ATI Nursing fundamental Exit Exam, (Latest-2022)
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?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”
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?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
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?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking lithium with food will
help decrease GI distress)
6. 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]
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs narcissistic personality
disorder. Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
, 8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client’s dietary plan?
9. 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?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
10. 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 the
nurse include in the plan?
a. Restrict the client’s total fluid intake to 250 mL/hr.
b. Measure the client’s urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur (antidote: calcium
gluconate)
d. Monitor the FHR via Doppler every 30 min
11. A nurse is caring for a group of clients. Which of the following wounds should the nurse
expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
12. A nurse in an acute mental health care facility is prioritizing care for multiple clients.
Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. 72:
monitor for infection [fever, sore throat, etc.])
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during group therapy d.
Client who has depressive disorder and requires assistance with ADLs
13. A nurse is caring for a client who has an implanted venous access port. Which of the
following should the nurse use to assess the port?
a. An angiocatheter
b. A butterfly needle
c. A noncoring needle
d. A 25 gauge needle
14. A nurse is caring for a client who has pneumonia and tells the nurse, “I feel like an elephant
is sitting on my chest.” The client is weak and unable to walk. After the nurse indicates chest
pain protocol, which of the following is the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
, c. Chest X-ray
d. Serum potassium
15. A nurse is assessing the growth and development of a 3 y/o child. Which of the following
questions should the nurse ask the parent to determine if the child is exhibiting typical
developmental expectations?
a. “Can your child draw a stick figure?”
b. “Can your child catch and throw a small ball?”
c. “Can your child ride a tricycle?”
d. “Can your child name five colors?”
16. 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?
a. Measure the fundal height to determine the placement of the ultrasound stethoscope b.
Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR d.
Place the client in a side-lying position prior to assessing the FHR
17. 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?
a. There is a loop of tubing below the drainage system
b. The system is working properly (medsurg pg. 104: tidaling in the water seal chamber and
continuous bubbling only in the suction chamber)
c. The lung has re-expanded
d. The tubing is partially obstructed by clots
18. 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?
a. A client who is receiving heparin for DVT
b. A client who is 1 day postoperative following a vertebroplasty
c. A client who has COPD and a respiratory rate of 44/min
d. A client who has cancer with a sealed implant for radiation therapy
19. 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?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma
20. A nurse is caring for a client who is 4 days postpartum. Which of the following assessment
findings should the nurse expect? (SATA)
a. Foul perineal odor
b. Fundus displaced to the right
c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill
21. A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
a. Perform the procedure twice a day
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examcracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
