ATI Exit exam 1 Latest 2023/2024 (Complete Solutions, 100% Verified)
ATI Exit exam 1
A nurse is observing an AP take a client's tympanic temperature.
... [Show More] Which of the
following actions should the nurse identify as an indication that the AP
understands how to perform the procedure
The AP points the probe posteriorly
The AP positions the client facing her
The AP pulls the pinna up and back
The AP inserts the probe with a straight forward motion
The AP pulls the pinna up and back
A nurse is contributing to the plan of care for a client who has COPD. which of the
following interventions should the nurse make?
Provide the client with 3 large meals each day
Limit fluid intake to 1,000 mL daily
Place the client in an orthopneic position
Encourage the client to cough and deep breathe once every 8 hour
Place the client in an orthopneic position
A nurse is collecting data from a client who is taking an oral contraceptive. Which
of the following findings is a contraindication for the use of oral contraceptives
Irregular menstrual cycles
Hx of mononucleosis 1 year ago
Headaches with aura
GERD
Headaches with aura
A nurse is reinforcing teaching with a client who had primary open-angle
glaucoma and a new prescription for timolol eye drops. Which of the following
statements indicates an understanding of the teaching
I should take a zinc supplement while taking this med
I should check my heart rate while taking this medication
This medication will darken the color of my eyes
This medication will dilate my eyes
I should check my heart rate while taking this medication
A nurse is caring for a client who is visibly upset and tearful about a recent
terminal diagnosis. Which of the following responses should the nurse make
When you feel better, we'll talk about your treatment options
I'm going to contact your family so they can be with you
I'm sorry you have to deal with this
I will stay with you for a while
I'm sorry you have to deal with this
A charge nurse is reinforcing teaching with a newly licensed nurse about the
nurse's role in obtaining informed consent. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching
When i sign the consent form, i am stating that the client appears to be
competent to give consent
I will sign the consent form to indicate that the client has received written
materials explaining the procedure
It is my responsibility to obtain informed consent from the client prior to the
procedure
I will provide the client with an explanation of the procedure before i sign the
consent form
It is my responsibility to obtain informed consent from the client prior to the
procedure
A nurse is caring for a 3 year old child who has acute bacterial conjunctivitis of the
right eye and has been prescribed bacitracin ophthalmic ointment. Which of the
following actions should the nurse take
Instruct guardian to apply erythromycin ophthalmic ointment every morning for
14 days
Wipe any excess medication from the inner canthus outward
Place and occlusive dressing on the affected eye to prevent the spread of
infection
Gently massage the eyelid to facilitate absorption of the medication
Wipe any excess medication from the inner canthus outward
A nurse in a provider's office is collecting data from a client who was just
diagnosed with tuberculosis. Which of the following actions should the nurse take
first
Notify the local health department
Contact those who live with the client
Communicate with personnel about the need for prophylaxis
Place a mask on the client
Place a mask on the client
A nurse delegates a task to an AP and the AP refuses to complete the assigned
task. Which of the following actions should the nurse take
Report the AP to the risk manager
Discuss the AP's concerns about performing the task
Assign the task to another AP
Perform the task on behalf of the AP
Discuss the AP's concerns about performing the task
A nurse is contributing to the plan of care for a client who has prolonged exposure
to cold weather and has a core body temperature 32.5 C (90.5 F). Which of the
following data is the priority for the nurse to monitor
Pain sensation
Muscle strength
Heart rhythm
Urinary output
Pain sensation
A nurse is reinforcing teaching with a client who has GERD and a prescription for
pantoprazole. Which of the following statements indicates an understanding of
the teaching
I will need to remain upright or 1 hour after taking the medication
I can take antacids at the same time as this medication
I should expect to have diarrhea while taking this medication
I have to take this medication on an empty stomach
I have to take this medication on an empty stomach
A nurse is collecting data from a client who is receiving IV therapy. The nurse
suspects fluid infiltration. Which of the following findings should the nurse expect
at the insertion site
Pruritus
Edema
Blood
Erythema
Edema
A nurse is making client care assignments for an AP. which of the following tasks
should the nurse assign to the AP
Feed a client who has difficulty swallowing liquids following a stroke
Evaluate the need to suction the airway of a client who has a new tracheostomy
Inspect the incision of a client who is postoperative following a leg amputation
Complete post mortem care for a client who has died
Complete post mortem care for a client who has died
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following findings should the nurse expect
Increased abdominal discomfort prior to meals
Discomfort with urination
Pain radiating to the jaw
Pain in the right upper abdomen
Pain in the right upper abdomen
A nurse is reinforcing teaching with a newly licensed nurse about caring for a
client who has a history of dysphagia. Which of the following instruction should
the nurse include in the teaching
Use a needless syringe to instill feedings
Place oral suction equipment net to the client's bedside
Provide thin liquids to help the client swallow
Give the client a straw to used for drinking
Place oral suction equipment net to the client's bedside
A nurse is reinforcing discharge teaching with a client who has COPD and reports
problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include
Perform pulmonary hygiene 1 hour before meals
Drink at least 240 mL of water during each meal
Self administer o2 through your nasal cannula at 6 mL per min during meals
Lie down for 30 mins after eating
Perform pulmonary hygiene 1 hour before meals
A nurse is caring for a client who has a chest tube that was inserted 4 days ago.
