ATI CBC 3 - Exam A 2022 GRADED A

1. A nurse is providing family education for a D-the 19th. client who wishes to conceive...the nurse should identify that ovulation is expected to occur on which of the following calen- dar dates? 2. A nurse in an acute care mental health facility is planning care for a client who has bipolar disorder and who is experi- encing acute mania. What action should the nurse take? 3. A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the infant exhibits a sudden onset of cyanosis and is hyperpneic. What action should the nurse take? 4. A nurse is providing discharge teach- ing to a client following gastric bypass surgery for management of obesity. What is a client statement that indicates under- standing of the teaching? 5. A nurse is teaching a client who has gen- ital herpes simplex virus. What statement should the nurse include in the teaching about this STI? 6. The nurse should teach the client that ovulation is expected to occur 13-15 days after day one of her menses. Provide the client with finger foods to eat. Place the infant in a knee-chest position. This maximizes the oxygena- tion status of the infant during hypercyanotic episodes "I will remain in a reclining po- sition for 30 minutes after I eat" Following gastric bypass surgery, clients are at risk for dumping syndrome. Remain- ing in a reclining position slows gastric emptying and mini- mizes the risk of dumping syn- drome. "You should cleanse the le- sions with a saline solution twice each day." This helps to prevent sec- ondary bacterial infections. A nurse is caring for a client who has a Apply a thin coating of lip balm terminal illness and is approaching death. to the client's lips. Which of the following actions should the nurse take? 7. A nurse in an emergency department is assessing a client who was in a motor-ve- hicle crash. The client has a BAC of 0.18% and states, "I would never drink and dri- ve." This is demonstrating use of which defense mechanism? 8. A nurse is caring for a newly-admitted client who is at 37 weeks of gestation and is experiencing moderate placental abruption. What should the nurse do? 9. A nurse is planning care for a client who has a benign chondroma of the tib- ia. Which of the following interventions should the nurse plan to include? 10. A nurse is caring for a client who is expe- riencing hypovolemic shock due to post- partum hemorrhage. What actions should the nurse take immediately? A client who is dying can ex- perience dehydration. Applying lip balm to the client's lips pro- motes comfort. Denial Client refuses to acknowledge the reality of a situation. Insert a large-bore IV catheter. A 16-18 gauge IV catheter is to be inserted into the client's brachial artery because fluid volume and blood replacement might be necessary to correct defects in coagulation. Palpate for changes in the muscle of the affected extrem- ity. The nurse should palpate to monitor for changes such as muscle spasm, atrophy, or swelling. These manifestations indicate enlargement of the tu- mor. Massage the client's fundus The greatest risk to the client is hemorrhage. Massaging the 11. An intensive care nurse is providing edu- cation about organ and tissue donation to the parent of an adolescent who has died following a motor-vehicle crash. Which of the following responses by the parent in- dicates an understanding of the teach- ing? 12. A nurse in an emergency department is creating a plan o care for a client who reports a recent sexual assault. What in- tervention should the nurse include? 13. A community health nurse is assessing an older adult client. Which of the follow- ing situations should the nurse identify as a possible indication of undue influence? 14. A nurse is preparing to administer im- munizations to a 2 mo. old infant at a well-child visit. What immunization should the nurse plan to administer? 15. A nurse is discussing palliative care with the family of a client who is terminally ill. client's fundus expels clots and promotes contractions. "No one will notice the organs were donated if we have an open casket at the funeral". The nurse should reassure the parents that organ transplanta- tion does not change the ap- pearance of the body. Ex