ATI_RN_Comprehensive_Exit_Exam_2021

1. A inurse iis icaring ifor ia iclient iwho iis iat i33 iweeks iof igestation ifollowing ian iamniocentesis. iThe inurse ishould imonitor ithe iclient ifor iwhich iof ithe ifollowing icomplications? a. Vomiting b. Hypertension c. Epigastric ipain d. Contractions 2. A inurse iis iproviding iteaching ito ian iolder iadult iclient iabout imethods ito ipromote inighttime isleep. iWhich iof ithe ifollowing iinstructions ishould ithe inurse iinclude? a. Stay iin ibed iat ileast i1 ihr iif iunable ito ifall iasleep b. Take ia i1 ihr inap iduring ithe iday c. Perform iexercises iprior ito ibedtime d. Eat ia ilight isnack ibefore ibedtime 3. A inurse ion ia itelemetry iunit iis icaring ifor ia iclient iwho ibecomes iunconscious iand iwhose imonitor idisplays iventricular itachycardia. iWhich iof ithe ifollowing iactions ishould ithe inurse itake ifirst iafter idetermining ithe iclient idoes inot ihave ia ipalpable ipulse? a. Assess iheart isounds b. Defibrillate c. Establish iIV iaccess d. Administer iepinephrine 4. A inurse iis iadmitting ia iclient iwho i1 iweek ipostpartum iand ireports iexcessive ivaginal ibleeding. iThe inurse idoes inot ispeak ithe isame ilanguage ias ithe iclient. iThe iclient’s ipartner iand i10-year-old ichild iare iaccompanying iher. iWhich iof ithe ifollowing iactions ishould ithe inurse itake ito igather ithe iclient’s iadmission idata? a. Have ithe iclient’s ichild itranslate b. Allow ithe iclient’s ipartner ito itranslate c. Request ia ifemale iinterpreter ithrough ithe ifacility d. Ask ia inursing istudent iwho ispeaks ithe isame ilanguage ias ithe iclient ito itranslate 5. A inurse iis icaring ifor ia iclient iwho iis ifebrile i(High ifever). iTo ireduce ithe iclient’s ifever, ithe inurse iapplies ia icooling iblanket. iWhich iof ithe ifollowing ifindings iindicates ithe iclient iis ihaving ian iadverse ireaction ito ithe icooling? a. Flushing b. Tachycardia c. Restlessness d. Shivering i(Hypothermic) 6. A inurse iis icaring ifor ia iclient iwho ihas ideep-vein-thrombosis iof ithe ileft ilower iextremity. iWhich iof ithe ifollowing iactions ishould ithe inurse itake? i(Exhibit) a. Position ithe iclient iwith ithe iaffected iextremity ilower ithan ithe iheart b. Withhold iheparin iIV iinfusion iPTT- i30-40 iseconds; ix2 iif ion iheparin c. Administer iacetaminophen d. Massage ithe iaffected iextremity ievery i4 ihr 7. A inurse iis ireviewing iassessment idata ifrom iseveral iclients. iFor iwhich iof ithe ifollowing iclients ishould ithe inurse irecommend ireferral ito ia idietitian? a. An iolder iadult iclient iwho ihas ia iBMI iof i24(18.5-24.9) b. A iclient iwho ihas ia inonhealing ileg iulcer i(diet iisn’t igood) c. An iolder iadult iclient iwho ihas ipresbyopia i(age irelated ifar-sightness) d. A iclient iwho ihas ian ialbumin ilevel iof i3.7 ig/dL i(normal i3.4-5.4) 8. A inurse iis iproviding idischarge iteaching ito ia iclient iwho ihas ia ichronic ikidney idisease iand iis ireceiving ihemodialysis. iWhich iof ithe ifollowing iinstructions ishould ithe inurse iinclude iin ithe iteaching? a. Eat i1 ig/kg iof iprotein iper iday b. Take imagnesium ihydroxide ifor iindigestion c. Drink iat ileast