ATI NURSING MISC EXAM (LATEST UPDATE) 1. A nurse is performing tracheostomy care for a client who is postop following a laryngectomy. Which of the followi
... [Show More] ng actions take when suctioning the client’s airway? 2. A nurse is preparing to administer a long acting insulin to a client who has DM. Which of the following actions should the nurse take first? 3. A nurse is caring for an older adult client in the PACU following gen anesthesia. Which of the following should the nurse report to the provider? 4. A nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for donating their organs. Which of the following information should the nurse plan to include? 5. Math 0.6mL 6. unit. To facilitate the staff’s acceptance of this change, which of the following actions should the nurse manager take first? A nurse manager is planning to make changes to the current scheduling system on the 7. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction? 8. A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? 9. A nurse who is working in a long-term care facility is assessing an adult client. Which of the following findings places the client at risk for development of a pressure injury? 10. A nurse is teaching about TPN and IV lipid emulsion with a client who has an extensive burn injury. Which of the following information should the nurse include? 11. A nurse is caring for a client who has dehydration secondary to nausea and vomiting. The nurse should identify which of the following findings as an indication of fluid volume deficit? 12. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the second stage of labor, the nurse observes early decelerations on the monitor tracing. Which of the following actions should the nurse take? 13. A nurse is caring for a client who requires physical therapy following discharge. Which of the following actions should the nurse take? 14. A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following findings as a manifestation of vaso-occlusive crisis? 15. A nurse is teaching a group of guardians about child safety measures. Which of the following statements by a guardian indicates an understanding of the teaching? 16. A nurse is caring for four clients at the beginning of a shift. After receiving change of shift report, which of the following clients should the nurse attend to first? 17. A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar disorder. Which of the following assessment findings should the nurse identify as the priority? 18. A nurse manager is on a planning committee to develop an emergency preparedness plan. The nurse should recommend that which of the following actions takes place first when implementing an emergency preparedness plan? 19. A nurse is planning care for a client who is receiving hemodialysis via an established AV fistula in the right arm. Which of the following interventions should the nurse include in the client’s plan of care? 20. A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give? 21. A nurse is assessing a client who has OSA. For which of the following complications should the nurse monitor? 22. Math heparin 0.5 23. A nurse in an ED is assessing a client who reports taking MDMA. Which of the following should the nurse expect? 24. A nurse is caring for a client who has a terminal illness and requests no lifesaving measure if a cardiac arrests occurs. Which of the following statements should the nurse make? A nurse is administering cyclophosphamide orally to a school-aged child who has neuroblastoma. Which of the following actions should nurse take when administering 25. this medication? 26. A nurse is reviewing the UA report of a client who has glomerulonephritis. Which of the following findings should the nurse expect? 27. A nurse is providing colostomy care for a client using a two piece pouching system. Which of the following actions should the nurse take? A nurse is administering meds to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent 28. clogging of the tube? 29. A night shift nurse is giving change of shift report to the day shift nurse who is ready for discharge. Which of the following information is the priority for the nurse to communicate to the oncoming nurse? 30. A nurse is planning teaching about allowable foods for a client who has a history of uric acid-based urinary calculi formation. Which of the following food should the nurse include in the teaching? 31. An RN is planning care for a group of clients and is working with a LPN and AP. Which of the following tasks should the RN delegate to the LPN? 32. A nurse is caring for a newborn who has HSV. [Show Less]