2020 ATI Nursing Comprehensive Final Exam With Answers (152 Solved Questions)

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2020 ATI Nursing Comprehensive Final Exam With Answers (152 Solved Questions) - Page 1 preview image

ATI COMPREHENSIVE EXIT /FINAL EXAM (2020)REVIEWED AND GRADED A(180 QUESTIONS)A nurse in an emergency department completes an assessment on an adolescentclient that has conduct disorder. The client threatened suicide to teacher at school.Which of the following 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 scheduleCorrect Answer: c) Tell me how often doyou drink alcoholA nurse is observing bonding to the client her newborn. Which of followingactions by the client 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 thenewborn's actions to be uncooperativeCorrect Answer: d)Viewing the newborn's actions to be uncooperativeA nurse is caring for client who is taking levothyroxin. Which of the followingfindings should 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 inflammationCorrect Answer: a) Weight loss (this drug acts as T4and will normalize the effects ofA nurseis planning discharge teaching for cord care for the parent of a newborn.Which instructions 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 neutral pHcleanser)c) Keep the cord dry until it falls off (cord should be kept clean and dry to preventinfection)

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d) The cord stump will fall off in five days (cord falls off in 10-14 days)CorrectAnswer: c) Keep the cord dry until it falls off (cord should be kept clean and dryto prevent infection)A nurse is assessing a client in the PACU. Which of the following findingsindicates decreased cardiac output?a) Shiveringb) Oliguriac) Bradypnead) Constricted pupilsCorrect Answer: b) OliguriaA nurse is assisting with mass casualty triage: explosion at a local factory. Whichof the following client should the nurse identify as the priority?a) A client that has massive head trauma b) A client has full thickness burns to faceand trunkc) A client with indications of hypovolemic shockd) A client with open fracture of the lower extremityCorrect Answer: c) A clientwith indications of hypovolemic shockA nurse is a receiving report on four clients. Which of thefollowing clients shouldthe nurse 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 thebagCorrect Answer: c) A client whose chronic kidney disease with cloudydiasylate outflowA nurse is caring for a client just received the first dose of lisinopril. The followingis an appropriate 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 potassiumCorrect Answer: c) Provide standby assistwith the client from bed

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A nurse is caring for a client who is in labor and his seat is receiving electronicfetal monitoring. The nurse is reviewing the monitor tracing and notes earlydecelerations. Which the following should the nurse expect?a) Feta hypoxiab) Abrupto placentaec) Post maturityd) Head CompressionCorrect Answer: d) Head CompressionA nurse is caring for a client who has chronic kidney disease. The nurse shouldidentify which of the following laboratory values as in an indication forhemodialysis?a) glomerular filtration rate of 14 mL/ minuteb) BUN 16 mg/DLc) serum magnesium 1.8 mg mg/dld) Serum phosphorus 4.0 mg/dLCorrect Answer: a) glomerular filtration rate of14 mL/ minuteA nurse is caring for an infant who has a prescription for continuous pulseoximetry. The following is an appropriate action for the nurse to take?a) 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 fingerCorrect Answer: c) Heat the skin oneminute prior to placing the programA nurse in a mental health facility receives a change of shift report on for clients.Which of 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 past twomonthsc) Client is receiving a PRN dose of health heard all two hours ago for increasedanxietyd) Applied he'll be receiving his first ECT treatment todayCorrect Answer: a)Client placed in restraints to the aggressive behavior

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A nurse working at the clinic is teaching a group of clients who are pregnant on theuse of nonpharmacological pain management.Which of the following statementsby the nurse is an 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 painCorrect Answer: b) Hypnosispromotes increased controlof her pain perception during contractionsA nurse in a County Jail health clinic is leading group therapy session. A clientwho was incarcerated for theft is addressing the group. Which of the following isan example of reaction formation? (rxn formationis when you use oppositefeelings; ex: being super nice to 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 honestlyCorrectAnswer: d) I think that people just you're just lazy and should earn moneyhonestlyA nurse is obtaining the medical history of a client who has a new prescription forisosorbide monotitrate. Which of the following should the nurse identify as acontraindication to medication?a) Glaucomab) Hypertensionc) Polycythemiad) Migraine headachesCorrect Answer: a) GlaucomaThe nurses is caring for a client recovering from an acute myocardial infarction.Which following intervention should the nurse include in the point of care?a) Draw a troponin level every four hours b) Performance EKG every 12 hoursc) Plant oxygen tent fell over minutes via rebreather maskd) Obtain a cardiac rehabilitation consultCorrect Answer: d) Obtain a cardiacrehabilitation consult

