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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Document preview page 1

2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 1

Document preview content for 2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions)

2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions)

2020 ATI RN Nursing Diagnosis Exit Exam With Answers is a complete past exam guide designed for efficient revision.

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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 1 preview imageATIRNEXIT EXAM1.A nurse is reviewing the laboratory results of a client who hasrheumatoid arthritis. Which of the following findings shouldthe nurse report to the provider?A. WBCcount 8,000/mm3.B.Platelets150,000/mm3.C.Aspartate aminotransferase 10units/L.D.Erythrocyte sedimentation rate 75mm/hr2.A nurseiscaring for aclientwho has generalized petechiae andecchymoses. The nurse shouldexpecta prescription for which of thefollowing laboratory tests?A. Plateletcount.B.Potassium level.C.Creatineclearance.D.Prealbumin.3.A nurse is caring for a client following application of a cast. Which of thefollowing actions should thenursetakefirst?A.Place an ice pack over thecast.B.Palpate the pulse distal to thecast.C.Teach the client to keep the cast clean anddry.D.Position the casted extremity on apillow.4.A nurse is caring for aclientwho has visionloss.Which of thefollowing actions should the nursetake?(Select all thatapply)
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 2 preview image
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 3 preview imageA.Keep objects in theclient’s room in thesame place.B. Ensure there is high-wattage lighting in theclient’s room.C.Approach the clientfrom the side.D. Allow extra timefor theclient to performtasks.E.Touch theclient gently toannouncepresence.5.A nurse is caring for a client whoisnewly diagnosed withpancreatic cancer and has questions aboutthedisease. To research thenurse should identify that which of the following electronic databasehas themostcomprehensive collection of nursing (Unable to read)articles?A.MEDLINEB.CINAHL.C.ProQuest.D.HealthSource.6.A nurseinan emergency departmentisassessing newlyadmittedclientwho is experiencing drooling and hoarseness followinga burn injury. Which of the following should actions should the nursetakefirst?A.Obtain a baseline ECG.B.Obtain a blood specimen forABGanalysis.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 4 preview imageC.Insert an 18-gauge IVcatheter.D.Administer 100% humidifiedoxygen.7.A nurseisplanning care for aclientwho has unilateralparalysis and dysphagia following arighthemispheric stroke.Which of the following interventions should the nurse includeintheplan?A.Place food on theleftside of the client’s mouth when he is ready toeat.B.Provide total careinperforming the client’sADLs.C.Maintain the client on bedrest.D.P lace the client’sleftarm on a pillow whilehe issitting.8.A nurseiscaring for aclientwhoisin a seclusion room followingviolent behavior. Theclientcontinues to display aggressive behavior.Which of the following actions should the nurse take?A.Confront the client about thisbehavior.B.Express sympathy for the client’ssituation.C.Speak assertively to theclient.D.Stand within 30 cm (1 ft) of theclientwhen speaking withthem.9.A nurseiscaring for aclientwhoisreceiving brachytherapy fortreatment of prostate cancer. Which ofthefollowing actions should thenursetake?A.Cleanse equipment before removal from the client’sroom.B.Limitthe client’s visitors to 30minperday.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 5 preview imageC.Discard theclient’slinensinadouble bag.D.Discard theradioactivesource in abiohazardbag10.A nurse is caring for a client who has severe preeclampsia and isreceiving magnesium sulfate intravenously. The nurse discontinuesthemagnesium sulfate after the client displaces toxicity.Which of thefollowing actions should the nursetake?a.Position the clientsupineb.Prepare an IV bolus of dextrose 5% inwaterc.Administer methylergonovineIMd.Administer calcium gluconate IV11.A charge nurse is teaching new staff members about factors thatincrease a client’s risk to become violent. Which of the followingriskfactors should the nurse include as the best predictor of futureviolence?a.Experiencingdelusionsb.Malegenderd.A history of being in prison12.A nurse is preparing to perform a sterile dressing change. Whichof the followingactionsshould the nurse take when setting up thesterilefield?a.Place the cap from the solution sterile side up on cleansurfaceb.Open the outermost flap of the sterile kit toward thebody→ flap AWAY from thebody'sfirstc.Place the sterile dressing within 1.25 cm (0.5in) of thec.Previous violentbehavior
