ATI COMPREHENSIVE EXIT EXAM RETAKE
LATEST 2024/2025
1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should
monitor the client for which of the following complications?
a. contractions
b. Hypertention
c. Epigastric pain
d. vomiting
Answer: a. Contraction
Rational: Amniocentesis
-Can't be done before 16 weeks, not enough amniotic fluid.
-maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor, abruptio placentae,
damage to intestines or bladder, amniotic fluid embolism
-fetal risks: death, hemorrhage, infection, direct injury from the needle, miscarriage, and preterm, leakage of
amniotic fluid
2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which
of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Answer:D. Eat a light snack before bedtime
Rational:Consume a light snack of carbohydrates at bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays
ventricular tachycardia. Which of the following actions should the nurse first take determining the client does
not have a palpable pulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer Epinephrine
Answer:B. Defibrillate
Rational: The nurse needs to assess the client to determine stability before proceeding with further
interventions. If the client has a pulse and is relatively stable, elective cardioversion or antidysrhythmic
medications may be prescribed. The drug of choice for stable ventricular tachycardia with a pulse is
amiodarone. If the client is pulseless or nonresponsive, the client is unstable and defibrillation is used
4. A nurse is admitting a client who is one week postpartum and reports excessive vaginal bleeding. The
nurse does not speak the same language as the client the client’s partner and 10-year-old child are
accompanying her. Which of the following actions should the nurse take to gather the client’s admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate.
Answer: C. Request a female interpreter through the facility
Rational: We been told not to use family members if not facility interpreters
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