ATI COMPREHENSIVE EXIT EXAM 2022
1. A patients cap BG level is 120 mg/dL 6 hrs after the nurse initiated a parenteral
nutrition infusion. The
... [Show More] appropriate action by the nurse is to
a. Recheck BG 4-6 hrs later
2. After abdominal surgery, a patient w/ protein calorie malnutrition that is receiving PN;
what is the best indicator of adequate nutrition?
a. Surgical incision is healing normally
3. When caring for a patient with a soft, silicone NG tube in place for tube feeding the
nurse will
a. Flush the tubing after checking for residual volume
4. A 76 yr old woman w/ a BMI of 17 kg/m2 and a low serum albumin level is being
admitted by the nurse. Which assessment finding will the nurse expect to find?
a. Pitting edema
5. A healthy adult woman who weighs 145 lb asks the clinic nurse about the minimum
daily requirement for protein. How many grams of protein will the nurse recommend?
a. 53
6. Which menu choice best indicates that the patient is implementing the nurses
suggestion to choose high-calorie, high-protein food?
a. Fried chicken with potatoes and gravy
7. The nurse will be teaching self-management to patients after gastric bypass surgery.
Which info will the nurse plan to include?
a. Drink fluids between meals but not with meals
8. A patient is being admitted for bariatric surgery. Which nursing action can the nurse
delegate to UAP?
a. Assist with IV insertion by holding adipose tissue out of the way
9. After the nurse teaches a patient about the recommended amounts of foods from
animal and plant sources, which menu selections indicate that the initial instructions
about diet have
been understood?
a. 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks
10. Which item should the nurse offer to the patient who is to restart oral intake after
being NPO due to nausea and vomiting?
a. Dish of lemon gelatin
11. Which info will the nurse include when teaching adults to decrease the risk of
cancers of the tongue and buccal mucosa?
a. Avoid use of cigarettes and smokeless tobacco
12. Which info will the nurse include when teaching a patient with pepatientic ulcer
disease about the effect of zantac?
a. Ranitidine decreases gastric acid secretion
13. A patient vomiting blood-streaked fluid is admitted to the hospital with acute
gastritis. To determine possible risk factors for gastritis, the nurse will ask the patient
about
a. Use of NSAIDs
14. The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn
describes that the medication
a. Treats GERD by decreasing stomach acid production
15. A patient who has GERD is experiencing increasing discomfort. Which patient
statement to the nurse indicates that additional teaching about GERD is needed?
a. “I eat small meals during the day and have a bedtime snack”
16. The health care provider prescribes antacids and sucralfate (Carafate) for treatment
of a patients pepatientic ulcer. The nurse will teach the patient to take
a. Antacids after meals and sucralfate 30 minutes before meals
17. Which info will the nurse include for a patient that is newly diagnosed with GERD?
a. “Keep the HOB elevated on blocks”
18. A patient has pepatientic ulcer disease that has been associated with Helicobacter
pylori. About which meds will the nurse plan to teach the patient?
a. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)
19. The nurse evaluates that admin of Hep B vaccine to a healthy patient has been
effective when the patients blood specimen reveals
a. Anti-HBs
20. Which action should the nurse take to evaluate treatment effectiveness for a patient
who has hepatic encephalopathy?
a. Ask the patient to extend both arms forward
21. Which info given by a 70 yr old patient during a health history indicates to the nurse
that the patient should be screened for hep C?
a. The patient used IV drugs about 20 yrs ago
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