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A Nurses caring for client who has breast cancer and has been covering receivingchemotherapy. Which of the following laboratory values should nurse report toprovider?a) WBC 3,000/mm3b) Hemoglobin 14 g/dlc) Platelet 250,000/mm3d) aPTT 30 secondsCorrect Answer: a) WBC 3,000/mm3Home health nurse is carefully planned for Alzheimer's disease. To the followingaction should 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 routineCorrect Answer: a) Place a daily calendar inthe kitchenNurse is performing change of shift assessments on 4 clients. Which of thefollowing findings 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 185 mg overdeald) The client was sick ofsigning it reports pain 15 minutes after receiving oralanalgesicCorrect Answer: b) Client who has gastroenteritis and is lethargic andconfusedA nurse is caring for a client was in the second trimester of pregnancy and askshow to treat constipation.Which of the following statements by the nurse isappropriate?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 juiceeach morning when you wake upCorrectAnswer: d) Drink hot water with lemon juice each morning when you wake up

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A nurse is caring for a client who is preparing his advance directives. Which is thefollowing statements by the client indicates an understanding of advanceddirectives? select all 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 torefuse treatmente) My health care proxy can make medical decisions for meCorrect Answer: d) Ihave the right to refuse treatmente) My health care proxy can make medical decisions for meA nurse is caring for a client who is at 32 weeks gestation and has a history ofcardiac disease. Which of the following positions should the nurse place the clientto best promote optimal cardiac output?a) The chestb) Standingc) Supined) Left lateralCorrect Answer: d) Left lateralA nurse is caring for a group of clients. Which of the following clients should thenurse assign to an AP?a) Client who has chronic obstructive pulmonary disease and needs guidance onincentive spirometryb) Client who has awoken following a bronchoscopy and 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 toiletingCorrect Answer: d) Client whohad a cerebrovascular accident two days ago andneeds help toiletingNurse providing discharge teaching to the client who has schizophrenia and isstarting therapy with clozapine. Which of the following is the highest priority forthe client to report tothe provider?a) Constipationb) blurred visionc) Feverd) Dry MouthCorrect Answer: c) Fever

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A nurse observes an AP providing care to a child who is in skeletal traction. Whichof the following action requires intervention?a) Providing a highprotein snackb) Assisting the child to repositionc) Placing weights as a child's bedd) Massaging pressure points-causes skin breakdownCorrect Answer: c) Placingweights as a child's bedA nurse is planning to delegate to an AP the fasting blood glucose testing for aclient who has diabetes mellitus. Which of the following action should the nursetake?a) Determine if the AP is qualified to perform the test.b) Help the AP performed theblood 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 resultsCorrectAnswer: a) Determine if the AP is qualified to perform the test.A nurse isassessing client brought to the hospital psychiatric emergency servicesby a law enforcement officer. The client has disorganized, incoherent speech withloose associations and religious content. You should recognize the signs andsymptoms as being consistent with which of the following?a) Alzheimer's diseaseb) Schizophreniac) Substance intoxicationd) DepressionCorrect Answer: b) SchizophreniaA nurse is caring for a child who has infectious mononucleosis.. Which of thefollowing findings are associated with this diagnosis? Select all that applya) splenomegalyb) Koplik spots (this is associated with measles)c) Malaised) Vertigoe) Sore throatCorrect Answer: a) splenomegalyc) Malaisee) Sore throat

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Nurse is performing dressing change for client was a sacral wound using negativepressure 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 levelCorrectAnswer:d) Determine pain levelA nurses caring for client recovery from the bowel surgery who has nasogastrictube connected to low intermittent suction. Which the following assessmentfindings should indicate to the nurse that the NG tube may not be functioningproperly?a) Drainage fluid is greenish-yellowb) aspirate pH of 3c) Abdominal rigidityd) air bubbles noted in the NG tubeCorrect Answer: c) Abdominal rigidityA nurse is preparing to administer TPN with added fat supplements to a client whohas malnutrition. 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 hours d) Monitor for hypoglycemiaCorrectAnswer: b) Check for an allergy to eggsA charge nurse is discussing the use of applying ice to a client's injured knee with anewly licensed nurse. Which of the following should the nurse identify as abenefit? (A/C?)a) Systemic analgesic effectb) increase in your metabolismc) Decreased capillary permeabilityd) VasodilationCorrect Answer: c) Decreased capillary permeabilityNurse is developing discharge care plans for client has osteoporosis. To preventinjury the nurse should instruct the client toa) Perform weight bearing exercises

