2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions)

Page 1 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 1 preview image

ATICOMPREHENSIVEEXITEXAM2022DOWNLOADTOPASS

Page 2 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 2 preview image

Page 3 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 3 preview image

lOMoARcPSD|134 451 02ATI COMPREHENSIVE EXIT EXAM 20221.A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Thenurse obtained a verbal prescription for restraints. Which of the following should the actions thenurse take?A.Request a renewal of the prescription every 8 hr.B.Check theclient’s peripheralpulse rate every 30 minC.Obtain a prescription for restraint within 4 hr.D.Document theclient’scondition every 15 minutes2.A nursing planning care for a school-age child who is 4 hr postoperative followingperforated appendicitis. Which of the following actions should the nurse include in the plan ofcare?a.Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)b.Give cromolyn nebulizer solution every 6 hr (for asthma)c.Apply a warm compress to the operative site every 4 hrd.Administer analgesics on a scheduled basis for the first 24 hr3.A nurse is receiving change-of-shift report for a group of clients. Which of the followingclients should the nurse plan to assess first?a.A client who has sinus arrhythmia and is receiving cardiac monitoringb.A client who has diabetes mellitus and a hemoglobin A1C of 6.8%c.A client who has epidural analgesia and weakness in the lower extremitiesd.A client who has a hip fracture and a new onset of tachypnea4.A nurse is preparing to apply a transdermal nicotine patch for a client. Which of thefollowing actions should the nurse tak e?a.Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to promoteabsorption; avoid oily or broken skin)b.Wear gloves to apply the patch to theclient’s skinc.Apply the patch within 1 hr of removing it from the protective pouch (apply immediately)d.Remove the previous patch and place it in a tissue (fold patch in half with sticky sidespressed together)5.A nurse has just received change-of-shift report for four clients. Which of the followingclients should the nurse assess first?a.A client who was just given a glass of orange juice for a low blood glucose levelb.A client who is schedule for a procedure in 1 hr (can wait)c.A client who has 100 mL fluid remaining in his IV bag (can wait)d.A client who received a pain medication 30 min ago for postoperative pain6.A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which ofthe following places the client at risk for aspiration?a.A history of gastroesophageal reflux diseaseb.Receiving a high osmolarity formulac.Sitting in a high-Fowler’sposition during the feedingd.A residual of 65 mL 1hr postprandial7.A nurse is reviewing the laboratory results for a client who has Cushing’s disease. Thenurse should expect the client to have an increase in which of the following laboratory values?a.Serum glucose level- increased

Page 4 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 4 preview image

b.Serumcalciumlevel-decreasedc.Lymphocytecount-decreasedimmunesystem.d.Serumpotassiumlevel-decreased. 8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesiumsulfate intravenously. The nurse discontinues themagnesium sulfate after the client displacestoxicity.Which ofthe followingactions should the nursetake?a.Positiontheclientsupineb.PrepareanIVbolus ofdextrose5%in waterc.AdministermethylergonovineIMd.Administer calciumgluconateIVCalciumgluconateisgivenformagnesiumsulfate toxicity.Alwayshaveaninjectableformofcalciumgluconateavailable whenadministeringmagnesium sulfate byIV.9.A charge nurse is teaching new staff members about factors that increase a client’s risk tobecomeviolent.Whichofthefollowingriskfactorsshould thenurseincludeasthebestpredictoroffutureviolence?a.Experiencingdelusionsb.Malegenderc.Previousviolentbehaviord.A historyofbeinginprisonRisk factors also include: past history of aggression, poor impulse control, and violence.Comorbiditythat leadsto actsof violence(psychoticdelusions,commandhallucinations, violentangryreactions with cognitive disorders).IndividualAssessmentforViolence10.Anurseis preparingtoperform asteriledressingchange. Which ofthefollowingactionsshouldthe nursetakewhen settingup the sterilefield?a.Placethecap fromthe solutionsterilesideup onclean surfaceb.Opentheoutermostflapofthesterilekittowardthebody→flapAWAYfromthebody'sfirstc.Placethesteriledressingwithin1.25 cm(0.5in)oftheedgeofthesterilefield→2.5 cm(1-inch)border aroundanysteriledrapeorwrap that is considered contaminated.d.Setupthesterilefield5cm(2in)belowwaistlevel→itsaysBELOWwaist level;shouldbeABOVEwaist level11.Anurseisprovidingteachingto anolderadultclient aboutmethods topromotenighttimesleep.Which ofthe followinginstructions should thenurseinclude?a.Eatalightsnackbeforebedtimeb.Stayin bedat least 1hr if unableto fall asleepc.Takea 1 hrnap duringthedayd.Performexercisespriortobedtime12.A homehealth nurse is preparing for an initial visit with an older adult client who livesalone.Which ofthe followingactions should the nursetakefirst?a.Educatethe clientaboutcurrentmedicaldiagnosisb.Refertheclienttoamealdeliveryprogramc.Identifyenvironmentalhazardsinthehome

