2020 ATI Nursing Comprehensive Final Exam With Answers (152 Solved Questions)

Name: 2020 ATI Nursing Comprehensive Final Exam With Answers (152 Solved Questions)
Brand: Academic Documents Platform
Price: 3 USD
Availability: InStock
Author: Eva Reed

Master important exam concepts with 2020 ATI Nursing Comprehensive Final Exam With Answers, featuring past test questions.

Eva Reed

Contributor

4.6

4 months ago

Preview (13 of 40)

ATI COMPREHENSIVE EXIT /FINAL EXAM (2020)
REVIEWED AND GRADED A(180 QUESTIONS)
A nurse in an emergency department completes an assessment on an adolescent
client that has conduct disorder. The client threatened suicide to teacher at school.
Which of the following statements should the nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule Correct Answer: c) Tell me how often do
you drink alcohol
A nurse is observing bonding to the client her newborn. Which of following
actions by the client requires the nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative Correct Answer: d)
Viewing the newborn's actions to be uncooperative
A nurse is caring for client who is taking levothyroxin. Which of the following
findings should indicate that the medication is effective?
a) Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation Correct Answer: a) Weight loss (this drug acts as T4
and will normalize the effects of
A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black (it's going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH
cleanser)
c) Keep the cord dry until it falls off (cord should be kept clean and dry to prevent
infection)

d) The cord stump will fall off in five days (cord falls off in 10-14 days) Correct
Answer: c) Keep the cord dry until it falls off (cord should be kept clean and dry
to prevent infection)
A nurse is assessing a client in the PACU. Which of the following findings
indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils Correct Answer: b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which
of the following client should the nurse identify as the priority?
a) A client that has massive head trauma b) A client has full thickness burns to face
and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity Correct Answer: c) A client
with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following clients should
the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the
bag Correct Answer: c) A client whose chronic kidney disease with cloudy
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following
is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium Correct Answer: c) Provide standby assist
with the client from bed

A nurse is caring for a client who is in labor and his seat is receiving electronic
fetal monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression Correct Answer: d) Head Compression
A nurse is caring for a client who has chronic kidney disease. The nurse should
identify which of the following laboratory values as in an indication for
hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL Correct Answer: a) glomerular filtration rate of
14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. The following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger Correct Answer: c) Heat the skin one
minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for clients.
Which of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two
months
c) Client is receiving a PRN dose of health heard all two hours ago for increased
anxiety
d) Applied he'll be receiving his first ECT treatment today Correct Answer: a)
Client placed in restraints to the aggressive behavior

A nurse working at the clinic is teaching a group of clients who are pregnant on the
use of nonpharmacological pain management. Which of the following statements
by the nurse is an appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain Correct Answer: b) Hypnosis
promotes increased control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client
who was incarcerated for theft is addressing the group. Which of the following is
an example of reaction formation? (rxn formation is when you use opposite
feelings; ex: being super nice to someone you dislike)
a) I steal things because it's the only way I can keep my mind off my bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I think that people just you're just lazy and should earn money honestly Correct
Answer: d) I think that people just you're just lazy and should earn money
honestly
A nurse is obtaining the medical history of a client who has a new prescription for
isosorbide monotitrate. Which of the following should the nurse identify as a
contraindication to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches Correct Answer: a) Glaucoma
The nurses is caring for a client recovering from an acute myocardial infarction.
Which following intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask
d) Obtain a cardiac rehabilitation consult Correct Answer: d) Obtain a cardiac
rehabilitation consult

A Nurses caring for client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should nurse report to
provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds Correct Answer: a) WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease. To the following
action should the nurse include in the plan of care
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered items
c) Replace the carpet with hardwood floors
d) Create variation in daily routine Correct Answer: a) Place a daily calendar in
the kitchen
Nurse is performing change of shift assessments on 4 clients. Which of the
following findings should the nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over
deal
d) The client was sick of signing it reports pain 15 minutes after receiving oral
analgesic Correct Answer: b) Client who has gastroenteritis and is lethargic and
confused
A nurse is caring for a client was in the second trimester of pregnancy and asks
how to treat constipation. Which of the following statements by the nurse is
appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day (need at least 64 oz)
d) Drink hot water with lemon juice each morning when you wake up Correct
Answer: d) Drink hot water with lemon juice each morning when you wake up

Loading page 6...

