ATI COMPREHENSIVE EXIT Exam 2023/ 2024 | 700+ Questions and Verified Answers
QUESTION
A nurse is caring for a female client who has an indwelling
... [Show More] urinary catheter. Which of the following actions should the nurse take?
Answer:
Wipe the drainage port with an antiseptic wipe after emptying urine from bag
QUESTION
A nurse is reinforcing teaching with a newborn's parents about umbilical cord care. Which of the following statements by a parent indicates an understanding of the instructions?
Answer:
"I will give our baby sponge baths until the cord falls off."
QUESTION
A nurse who is facilitating a support group notices that one client in the group is extremely talkative, to the point where others in the group have difficulty sharing their own ideas. Which of the following strategies should the nurse use to facilitate the group process with this client?
Answer:
Speak privately to the client about this behavior
QUESTION
A nurse at a clinic is performing vision testing for a client following a head injury. Which of the following findings should the nurse identify as a problem with pupil accommodation?
Answer:
Lack of change in pupil size when the client looks from a far to a near object
QUESTION
A nurse is reinforcing teaching with a client who has cancer and a new prescription for fentanyl transdermal patches. Which of the following statements by the client indicates an understanding of the teaching?
Answer:
"I will fold the patch with the adhesive sides inward before discarding it."
QUESTION
A nurse is contributing to the plan of care for a client who had a vaginal delivery 4 hours ago and has a 4th degree perineal laceration. Which of the following actions should the nurse recommend?
Answer:
Instruct the client to use a sitz bath at least twice a day
QUESTION
A nurse is collecting data from a client who sustained spinal cord injuries from fractures to the T1 and T2 vertebrae. Which of the following client outcomes should the nurse expect?
Answer:
Flexes and extends the shoulders
QUESTION
A nurse is preparing to administer an influenza virus immunization to a client by the intradermal route. Which of the following actions should the nurse take?
Answer:
Avoid massaging the site after injecting the vaccine
QUESTION
A nurse assisting with a childbirth class is discussing nonpharmacological strategies used during labor. Which of the following statements by a client indicates an understanding of cutaneous stimulation?
Answer:
"I should use counterpressure for back pain during labor."
QUESTION
A nurse is assisting with the admission of a client who has major depressive disorder. Which of the following communication techniques should the nurse use to establish a trusting relationship with the client?
Answer:
Offering general leads
QUESTION
A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?
Answer:
metoprolol ER 50 mg per NG tube BID
QUESTION
A nurse is contributing to the plan of care for a client who is newly diagnosed with iron deficiency anemia. Which of the following foods should the nurse include in the plan as having the highest amount of iron?
Answer:
Boiled spinach
QUESTION
A nurse is administering lorazepam to a client who is scheduled for surgery within 1 yr(?). Which of the following actions should the nurse take after administering the medication?
Answer:
Instruct the client not to get out of bed
QUESTION
A nurse is observing an AP caring for a client. For which of the following actions should the nurse intervene?
Answer:
An AP reports client information to the oncoming AP in the hallway
QUESTION
A nurse is observing a stable preterm newborn who develops apnea for longer than 20 sec, with a decreased heart rate of 20/min. Which of the following actions should the nurse take first?
Answer:
Flick the sole of the newborn's foot
QUESTION
A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia?
Answer:
Tingling of fingers
QUESTION
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault? [Show Less]