ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS &ANSWERS
ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS &ANSWERS
ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS &ANSWERS
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ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS
&ANSWERS WITH NGN (FOR SELF ASSESSMENT)
A charge nurse on a med surg unit is assigning client care to an RN and an LPN. Which
of the following tasks should the nurse assign to the RN? Select all that apply.
A. Performing colostomy care
B. Administering blood to a client
C. Developing a plan of care for a client
D. Calculating a TPN flow rate
E. Checking nasogastric tube patency - ANSB, C, D
A client is brought back to the unit after a total hip arthroplasty. The client is confused, is
moving his leg into positions that could dislocate the new hip joint, & repeatedly
attempts to get out of bed. Which of the following actions should the nurse take? Select
all that apply.
A. Apply arm & leg restraints immediately
B. Get an order from the provider
C. Have a family member sign the consent for restraints
D. Use a square knot to secure the restraints to the bed frame
E. Ensure that only one finger can be inserted between the restraint and the client -
ANSA, B, C
A client is prescribed morphine sulfate IM. Which of the following should the nurse
recognize as a requirement for governing controlled substances?
A. Delegate med admin to a RN
B. Ask another nurse to observe disposal of unused med
C. Request another nurse to validate admin of the med
D. Observe the LPN admin the med - ANSB
A home health nurse is assessing the safety of a client's home. Which of the following
factors may increase the client's risk for falls? Select all that apply.
A. History of a previous fall
B. Reduced vision
C. Impaired memory
D. Takes rosuvastatin (Crestor)
E. Wears house slippers
F. Kyphosis - ANSA, B, C, E, F
A new charge nurse on a busy surgical unit notes a high degree of tension among the
nursing staff. Which of the following should be the initial method used for resolving this
issue?
A. Work w/the nurses to identify stressors
B. Hire additional staff to decrease the work load
,ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS
&ANSWERS WITH NGN (FOR SELF ASSESSMENT)
C. Make relaxation tapes available to staff to help decrease stress
D. Reassess the situation after the nurses have become accustomed to the new charge
nurse - ANSA
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who
required naloxone (narcan) for depressed respirations. Is this an appropriate task for the
AP? - ANSno
A nurse discovers that a client was administered an antihypertensive med in error.
Number the following actions in the appropriate sequence that the nurse should follow.
___A. Call the client's provider
___B. Monitor the client's vitals
___C. Notify the risk manager
___D. Complete an incident report
___E. Instruct the client to remain in bed until further notice - ANS1. B
2. E
3. A
4. D
5. C
A nurse has prepared an IM injection for a client who is preoperative, when another
client suddenly calls for assistance. The nurse asks an LPN to give the injection since
an AP is waiting to take the client to surgery. Which of the following is an appropriate
action by the LPN?
A. Prepare a new syringe for the client who is preop
B. Give the prepared med to the client who is preop
C. Help the client requesting assistance so the nurse can give the prepared injection
D. Report this request to the charge nurse - ANSC
A nurse is assessing a client's negligible progress in following a weight loss program.
Which of the following is a likely reason the client was unable to achieve a short-term
goal established during the planning phase of the nursing process?
A. The goals were realistic & formulated w/client input.
B. The underlying problem behind past weight gain was misidentified.
C. The implementation of the plan used flexibility in following the nursing actions
D. The nurse obtained objective & subjective data during the assessment. - ANSB
A nurse is caring for a client who has recently been prescribed lithium carbonate
(Eskalith). Which of the following is the priority assessment finding for this client?
A. Fine hand tremors
B. Weight gain of 2.7 kg (6 lb)
,ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS
&ANSWERS WITH NGN (FOR SELF ASSESSMENT)
C. Report of nausea
D. Poor motor coordination - ANSD
A nurse is caring for a client who is being prepared for surgery. The client hands the
nurse info about advance directives & states, "Here, I don't need this. I am too young to
worry about life-sustaining measures & what I want done for me." Which of the following
actions should the nurse take?
A. Return the papers to the admitting dept w/a note stating that the client doesn't wish to
address the issue at this time.
B. Explain to the client that you never know what can happen during surgery & that he
should fill the paper's out "just in case."
C. Contact a client representative to talk w/the client & offer additional info about the
purpose of advance directives
D. Inform the client that the surgery cannot be conducted unless he completes his
advance directives forms - ANSC
A nurse is caring for a group of clients on a med surg unit. Which of the following tasks
should the nurse delegate to the assistive personnel (AP)? Select all that apply.
A. Collecting a stool specimen
B. Providing instructions about using a spirometer
C. Measuring oral intake
D. Providing postmortem care
E. Changing a dressing - ANSA, C, D
A nurse is caring for a group of clients on a medical unit. Which of the following is the
priority finding the nurse should report to the provider?
A. A client receiving metoclopramide (Reglan) reports diarrhea
B. A client receiving tamsulosin (Flomax) reports feeling dizzy
C. A client receiving cephalexin (Keflex) reports dyspnea
D. A client receiving erythromycin (E-Mycin) reports epigastric pain - ANSC
A nurse is caring for an older adult client who has left the unit for a radiology procedure.
The client's son asks the nurse what med is being given to the client. Which of the
following is an appropriate response by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for
anxiety."
C. "You will need to ask the charge nurse for that info."
, ATI COMPREHENSIVE EXIT EXAM 180 QUESTIONS
&ANSWERS WITH NGN (FOR SELF ASSESSMENT)
D. "Don't worry. We will give your mother all pertinent info before discharge." - ANSA.
A nurse is observing a newly licensed nurse & an AP pull a client up in bed using a
drawsheet. Which of the following actions by the newly licensed nurse indicates a need
for further education?
A. The nurse spreads his legs apart
B. The nurse uses his body weight to counter the client's weight
C. The nurse's feet are facing inward, toward the center of the bed
D. The nurse uses the muscles in his arms to lift the client off the bed using the
drawsheet - ANSC
A nurse is overheard telling other nurses that the unit manager gives preferential
treatment to nurses on the night shift. Which of the following approaches by the unit
manager reflects an assertive response to resolution of this conflict?
A. Understand that the vocal nurse is misinformed & take no action.
B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the
night shift.
C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised
D. Confront the staff nurse during the next unit meeting regarding her statement - ANSC
A nurse is participating in a quality improvement study of a procedure frequently
performed on the unit. Which of the following will provide the most relevant info
regarding the efficacy of the procedure?
A. Frequency w/which the procedure is performed
B. Client satisfaction w/performance of procedure
C. Incidence of complications r/t procedure
D. Accurate documentation of how the procedure was performed - ANSC
A nurse is participating in an interprofessional conference for a client who has a recent
C6 spinal cord injury. The client worked as a construction worker prior to his injury.
Which of the following members of the interprofessional team should also participate in
planning care for this client? Select all that apply.
A. Physical therapist
B. Speech therapist
C. Occupational therapist
D. Psychologist
E. Vocational counselor - ANSA, C, D, E
A nurse is preparing to transfer an older adult client who is 72 hr postop from a surgical
procedure to a long term care facility. Which of the following should the nurse include in
the transfer report? Select all that apply.
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