Exam

ATI COMPREHENSIVE EXIT FINAL_LATEST 2020,100% CORRECT

I Just came from client is receiving IV moderate (Conscious) sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to c... [Show More] ommands. Which of the following is an appropriate action by the nurse? a) Placed the client in a prone proposition. b) Implement Positive pressure ventilation. c) Perform nasopharyngeal suctioning. d) administer flumazenil A nurses in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the clients name and discussing details of his diagnosis. Which of following actions should the nurse take first? a) Report the AP’s behavior to the supervisor. b) Completed instant report regarding the Aps conversation. c) Provide the AP with written documentation regarding client confidentiality d) Tell the AP to discontinue their conversation A community health nurse is teaching a group of adults about the importance of health screenings. The nurse should include African American males almost twice as likely as caucasian males to experience which of the following? a) testicular Cancer b) Obesity c) ) Stroke d) Melanoma A nurse is caring for a client who sprained his left ankle 12 hrs ago . Which of the following prescription is given by the provider should the nurse clarify? a) Over the fact that extremities and two pillows. b) Apply heat to affect extremity for 45 minutes on the 45 is off. c) wrap the affected extremity with a compression dressing. d) Assess the affected extremity for sensation movement impulse every four hours A nurse is providing dietary teachings for client who has hepatic encephalopathy. Which the following food selections indicates that client understands teaching? a) A sandwich and milkshake b) Rice with black beans c) Cottage cheese and tuna lettuce d) Three egg omelette with low-sodium ham A nurse is planning care for client sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? a) Remove dirty linens from the room after double bagging. b) Wear a dosimeter film badge while in the client’s room c) Limit each of the clients is yours to one hour per day. d) Ensure family members remain at least 3 feet from the client. A nurses for Caring for four clients. Which of the following client should the nurse care for first? a) A client to receive a chemotherapy treatment or first national b) A client who has an appendectomy to these don’t has diminished all sounds c) A client is hypothyroidism and his stuporous d) A client who is a burn requiring a sterile dressing change The nurses planning care for newly admitted adolescent who has bacterial meningitis. Which the following instructions is appropriate for the nurse to include in the plan of care? a) Initiate droplet precautions for the client b) Assisted client to supine position c) Performing Glasgow coma scale every 24 hrs d) Recommend prophylactic acyclovir there for the clients family. Nurse is giving discharge instructions to client has new ileostomy. The nurse should recognize that the teaching has been effective when the client states. a) I want sure that my medications are enteric coated b) My stoma will drain liquid fluid continuously c) I will change my pump system every two weeks d) My stoma size will stay the same even after healed A nurse in a provider’s office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client’s history is a contraindication to use in combination oral contraceptives? a) thyroid disease b) Allergy to penicillin c) impaired liver function d) abnormal blood glucose The nurses providing teaching to a client who has mild persistent asthma has been prescribed montelukast. Which of the following statements to the nursing put in teaching? a) This medication can be used to help you when have an acute asthma attack b) This medication should be taken before exercise and physical activity c) This medication can be taken for 10 days and then gradually discontinued d) This medication helps decrease swelling and mucus production I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client should the nurse assess first? a) A client who is receiving warfarin and has and INR of 3.3 b) A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52 mg/dL c) A client who had a NG tube inserted 6 hr ago and has abdominal distention d) A client who is 4 hr postoperative following a thyroidectomy and reports fullness in the back of the throat A nurse is assessing a client who has pericarditis. Which of the following findings is priority a) Paradoxical pulse pg. 389 under complications b) dependent edema c) Pericardial friction rub d) Substernal chest pain A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces contaminated with blood. Which of the following agents said the nurse include in the teaching? a) Hydrogen peroxide b) Chlorhexidine c) Isopropyl alcohol d) ) Chlorine bleach A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the following actions in response take? a) instruct the client to lift her chin when swallowing b) discourage the client from coughing during feedings c) ) Sit at or below the clients eye level during feedings. d) Talk with the client during her feeding. A nurses caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel telling the client. “If you don't eat, I’ll put restraints on your wrists and feed you.” