CramX Logo
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Document preview page 1

2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 1

Document preview content for 2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions)

2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions)

2019 ATI RN Comprehensive Exam with Answers ensures success by offering access to authentic past exam materials.

William Ford
Contributor
4.8
0
12 months ago
Preview (10 of 31 Pages)
100%
Log in to unlock
Page 1 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 1 preview imageATI COMPREHENSIVE EXIT FINAL1) A nurse in an emergency department completes an assessment on anadolescentclient thathasconduct disorder.The clientthreatened suicideto teacher at school. Which of thefollowing statements should the nurse include in the assessment?a) Tell me about your siblingsb) Tell me what kind of music you likec) Tell me how often do you drink alcohold) Tell me about your school schedule2) *A nurse is observing bonding to the client her newborn. Which of following actions by theclient requires the nurse to intervene?a) Holding the newborn in an en face positionb) Asking the father to change the newborn's diaperc) Requesting the nurse take the newborn nursery so she can restd) Viewing the newborn’s actions to be uncooperative3) A nurse is caring for client who is takinglevothyroxin. Which of the following findingsshould indicate that the medication is effective?a) Weight loss (this drug acts as T4 and will normalize the effects ofhypothyroidism) b) Decreased blood pressurec) Absence of seizuresd) Decrease inflammation4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Whichinstructions would you include in the teaching?a) Contact provider if the cord still turns black(it’s going to turn black)b) Clean the base of the cord with hydrogen peroxide daily (clean with neutralpH cleanser) c) Keep the cord dry until it falls off (cord should be kept cleanand dry to prevent infection) d) The cord stump will fall off in five days(cordfalls off in 10-14 days)
Page 2 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 2 preview image
Page 3 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 3 preview image5) A nurse is assessing a client in the PACU. Which of the followingfindingsindicatesdecreased cardiac output?a) Shiveringb) Oliguriac) Bradypnead) Constricted pupils6) A nurse is assisting withmass casualty triage: explosion at a local factory. Which of thefollowing client should the nurse identify as thepriority?a) A client that has massive head traumab) A client has full thickness burns to face and trunkc) A client with indications of hypovolemic shockd) A client with open fracture of the lower extremity7) A nurse is a receiving report on four clients. Which of the following clients should thenurse assess first? a) A client who has illeal conduit and mucus in the pouchb) Client pleasant arteriovenous additional vibration palpatedc)A client whose chronic kidney disease with cloudy diasylate outflowd) A client was transurethral resection of the prostate with a red tinged urine in the bag8) A nurse is caring for a client just received the first dose of lisinopril. The following is anappropriate nursing intervention?a) Place’s cardiac monitoringb) Monitor the clients oxygen saturation levelc) Provide standby assist with the client from bedd) Encourage foods high in potassium9) A nurse is caring for a client who is in labor and his seat is receiving electronic fetalmonitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Whichthe following should the nurse expect?a) Feta hypoxiab) Abrupto placentaec) Post maturityd) Head Compression10) A nurse is caring for a client who haschronic kidney disease. The nurse shouldidentify which of the following laboratory values as in anindicationforhemodialysis?a) glomerular filtration rate of 14 mL/ minuteb) BUN 16 mg/DLc) serum magnesium 1.8 mg mg/dld) Serum phosphorus 4.0 mg/dL11) A nurse is caring for an infant who has a prescription forcontinuous pulse oximetry.Thefollowing is an appropriate action for the nurse to take?
