ATI Exit Exam RN Comprehensive Predictor 2019 Form D
1. A nurse is caring for a client who was newly diagnosed with breast cancer that has metastasized
... [Show More] into the spine. The client refuses to discuss treatment options. The nurse should identify that the client is experiencing which of the following stages of Kübler-Ross' grief theory?
Denial.
2. A nurse is caring for a client who has schizophrenia and states, "My doctor is trying to kill me.' Which of the following responses should the nurse make?
It must be frightening to feel that your doctor is trying to kill you.
3. A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the following findings should the nurse monitor when evaluating the effectiveness of the medication?
Reduced aggression.
4. A nurse in an acute mental health facility is leading a nursing staff discussion about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?
An involuntary admission is justified if the client is a danger to others.
5. A nurse is assessing a client who has schizophrenia. The client suddenly states, "I'm blue, so are you, and I'm leaving on a choo, choo, choo!" The nurse should identify the client's statement as which of the following speech patterns?
Clang association.
6. A nurse is creating a plan of care for a client who has Alzheimer's disease with moderate cognitive decline. Which of the following interventions should the nurse include to orient the client to the present?
Talk with the client about scheduled daily activities.
7. A nurse is speaking with a client whose partner was killed unexpectedly. The client states, "I just don't know what to do now." Which of the following actions should the nurse take?
Talk to the client about available community resources.
8. A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client?
Denial.
9. A nurse is caring for a client who has borderline personality disorder. The client has previously identified another nurse as his favorite, stating, "He's the best nurse ever." When that nurse calls in sick, which of the following statements indicates that the client is using splitting as a method of coping?
He's the worst nurse that's ever-taken care of me.
10. has schizophrenia. The client states, "I like to play ball. Walk down the hall. Be careful; don't fall." The nurse should identify that the client is using which of the following speech patterns?
Clang association.
11. A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication?
Xerostomia.
12. A nurse is providing teaching to the partner of a client who has alcohol use disorder. Which of the following statements by the partner indicates an understanding of the teaching?
Having 6 beers in 2 hours is considered too much.
13. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse perform?
Identify the client's feelings that led to self-injurious behavior.
14. A nurse is assessing a client who has schizophrenia. The client states, I need to get my gummamoshu from by my house.” The nurse recognizes this statement as an example of which of the following?
Neologism.
15. A nurse is caring for a client who has anxiety disorder. The client states that she forgot her partner's birthday after they had an argument. The nurse recognizes this action as which of the following defense mechanisms?
Repression.
16. A nurse is admitting a client who has antisocial personality disorder to an acute care unit. The client is admitted under a court order following the theft and destruction of a car. Which of the following behaviors should the nurse expect the client to display?
Anger with the nursing staff for hospitalizing him against his will.
17. A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship?
Facilitate a change in the client's behavior.
18. A nurse working in the emergency department is caring for a client following an overdose of pentobarbital sodium. For which of the following findings should the nurse assess the client?
Respiratory depression.
19. has borderline personality disorder. Which of the following manifestations should the nurse expect?
Self-mutilation.
20. A nurse in an acute care mental health facility is evaluating the plan of care for a client who has major depressive disorder and was admitted 1 week ago following a suicide attempt. Which of the following client statements should indicate to the nurse that the treatment plan has been effective?
I was feeling completely hopeless when I tried to kill myself.
21. A nurse is caring for a client who has a terminal illness. The client yells at the nurse, "Get out of my sight. You're always bothering me about something!" Which of the following responses should the nurse provide?
I'll be here if you would like to talk about how you feel.
22. A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate.
Which of the following blood tests should be performed periodically?
Glucose.
23. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's disease. The nurse should conclude that the group requires further teaching when a member identifies which of the following findings as a manifestation of Alzheimer's disease?
Sudden confusion.
24. A nurse at an acute mental health facility is caring for a client who has acute mania due to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediately. Which of the following responses should the nurse offer?
You must be very upset about something to want to see your provider in the middle of the night.
25. A nurse is providing teaching to a client who has insomnia. Which of the following statements should the nurse make?
If you aren't able to sleep, you can get out of bed and read a book.
26. A nurse is teaching a client who has an anxiety disorder about nonpharmacological ways to promote good sleep habits. Which of the following recommendations should the nurse make?