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 6 preview imageedge of the sterile field → 2.5cm(1-inch) border around anysterile drape or wrap that is consideredcontaminated.d.Set up the sterile field 5 cm (2 in) below waist level→ itsays BELOW waist level;shouldbe ABOVE waistlevel13.A nurse is providing teaching to an older adult client aboutmethods to promote nighttime sleep. Which of the followinginstructions should thenurse include?a.Eat a light snack beforebedtimeb.Stay in bed at least 1 hr if unable to fallasleepc.Take a 1 hr nap during thedayd.Perform exercises prior to bedtime14.A home health nurse is preparing for an initial visit with anolder adult client wholivesalone. Which of the following actionsshould the nurse take first?a.Educate the client about current medicaldiagnosisb.Refer the client to a meal deliveryprogramc.Identify environmental hazards in the homed.Arrange for clienttransportation to follow-upappointmentsRationale Priority:Assessfirst.15.A nurse is assessing the remote memory of an olderadult client who has mild dementia. Which of thefollowing questions should the nurse ask theclient?a.“Can youtell me who visited youtoday?”b.“What high school did you graduatefromc.“Can you list your currentmedications?”d.“What did you have for breakfast yesterday?”16.A nurse is providing teaching to an adolescent who has type 1diabetes mellitus. Whichofthefollowing goals should the nurseinclude in theteachinga.HbA1c level greater than 8%-6.5-8 is the target reference.>b.Blood glucose level greater than 200 mg/dL atbedtime
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 7 preview imagec.Blood glucose level less than 60 mg/dL beforebreakfast-< 70 =HYPOGLYCEMICd.HbA1c level less than 7%17.A nurse is caring for a client who is receiving phenytoin formanagement of grand mal seizures and has a new prescription forisoniazidandrifampin. Which of the followingshouldthe nurseconclude if the client develops ataxia and incoordination?a.The client is experiencing an adverse reaction torifampinb.The client’s seizure disorder is no longer undercontrolc.The client is showing evidence of phenytoin toxicityd.The client is having adverse effects due to combinationantimicrobial therapy18.A nurse is caring for a client who is 1 hr postoperative followingrhinoplasty. Which ofthefollowing manifestations requiresimmediate action by thenurse?a.Increase in frequency of swallowing→ may indicatebleedingb.Moderate sanguineous drainage on the drippadc.Bruising to the face→ sideeffectd.Absent gag reflex→ possibly due to anesthesia given. (1hour postoperative) Rationale “Requires immediate action”choose the worst possibility that could lead to.ABC19.A nurse is planning care for a preschool-age child who is inthe acute phaseKawasakidisease. Which of the followinginterventions should the nurse include in the plan ofcare?a.Givescheduled doses ofacetaminophen every 6hrb.Monitor the child’scardiacstatusc.Administer antibiotics via intermittent IV bolus for 24hrd.Provide stimulation with children of the same age in theplayroom20.A nurse is planning an educational program for high school students
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 8 preview imageabout cigarette smoking. Which of the followingpotential consequencesof smoking is most likely to discourage adolescents from usingtobacco?a.Use of tobacco might lead to alcohol and drugabuseb.Smoking in adolescence increases the risk ofdeveloping lung cancer later in lifec.Use of tobacco decreasesthe level ofathleticabilityd.Smoking in adolescence increases the risk of lifelongaddiction21.A nurse is assessing a client who is prescribed spironolactone.Which of the following laboratory values should the nurse monitorfor thisclient?a.Totalbilirubinb.Urine ketonesc.Serum potassium-diuretic that retains potassium= hyperkalemicriskd.Plateletcount22.A nurse has agreed to serve as an interpreter for an older adultclient who is assigned to another nurse. Which of the followingstatements by the nurse indicates an understanding ofthisrole?a.“I will let the client know that I am available as theinterpreter.”b.“I will receive a small fee for interpreting for thisclient.”c.“I am glad I’m available today, but when I’m not, you can use afamilymember.”d.“I will let the client know that an interpreter is unavailable during thenightshift.”23.AnurseinapediatricunitispreparingtoinsertanIVcatheterfor7-year-old.Whichofthefollowingactionsshouldthenursetake?a.(Unable toread)b.Tellthechildtheywillfeeldiscomfortduringthecatheterinsertion.c.Useamummyrestrainttoholdthechildduringthecatheterinsertion.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 9 preview imaged.Requiretheparentstoleavetheroomduringtheprocedure.24.Anurseiscaringforaclientwhohasarteriovenousfistulawhichofthe following findings should the nursereport?a.Thrill uponpalpation.b.Absence of abruit.c.Distended bloodvesselsd.Swishing sound uponauscultation.25.A nurse is providing discharge teaching for a client whohas an implantable cardioverter defibrillator which ofthe followingstatements demonstrates understanding oftheteaching?a.“Iwillsoakinthetubratherandshowering”b.“IwillwearlooseclothingaroundmyICD”c.“IwillstopusingmymicrowaveovenathomebecauseofmyICD”d.“IcanholdmycellphoneonthesamesideofmybodyastheICD”26.Anurseiscaringforaclientwhoisat14weeksgestationandreports feelings of ambivalence about beingpregnant. Which of the following responses should thenursemake?a.“Describeyourfeelingstomeaboutbeingpregnant”b.“Youshoulddiscussyourfeelingsaboutbeingpregnantwithyour provider”c.“Haveyoudiscussedthesefeelingswithyourpartner?”d.“When did you start having thesefeelings?”27.A nurse is planning care for a client who has a prescription fora bowel-trainingprogramfollowingaspinalcordinjury.Whichofthefollowingactionsshouldthenurseincludeintheplanofcare?
