ATI Exit Exam2023 with NGN/134
Questions with complete correct
answers/Graded A+.
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take? - -Ensure the state health
department has been notified
-A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first? - -Evaluate functioning of the suction device
-While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion device. Which of the following actions
should the nurse take first? - -Remove the device from the room
-A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution? - -
Remove the cap and place it sterile side up on a CLEAN surface
-A nurse is creating a plan of care for a female client who has recurrent UTIs.
Which of the following interventions should the nurse include in the plan? - -Wear
loose fitting underwear
-A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider? - -Sunken fontanels
and dry mucous membranes
-A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptives use to a group of women. Which of the following
conditions should the nurse include in the teaching? - -Hypertension
-A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching? - -"I know it will be a couple of weeks
before the medication helps me feel better."
-A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - -Apply an orthotic to the
client's foot.
-A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at
25mL/hr. Which of the following interventions should the nurse anticipate? - -
Obtain a urine specimen for culture and sensitivity
, -A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory tests
should the nurse plan to report to obtain the prescriptions for the warfarin? - -INR
-A nurse is assessing a client who is taking haloperidol and is experiencing pseudo
parkinsonism. Which of the following findings should the nurse document as a
manifestation of pseudo parkinsonism? - -Shuffling gait
-A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client? - -Having
interdisciplinary team meetings for the client on a regular basis.
-A nurse is caring for a 2 year old toddler. Which of the following food choices
should the nurse recommend to promote independence in eating? - -Banana slices
-A nurse on a medical-surgical unit is notified that a mass casualty event has
occurred in the community. Which of the following actions should the nurse plan
to take? - -Determine the medical needs of incoming clients through the
emergency department
-A nurse has just received change-of-shift report for four clients. Which of the
following clients should the nurse assess first? - -A client who was just given a glass
of orange juice for a low glucose level
-A nurse is performing postmortem care for a recently deceased client prior to the
client's family visit. Which of the following actions should the nurse plan to take? -
-Hold the client's eyes shut for a few seconds.
-A nurse is admitting a client who has schizophrenia. The client states, I'm hearing
voices. Which of the following responses is the priority for the nurse to state? - -
What are the voices telling you?
-A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an indication
that the medication has been effective? - -Weight loss
-A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take? - -Determine if
the client's health care surrogate is aware of the risks and benefits of the procedure
-A nurse is preparing to administer vancomycin IV to a adult client. The client
asks the nurse if the medication can be given 2 hours earlier. Which of the
following statements should the nurse make? - -I can start the medication 30
minutes earlier.
-A nurse is caring for a client who requires seclusion to prevent harm to others on
the unit. Which of the following is an appropriate action for the nurse to take? - -
Document the client's behavior prior to being placed in seclusion.
Questions with complete correct
answers/Graded A+.
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take? - -Ensure the state health
department has been notified
-A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first? - -Evaluate functioning of the suction device
-While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion device. Which of the following actions
should the nurse take first? - -Remove the device from the room
-A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution? - -
Remove the cap and place it sterile side up on a CLEAN surface
-A nurse is creating a plan of care for a female client who has recurrent UTIs.
Which of the following interventions should the nurse include in the plan? - -Wear
loose fitting underwear
-A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider? - -Sunken fontanels
and dry mucous membranes
-A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptives use to a group of women. Which of the following
conditions should the nurse include in the teaching? - -Hypertension
-A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client
indicates an understanding of the teaching? - -"I know it will be a couple of weeks
before the medication helps me feel better."
-A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - -Apply an orthotic to the
client's foot.
-A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at
25mL/hr. Which of the following interventions should the nurse anticipate? - -
Obtain a urine specimen for culture and sensitivity
, -A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory tests
should the nurse plan to report to obtain the prescriptions for the warfarin? - -INR
-A nurse is assessing a client who is taking haloperidol and is experiencing pseudo
parkinsonism. Which of the following findings should the nurse document as a
manifestation of pseudo parkinsonism? - -Shuffling gait
-A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client? - -Having
interdisciplinary team meetings for the client on a regular basis.
-A nurse is caring for a 2 year old toddler. Which of the following food choices
should the nurse recommend to promote independence in eating? - -Banana slices
-A nurse on a medical-surgical unit is notified that a mass casualty event has
occurred in the community. Which of the following actions should the nurse plan
to take? - -Determine the medical needs of incoming clients through the
emergency department
-A nurse has just received change-of-shift report for four clients. Which of the
following clients should the nurse assess first? - -A client who was just given a glass
of orange juice for a low glucose level
-A nurse is performing postmortem care for a recently deceased client prior to the
client's family visit. Which of the following actions should the nurse plan to take? -
-Hold the client's eyes shut for a few seconds.
-A nurse is admitting a client who has schizophrenia. The client states, I'm hearing
voices. Which of the following responses is the priority for the nurse to state? - -
What are the voices telling you?
-A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an indication
that the medication has been effective? - -Weight loss
-A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take? - -Determine if
the client's health care surrogate is aware of the risks and benefits of the procedure
-A nurse is preparing to administer vancomycin IV to a adult client. The client
asks the nurse if the medication can be given 2 hours earlier. Which of the
following statements should the nurse make? - -I can start the medication 30
minutes earlier.
-A nurse is caring for a client who requires seclusion to prevent harm to others on
the unit. Which of the following is an appropriate action for the nurse to take? - -
Document the client's behavior prior to being placed in seclusion.