Which of the following findings should the nurse report to the charge nurse
400 ml of drainage in the collection chamber within 4 hour
Fluctuation in the water seal chamber with respiration
Blood pressure 110/70
RR 16/min
400 ml of drainage in the collection chamber within 4 hour
A nurse is collecting data from a 10 month old infant during a well child visit.
Which of the following findings should the nurse identify as a manifestations of
torticollis
Asymmetry of gluteal folds
Frenulum connected to the tip of the tongue
Neck is in a flexed position
Feet turn inward
Neck is in a flexed position
A nurse is caring for a client who has C. Diff. when applying a cover gown, which
of the following techniques should the nurse use
Tuck the glove cuffs under the gown sleeves
Apply the gown before the gloves
Push the gown sleeves up to the elbows
Tie the gown with the gloves on
Push the gown sleeves up to the elbows
A nurse is monitoring a client who is receiving a blood transfusion. The nurse
identifies that the client has urticaria and is wheezing. Which of the following
transfusion reactions should the nurse suspect
Acute hemolytic
Anaphylactic
Febrile
Circulatory overload
Anaphylactic
A nurse is reinforcing teaching about toilet training with the guardians of a
toddler who has cognitive impairment. Which of the following instructions should
the nurse include
Encourage the toddler to flush the toilet while still seated
Wake the toddler every 2 hours in the night to prevent bed wetting
Give the toddler a sticker after each successful toileting attempt
Have the toddle remain on the toilet for a minimum of 20 min
Give the toddler a sticker after each successful toileting attempt
A nurse is planning care for four clients. Which of the following tasks should the
nurse ask the charge nurse to reassign to an RN
Collecting a sputum culture
Removing an NG tube
Administering a sub q insulin injection
Provide discharge teaching about home IV med therapy
Provide discharge teaching about home IV med therapy
The nurse is caring for a client who adheres to kosher dietary practices. Which of
the following food should the nurse plan to offer the client
chicken sandwich
Cheeseburger
shrimp and french fries
bacon and eggs
bacon and eggs
A nurse is recommending clients for discharge to allow for admission of clients
following a tornado disaster. Which of the following clients should the nurse
recommend for discharge
a client who has afib and an INR of 4
a client who is 3 days post-op following a hip arthroplasty and has a warm red
area and his left calf
a client who reports chest pain after ambulating
a client who has a sodium level of 140 after one episode of diarrhea
a client who has a sodium level of 140 after one episode of diarrhea
A nurse is assisting with the discharge teaching for a client who is post-operative
following the repair of a detached retina. Which of the following instruction
should the nurse include in the teaching
you can remove your eyepatch during the day
you can apply a warm moist compress to your forehead to reduce pain
you should bend from the waist to pick up objects
you can take a stool softener to prevent constipation
you can take a stool softener to prevent constipation
The nurse is preparing a vitamin K injection to give a newborn. The newborn's
mother questions the purpose of this medication. Which of the following
responses should the nurse make
this medication will increase the immunity of your newborn
this medication will increase the absorption of nutrients in the intestine
this medication will decrease the possibility of your newborn developing jaundice
this medication will decrease the risk of hemorrhage in your newborn
this medication will decrease the risk of hemorrhage in your newborn
The nurse working in a rehab unit is administering medications or two clients at
the same name. Which of the following identifiers should the nurse use to verify
the identities of each client
the room numbers of the clients
the telephone numbers of the clients
diagnosis of the clients
the name of the clients nearest relatives
the telephone numbers of the clients [Show Less]