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 10 preview imagea.Encourageamaximumfluidintakeof1,500mlperday.b.Increasetheamountofrefinedgrainsintheclient’sdiet.c.Providetheclientwithacolddrinkpriortodefecation.d.Administer a rectal suppository 30minutesprior toscheduled defecationtimes.28.A nurseisperforming physical therapy for a clientwhohasParkinson’s disease. Which of the following statements bythe client indicates the need for a referral to physicaltherapy?a.“I have been experiencing more tremorsin my leftarm thanbefore”b.“I noticed that I am having a harder time holding on to mytoothbrush”c.“Lately, I feel like my feet are freezing up, as they are stuck to theground”d.“Sometimes, I feel I am making achewing motion when I’m noteating”29.A nurseisreviewing laboratory data for aclientwhohas chronic kidneydisease. Which of the following findings should the nurse expect?a.Increasedcreatine.b.Increasedhemoglobin.c.Increasedbicarbonate.d.Increasedcalcium.30.A nurseisadministering a scheduled medication to a client. The clientreports that the medicationappearsdifferent than what they take athome.Which of the following responses should the nursetake?a.“Did the doctor discuss with you that there was achange inthismedication?”b.“I recommend that you take this medication asprescribed”c.“Doyou know why this medicationisbeing prescribed toyou?”d.“I will call the pharmacist now to check on thismedication”31.A charge nurseisrecommending postpartum client dischargefollowing a local disaster. Which ofthefollowing should thenurse recommend fordischarge?a.A 42-year-old client who has preeclampsia and a BP of 166/110 mmHg.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 11 preview imageb.A 15-year-old clientwho delivered via emergency cesarean birth 1 dayago.c.A client who received 2 units of packed RBCs 6 hr. ago for a postpartumhemorrhage.d.Aclient who delivered precipitously 36 hr. ago and has a second-degreeperineallaceration.32.A nurse in a provider’soffice is reviewing the laboratory results of a group ofclients. Which toreport?a.Herpessimplex.b.Human papillomavirusc.Candidiasisd.Chlamydia33.A nurseisproviding discharge teaching for a group of clients. Thenurse should recommend a referral to adietitiana.A clientwhohas a prescription for warfarin and states“Iwill need tolimithowmuch spinach Ieat”.b.A clientwhohas gout and states, “I can continue to eat anchovies on mypizza.”c.A clientwhohas a prescription for spironolactone and states“Iwillreducemyintake of foods thatcontainpotassium”.d.A clientwhohas (Unable to read) and states “I’ll plan to takemycalcium carbonate with a full glass ofwater”.34.A nurseispreparing to measure a temperature of an infant. Whichof the following action should thenursetake?a.Place the tip of the thermometer under the center of the infant’saxilla.b.Pull the pinna of the infant’s ear forward before inserting the probe.c.Insert the probe 3.8 cm(1.5in) into theinfant’srectum.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 12 preview imaged.Insert the thermometer in front of the infant’stongue.35.A nurseina pediatric clinicisteaching a newly hired nurseabout the varicella rooster. Which ofthefollowing informationshould the nurseinclude?a.Children whohavevaricella are contagious until vesicles arecrusted.b.Children who have varicellashould receive the herpes zostervaccination.c.Children who have varicellashould be placedindropletprecaution.d.Children whohavevaricella are contagious 4 days before thefirstvesicleeruption.36.A nurseisreviewing the laboratory report of a client who has beenhaving lithium carbonate for the past 12 months. The nurse notes alithium level of 0.8 mEq/L. Which of the followingorders from theprovider should the nurseexpect?a.Withhold the nextdose.b.Increase thedosage.c.Discontinue themedication.d.Administer themedication.37.A nurseiscaring for aclientwho has fibromyalgia andrequests pain medication. Which of thefollowing medicationsshould the nurseadminister?A.PregabalinB.LorazepamC.ColchicinD.Codeine.38.A nurseiscaring for aclientwhoisto receive a transfusion of