Page 5 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 5 preview image

d.Arrange for client transportation to follow-up appointmentsRationalePriority: Assess first.13.Anurseis assessingthe remotememoryof an older adultclient who has mild dementia.Whichofthe followingquestions should the nurseask theclient?a.“Canyou tellmewhovisitedyoutoday?”b.“Whathighschooldidyougraduatefromc.“Canyoulistyourcurrentmedications?”d.“Whatdid youhaveforbreakfast yesterday?”14.A nurse is providing teaching to anadolescent who has type 1 diabetes mellitus. Which ofthefollowinggoals should the nurseincludein theteachinga.HbA1clevelgreaterthan8%-6.5-8isthetargetreference.>b.Bloodglucoselevelgreaterthan 200mg/dLatbedtimec.Blood glucoselevellessthan60mg/dLbeforebreakfast-<70=HYPOGLYCEMICd.HbA1clevel less than 7%15.A nurse is caring for a client who is receiving phenytoin for management of grand malseizuresandhas anew prescriptionforisoniazidandrifampin. Whichofthefollowingshouldthenurseconclude iftheclient developsataxiaand incoordination?a.Theclientisexperiencinganadversereactionto rifampinb.Theclient’s seizuredisorder is no longerunder controlc.Theclientisshowingevidenceofphenytointoxicityd.Theclientishavingadverseeffectsdue tocombinationantimicrobial therapy16.Anurseiscaringfora client whois 1 hrpostoperativefollowingrhinoplasty.Which ofthefollowingmanifestations requires immediateaction bythe nurse?a.Increaseinfrequencyof swallowing→mayindicatebleedingb.Moderatesanguineousdrainageonthe drippadc.Bruisingtotheface→sideeffectd.Absentgag reflex→possiblyduetoanesthesiagiven.(1hourpostoperative)Rationale“Requiresimmediateaction”choosetheworstpossibilitythatcouldleadto.ABC17.A nurse is planning care for a preschool-age child who is in the acute phase Kawasakidisease.Which ofthe followinginterventions should thenurseincludein theplan ofcare?a.Give scheduled doses of acetaminophen every 6 hrb.Monitorthe child’s cardiac statusc.AdministerantibioticsviaintermittentIVbolusfor24hrd.Providestimulationwithchildren ofthesameage intheplayroom18.A nurse is planning an educational program for high school students aboutcigarettesmoking. Which ofthe followingpotential consequences of smokingis most likelyto discourageadolescentsfrom usingtobacco?a.Useof tobacco might leadto alcohol and drugabuseb.Smoking in adolescence increases the risk of developing lung cancerlater in lifec.Useoftobacco decreases the levelofathleticabilityd.Smokinginadolescenceincreasesthe riskof lifelongaddiction19.Anurseisassessinga client whois prescribedspironolactone. Whichofthefollowinglaboratoryvalues should thenursemonitor for thisclient?a.Totalbilirubin

