ATI Mental Health Comprehensive Exit Exam With Answers (179 Solved Questions)

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ATI COMPREHENSIVE EXIT EXAM1.A nurse is caring for a client who has given informed consentfor ECT. Just before the procedure, the client tells the nurseshe is considering not going forward with the treatment.Which of the following statements by the nurse is appropriate?a.“You don’t have to go through with the treatment.”b.“Most people who have this procedure feel better followingthe treatment.”c.“It’s okay to be nervous before this treatment.”d.“Your doctor wouldn’t have ordered this treatment unless itwas necessary.”2.While performing a routine assessment, a nurse notices frayingon the electrical cord of a client’s CPM device. Which of thefollowing actions should the nurse take first?a.Report the defect to the equipment maintenance staff.b.Ensure the device inspection sticker is currentc.Remove the device from the roomd.Initiate a requisition for a replacement CPM device

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3.A nurse is caring for a client who is postoperative and has anew prescription for hydromorphone. Which of the followingactions should the nurse take?a.Document administration of the medication upon removalfrom the medication dispensing systemb.Withhold the medication if the client does not appear to be inpain.c.Count the current number of unit doses available in themedication dispensing systemd.Withhold the medication if the client has a fever4.A nurse performing a change-of-shift assessment. Which of thefollowing clients has the priority finding?a.Type 2 DM and a blood glucose of 250 mg/dLb.Pneumonia with a productive cough and a fever of 38.8°C(101.8° F)c.2 hr. post cast placement and has 2+ pitting edema and pallord.First-degree heart block and a heart rate of 62/min5.A nurse in an outpatient mental health facility is providingteaching to a group of adolescents. Which of the followingstatements by a client indicates an understanding of theteaching?a.“I will limit my alcohol use to one drink daily while takingdisulfiram.”b.“I will avoid foods containing tyramine while takingfluoexetine.”

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c.“I will take the sustained-release methylphenidate everymorning.”d.“I will take my lithium on an empty stomach.”(pharm pg. 64:taking lithium with food will help decrease GI distress)6.A nurse in the emergency department is assessing client whohas major depressive disorder. Which of the following actionsshould the nurse take first? [View Exhibit]a.Administer Zofran to the client for nauseab.Implement seizure precautions for the clientc.Encourage the client to verbalize feelingsd.Obtain the client’s weight7.A nurse is completing an admission assessment for a clientwho ahs narcissistic personality disorder. Which of thefollowing should the nurse expect?a.Suspicious of othersb.Exhibits separation anxietyc.Ritualistic behaviord.Preoccupied with aging8.Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 gprotein/kg/day. How many grams of protein per day shouldthe nurse include in the client’s dietary plan?9.A nurse is planning care for a group of clients and is workingwith one LPN and one AP. Which of the following actionsshould the nurse take first to manage her time effectively?a.Develop an hourly time frame for tasks

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b.Schedule daily activitiesc.Determine goals of the dayd.Delegate tasks to the AP10.A nurse is developing a plan of care for a client who haspreeclampsia and is to receive magnesium sulfate viacontinuous IV infusion. Which of the following actions shouldthe nurse include in the plan?a.Restrict the client’s total fluid intake to 250 mL/hr.b.Measure the client’s urine output every hourc.Give the client protamine if signs of magnesium sulfate toxicityoccur( antidote: calcium gluconate )d.Monitor the FHR via Doppler every 30 min11.A nurse is caring for a group of clients. Which of the followingwounds should the nurse expect to heal by primary intention?a.Infected lacerationb.Stage II pressure ulcerc.Approximated surgical incisiond.Partial-thickness burn12.A nurse in an acute mental health care facility is prioritizingcare for multiple clients. Which of the following clients shouldthe nurse see first?a.Client taking clozapine to treat schizophrenia and reports sorethroat( pharm pg. 72: monitor for infection [fever, sore throat, etc. ])

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b.Client has OCD and is upset about a change in daily routinec.Client has narcissistic personality disorder and is mockingothers during group therapyd.Client who has depressive disorder and requires assistancewith ADLs13.A nurse is caring for a client who has an implanted venousaccess port. Which of the following should the nurse use toassess the port?a.An angiocatheterb.A butterfly needlec.A noncoring needled.A 25 gauge needle14.A nurse is caring for a client who has pneumonia and tells thenurse, “I feel like an elephant is sitting on my chest.” The clientis weak and unable to walk. After the nurse indicates chestpain protocol, which of the following is the priority diagnostictest?a.PT and INRb.12 lead ECGc.Chest X-rayd.Serum potassium15.A nurse is assessing the growth and development of a 3 y/ochild. Which of the following questions should the nurse askthe parent to determine if the child is exhibiting typicaldevelopmental expectations?