A nurse is caring for a client who is preparing his advance directives. Which is the
following statements by the client indicates an understanding of advanced
directives? select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance directives
d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me Correct Answer: d) I
have the right to refuse treatment
e) My health care proxy can make medical decisions for me
A nurse is caring for a client who is at 32 weeks gestation and has a history of
cardiac disease. Which of the following positions should the nurse place the client
to best promote optimal cardiac output?
a) The chest
b) Standing
c) Supine
d) Left lateral Correct Answer: d) Left lateral
A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an AP?
a) Client who has chronic obstructive pulmonary disease and needs guidance on
incentive spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest discomfort
d) Client who had a cerebrovascular accident two days ago and needs help toileting
Correct Answer: d) Client who had a cerebrovascular accident two days ago and
needs help toileting
Nurse providing discharge teaching to the client who has schizophrenia and is
starting therapy with clozapine. Which of the following is the highest priority for
the client to report to the provider?
a) Constipation
b) blurred vision
c) Fever
d) Dry Mouth Correct Answer: c) Fever

Loading page 7...

A nurse observes an AP providing care to a child who is in skeletal traction. Which
of the following action requires intervention?
a) Providing a high protein snack
b) Assisting the child to reposition
c) Placing weights as a child's bed
d) Massaging pressure points-causes skin breakdown Correct Answer: c) Placing
weights as a child's bed
A nurse is planning to delegate to an AP the fasting blood glucose testing for a
client who has diabetes mellitus. Which of the following action should the nurse
take?
a) Determine if the AP is qualified to perform the test.
b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic medication today
d) Have AP check the medical record for prior blood glucose test results Correct
Answer: a) Determine if the AP is qualified to perform the test.
A nurse is assessing client brought to the hospital psychiatric emergency services
by a law enforcement officer. The client has disorganized, incoherent speech with
loose associations and religious content. You should recognize the signs and
symptoms as being consistent with which of the following?
a) Alzheimer's disease
b) Schizophrenia
c) Substance intoxication
d) Depression Correct Answer: b) Schizophrenia
A nurse is caring for a child who has infectious mononucleosis.. Which of the
following findings are associated with this diagnosis? Select all that apply
a) splenomegaly
b) Koplik spots (this is associated with measles)
c) Malaise
d) Vertigo
e) Sore throat Correct Answer: a) splenomegaly
c) Malaise
e) Sore throat

Loading page 8...

Nurse is performing dressing change for client was a sacral wound using negative
pressure wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level Correct Answer: d) Determine pain level
A nurses caring for client recovery from the bowel surgery who has nasogastric
tube connected to low intermittent suction. Which the following assessment
findings should indicate to the nurse that the NG tube may not be functioning
properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
d) air bubbles noted in the NG tube Correct Answer: c) Abdominal rigidity
A nurse is preparing to administer TPN with added fat supplements to a client who
has malnutrition. Which of the following action should the nurse take?
a) Piggyback 0.9 sodium chloride with TPN solution
b) Check for an allergy to eggs
c) Discuss the TPS solution for 12 hours d) Monitor for hypoglycemia Correct
Answer: b) Check for an allergy to eggs
A charge nurse is discussing the use of applying ice to a client's injured knee with a
newly licensed nurse. Which of the following should the nurse identify as a
benefit? (A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation Correct Answer: c) Decreased capillary permeability
Nurse is developing discharge care plans for client has osteoporosis. To prevent
injury the nurse should instruct the client to
a) Perform weight bearing exercises

Loading page 9...

b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area Correct Answer: a) Perform weight bearing exercises
A nurse on acute med-surgical unit is performing assessments on a group of
clients. Which is highest priority?
a) The client has surgical hypoparathyroidism and positive Trousseau's sign
b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums Correct Answer:
a) The client has surgical hypoparathyroidism and positive Trousseau's sign
Nurses caring for a client was congestive heart failure. Which of the following
prescriptions for the provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min Correct Answer: c)
Give the client enalapril 2.5 mg PO twice daily
A nurse is caring for a client who has a prescription for sertraline to treat
depression. Which of the following statements by the client indicates an
understanding of the medication treatment plan?
a) I will be able starting this medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
d) I should decrease my sodium intake while on this medication Correct Answer:
c) I understand I may experience difficulty sleeping on this medication
A nurse has been caring for a female client who has bruises on her arms that she
explains are a result of physical abuse by her husband. The client states, "I don't
know how much longer I can take this, but I'm afraid he'll really hurt me if I leave.
"Which of the following is an appropriate nursing intervention?"
a) Offer to speak to the client's husband regarding his abuse behavior.
b) Help the client to recognize the signs of escalation of abuse behavior