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b) Avoid crossing the legs beyond the midlinec) Avoid sitting in one position for prolonged periodsd) Split affected areaCorrect Answer: a) Perform weight bearing exercisesA nurse on acute med-surgical unit is performing assessments on a group ofclients. Which is highest priority?a) The client has surgical hypoparathyroidism and positive Trousseau's signb) A client who was Clostridiumdifficile with acute diarrheac) A client who is acute kidney injury and urine with a low specific gravityd) The client who has oral cancer and reports a sore on his gumsCorrect Answer:a) The client has surgical hypoparathyroidism and positive Trousseau's signNurses caring for a client was congestive heart failure. Which of the followingprescriptions for the provider should the nurse anticipate?a) Call the provider to clients respiratory rate is less 18/minb) Give the client 500 mL IV bolus of0.9 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/minCorrect Answer: c)Give the client enalapril 2.5 mg PO twice dailyA nurse is caring for a client who has a prescription for sertraline to treatdepression. Which of the following statements by the client indicates anunderstanding of the medication treatment plan?a) I will be able starting this medication 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 medicationCorrect Answer:c) I understand I may experience difficulty sleeping on this medicationA nurse has been caring for a female client who has bruises on her arms that sheexplains are a result of physical abuse by her husband. The client states, "I don'tknow how much longer I can take this, but I'm afraid he'll really hurt me if I leave."Which of the following is an appropriate nursing intervention?"a) Offer to speak to the client's husband regarding his abuse behavior.b) Help the client to recognize the signs of escalation of abuse behavior

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c) Assist the client to identify personalbehaviors that trigger abusive behavior d)Assist the client to Reports abusive behavior to the proper authorityCorrectAnswer: b) Help the client to recognize the signs of escalation of abuse behaviorA client was having suicidal thoughts tells the nurse "It just does not seem worth itanymore. Why not end my misery?" Which of the following responses for thenurses appropriate?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 mymiseryd) You can trust me and tell me what you're thinkingCorrect Answer: b) Do youhave a plan to end your life?A nurse is caring for a client who has schizophrenia. Which ofthe followingassessment findings should the nurse expect?a) Decreased level consciousnessb) Unable to identify common objectsc) Poor problem solving abilityd) Preoccupation was somatic disturbancesCorrect Answer: c) Poor problemsolving abilityA nurse is caring for a client who has deep vein thrombosis of 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 lower than the heartb) Administration of acetaminophenc) Massage the affected extremity every 4 hrs.d) Withhold heparin IV infusionCorrect Answer: d) Withhold heparin IV infusionIs caring for clients was a new prescription for enoxaparin for the prevention ofDVT. 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 discomfortCorrect Answer: c) Injectthe medication the lateral abdominal wall

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Nurses caring for four clients. Which of the following client data should the nursereport to the provider?a) A client who has apleurisy and reports pain of 6 on a scale of 0 to 10 whencoughingb) Client was a total of 110 mL of serosanguineous fluid from the Jackson Prattdrain within the first 24 hour following surgeryc) Client who is 4 hrspostoperative and has a heart rate of 98 per minuted) The client was a prescription for chemotherapy and an absolute neutrophil countof 75/mm3 Correct Answer: d) The client was a prescription for chemotherapyand an absolute neutrophil count of 75/mm3Nurses caring for client was in end-stage osteoporosis and is reporting severe pain.Clients respiratory rate is 14 per minute. Which of the following medicationsshould the nurse expect to be the highest priority to administer to the client?a) Promethazineb) Hydromorphonec) Ketorolacd) Amitriptyline Correct Answer: b) HydromorphoneA nurse is caring for a client who has DVT. Which of the following instructionsthe nurse 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 bed Correct Answer: d) Elevatethe client's affected extremity when in bedA nurse is caring for a client who is receiving oxytocin IV for augmentation oflabor. The client's contractions are occurring every 45 seconds with a nine secondsduration in the fetal heart rate is 170 to 180/minute. Which of the following actionsshould nurse take?a) Discontinue oxytocin infusionb) Increased oxytocin infusionc) Decreased oxytocin infusiond) Maintain oxytocin infusion Correct Answer: a) Discontinue oxytocin infusion

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A nurse is admitting a client who is in labor and at 38 wks of gestation to thematernal newborn unit. The client has a history of herpes simplex virus 2. Whichof the following 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? Correct Answer: c) Do you have any activelesions?Nurse is providing teaching for child prescribed ferrous sulfate. Which of thefollowing instructions should the nurse include?a) Take with mealsb) Take at bedtimec) Take with a glass of milkd) Take with a glass of orange juice Correct Answer: d) Take with a glass oforange juiceFour clients present to the emergency department. The nurse should plan to seewhich of 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 aheadache-stroke Correct Answer: d) A 50-year old client who has slurredspeech, is disoriented, and reports a headache-strokeA nurse is completing a dietary assessment for client who is Jewish and observeskosher dietary practices. Which of the following behaviors should the nurse expectto 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. Correct Answer: c) Meat and dairyproducts are eaten separately.

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