i3 iL iof ifluid idaily- d. Consume ifoods ihigh iin ipotassium- irestrict 1) A inurse iin ian iemergency idepartment icompletes ian iassessment ion ian iadolescent iclient ithat ihas iconduct idisorder. iThe iclient ithreatened isuicide ito iteacher iat ischool. iWhich iof ithe ifollowing istatements ishould ithe inurse iinclude iin ithe iassessment? a) Tell ime iabout iyour isiblings b) Tell ime iwhat ikind iof imusic iyou ilike c) Tell ime ihow ioften ido iyou idrink ialcohol d) Tell ime iabout iyour ischool ischedule 2) *A inurse iis iobserving ibonding ito ithe iclient iher inewborn. iWhich iof ifollowing iactions iby ithe iclient irequires ithe inurse ito iintervene? a) Holding ithe inewborn iin ian ien iface iposition b) Asking ithe ifather ito ichange ithe inewborn's idiaper c) Requesting ithe inurse itake ithe inewborn inursery iso ishe ican irest d) Viewing ithe inewborn’s iactions ito ibe iuncooperative 3) A inurse iis icaring ifor iclient iwho iis itaking ilevothyroxin. iWhich iof ithe ifollowing ifindings ishould iindicate ithat ithe imedication iis ieffective? a) Weight iloss i(this idrug iacts ias iT4 iand iwill inormalize ithe ieffects iof ihypothyroidism) b) Decreased iblood ipressure c) Absence iof iseizures d) Decrease iinflammation 4) A inurse iis iplanning idischarge iteaching ifor icord icare ifor ithe iparent iof ia inewborn. iWhich iinstructions iwould iyou iinclude iin ithe iteaching? a) Contact iprovider iif ithe icord istill iturns iblack i(it’s igoing ito iturn iblack) b) Clean ithe ibase iof ithe icord iwith ihydrogen iperoxide idaily i(clean iwith ineutral ipH icleanser) c) Keep ithe icord idry iuntil iit ifalls iof if i(cord ishould ibe ikept iclean iand idry ito iprevent iinfection) d) The icord istump iwill ifall ioff iin ifive idays i(cord ifalls ioff iin i10-14 idays) 5) A inurse iis iassessing ia iclient iin ithe iPACU. iWhich iof ithe ifollowing ifindings iindicates idecreased icardiac ioutput? a) Shivering b) Oliguria c) Bradypnea d) Constricted ipupils 6) A inurse iis iassisting iwith imass icasualty itriage: iexplosion iat ia ilocal ifactory. iWhich iof ithe ifollowing iclient ishould ithe inurse iidentify ias ithe ipriority? a) A iclient ithat ihas imassive ihead itrauma b) A iclient ihas ifull ithickness iburns ito iface iand itrunk c) A iclient iwith iindications iof ihypovolemic ishock d) A iclient iwith iopen ifracture iof ithe ilower iextremity 7) A inurse iis ia ireceiving ireport ion ifour iclients. iWhich iof ithe ifollowing iclients ishould ithe inurse iassess ifirst? a) A iclient iwho ihas iilleal iconduit iand imucus iin ithe ipouch b) Client ipleasant iarteriovenous iadditional ivibration ipalpated c) A iclient iwhose ichronic ikidney idisease iwith icloudy idiasylate ioutflow d) A iclient iwas itransurethral iresection iof ithe iprostate iwith ia ired itinged iurine iin ithe ibag 8) A inurse iis icaring ifor ia iclient ijust ireceived ithe ifirst idose iof ilisinopril. iThe ifollowing iis ian iappropriate inursing iintervention? a) Place’s icardiac imonitoring b) Monitor ithe iclients ioxygen isaturation ilevel c) Provide istandby iassist iwith ithe iclient ifrom ibed d) Encourage ifoods ihigh iin ipotassium