ATI COMPREHENSIVE EXIT EXAM 1. A nurse is assessing a client’s pulmonary artery wedge
... [Show More] pressure (PAWP). The
nurse should recognize that an elevated PAWP indicates which of the following
complications?
A. Left ventricular failure
B. Cardiogenic shock
C. Hypovolemia
D. Hypotension
2. A nursing planning care for a school-age child who is 4 hr postoperative
following perforated appendicitis. Which of the following actions should the nurse
include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex
first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
Rationale Fundamentals ATI PDF p229: Managing acute severe pain with short-term
(24 to 48 hr) around-the-clock administration of opioids is preferable to following a
PRN schedule.
ATI PEDS 144 Maintain NPO. Administer IV fluids and antibiotics as prescribed. NO
cromolyn nebulizer stated on ATI.
3. A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea
4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of
the following actions should the nurse tak e?
a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas
to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately) [Show Less]