Page 4 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 4 preview imagea) Placed infant under radiant warmerb) Move the probe site every 3 hoursc) Heat the skin one minute prior to placing the programd) Placed a sensor on the index finger12) A nurse in a mental health facility receives a change of shift report on for clients. Whichof the following clients should the nurse plan to assess first?a) Client placed in restraints to the aggressive behaviorb) A new limited client pleasures history of 4.5 kg weight loss in the pasttwo months c) Client is receiving a PRN dose of health heard all twohours ago for increased anxiety d) Applied he’ll be receiving his first ECTtreatment today13) A nurse working at the clinic is teaching a group of clients who arepregnanton the use ofnonpharmacological pain management. Which of the following statements by the nurse isan appropriate description of the use of hypnosis during labor?a) Hypnosis focuses on the biofeedback as a relaxation techniqueb) Hypnosis promotes increased control of her pain perception during contractionsc) Hypnosis uses therapeutic touch to reduce anxiety during labord) Hypnosis provides instruction to minimize pain14) A nurse in a County Jail health clinic is leading group therapy session. A client who wasincarcerated for theft is addressing the group. Which of the following is an example ofreaction formation? (rxn formation is when you use opposite feelings; ex: being super niceto someone you dislike)a) I steal things because it’s the only way I can keep my mind off my bad marriageb) I can’t believe I was accused of something I didn’t doc) I don’t want talk about my feelings right now. We will talk more next timed) I think that people just you’re just lazy and should earn money honestly15) A nurse is obtaining themedical historyof a client who has a new prescription forisosorbide monotitrate. Which of the following should the nurse identify as acontraindicationto medication? a) Glaucomab) Hypertensionc) Polycythemiad) Migraine headaches16) ?17) The nurses is caring for a clientrecoveringfrom anacute myocardial infarction.Which following intervention should the nurse include in the point of care?a) Draw a troponin level every four hoursb) Performance EKG every 12 hoursc) Plant oxygen tent fell over minutes via rebreather mask
Page 5 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 5 preview imaged) Obtain a cardiac rehabilitation consult18) A Nurses caring for client who has breast cancer and has been covering receivingchemotherapy. Which of the following laboratory values should nurse report to provider?a) WBC 3,000/mm3b) Hemoglobin 14 g/dlc) Platelet 250,000/mm3d) aPTT 30 seconds19) Home health nurse is carefully planned forAlzheimer’s disease. To the following actionshould the nurse include in the plan of carea) Place a daily calendar in the kitchenb) Replace button clothing with zippered itemsc) Replace the carpet with hardwood floorsd) Create variation in daily routine20) Nurse is performing change of shift assessments on 4 clients. Which of the followingfindings should the nurse report to provider first?a) The client was cystic fibrosis and has a thick productive clock and reports thirstb) Client who has gastroenteritis and is lethargic and confusedc) The Client has diabetes mellitus has morning fasting Legal cost of 185mg over deal d) The client was sick of signing it reports pain 15 minutesafter receiving oral analgesic21) A nurse is caring for a client was in thesecond trimester of pregnancyand asks how totreatconstipation. Which of the following statements by the nurse is appropriate?a) Decrease taking vitamins and supplements to every other dayb) Eat 15 g of fiber per dayc) Consume 48 ounces of water each day(need at least 64 oz)d) Drink hot water with lemon juice each morning when you wake up22) ?23) A nurse is caring for a client who is preparing his advance directives. Which is thefollowing statements by the client indicates an understanding of advanced directives?selectall that applya) I can’t change my instructions once a minuteb) My doctor will need to approve my advance directivesc) I need an attorney to witness my signature on the advance directivesd) I have the right to refuse treatmente) My health care proxy can make medical decisions for me24) A nurse is caring for a client who is at32 weeks gestationand has a history ofcardiacdisease. Which of the following positions should the nurse place the client to bestpromoteoptimal cardiac output? a) The chest