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a.“Can your child draw a stick figure?”b.“Can your child catch and throw a small ball?”c.“Can your child ride a tricycle?”d.“Can your child name five colors?”16.A nurse is preparing to assess fetal heart tones for a client whois at 12 weeks of gestation. Which of the following actionsshould the nurse take?a.Measure the fundal height to determine the placement of theultrasound stethoscopeb.Perform Leopold maneuvers prior to auscultating the FHRc.Position the ultrasound stethoscope above the symphysispubis to assess theFHRd.Place the client in a side-lying position prior to assessing theFHR17.A nurse is assessing a client who has a chest tube with a waterseal drainage system. Upon assessment, the nurse notestidaling in the water seal. Which of the following is anexplanation for the tidaling?a.There is a loop of tubing below the drainage systemb.The system is working properly(medsurg pg. 104: tidaling in the water seal chamber andcontinuous bubbling only in the suction chamber)c.The lung has re-expandedd.The tubing is partially obstructed by clots

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18.A charge nurse on a medical surgical unit is assisting with theemergency response plan following an external disaster in thecommunity. In anticipation of multiple client admissions, whichof the following current clients should the nurse recommendfor early discharge?a.A client who is receiving heparin for DVTb.A client who is 1 day postoperative following a vertebroplastyc.A client who has COPD and a respiratory rate of 44/mind.A client who has cancer with a sealed implant for radiationtherapy19.A nurse iscaring for a client who has ESRD. The client’s adultchild asks the nurse about becoming a living kidney donor forher father. Which of the following conditions in the child’smedical history should the nurse identify as a contraindicationto the procedure?a.Osteoarthritisb.HTNc.Amputationd.Primary glaucoma20.A nurse is caring for a client who is 4 days postpartum. Whichof the following assessment findings should the nurse expect?(SATA)a.Foul perineal odorb.Fundus displaced to the rightc.Lochia serosa

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d.Fundus 4 cm (1.6 in) below the umbilicuse.Postpartum chill21.A nurse is caring for a child who has cystic fibrosis and requirespostural drainage.Which of the following actions should the nurse take?a.Perform the procedure twice a dayb.Hold hand to perform percussions on the childc.Administer a bronchodilator after the procedured.Perform the procedure prior to meals22.A home care nurse is making a follow up visit with a client whohas COPD and is using a compressed oxygen system in hishome. Which of the following action should the nurse take?a.Ensure that the client checks the gauge weeklyb.Store the oxygen tank wrench in a locked cabinetc.Have the client store smaller tanks under his bedd.Place the oxygen tank away from curtains or drapes23.Location of crackles [ IMAGE ]24.A nurse is caring for a newly client who has bacterialmeningitis. Which of the following actions should the nursetake?( medsurg pg. 31)a.Implement seizure precautionsb.Place the client in high-Fowler’s positionc.Perform ROM exercises once per shiftd.Monitor the client for hypoglycemia

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25.A nurse is reviewing the preadmission lab tests results of aclient who is to undergo hip arthroplasty in 2 days. Which ofthe following results should the nurse report to the provider?a.Na 142 mEq/Lb.Blood glucose 80 mg/dLc.K 3.3 mEq/Ld.PT 11.5 seconds26.A nurse is caring for a client who has undergone a modifiedradical mastectomy. The client has a closed-suction drain.Which of the following actions should the nurse take?a.Reset the vacuum by compressing the containerb.Secure the drain to the beddingc.Position the affected extremity below the level of the client’sheartd.Maintain the client in a supine position for the first 24 hr.27.A nurse is receiving change of shift report for four clients.Which of the following clients should the nurse assess first?a.DM and HbA1c of 5.2%b.Leukemia and platelet level of 95,000/mm3c.Received IV Lasix and K of 3.6 mEq/Ld.Hepatitis B and total bilirubin of 1.2 mg/dL28.A nurse is developing plan of care for a newborn mothertested positive for heroin during pregnancy. Newborn isexperiencing neonatal abstinence syndrome. Which of thefollowing actions should the nurse include in the plan?

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a.Minimize noise in the newborn’senvironmentb.Swaddle the newborn with his legs extendedc.Administer naloxone to the newbornd.Maintain eye contact with the newborn during feedings29.Nutritional teaching for an adult client who has seizuredisorder and a new prescription for phenytoin. Which of thefollowing instructions by the nurse is appropriate?a.“You should expect a change in the color of your stool whiletaking this medication.”b.“Increase your intake of vitamin D while taking thismedication.”( pharm pg. 96: consume adequate amounts of calcium andvitamin D )c.“Plan to take this medication with antacids.”d.“Limit foods that contain folic acid while taking thismedication.”30.A nurse is assessing a client who presents to the L&D unitreporting the onset of contractions. Which of the followingfindings should the nurse identify as a manifestation of falselabor?a.Presence of bloody showb.Contraction intensity increased by ambulationc.Slow change in dilation and effacementd.Intermittent, painless contractions