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? a) Assault b) Battery c) Malpractice d) Negligence A charge nurse is evaluating the time management skills for new licensed nurse. The charge nurse should intervene when a newly licensed nurse does which of the following? a) Re-Evaluate priorities halfway through the shift b) Delegate changing sterile dressing for licensed practical nurse c) Groups activities for the Same client d) Works on several tasks simultaneously A nurse is monitoring the client during an IV urography procedure. Which of the following client reports is the priority finding? a) Feeling flushed and warm b) Abdominal fullness c) Swollen lips d) Metallic taste in mouth A nurse is planning to delegate client assignments to the assistive personnel. which of the following task is appropriate for the nurse to delegate? a) Just the flow rate of the clients oxygen tank b) Collecting urine sample c) Measuring the clients pain level d) Monitoring blood glucose levels A nurse is assessing a client wasn’t following vital signs: Oral temperature of 37.2°C (99 F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min, and blood pressure of 132/40 mm Hg. What is the clients pulse pressure? a) Systolic presssure subtracted by diastolic pressure (132 - 40) = 92 A nurse if caring for a group of clients in a medical surgical unit. Which of the following situations requires completion of an incident report? a) A client who is absent gag reflex following a bronchoscopy b) A client whose IV pump has malfunctioned c) A client who requires insertion of NG tube due to a bowel obstruction d) A client who is absent bell sounds following a gastrectomy A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin. Which of the following should nurse monitor? a) Fasting blood glucose b) Carbohydrate intake c) Hematocrit d) Weight The nurses providing discharge instructions about engorgement for client has decided not to breastfeed. Which of the following statements by the client indicates a need for further instruction by the nurse? a) I can wear support bra b) I will play cold compression my breasts c) I will manually express breastmilk d) I can take a mild analgesic A nurses caring for client in preterm labor who is receiving magnesium sulfate by continuous IV infusion. Which of the following client findings indicates medication toxicity? a) Blood glucose of 150 mg/dL b) ) Urine output of 20 mL per hour c) Systolic blood pressure at 140 mm Hg d) BUN 20 mg/dL The nurse is completing an assessment for newborn who is 2 hrs old. Which of the following findings are indicative of cold stress? a) Respiratory rate of 60 per minute b) Jitteriness of the hands c) Diaphoretic d) Bounding peripheral pulses in all extremities A nurse is planning care for four clients. Which of the following clients is the highest priority? a. A client who is dry, black eschar on the heel b. A client who is wearing an arm cast and reports numb fingers c. The client was reddened skin area with blanching around the coccyx d. The client who has frequent incontinence A nurse is caring for a male adolescent client who has heart failure. Based on the client’s chart finds. Which of the following actions should the nurse plan to take? e. Withholds spiranolactone f. Administer ferrous sulfate g. Administer furosemide h. Withhold digoxin (0.8-2.0) The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the following clinical manifestations are associated with this finding? i. Confusion (hypoglycemia) j. . Thirst k. Diaphoresis (hypoglycemia) l. Shakiness (hypoglycemia) A nurse is assessing for allergies before administering Propofol to a client placed on the mechanical ventilator. Which of the following allergies is a contraindication to the medication? m. . Eggs n. Milk o. Shrimp p. Peanuts A nurse is assessing a client diagnosed with schizophrenia. The nurse asks the client to interpret the following statement, “When the cat’s away, the mice will play”. The client response was, “The mice come out when the cat is not around”. The nurse should document this finding which of the following in the client’s chart? q. Echolalia r. Associative looseness s. Neologisms t. Concrete thinking A nurse caring for a client who is receiving total parental nutrition. Which of the following assessment findings required immediate intervention by the nurse? u. prealbumin level of 20 mg/dL b. Weight increase of two kg/day c. Temperature of 37.6°C d. Blood glucose level of 120 mg/dL A nurse in the telemetry unit is receiving the laboratory findings for adult male client who’s been treated for myocardial function. The following is an expected finding for the client? v. . Troponin 1 (TNI) 8 ng/ml w. Brain natriuretic peptide (BNP) 10 ng/L x. Alanine aminotransferase (ALT 45 unit/L y. High density lipoprotein (HDL) 75 mg/dl A nurse is reviewing the results of an ABG performed on a client with chronic emphysema. Which of the following results suggests the need for further treatment? z. paO2 level of 89 mm Hg b. PaCO2 level of 55 mm Hg c. HCO2 level of 25 mEq/L d. pH level of 7.37 A nurse is teaching a client about nutritional intake. The nurse should include which of the following in the teaching? aa. . "Carbohydrates should be at least 