Page 6 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 6 preview imageb) Standingc) Supined) Left lateral25) A nurse is caring for a group of clients. Which of the following clients should the nurseassign to an AP? a) Client who has chronic obstructive pulmonary disease and needsguidance on incentive spirometry b) Client who has awoken following a bronchoscopyand requests a drinkc) Client who had a myocardial infarction 3 days ago reports chest discomfortd) Client who had a cerebrovascular accident two days ago and needs help toileting26) Nurse providing discharge teaching to the client who hasschizophreniaand is startingtherapy withclozapine. Which of the following is thehighest priorityfor the clienttoreportto the provider? a) Constipationb) blurred visionc) Feverd) Dry Mouth27) A nurse observes an AP providing care to a child who is in skeletal traction. Which of thefollowing action requires intervention?a) Providing a high protein snackb) Assisting the child to repositionc) Placing weights as a child’s bedd) Massaging pressure points-causes skin breakdown28) A nurse is planning to delegate to an AP the fasting blood glucose testing for a clientwho has diabetes mellitus. Which of the following action should the nurse take?a) Determine if the AP is qualified to perform the test.b) Help the AP performed the blood glucose testc) Assign the AP to ask the client is taking his diabetic medication todayd) Have AP check the medical record for prior blood glucose test results29) A nurse is assessing client brought to the hospital psychiatric emergency services by alaw enforcement officer. The client hasdisorganized,incoherent speechwithlooseassociationsandreligious content. You should recognize the signs and symptoms asbeing consistent with which of the following? a) Alzheimer’s diseaseb) Schizophreniac) Substance intoxicationd) Depression30) A nurse is caring for a child who hasinfectious mononucleosis.. Which of thefollowing findings are associated with this diagnosis? Select all that applya) splenomegalyb) Koplik spots(this is associated with measles)c) Malaise
Page 7 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 7 preview imaged) Vertigoe) Sore throat31) Nurse is performing dressing change for client was asacral woundusingnegativepressure wound therapy. Which The following actions should the nurse take first?a) Apply skin preparation to wound edges.b) Normal salinec) Don sterile glovesd) Determine pain level32) A nurses caring for client recovery from thebowel surgerywho hasnasogastric tubeconnected to low intermittent suction. Which the following assessment findings shouldindicate to the nurse that the NG tube may not be functioning properly?a) Drainage fluid is greenish-yellowb) aspirate pH of 3c) Abdominal rigidityd) air bubbles noted in the NG tube33) A nurse is preparing to administerTPN with added fat supplementsto a client whohasmalnutrition. Which of the following action should the nurse take?a) Piggyback 0.9 sodium chloride with TPN solutionb) Check for an allergy to eggsc) Discuss the TPS solution for 12 hoursd) Monitor for hypoglycemia34) A charge nurse is discussing the use of applyingiceto a client’sinjured kneewith a newlylicensed nurse. Which of the following should the nurse identify as a benefit?(A/C?)a) Systemic analgesic effectb) increase in your metabolismc) Decreased capillary permeabilityd) Vasodilation35) Nurse is developingdischargecare plans for client hasosteoporosis. To prevent injurythe nurse should instruct the client toa) Perform weight bearing exercisesb) Avoid crossing the legs beyond the midlinec) Avoid sitting in one position for prolonged periodsd) Split affected area36) A nurse on acute med-surgical unit is performing assessments on a group of clients.Which is highest priority?a) The client has surgical hypoparathyroidism and positive Trousseau’s signb) A client who was Clostridium difficile with acute diarrheac) A client who is acute kidney injury and urine with a low specific gravity
Page 8 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 8 preview imaged) The client who has oral cancer and reports a sore on his gums37) Nurses caring for a client wascongestive heart failure. Which of the followingprescriptionsfor the provider should the nurseanticipate?a) Call the provider to clients respiratory rate is less 18/minb) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hrc) Give the client enalapril 2.5 mg PO twice dailyd) Call the provider if the clients pulse rate is less than 80/min38) A nurse is caring for a client who has a prescription forsertralineto treatdepression. Which of the following statements by the client indicates anunderstanding of the medication treatment plan? a) I will be able starting thismedication with feel betterb) I can expect to urinate frequently while on this medicationc) I understand I may experience difficulty sleeping on this medicationd) I should decrease my sodium intake while on this medication39) A nurse has been caring for a female client who has bruises on her arms that she explainsare a result of physical abuse by her husband. The client states, “I don’t know how muchlonger I can take this, but I’m afraid he’ll really hurt me if I leave. “Which of thefollowing is an appropriate nursing intervention?” a) Offer to speak to the client’shusband regarding his abuse behavior.b) Help the client to recognize the signs of escalation of abuse behaviorc) Assist the client to identify personal behaviors that trigger abusive behaviord) Assist the client to Reports abusive behavior to the proper authority40) A client was havingsuicidal thoughtstells the nurse “It just does not seem worth itanymore. Why not end my misery?” Which of the following responses for the nursesappropriate?a) Why do you think your life is not worth it anymore?b) Do you have a plan to end your life?c) I need to know what you mean my miseryd) You can trust me and tell me what you’re thinking41) A nurse is caring for a client who hasschizophrenia. Which of the following assessmentfindings should the nurse expect?a) Decreased level consciousnessb) Unable to identify common objectsc) Poor problem solving abilityd) Preoccupation was somatic disturbances42) A nurse is caring for a client who hasdeep vein thrombosisof the left lowerextremity. Which of the following action should nurse take?There are 3 tabs thatcontain separate categories of data.a) Position the client with the affected extremity
