ATI COMPREHENSIVE EXIT RETAKE EXAM
180 NGN QUESTIONS AND VERIFIED ANSWERS
WELL GRADED, BEST ATI COMPREHENSIVE
1. 1. A nurse is caring for a client who has bipolar disorder and is experiencing
acute mania. The nurse obtained a verbal prescription for restraints. Which of the
following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client's condition every 15 minutes
Ans>>: D. Document the client's condition every 15 minutes
2. A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in
,the plan of care?
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 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
Ans>>: D. Administer analgesics on a scheduled basis for the first 24 hr
3. 3. A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. 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 extremities
d. A client who has a hip fracture and a new onset of tachypnea
Ans>>: D. A client who has a hip fracture and a new onset of tachypnea (NEW ONSET)
It is normal for pt to have weakness in lower extremities post Epidural analgesia
,4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the
following actions should the nurse take?
a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to
promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client's skin
c. 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
sides pressed together)
Ans>>: B. Wear gloves to apply the patch to the client's skin
5. A nurse has just received change-of-shift report for four clients. Which of the
following clients should the nurse assess first?
,a. A client who was just given a glass of orange juice for a low blood glucose
level
b. A client who is schedule for a procedure in 1 hr
c. A client who has 100 mL fluid remaining in his IV bag
d. A client who received a pain medication 30 min ago for postoperative pain
Ans>>: A. A client who was just given a glass of orange juice for a low blood glucose level
Patients B & C can wait
6. 6. A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler's position during the feeding
d. A residual of 65 mL 1hr postprandial
Ans>>: A. A history of gastroesophageal reflux disease (GERD)
7. 7. A nurse is reviewing the laboratory results for a client who has Cushing's disease.
The nurse should EXPECT the client to have an increase in which of the following
,laboratory values?
a. Serum glucose level
b. Serum calcium level
c. Lymphocyte count
d. Serum potassium level
Ans>>: A. Serum glucose level- increased
b. Serum calcium level - decreased
c. Lymphocyte count - decreased immune system
d. Serum potassium level - decreased
Cushings disease is caused by
- The most common cause is the use of steroid drugs,
- also from a tumor or excess growth (hyperplasia) of the pituitary gland. The pituitary gland is
located just below the base of the brain. A type of pituitary tumor called an adenoma is the
other most common cause
Signs are a fatty hump between the shoulders, a rounded face, and pink or purple stretch
,marks.
Treatment options include reducing steroid use, surgery, radiation, and medication.
,8. 8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after
the client displaces toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
Ans>>: D. Administer calcium gluconate IV (antidote)
Always have an injectable form of calcium gluconate available when administering magnesium
sulfate by IV.
9. Why is magnesium sulfate given to pregnant women with preeclampsia?: -
Magnesium sulfate can help prevent seizures in women with postpartum preeclamp- sia who
have severe signs and symptoms. Magnesium sulfate is typically taken for 24 hours. After
treatment with magnesium sulfate, your health care provider will closely monitor your blood
pressure, urination and other symptoms
,10. What is the antidote for magnesium sulfate (if mag toxicity occurs)
Ans>>: Calcium gluconate
S/S of mag sulfate toxicity
diarrhea.
nausea and vomiting. lethargy.
muscle weakness.
abnormal electrical conduction in the heart. low
blood pressure.
urine retention. respiratory
distress.
11. 9. A charge nurse is teaching new staff members about factors that in- crease a
client's risk to become violent. Which of the following risk factors should the nurse
include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
, Ans>>: C. Previous violent behavior
Risk factors also include: past history of aggression, poor impulse control, and violence.
Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations,
violent angry reactions with cognitive disorders).
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