ATI EXIT EXAM #2 VERSION OF
COMPREHENSIVE RETAKE TEST
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A charge nurse in a long term facility is reinforcing teaching w a group of nurses about fall precautions.
Which of the following statements made by the nurse indicates an understanding of the teaching? -
ANSWER "I will instruct the client to sit when putting on a pair of pants"
A charge nurse in a LTC is developing a performance improvement plan for an AP. Which of the following
actions should the nurse take when developing the plans? (SATA-3) - ANSWER 1. Set a specific time
frame for meeting performance goals
2. Ask the nurse supervisor to review to plan
3. Include the performance standard that the AP should meet
A charge nurse is discussing confidentiality requirements w a newly licensed nurse when sharing a
client's medical info. Which of the following individuals should the charge nurse identify as appropriate
with whom to share client info? - ANSWER A social worker who's assigned an involuntary committed
school-age client
A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a
tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse
intervene? - ANSWER Suctions for 30 seconds
A charge nurse is reinforcing teaching w a newly licensed nurse about floating to a different unit. Which
of the following statements by the newly licensed nurse indicates an understanding of the teaching? -
ANSWER "I will document in the medical record the support nurse who assists w planning care for my
clients"
A charge nurse is reinforcing teaching w a newly licensed nurse about infection control measures. Which
of the following statements by the newly licensed nurse indicates an understanding of the teaching? -
ANSWER Soiled dressings should be places in a biohazard trash receptacle
,a charge nurse working in a ltc facility overhears 2 aps in the nurses stations discussing a client who was
just admitted. which of the following actions should the nurse take? - ANSWER tell the aps to stop the
conversation
A community health nurse is assisting in the development of a brochure about hypertension. Which of
the following actions should the nurse take? - ANSWER Explain medical terminology using basic one-
syllable words
A community health nurse is assisting with the development of a pamphlet regarding choking hazards for
toddlers. Which of the following foods should the nurse include? - ANSWER Grapes
A home health nurse is caring for an older adult client who has RA. Which of the following findings
should the nurse identify as a safety risk? - ANSWER The client's electrical wires are running under the
carpet
A nurse begins to bath a newly admitted client who reports that she has not had anything to eat that
day. The nurse interrupts the bath and obtains a healthy meal for the client. The action by the nurse is an
example of which of the following? - ANSWER Countertransference
A nurse charge on a mental health unit is supervising a newly licensed nurse. For which of the following
actions by the newly licensed nurse should the supervising nurse intervene? - ANSWER Tells a client he
will lose his phone privileges if he does not take his medication
A nurse enters the room of a school-age child and finds him on the floor experiencing a tonic-clonic
seizure. Which of the following actions should the nurse take? - ANSWER Place a pillow under the child's
head
A nurse in a clinic is caring for a client who is at 40 weeks gestation and experiences a sudden gush of
vaginal fluids. Which of the following findings is evidence of an obstetric complication? - ANSWER
Appears greenish-brown in color
a nurse in a med surg unit is preparing to assist w the admission of clients who were injured in a
tornado. which of the following clients should the nurse recommend for d/c to make room for the new
admissions? - ANSWER a client who has had a radial mastectomy 36 hr ago and has a surgical drain
, A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of
the following infections should the nurse report to the state health department? - ANSWER Neisseria
gonorrhoeae
A nurse in a provider's office is collecting data from a client who has a history of hypertension during his
annual physical examination. Which of the following findings should the nurse report to the provider
immediately? - ANSWER Blurred vision
A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following
statements made by the client should report to the provider? - ANSWER "I try not to look at the scales
on my body"
A nurse in a providers office is reinforcing teaching about cigarette smoking w a client. Which of the
following adverse effects should the nurse include in the teaching? - ANSWER Somnolence
A nurse in an acute care setting is preparing to administer meds to a client. Which of the following
actions should the nurse verify the client's identity? - ANSWER Verify the client's identity using a
photograph
A nurse in an acute mental health facility is caring for a newly admitted client. Which of the following
should occur during the orientation phase of the nurse-client relationship? - ANSWER Defining
responsibilities
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an asian culture. which of
the following communication techniques by the nurse demonstrates cultural sensitivity? - ANSWER
holding eye contact for brief instances
A nurse in an urgent care clinic, recently using methylenedioxy-methamphetamine. Which of the
following findings should the nurse expect? - ANSWER Hallucinations
A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which of the following
outcomes should the nurse expect as a therapeutic effects of the treatment? - ANSWER Reduced fat in
stools
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