Eat a light snack containing carbohydrates before bedtime.
27. A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?
Determine the client's anxiety level.
28. was admitted to the mental health unit for substance use disorder.
The client states, "l am a nurse on the medical-surgical floor, and I don't want my coworkers to know I have been diverting drugs." Which of the following actions should the nurse take?
Inform the client that the information will be shared with the treatment team.
29. A nurse is teaching a client who has generalized anxiety disorder to perform a deep breathing exercise. Which of the following actions should the nurse instruct the client to take?
Breathe in through the nose.
30. A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use?
Maintain a nonjudgmental tone.
31. A nurse is assessing a client who is experiencing post-traumatic stress disorder (PTSD) following a traumatic event. Which of the following medications should the nurse expect the provider to prescribe?
Paroxetine.
32. A nurse in a mental health clinic is caring for a client who states, "I think I might have a problem with alcohol." Which of the following actions should the nurse take first?
Ask the client to complete the CAGE questionnaire.
33. A nurse at an acute care facility is caring for a client receiving IV antibiotic treatments for an infection. The client reports daily alcohol use at home. On the second day of admission, the client becomes agitated and has a blood pressure of 195/102 mmHg and a heart rate of 118/min. Which of the following actions should the nurse plan to take?
Request a prescription for chlordiazepoxide.
34. A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take?
Administer the medication.
35. A nurse is assessing a client who was in a motor-vehicle crash that killed her sibling. The client is shaking and asks, "What can I do now?" Which of the following questions is the nurse's priority?
Are you thinking about hurting yourself?
36. performing an admission assessment on a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect the client to report? (SATA) Difficulty sleeping for several weeks.
Inability to concentrate on simple tasks.
Absence of bathing for several days.
Lack of enjoyment from a long-time hobby of gardening.
37. A nurse is creating a plan of care for a client who has borderline personality disorder and exhibits manipulative behaviors. Which of the following interventions should the nurse include to address limit-setting?
Establish and explain consequences for the client's behavior.
38. A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the client's condition has improved when he can perform which of following tasks?
Ride in an elevator.
39. A mental health nurse is reviewing a process recording of a therapy session with a client. Which of the following statements should the nurse identify as an example of the communication technique of reflection?
That statement made by the other client appears to have upset you.
40. A nurse in a provider's office is reviewing the medical history of a client who asks about the use of varenicline for smoking cessation. Which of the following items in the client's medical history indicates a precaution for the use of varenicline?
The client has a history of depression.
41. A nurse is providing support for the parents of a child who has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief first?
Denial.
42. A nurse is caring for a client who reports that the television set in the room is really a 2-way radio and states, "Voices are coming from the TV, and everything we say in this room is being recorded." Which of the following responses should the nurse offer?
That must be very frightening.
43. A nurse is admitting a client who has alcohol use disorder. Which of the following statements indicates that the client is using denial as a coping mechanism?
I am able to go to work every day, so I don't have a problem.
44. performing an admission assessment for a client who has restricting-type anorexia nervosa. The nurse should expect which of the following findings?
Decreased caloric intake.
45. A nurse is organizing a therapeutic support group for individuals who have bulimia nervosa. Which of the following tasks should the nurse plan to include during the orientation phase of group development?
Determine the rules that the group will follow.
46. A nurse working in a retirement community is assessing an older adult client. Which of the following manifestations should the nurse identify as an expected age-related change?
Making occasional errors when balancing a checkbook.
47. A nurse is providing teaching to a client who has a new prescription for disulfiram for the management of alcohol dependence. Which of the following dietary items should the nurse instruct the client to avoid?
Pure vanilla extract.
48. A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the following medications should the nurse expect the provider to prescribe to assist the client with maintaining sobriety?
Disulfiram.
49. A nurse is assessing a client who is receiving disulfiram for alcohol aversion therapy. The client is experiencing palpitations and reports nausea, a headache, and extreme thirst. The nurse should identify that which of the following situations is occurring?
The client is experiencing mild acetaldehyde syndrome.
50. A nurse is caring for a client who is dying. The client's son appears visibly upset when he visits. Which of the following statements should the nurse make to the client's son? [Show Less]