Page 6 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 6 preview image

lOMoARcPSD|134 451 02b.Urineketonesc.Serumpotassium-diureticthatretainspotassium=hyperkalemic riskd.PlateletcountRationaleATIPDFp: 146PharmComplications:hyperkalemia20.A nurse has agreed to serve as aninterpreter for an older adult client who is assigned toanothernurse.Which ofthe followingstatements bythe nurseindicatesanunderstandingof thisrole?a.“Iwillletthe clientknow thatIamavailableastheinterpreter.”b.“Iwillreceiveasmallfeeforinterpretingforthisclient.”c.“Iamglad I’m available today,butwhenI’mnot,youcanusea familymember.”d.“Iwill letthe client knowthat aninterpreteris unavailableduringthenight shift.”21.A nurse is performing assessments on newborns inthe nursery. Which of the followingfindingsshould thenurse report to theprovider?a.Atwo day oldnewbornwhohas a respiratory rateof70-->30-60 is normalb.A 16 hour old new newborn who has yet to pass meconium-you got 24 hours to passstoolc,A2 dayold newbornwhohas asmallamount ofbloodtingedvaginal discharged.A16 hrold newbornwhoseblood glucoseis 45 mg/dl-40-60 is normal22.Anurseon anacuteunithasreceivedchangeofshiftreport for4 clients whichofthefollowingclientsshouldthenurseassessfirst?Pain pallorpulselessnessparesthesiaa.Aclientwho is1 hrpostoperativeandhas hypoactivebowel soundsb.Aclientwhohasfracturedlefttibiaandpallorin theaffectedextremityc.Aclientwho hadacardiaccatheterization 3hragoand has3+ pedalpulsesd.AclientwhohasaelevatedASTlevelfollowingadministrationofazithromycin23.A nurse is providing discharge instructions to a client who has a new prescription forhaloperidolwhichofthefollowingadverseeffectsshouldthenurseinstructtheclienttoreporttotheprovider?a.Weightgainb.Drymouth→anticholinergiceffectsc.Sedation→s/sneurolepticmalignantsyndrome??>>lifethreateningd.Shufflinggait→A/E EPS:isanindicationofparkinsonismandshouldbereportedtot24.A nurse is planning discharge teaching about cord care for the parents of a newborn which ofthefollowinginstructions shouldthe nurseplan toincludein theteaching?P. 177ch 26a.Cleanthe baseof thecord withhydrogen peroxidedaily-onlywith tuband spongebathsb.Thecordstump willfalloffin5 days-about 10-14 daysc.Contacttheproviderif thecordstump turns blackd.KeepthecordstumpdryuntilitfallsoffRationale:cord usually falls out within 7 to 10 days. Clean with soapand water. Cord isexpectedto turn black and dry.

Page 7 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 7 preview image

25.A nurse is teaching dietary guidelines to a client who has celiac disease which of thefollowing food choices is appropriate for the client?a.White flour tortillasb.Potato pancakesc.Wheat crackersd.Canned barley soup26.A nurse is working in acute care mental health facility is assessing a client who hasschizophrenia. Which of the following findings should the nurse expect?a.All or nothing thinkingb.Euphoric moodc.Disorganized speechd.Hypochondriasis ( anxiety disorder)27.A nurse is caring for a client who is immobile which of the following interventions isappropriate to prevent contracture?a.Align a trochanter wedge between the clients legsb.Place a towel roll under the clients neckc.Apply an orthotic to the clients footd.Position a pillow under the client's knees28.A public health nurse working in a rural area is developing a program to improve health forthe local population. Which of the following actions should the nurse plan to take?a.Provide anticipatory guidance classes to parents through public schoolsb.Have a nurse from the outside the community provide health lectures at the countyhospitalc.Encourage rural residents to focus health spending on tertiary health interventionsd.Launch a media campaign to increase awareness about industrial pollution29.A nurse in the emergency department is performing triage for multiple clients following adisaster in the community. To which of the following types of injuries should the nurse assignthe highest priority?a.Below the knee amputation→ESI Level 1b.10cm (4 in) laceration→ESI Level 4c.Fractured tibia→ESI Level 2; if pelvis, femur, or hip and other extremity dislocationthen level 1.d.95% full thickness body burn→30.A nurse is preparing a change of shift report for an adult female client who is postoperative.Which of the following client information should the nurse include in the report?CONFIRMEDa.Hgb 12.8 g/dl - 12- 16b.Potassium 4.2 meq/l 3.5 - 5.0 meqc.RBC 4.4 million/mm3d.Platelets 100,000/mm3- 150,000 - 300,000risk for bleeding31.A nurse is admitting a client who has anorexia nervosa. Which of the following is anexpected finding?a.Iron 90 mcg/dlb.Prealbumin 10 mcg/dl (normal: 16-40)c.Serum creatinine 0.8 mg/dl