Page 9 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 9 preview imagelower than the heartb) Administration of acetaminophenc) Massage the affected extremity every 4 hrs.d) Withhold heparin IV infusion43) Is caring for clients was a new prescription forenoxaparinfor thepreventionofDVT. Which of the following is an appropriate action by the nurse?a) Expel air bubble at the top of the prefilled syringeb) Massage the injection site to evenly distribute the medicationc)Inject the medication the lateral abdominal walld) Administer an NSAID for injection site discomfort44) Nurses caring for four clients. Which of the following client data should the nurse reportto the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10when coughing b) Client was a total of 110 mL of serosanguineous fluid from the JacksonPratt drain within the first 24 hour following surgeryc) Client who is 4 hrs postoperative and has a heart rate of 98 per minuted) The client was a prescription for chemotherapy and an absolute neutrophil count of75/mm345) Nurses caring for client was inend-stage osteoporosisand is reportingsevere pain.Clientsrespiratory rate is 14 per minute.Which of the following medications shouldthe nurse expect to be the highest priority to administer to the client?a) Promethazineb) Hydromorphonec) Ketorolacd) Amitriptyline46) A nurse is caring for a client who hasDVT. Which of the following instructions thenurse include in the plan of care?a) Live with the clients fluid intake to 1500 mL per dayb) Massage place affected extremity to relieve painc) Apply cold packs of clients affected extremityd)Elevate the client’s affected extremity when in bed47) A nurse is caring for a client who is receivingoxytocin IV for augmentation of labor.The client’s contractions are occurring every 45 seconds with a nine seconds duration inthe fetal heart rate is 170 to 180/minute. Which of the following actions should nursetake?a) Discontinue oxytocin infusionb) Increased oxytocin infusionc) Decreased oxytocin infusiond) Maintain oxytocin infusion48) A nurse is admitting a client who is inlaborand at38 wks of gestation to thematernal newborn unit. The client has a history ofherpes simplex virus 2. Which of the
Page 10 of 10
2019 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 10 preview imagefollowing questions is most appropriate for the nurse to ask the client?a) Have your membranes ruptured?b) How far apart are your contractions?c) Do you have any active lesions?d) Are you positive for beta strap?49) Nurse is providing teaching for child prescribedferrous sulfate. Which of the followinginstructions should the nurse include?a) Take with mealsb) Take at bedtimec) Take with a glass of milkd)Take with a glass of orange juice50) Four clients present to the emergency department. The nurse should plan to see whichof the following clients first?a) A 6 year old client whose left shoulder is dislocatedb) A 26 year old client for sickle cell disease and a severe joint painc) A 76 year old client was confused, febrile and has foul smelling urine -utid)A 50- year old client who has slurred speech, is disoriented, and reports a headache-stroke51) A nurse is completing a dietary assessment for client who is Jewish and observes kosherdietary practices. Which of the following behaviors should the nurse expect to find?a) Leavened bread maybe eaten during Passover.b) Shellfish is commonly consumed in the diet.c) Meat and dairy products are eaten separately.d) Fasting from meat occurs during Hanukkah.52) ?53) A nurse is in an ER caring for client of multiple wounds due to a motor vehiclecrash. Which of the following interventions are appropriate? Select all that applya) Apply direct pressure to bleeding woundsb) Clean rest last rations and abrasions with hydrogen peroxidec) Cover wounds with a sterile dressingd) Administer 650 mg aspirin PO as needed for paine) Determine date of last tetanus toxoid vaccination.54) The nurses reviewing clients admission laboratory results. Which of the findingsrequired further evaluation?a) Sodium 138b) Creatinine 1.8c) Hemoglobin 15d) Potassium 4.255) A nurse is providing teaching for a client has a new prescription formethadone.Which of the phone following client statements indicates need for further teaching?
Preview Mode

This document has 31 pages. Sign in to access the full document!