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ATI RN Exit Comprehensive Exam Questions and Correct
Answers
- A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take? A. Rupture the amniotic sac B. Medicate the client for pain C. Prepare the client for a cesarean section D. Perform a vaginal exam: Prepare the client for a cesarean section
- A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the following statements should the nurse document in an incident report? A. Client fell out of bed because an assistive personnel left the rails of the bed down B. Client's roommate thinks the client is confused and fell when getting out of bed C. Client appears to have slipped in water but reports no injuries D. Client found lying on the floor near the bedside table: Client found lying on the floor near the bedside table
- A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit. Which of the following clients is appropriate to assign to the float nurse? A. A 10-year-old client who has pneumonia and is receiving respiratory treat- ments B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow D. A 14-year-old client who is scheduled for discharge today following place- ment of a Herrington rod: A 10-year-old client who has pneumonia and is receiving respiratory treatments
- A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should plan to monitor for which of the following adverse reactions? A. Hepatotoxicity
A. Profuse milky white discharge B. Frequency and dysuria C. Low-grade fever D. Hematuria: Profuse milky white discharge
- A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? A. This technique prevents injury to the sciatic nerve B. This technique decreases the risk of subcutaneous infiltration C. This technique allows a larger amount of medication to be injected D. This technique increases the absorption rate of the drug: This technique decreases the risk of subcutaneous infiltration
- 10. A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? A. Instill erythromycin ophthalmic ointment in the newborn's eyes B. Weigh the newborn C. Place identification bracelets on the newborn D. Dry the newborn: Dry the newborn
- A nurse is planning to provide community education about viral hepatitis. Which of the following should the nurse plan to include in the teaching? A. A series of four hepatitis vaccines is recommended to prevent viral hepati- tis B. Hepatitis B is transmitted by contaminated food C. Chronic hepatitis can lead to renal cell cancer D. Clients who have a history of viral hepatitis are unable to donate blood: - Clients who have a history of viral hepatitis are unable to donate blood
- A nurse in a residential mental health facility is planning care for a new client who has obsessive compulsive disorder. Which of the following is appropriate for the nurse to include in the plan of care? A. Work with the client to create a flexible daily schedule B. Gradually decrease the time allowed for ritualistic behavior
- A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is A. Asymmetric, with variegated coloring B. Scaly and red
C. Brown, with a wart-like texture D. Firm and rubbery: Asymmetric, with variegated coloring
- A nurse is assessing a client's internal eye structures with an ophthalmo- scope. Which of the following actions should the nurse take? A. Position the examination light toward the client's face B. Stand on the right side of the client when examining the left eye C. Dim the lights in the room prior to the examination D. Place the ophthalmoscope directly against the client's forehead: Dim the lights in the room prior to the examination
- A nurse is observing a newly licensed nurse irrigate a client's wound. Which of the following actions should the nurse identify as an indication that the newly licensed nurse understands wound irrigation? A. Cleanses the wound with povidone-iodine with cotton balls B. Administers PO analgesia 20 min prior to irrigation C. Warms the irrigation solution in the microwave oven prior to application D. Irrigates the wound from the top to the bottom: Irrigates the wound from the top to the bottom
- A nurse is planning care for a child who has increased intracranial pres- sure with a decrease in level of consciousness. Which of the following inter- ventions should the nurse include in the plan of care? A. Perform active range-of-motion exercises B. Maintain the head at a midline position C. Suction the airway frequently D. Perform neurological checks every 4 hrs: Maintain the head at a midline position
- A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? A. Notify the facility operator B. Close the fire doors on the unit C. Turn off oxygen sources
A. Heart rate greater than 60/min B. Pedal pulses 2+ C. Pacer spikes after the QRS complex D. Distended jugular vein: Heart rate greater than 60/min
- A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the medication is effective? A. Decreased blood pressure B. Weight loss C. Decreased inflammation D. Absence of seizures: Weight loss
- A nurse at the family planning clinic triages several client over the phone. Which of the following clients should the nurse instruct to come to the clinic? A. A client who uses a diaphragm for contraception and has lost 30 lb in the past 6 months dieting B. A client who had an intrauterine device inserted yesterday and has cramp- ing and bleeding C. A client who has started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding D. A client who has sharp pain in her shoulder following a laparoscopic tubal ligation yesterday: A client who has sharp pain in her shoulder following a laparoscopic tubal ligation yesterday
- A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels?
A. 3 - hr oral glucose tolerance test B. HbA1c C. Fasting blood glucose test D. Urinalysis for ketone: HbA1c
- A nurse is providing teaching to a client who is at 8-week gestation and experiencing episodes of nausea and vomiting. Which of the following instructions should the nurse
include? A. Brush teeth immediately after eating B. Lay down for 30 min after meals C. Drink 12 oz of water with each meal D. Eat a dry carbohydrate before getting out of bed: Eat a dry carbohydrate before getting out of bed
- A nurse is teaching a client who is scheduled for placement of a peripher- ally inserted central catheter line. Which of the following information should the nurse include in the teaching? A. Your PICC line will allow long-term access for antibiotic therapy B. You should use a 5-milliliter barrel syringe to flush your PICC line at home C. Your PICC line must be placed in your nondominant arm D. You should immobilize the arm with the PICC line using a sling: Your PICC line will allow long-term access for antibiotic therapy
- A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? A. Art therapist B. Speech-language pathologist C. Social worker D. Recreational therapist: Art therapist
- A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic? A. You looked like you would be the most likely to talk back with me
- An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. The nurse should identify that which of the following activities is a secondary level of prevention? A. Influenzas immunizations B. Tuberculosis screenings C. Presentations about safer sex practices D. Evaluations of bloodborne pathogen policies: Tuberculosis screenings
- A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication? A. Decreased reflexes B. Weight gain of 1.4 kg C. Increased urinary output D. Jugular vein distention: Decreased reflexes
- A nurse is caring for a client who is postoperative following a bowel surgery and has an NG tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube might not be functioning properly? A. Wall suction set to 60 mmHg B. Drainage fluid is greenish-yellow C. Aspirate pH of 3 D. Abdominal rigidity: Abdominal rigidity
- A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings should the nurse expect? A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr C. Respiratory rate 24/min D. Heart rate 152/min: Heart rate 152/min
B. Elevates the head of the client's bed C. Offers oral fluids to the client D. Checks the client's pulse oximetry: Offers oral fluids to the client
- A nurse is reviewing the medical history of a client who is taking a garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement? A. The client is taking an antidepressant B. The client has a history of a seizure disorder C. The client takes aspirin daily D. The client has a history of rheumatoid arthritis: The client takes aspirin daily
- A nurse in a mental health facility is interviewing a newly admitted client. Which of the following actions should the nurse take when conducting the interview? A. Insist the client use direct eye contact during the interview B. Seat the client at least 3.7m from the nurse C. Position the client's chair between the nurse's chair and the door D. Lean in slightly when speaking to the client: Lean in slightly when speaking to the client
- A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a scale of 0 to 10 B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a tem- perature of 38.3 C (101F) C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an oxygen saturation of 89% D. A 26-year-old female client who has pelvic inflammatory disease and is unable to void: A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain on a scale of 0 to 10