Loading page 10...

c) Assist the client to identify personal behaviors that trigger abusive behavior d)
Assist the client to Reports abusive behavior to the proper authority Correct
Answer: b) Help the client to recognize the signs of escalation of abuse behavior
A client was having suicidal thoughts tells the nurse "It just does not seem worth it
anymore. Why not end my misery?" Which of the following responses for the
nurses appropriate?
a) Why do you think your life is not worth it anymore?
b) Do you have a plan to end your life? c) I need to know what you mean my
misery
d) You can trust me and tell me what you're thinking Correct Answer: b) Do you
have a plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following
assessment findings should the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances Correct Answer: c) Poor problem
solving ability
A nurse is caring for a client who has deep vein thrombosis of the left lower
extremity. Which of the following action should nurse take? There are 3 tabs that
contain separate categories of data.
a) Position the client with the affected extremity lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion Correct Answer: d) Withhold heparin IV infusion
Is caring for clients was a new prescription for enoxaparin for the prevention of
DVT. Which of the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort Correct Answer: c) Inject
the medication the lateral abdominal wall

Loading page 11...

Nurses caring for four clients. Which of the following client data should the nurse
report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when
coughing
b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt
drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute neutrophil count
of 75/mm3 Correct Answer: d) The client was a prescription for chemotherapy
and an absolute neutrophil count of 75/mm3
Nurses caring for client was in end-stage osteoporosis and is reporting severe pain.
Clients respiratory rate is 14 per minute. Which of the following medications
should the nurse expect to be the highest priority to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline Correct Answer: b) Hydromorphone
A nurse is caring for a client who has DVT. Which of the following instructions
the nurse include in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed Correct Answer: d) Elevate
the client's affected extremity when in bed
A nurse is caring for a client who is receiving oxytocin IV for augmentation of
labor. The client's contractions are occurring every 45 seconds with a nine seconds
duration in the fetal heart rate is 170 to 180/minute. Which of the following actions
should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion Correct Answer: a) Discontinue oxytocin infusion

Loading page 12...

A nurse is admitting a client who is in labor and at 38 wks of gestation to the
maternal newborn unit. The client has a history of herpes simplex virus 2. Which
of the following questions is most appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions? c) Do you have any active lesions?
d) Are you positive for beta strap? Correct Answer: c) Do you have any active
lesions?
Nurse is providing teaching for child prescribed ferrous sulfate. Which of the
following instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice Correct Answer: d) Take with a glass of
orange juice
Four clients present to the emergency department. The nurse should plan to see
which of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine - uti
d) A 50- year old client who has slurred speech, is disoriented, and reports a
headache - stroke Correct Answer: d) A 50- year old client who has slurred
speech, is disoriented, and reports a headache - stroke
A nurse is completing a dietary assessment for client who is Jewish and observes
kosher dietary practices. Which of the following behaviors should the nurse expect
to find?
a) Leavened bread maybe eaten during Passover.
b) Shellfish is commonly consumed in the diet.
c) Meat and dairy products are eaten separately.
d) Fasting from meat occurs during Hanukkah. Correct Answer: c) Meat and dairy
products are eaten separately.

Loading page 13...

10 more pages available. Scroll down to load them.

Preview Mode

100%

Study Now!

XY-Copilot AI

Unlimited Access

Secure Payment

Instant Access

24/7 Support

Document Chat

Document Details

Subject

Assessment Technologies Institute

2020 ATI Nursing Comprehensive Final Exam With Answers (152 Solved Questions)

Study Now!

Document Details

Related Documents

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

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

2023-2024 ATI Maternal Newborn Proctored Exam With Answers (207 Solved Questions)

2021-2022 ATI Fundamentals Proctored Exam with Answers (400 Solved Questions)

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

2023-2024 ATI Med Surg Proctored Exam with Answers (61 Solved Questions)

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

ATI Pediatric Retake Practice Exam with Answers (40 Solved Questions)

2023-2024 ATI Med Surg Proctored Practice Exam with Answers (61 Solved Questions)

2023-2024 ATI NGN Adult Medical Surgical Proctored Exam with Answers (60 Solved Questions)

Company

Explore

Study Tools