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 13 preview imagepacked RBCs. Which of the following actions should the nursetake?A. Prime IV tubing with 0.9% sodium chloride.B.Use a 24-gauge IVcatheterC.Obtain filterlessIVtubing.D.Place blood in the warmer for 1hr.39.A nurseiscaring for a toddler who has acute lymphocyticleukemia. In which of the following shouldthetoddlerparticipate?A.Looking at alphabetflashcards.B.Playing with a large plastictruck.C.Use scissors cut out papershapes.D.Watching a cartooninthedayroom.40.A nurse is caring for aclientwho has chronic pancreatitis. Which ofthe following dietaryrecommendationsshould the nursemake?a.Coffee withcreamer.b.Lettuce with slicedavocados.c.Broiled skinless chicken breast with brownrice.d.Warm toast withmargarine.41.Anurseiscaringforaclientwhoisinactivelaborandrequestspain management.Whichofthefollowingactionsshouldthenursetake?a.Administerondansetron.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 14 preview imageb.Place the client in a warmshower.c.Apply fundal pressure duringcontractions.d.Assist the client to a supineposition.42.A nurse in an emergency department is performing triageformultiple clientsfollowingadisasterinthecommunity.Towhichofthefollowingtypes ofinjuriesshouldthenurseassignthehighestpriority?a.Below-the kneeamputationb.Fracturedtibiac.95% full-thickness bodyburnd.10cm (4in) laceration to theforearm43.Anursemanagerisupdatingprotocolsfortheuseofbeltrestraints.Which ofthefollowingguidelinesshouldthenurseinclude?a.Remove the client’s restraint every4hrb.Document the client’s condition every 15minc.Attachtherestraintothebed’ssiderailsd.RequestaPRNrestrainprescriptionforclientswhoareaggressive44.Anurseisteachinganin-serviceaboutnursingleadership.Whichofthe followinginformationshouldthenurseincludeaboutaneffectiveleader?a.Actsasanadvocateforthenursingunit.b.(Unable to read) for theunitc.Priorities staff request over clientneeds.d.Provides routine client care anddocumentation.45.Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetes mellitus and reports that she has beenfollowing her(unable to read) care. Thenurseshouldidentifywhichofthefollowingfindingsindicatesaneedto revise the client’s planofcare.
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 15 preview imagea.Level of consciousness. (priority)-decreasedLOC can mean less o2 going tothe brain ?a.Serum sodium 144mEq/b.(Unable toread)c.Hba1c 10%d.Random serum glucose 190mg/dl.46.A nurse is caring for a client who is at 38 weeks of gestation and has ahistory of hepatitisC.The client asks the nurse if she will be able tobreastfeed. Which of the following responses by the nurse isappropriate?b.You must use a breast pump to provide breastmilk.c.You must use nipple shield whenbreastfeeding.d.You may breastfeed after your baby develops hisantibiotics.47.A nurse is caring for a client who has returned to themedical-surgical unit following a transurethral resection of theprostate. Which of the following should the nurse identify asprioritynursingassessmentafterreviewingtheclientsinformation?Exhibit.b. Skin turgorc. Deep-tendon reflexesd.Bowel sounds48.A nurse is caring for a client who has hyperthermia .Which ofthe following actions forthenurse to take?a.Submerge the adolescent feet in icewaterb.Cover the adolescent with a thermal blanket → ifhypothermia.c.Administer oralacetaminophen49.A nurse manager is updating protocols for belt restraints. Which ofthe following guidelines should the nurseinclude?a.You may breastfeed unless your nipples are cracked orbleeding.d.Initiate seizureprecautions
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2020 ATI RN Nursing Diagnosis Exit Exam With Answers (181 Solved Questions) - Page 16 preview imageb.Attach the restraints to the beds side railsc.Request a PRN restraints prescription for clients who areaggressived.Remove the client restraints every 4hours50.A nurse in emergency department is caring for aclient who hasfull thickness burn of the thorax and upper torso. After securing theclient's airway, which of the following is thenurse'spriorityintervention?a.Providing pain managementb.Offering emotionalsupportc.Preventing infection51.A nurse is caring for a client who has cancer and is beingtransferred to hospice care.Theclient’s daughter tells the nurse,“I’m not sure what to say to my mom if she asks me aboutdying.”whichofthefollowingresponsesbythenurseisappropriate?(SATA)A. Hospice will take good care of your mom, so I wouldn’t worry aboutthat.B.Let’s talk about your mom;s cancer and how things will progress fromhere.D. Tell hernot to worry. She still has plenty of time left.52.A nurse is reviewing the medical records of four clients. The nurseshould identify thatwhichof the following client findings follow upcare?a.A client who is taking bumetanide and has potassium level of 3.6mEq/L(normal)b.A client who is scheduled for colonoscopy and taking sodiumphosphatea.Document the client's conditions every 15 minutesd.InitiatingIV fluid resuscitation-they are at risk for hypovolemic shock d/t 3rdspacingE.You sound like you have questions about your mom dying. Let’s talk aboutit.c.A client who received a Mantoux test 48 hours ago and hasinduration
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