45% of your caloric intake." bb. "Protein should be at least 55% of your calorie intake." cc. "Carbohydrates should be at least 30% of your caloric intake." dd. "Protein should be at least 60% of your caloric intake." A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times? a. 2100 b. 0900 c. 1300 d. 1800 A nurse is planning an education session for a client who has type 1 diabetes mellitus. Which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia? ee. diaphoresis ff. polyuria gg. abdominal pain hh. thirst A nurse in an urgent-care clinic is collecting admission history from a client who is 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are associated with this infection? ii. Frequency and dysuria jj. Profuse milky white discharge kk. Hematuria ll. Low grade fever A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should be included when initiating feeding? mm. beef broth b. oatmeal c. apple juice d. toast A nurse receives a change-of-shift report. Which of the following clients should the nurse attend to first? nn. A client who reports tingling in the fingers following a thyroidectorny oo. A client who has dark, foul-smelling urine with a urine output of 320 mL in the last 8 hr pp. A client who is in a long leg cast and reports cool feet bilaterally qq. A client who has a productive cough and an oral temperature of 36° C (96.80 F) A nurse is caring for a client who has lactose intolerance and has eliminated dairy products from his diet. The nurse should instruct the client to increase consumption of which of the following foods? rr. spinach ss. peanut butter tt. ground beef uu. carrots A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravida 2, para 2, and her blood type is AB negative. The newborns blood type is B positive. Which of the following statements is appropriate? vv. You only need to receive Rh immune globulin if you have a positive blood type." b. You should receive Rh immune globulin within 72 hours of delivery." c. "Both you and your baby should receive Rh immune globulin at your -week appointment." d. "immune globulin is not necessary since this is your second pregnancy." A nurse is caring for the mother of an adolescent who was killed in a motor-vehicle crash after a school event. The mother states, I never should have let him take the car. Its all my fault!" Which of the following responses by the nurse is appropriate? ww. You had no way of knowing this would happen." xx. Most parents blame themselves when losing a child." yy. Tell me why you feel this is your fault." zz. . You appear to be feeling overwhelmed" A nurse is educating a client about caloric intake and weight reduction. Which of the following client statements indicates an understanding of the teaching? aaa. “If I eat 500 fewer calories per day, I should lose 1 pound per week.” bbb. “ If I eat 500 fewer calories per day, I should lose 1 pound per week." ccc. "If I eat 450 fewer calories per day, I should lose 2 pounds per week." ddd. "If I eat 250 fewer calories per day, I should lose 2 pounds per week." eee. "If I eat 300 fewer calories per day, I should lose 1 pound per week.” A nurses is teaching post-operative care with the parents of a toddler following a cleft palate repair. Which of the following should be included in the teaching? A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel? A nurse in an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness. The nurse should recommend that the protocol include which of the following as a clinical manifestation of smallpox? A nurse is preparing to perform closed intermittent bladder irrigation for a client following a transurethral resection of the prostate (TURP). Which of the following actions is appropriate by the nurse? A nurse is caring for a client who has been taking haloperidol for several years. Which of the following assessment findings should the nurse recognize as a long-term side effect of this medication? A nurse is planning care for a client who has Alzheimers disease and demonstrates confusion and wandering behavior. Which of the following should the nurse include in the plan of care? A nurse is reviewing the laboratory data of a client who has diabetes mellitus. Which of the following laboratory tests is an indicator of long-term disease management? A nurse on a pediatric care unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel? A nurse is caring for a client who has been taking propranolol. Which of the following findings indicates a need to withhold the medication? A nurse working in a mental health facility observes a client who has bipolar disorder walk over to a table occupied by other clients and knock their game off the table. Which of the following is an appropriate response by the nurse? A nurse is caring for a client who has human immunodeficiency virus (HIV) with neutropenia. Which of the following precautions should the nurse take while caring for this client A nurse is checking laboratory results for a client. Which of the following laboratory findings indicates hypervolemia? A nurse is caring for a group of clients in a long-term care facility. Which of the following situations should the nurse recognize as a safety hazard? A nurse is caring for a client in a mental health facility. The