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31.A nurse is caring for a client who has Cdif. Which of thefollowing actions should the nurse take? (SATA)a.Wash hands with alcohol basedb.Wear N95c.Remove thermometer from client’s room for use on anotherclientd.Change gloves after contact with infectious materiale.Wear a gown when providing care32.A nurse is receiving change of shift report for a group ofclients. Which of the following clients should the nurse plan toassess first?a.DM and HbA1C of 6.8%b.Hip fracture and a new onset of tachypneac.Epidural analgesia and weakness in lower extremitiesd.Sinus arrhythmia and is receiving cardiac monitoring33.Nurse accidently punctures IV bag causing the medication toleak on the counter. Which of the following medicationsrequires the nurse to follow facility procedures in the safehandling of a bio hazardous material spill?a.Phenytoinb.Doxorubicin hydrochloridec.Metronidazoled.Ampicillin sodium34.Postoperative client following appendectomy and receivinggentamicin. Which is an adverse effect of this medication?

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a.Respiratory rate 22/minb.Hgb 8.7 g/dLc.2+ pitting edema of the anklesd.Creatinine 2.3 mg/dL( pharm pg. 365: nephrotoxicity )35.Which of the following clients should the nurse recommendreferral to a dietitian?a.Older adult who has BMI of 24b.Client with albumin of 3.7 g/dLc.Older adult who has presbyopiad.Client who has a nonhealing leg ulcer36.Support group for clients whose family have committedsuicide. Which of the following should the nurse plan to useduring the group session?a.Encourage clients to establish a timeline for their grievingprocessb.Assist clients in identifying ways suicide could have beenpreventedc.Discourage clients from sharing negative aspects of theirrelationship with the deceased personsd.Initiate a discussion with clients about ways to cope withchanges in family dynamics37.Which of the following risk factors should the nurse include asthe best predictor of future violence?a.Experiencing delusionsb.A history of being in prison

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c.Male genderd.Previous violent behavior38.Arial fibrillation places the client at risk for which of thefollowing conditions?a.Pulmonary embolib.Cardiac tamponadec.Widened pulse pressured.Hemothorax39.Client with schizophrenia and experiences auditoryhallucinations. Which actions should the nurse include in theplan?a.Refer to the hallucinations as if they are realb.Encourage the client to lie down in a quiet roomc.Ask the client directly what he is hearingd.Avoid eye contact with the client40.Circumcised newborn. Which of the following instructionsshould the nurse include in the teaching?a.“Wrap sterile gauze around the penis if bleeding occurs.”b.“Use soap to cleanse the site.”c.“Apply petroleum jelly to the glans with diaper changes.”d.“Remove yellow exudate around the penis.”41.Crohn’s disease. Which of thefollowing diagnostic proceduresshould the nurse plan to teach the client regarding perniciousanemia?a.Schilling test( medsurg pg. 254)

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b.Oral glucose tolerance testc.D-dimer testd.Thyroid scan42.A nurse is creating a care plan for a client who is postoperativefollowing a CABG. To prevent complications of cardiac surgery,which of the following instructions should the nurse include inthe plan of care?a.Administer atropine to the client if tachycardia is presentb.Maintain the indwelling urinary catheter until the client isready for dischargec.Prepare for fluid volume replacement if the central venouspressure steadily increasesd.Check the client’s hemoglobin level if chest tube drainage is300 mL in the first 1 hr(medsurg pg. 185: volume exceeding150 mL/hr could be a sign of hemorrhage)43.A nurse is reviewing the medication administration record of aclient who has rheumatoid arthritis and is 1 day postoperativefollowing a left total hip arthroplasty. Which of the followingmedications places the client at risk for delayed woundhealing?a.Morphineb.Digoxinc.Prednisoned.Omeprazole

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44.Client becomes unconscious and monitor displays v-tach.Which action should the nurse take first after determining theclient does not have a palpable pulse?a.Establish IV accessb.Administer epinephrinec.Defibrillated.Assess heart sounds45.A nurse is caring for several clients on a med surg unit. Forwhich of the following nursing activities is it required that thenurse use sterile gloves?a.Initiating IV assessb.Performing tracheostomy carec.Inserting an NG tubed.Administering total parenteral nutrition through a centralvenous assess device46.Lab results s/p surgery. Which should be reported to theprovider?a.Na 160 mEq/Lb.Cl 100 mEq/Lc.Bicarbonate 26 mEq/Ld.K 3.8 mEq/L47.Nurse is developing care plan for client on Buck’s traction andis schedules for surgery for a fractured femur of the right leg.Which should the nurse delegate to an AP?a.Observe the position of the suspended weight

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