Page 8 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 8 preview image

d.Calcium9.5mg/dl32.A charge nurse on a medical-surgical unit is planning assignments for a licensed practicalnurse(LPN)who has been sent from thepostpartum unit due to astaffingshortagefortheshift.Whichofthe followingclientassignments should the nursedelegate to theLPN?a.Aclientwhois postoperativefollowingabowelresectionwithanNGTsettocontinuoussuctionb.Aclientwhohas fracturedafemuryesterdayandis expectingSOBc.Aclient whosustained aconcussion andhas unequal pupilsd.AclientwhohasanHgbof6.3g/dlandaprescriptionforpackedRBCs33.A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin forlabor induction. The nurse notesearly decelerationon the fetal heart rate monitor . Which of thefollowingnursingactions should the nursetake?p .88 ch 13 maternitya.Continuethe monitorthefetal heartrate--Not a problem-absent orlateareaproblemhoweverCONFIRMEDb.Stoptheoxytocininfusionc.Performavaginalexaminationd.Initiateanamnioinfusion34.Anurseisconductinganinitial assessmentof aclient and noticedadiscrepancybetween theclients current IV infusion and the information received during the shift report. Which of thefollowingactions should the nursetake?a.Completeanincidentreportandplaceitintheclient'smedicalrecord.b.Compare the current infusion with the prescription in the client's medicationrecord.c.Contactthechargenursetoseeiftheprescriptionwaschanged.d.Submitawritten warningfor thenurseinvolvedintheincident.35.A nurse is reviewing the medical record of a client who has schizophrenia and is takingclozapine.Which ofthefollowingfindings shouldthe nurseidentifyasacontraindicationto theadministrationofclozapine ?a.WBCcount2,900/mm3-AGRANULOCYTOSIS-4,800-15,000isnormalrangeb.FAstingbloodglucose100 mg/dlc.Hgb14 g/Dld.Heartrate58/minATIPHARM 116Complications36.Anurseis caringforaclientwho is at38 weeks ofgestationand has ahistoryof hepatitisC.Theclient asks the nurse if she will be able to breastfeed. Which of the following responses bythenurseis appropriate?a.Youmaybreastfeedunlessyournipplesarecracked orbleeding.b.Youmust useabreast pumpto providebreastmilk.c.Youmustusenippleshieldwhenbreastfeeding.d.Youmaybreastfeedafteryourbabydevelopshis antibiotics.

Page 9 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 9 preview image

lOMoARcPSD|134 451 02d.InitiatingIVfluidresuscitation-theyareat riskforhypovolemicshockd/t3rdspacing37.A nurse is caring for a client who has returned to the medical-surgical unit following atransurethral resection of the prostate. Which of the following should the nurse identify asprioritynursingassessment afterreviewingthe clients information?Exhibit.b.Skinturgord.Bowelsounds38.Anurseiscaringforaclientwho hashyperthermia.Which ofthe followingactions forthenursetotake?a.Submergetheadolescent feetinicewaterb.Covertheadolescentwithathermalblanket→if hypothermia.c.Administeroralacetaminophen39.Anursemanageris updatingprotocolsfor beltrestraints.Which ofthefollowingguidelinesshouldthe nurseinclude.b.Attachtherestraintstothebedssiderailsc.RequestaPRNrestraintsprescriptionforclientswhoareaggressived.Removetheclientrestraints every4 hours40.A nurse in emergency department is caring for a client who has full thickness burn of thethoraxanduppertorso.Aftersecuringtheclient's airway,whichofthefollowingisthenurse'spriorityintervention?P.482ch75CONFIRMEDa.Providingpain managementb.Offeringemotionalsupportc.Preventinginfection41.Anurseiscaringforaclient whohas cancerand is beingtransferred tohospicecare. Theclient’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me aboutdying.”which of thefollowingresponsesbythenurseis appropriate?(SATA)A.Hospicewilltakegoodcareofyourmom,soIwouldn’tworryaboutthat.D.Tellher not to worry. Shestill has plentyof timeleft.B.C.Let'stalk aboutyourmom’scancerandhow thingswillprogressfromhere.Tellmehowyouarefeelingabout yourmomdying.a.Documentthe client'sconditionsevery15minutesa.Levelof consciousness.(priority)-decreasedLOCcan meanlesso2 goingtothebrain ?c.Deep-tendonreflexesd.Initiateseizureprecautions

Page 10 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 10 preview image

lOMoARcPSD|134 451 02Rationale:Therapeuticcommunication42.Anurseis reviewingthemedical records offour clients. The nurseshould identifythatwhichofthefollowing client findings follow up care?a.Aclient who is takingbumetanide andhas potassium levelof 3.6 mEq/L(normal)b.Aclient who is scheduledforcolonoscopyand takingsodiumphosphated.Aclientwhois takingwarfarinandhasINRof1.8(normal iftakingwarfarin)43.A community health nurse receives a referral for a family home visit. Which of the followingtasksshould the nurseperform first?b.Implement the nursing processc.Schedule a time for the home visitd.Contact the family by phone!44.A nurse is caring for a client who will undergo a procedure. The client states he does notwant the provider to discuss the results with his partner. Which of the following is an appropriateresponse for the nurse to make?b.Your partner can be a great source of support for you at this timec.Is there a reason youdon’twant your partner to know about your procedure?d.The provider will be tactful when talking to your partner45.A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb)from an original weight of 9o.7 (200 lb). The nurse should identify the weight of the followingtotal percentage?b.15%c.8.1%d.13.3%46.A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate.Which of the following interventions should the nurse implement?a.Perform fundal massage ( massage if fundus is boggy)c.Insert an indwelling urinary catheter.d.Apply cold therapy tothe client’s perinealarea.( warm)47.A nurse is providing discharge teaching to a client who has cancer and a prescription for afentanyl 25 mcg /hr transdermal patch. Which of the following instructions should the nurseinclude in the teaching?b.Apply patch to your forearmc.Avoid high-fiber foods while taking this medicationd.Remove the patch for 8 hours every day to reduce the risk for tolerance.a.Avoidhot tubwhilewearingthe patchb.Pourwaterfromasqueezebottleover theclient’sperinealarea.a.7.5%-Youhavetherighttodecidewhoreceivesinformationa.a.ClarifythesourceofthereferralE.Yousoundlikeyouhavequestionsaboutyourmomdying.Let’stalkaboutit.c.AclientwhoreceivedaMantouxtest48hoursagoandhasinduration