clients daughter is crying and tells the nurse that she feels guilty for leaving her father in the hospital. Which of the following is an appropriate response? A nurse is planning care for a client following gastric bypass surgery. The nurse should include which of the following dietary instructions when preparing the client for discharge? A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse? A provider has written a do not resuscitate order for a client who is comatose and does not have advance directives. A member of the clients family says to the nurse, “I wonder when the doctor will tell us what’s going on" Which of the following actions should the nurse take first A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is A nurse is interviewing an older adult client about the physiological changes he has been experiencing. Which of the following changes should the nurse recognize is normally associated with the aging process? A nurse in an intensive care unit is planning care for a client who has alcohol withdrawal syndrome. Which of the following should the nurse include in the plan of care? A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (Selectable areas or Hot Spots" can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your A nurse manager is planning an audit to measure the quality of care on the unit. Which of the following is the most appropriate source for the nurse to consult? A nurse is caring for a client who had gastric bypass surgery 1 week ago and has signs of early dumping syndrome. Which of the following findings should the nurse expect? (Select all that apply) A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? A nurse is delegating tasks to an assistive personnel. Which of the following instructions demonstrates appropriate communication of the task? A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should recognize that these findings are potential manifestations of which of the following? A nurse is assessing an older adult client who had a stroke. Which of the following findings should the nurse recognize as an indication of dysphagia? A nurse is providing preoperative teaching to a client who will use PCA morphine sulfate following surgery. Which of the following information should the nurse include? A nurse is assisting the provider with a paracentesis for a client who has ascites. Following collection of the specimen, which of the following actions should the nurse take next A nurse is caring for a client in an inpatient facility who tells the nurse that she is leaving because the facility policy prohibits smoking inside. Which of the following actions should the nurse take? A nurse is preparing to administer a measles, mumps, rubella (MMR) immunization to a child. Which of the following is a contraindication for administration? A nurse is preparing to administer 2.5 mL of medication intramuscularly to an adult client. Which of the following is the safest site for the nurse to use? A nurse is providing discharge instructions for a client who has a new prescription for furosemide. Which of the following client statements indicates a need for further teaching? A nurse is caring for a client who has a prescription for atorvastatin. Which of the following client A nurse is planning care for an adolescent who has chronic renal failure. Which of the following actions should the nurse include in the plan of care? A nurse is assessing a client 1 hr following birth and notes that her uterus is boggy and located 2 cm above the umbilicus. Which of the following actions should the nurse take first? A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following interventions should the nurse perform A nurse is caring for a 7 month-old infant who is being treated for severe dehydration. Which of the following assessment findings indicates treatment has been effective? A nurse is providing teaching to a client who has esophageal cancer and is scheduled to start radiation therapy. Which of the following should the nurse include in the teaching? A nurse in a provider's office is providing education to a client who is 16 weeks of gestation and has a new prescription for ferrous sulfate. Which of the following instructions should the nurse provide A nurse receives a change-of-shift report on four clients. Based on the shift report information, which of the following clients should the nurse plan to assess A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment. Which of the following medications should the nurse administer? A client who does not speak English arrives at the emergency department accompanied by a child. Which of the following actions should the nurse take? A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take? A nurse is using Naegeles rule to calculate the expected delivery date for a newly pregnant primigravida. The first day of the clients last period was October. What is the expected delivery date? (Provide the date using four numerals, the first two for the month and the second two for the day. For example, January 2 0102) A nurse on a medical-surgical unit is receiving report on four clients. Which of the following clients should the nurse assess first? [Show Less]

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