ATI COMPREHENSIVE RETAKE EXAM 2023/2024

ATI COMPREHENSIVE RETAKE EXIT EXAM 2023/2024

157. Client who is 48 hr. postoperative following a total hip arthroplasty. Which of the following actions should
the nurse include in the plan of care?
a. Place the client on a full liquid diet
b. Administer low-dose heparin
c. Maintain the client on bed rest
d. Use and incentive spirometer every 3hr
158. A nurse in an acute care facility is caring for a client who is homeless and has a decubitus ulcer. Which of
the following actions should the nurse take as a client advocate?
a. Gather dressing suppliesfor the client’s discharge
b. Consult with the facility’s quality improvement team
c. Contact the facility’s case management department
d. Provide client teaching about nutrition
159. A charge nurse observes a coworker who has impaired coordination and is drowsy while performing
routine tasks. Which of the following actions should the charge nurse take first?
a. Obtain support from another nurse before filing a report
b. Document observations about the nurse’s behavior
c. Reassign the nurse’s client-care duties to another nurse
d. Report the nurse’s behavior to the nurse manager
160. A nurse is caring for a client who has UTI and has been taking cefaclor. Which of the following serum
laboratory results indicates the medication is effective?
a. Eosinophils 3.9%
b. WBC 9,200/mm3
c. Bun 32 mg/dL
d. Creatinine 2.3 mg/dL
161. Client who recently attempted suicide states, “I wish I was dead.” Which of the following is an appropriate
response by the nurse?
a. “Did you take your medicationstoday?”
b. “Suicide is not the answer to your problems.”
c. “Don’t worry. Everything will be just fine.”
d. “You seem like you’re feeling hopeless.”
162. A nurse hears an AP telling the client, “If you don’t eat, I’ll put restraints on your wrists and feed you.” The
nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
a. Malpractice
b. Battery
c. Assault
d. Negligence
163.
164. DRUG CALC: 100 mL/hr.
165.
166. Toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
a. “Perform chest percussion and postural drainage at least twice daily.”
b. “Administer pancreatic enzymes on an empty stomach.”
c. “Restrict intake of foods that contain gluten.”
d. “Use a nebulizer to administer a bronchodilator following airway clearance therapy.”
167. Which of the following actions should the nurse take to verify NG tube placement prior to each feeding?
a. Palpate the abdomen for tube placement
b. Test the pH of gastric contents
c. Test the bilirubin level of gastric contents
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d. Auscultate air insertion into the tube
168. Infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected
finding?
a. Weak femoral pulses (peds pg. 112)
b. Upper extremity hypotension
c. Increased ICP
d. Frequent nosebleeds
169. Client with schizophrenia and is taking clozapine. Which of the following findings should the nurse
identify as a contraindication to the administration of clozapine
a. Heart rate 58/min
b. Fasting blood glucose 100 mg/dL
c. Hgb 14 g/dL
d. WBC count 2,900/mm3
(pharm pg. 72: agranulocytosis)
170. Which of the following statements by the newly licensed nurse indicates an understanding of advance
directives?
a. “I’ll encourage clientsto follow their provider’s wishes for end of life care.”
b. “I have to document whether or not a client has prepared his advance directives.”
c. “I have to witness a client’ssignature on his advance directives.”
d. “I’ll refer clients who do not have advance directives for legal assistance.”
171. Client who has depressive disorder and a new prescription for phenelzine. Which of the following foods
should the nurse instruct the client avoid?
a. Smoked salmon
b. Cottage cheese
c. Spinach
d. Grapefruit
172. Client diagnosed of acute MI and is being treated with a thrombolytic, aspirin, and IV heparin. Which of
the following findings should indicate the nurse that the client is experiencing a satisfactory response to
these interventions?
a. Q wave is noted on the cardiac monitor tracing
b. S3 heart sounds are present
c. The client’s aPTT istwo times the control
d. The client’s stool is guaiac positive
173. A nurse is assessing the PICC of a client who is receiving an infusion. The nurse notices redness and
warmth to touch around the insertion site. The nurse should document the finding as which of the following
complications?
a. Circulatory overload
b. Extravasation
c. Phlebitis
d. Infiltration
174. Which of the following solutions should the nurse use to perform hand hygiene?
a. Isopropyl alcohol
b. Providone-iodine
c. Bleach
d. Chlorhexidine
175. Methodsto promote nighttime sleep. Which of the following instructions should the nurse include?
a. Perform exercises prior to bedtime
b. Take a 1 hr. nap during the day
c. Eat a light snack before bedtime
d. Stay in bed at least 1 hr. if unable to fall asleep
176. Which of the following actions by the LPN indicates the need for intervention by the charge nurse?
a. Inserts an NG tube for a client using clean technique
b. Stabilizes a client’s indwelling urinary catheter with the nondominant prior to inflation of the
balloon
c. Uses an IV infusion pump to administer TPN nutrition to a client
d. Crushes an SL tablet to administer into a client’s feeding tube