Page 11 of 11

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 11 preview image

lOMoARcPSD|134 451 0248.Anurseworkingonasurgicalunitis developingacareplan foraclient whohas paraplegia.The client has an area of non-blanchable erythema over his ischium. Which of the followinginterventionsshould the nurseincludein thecare plan?a.Teachtheclienttoshifthisweightevery15minwhilesitting(cannotdothisbecauseheisparaplegic)b.Placetheclient uprightonadonut-shapedcushionc.Assesspressurepoints every24hr.-mustassessd.Turn and reposition the client every 3 hrs. while in bed.-must be q 2 hours in bed, 1hourin chair.49.A nurseis working with a client who has an anxiety disorder and is in the orientation phaseof the therapeutic relationship. Which of the following statements should the nurse make duringthisphase?a.Weshoulddiscussresources toimplementinyour dailylifeb.Letmeshowyousimplerelaxationexercisestomanagestress.c.Let’stalkabouthowyoucanchangeyourresponsetostressd.Weshould establishourrolesintheinitial session.50.A nurse is providing discharge teaching to a client who has a new prescription forphenelzine.Thenurseshould instruct theclient that it issafeto eat which of thefollowing foodswhiletakingthis medication?a.Avocadosc.Pepperoni pizzad.Smoked salmon?????51.A nurse enters a client’s room and sees a small firein the client’s bathroom. Identify thesequenceof steps thenurseshouldtake. (Movethesteps into theboxon theright, placingthemintheselected order ofperformance. Useall steps)a.Transportthe client to anotherareaof thenursingunit (1)b.Activatethefacility’s firealarmsystem(2)c.Closeall nearbywindows and doors (3)d.Usetheunit’s fire extinguishertoattempt toput outthe fire(4)52.A nurse is caring for a client who is experiencingmild anxiety. Which of the followingfindingsshouldthe nurseexpect?a.Heightenedperceptualfieldb.Rapidspeech-severec.Feelingsofdreadd.Purposelessactivity53.Anurseiscaringfora client who hastype1diabetes mellitus. Theclient reportsthat sheisnot feeling well. Which of the following findingsshould indicate to the nurse that the client ishypoglycemic?(Select all that apply.)a.Tremorsb.Polydipsia=hyperglycemiac.Acetone Breathodor=DKAd.Diaphoresise.Inabilitytoconcentrateb.Wholegrain bread

Preview Mode

This document has 35 pages. Sign in to access the full document!

Report

Learning Tools

Writing Tools

Browse Resources

2022 ATI RN Comprehensive Exam with Answers (180 Solved Questions) - Page 1

Study Now!

Document Details

Related Documents

ATI TEAS Prep Plus: 2 Practice Tests + Proven Strategies [Excluded Online Resource] (Kaplan Test Prep) (2019)

2023 NGN ATI RN Med Surg Proctored Exam with Answers (240 Solved Questions)

2019 ATI RN Maternal Newborn with Answers (70 Solved Questions)

2023 NGN ATI RN Comprehensive Predictor Retake Exam with Answers (177 Solved Questions)

2013 ATI RN Proctored Pharmacology Form B with Answers (70 Solved Questions)

2023 ATI Nutrition Proctored Exam with Answers (121 Solved Questions)

ATI RN Maternal Newborn NGN Proctored Exam with Answers (250 Solved Questions)

ATI Pharmacology Proctored Test Bank with Answers (313 Solved Questions)

2022-2023 ATI Leadership Proctored Focus Practice Exam with Answers (63 Solved Questions)

2024 ATI RN Predictor Practice Exam with Answers (136 Solved Questions)

Company

Explore

Study Tools