in-service about personality disorders. Which of the following should the nurse include when discussing borderline personality disorder? - ANSWER -

c. "The client exhibits impulsive behavior." (mental pg. 85: compulsiveness and lack of social restraint)