ATI COMPREHENSIVE EXIT EXAM
1. A charge nurse on a medical-surgical unit is planning assignments for a
licensed practical nurse (LPN) who has been sent
... [Show More] from the postpartum unit due
to a staffing shortage for the shift. Which of the following client assignments
should the nurse delegate to the LPN?
a. A client who is postoperative following a bowel resection with an NGT set to
continuous suction
b. A client who has fractured a femur yesterday and is expecting SOB
c. A client who sustained a concussion and has unequal pupils
d. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs
2. A nurse is caring for a client who is at 41 weeks of gestation and is
receiving oxytocin for labor induction. The nurse notes early deceleration on
the fetal heart rate monitor . Which of the following nursing actions should
the nurse take? p . 88 Ch. 13 maternity
a. Continue to monitor the fetal heart rate
b. Stop the oxytocin infusion
c. Perform a vaginal examination
d. Initiate an amnioinfusion
3. A nurse is conducting an initial assessment of a client and noticed a
discrepancy between the client’s current IV infusion and the information
received during the shift report. Which of the following actions should the nurse
take?
a. Complete an incident report and place it in the client's medical record.
b. Compare the current infusion with the prescription in the client's medication
record.
c. Contact the charge nurse to see if the prescription was changed.
d. Submit a written warning for the nurse involved in the incident.
4. A nurse is reviewing the medical record of a client who has schizophrenia
and is taking clozapine. Which of the following findings should the nurse
identify as a contraindication to the administration of clozapine ?
a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal
range
b. Fasting blood glucose 100 mg/dl
c. Hgb 14 g/Dl
d. Heart rate 58/min
ATI PHARM 116 Complications
5. A nurse is caring for a client who has hyperthermia .Which of the following actions
for the nurse to take?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions
Rationale: Hyperthermia occurs when a person's body temperature rises and
remains above the normal; 98.6°F Most frequently, this occurs during the heat of
summer and among the elderly. However, it may also be triggered by other
medical conditions or certain medications. Rapid cooling may be the single
most important action to prevent death or permanent disability. To mitigate
organ damage, the goal should be to reduce rectal temperature to below 40°C
within 30 minutes of beginning cooling therapy. The question does not indicate
whether it is malignant hyperthermia which could have been caused by a
medication. The question simply asks that the person has hyperthermia.
6. A nurse manager is updating protocols for belt restraints. Which of the
following guidelines should the nurse include?
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
7. A nurse in emergency department is caring for a [Show Less]