ATI COMPREHENSIVE EXIT FINAL EXAM LATEST UPDATE

ATI COMP REHENSIVE EXIT FINAL EXAM LATEST UPDATE A nurse is planning care for a client sealed radiation implant and is to remain in the hospital for 1 week. Which o the following should the nurse include in the plan of care? a) Re move dirty linens from the room after double bagging. b) Wear a dosimeter film badge while in the client's room c) Limit each of the clients is yours to one hour per day. d) Ensure family members remain at least 3 feet from the client. - ANSWERS -Wear a dosimeter film badge while in the clients room A nurse is caring for 4 clients, which of the following client should the nurse care for first? a) A client to receive a chemotherapy treatment or first national b) A client who has an appendectomy to these don 't has diminished all sounds c) A client is hypothyroidism and his stuporous d) A client who is a burn requiring a sterile dressing change - ANSWERS -A client is hypothyroidsm and stuporous The nurses planning care for newly admitted adolescent who has bac terial meningitis. Which of the following instructions is appropriate for the nurse to include in th eplan of care? a) Initiate droplet precautions for the client b) Assisted client to supine position c) Performing Glasgow coma scale every 24 hrs d) Recom mend prophylactic acyclovir there for the clients family. - ANSWERS -Initiate droplet precautions Nurse is giving discharge planning instructions to a client who has new ileostomy. The nurse should recognize that the teaching has been effective when the cl ient states ? a) I want sure that my medications are enteric coated b) My stoma will drain liquid fluid continuously c) I will change my pump system every two weeks d) My stoma size will stay the same even after healed - ANSWERS -My stoma will drain liquid fluid continuously A nurse in a providers office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the clients hi story is a contraindication to use in combination oral contraceptives? a) thyroid disease b) Allergy to penicillin c) impaired liver function d) abnormal blood glucose - ANSWERS -Impaired liver function The nurses providing teaching to a client who has mi ld persistent asthma has been prescribed montelukast. Which of the following statements should the nurse state for the teaching? a) This medication can be used to help you when have an acute asthma attack b) This medication should be taken before exercise and physical activity c) This medication can be taken for 10 days and then gradually discontinued d) This medication helps decrease swelling and mucus production - ANSWERS -This medication helps decrease swelling and mucus production The nurse on the medi cal surgical unit is receiving reports on 4 clients. Which of the following clients should the nurse asses first? 102) I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client should the nurse assess first? a) A client who is receiving warfarin and has and INR of 3.3 b) A client who has an acute kidney injury, a creatinine of 4 mg/dL, and a BUN 52 mg/dL c) A client who had a NG tube inserted 6 hr ago and has abdominal distention 15 of 28 d) A client who is 4 hr postoperative following a thyroidectomy and reports fullness in the back of the throat - ANSWERS -A client who has acute kidney injury a creatine of 4 mg/dl and a BUN 52 mg/dl A nurse is assessing a client who has pericarditis. Which of the following fi ndings is priority? a) Paradoxical pulse b) dependent edema c) Pericardial friction rub d) Sub sternal chest pain - ANSWERS -Paradoxical pulse A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces contaminated with blood. Which of the following agents should the nurse include in the teaching? a) Hydrogen peroxide b) Chlorhexidine c) Isopropyl alcohol d) Chlorine bleach - ANSWERS -Chlorine, bleach A nurse is preparing to feed a newly admitted patient with dysphagia. Which of the following actions should be taken? a) instruct the client to lift her chin when swallowing b) discourage the client from coughing during feedings c) Sit at or below the clients eye level during feedings. d) Talk with the client during her feeding. - ANSWERS -Sit at or below the clients eye level furing feedings A nurse is caring for a client who repeatedly refuses meals. The nurse overhear s an assistive personel telling the client " if i fo not eat i will put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? a) Assault b) Battery c) Malpra ctice d) Negligence - ANSWERS -Assault A charge nurse is evaluating the time management skills for a new licensed nurse. The charge nurse should intervene when a newly licensed nurse does which of the following? a) Re -Evaluate priorities halfway through the shift b) Delegate changing sterile dressing for licensed practical nurse c) Groups activities for the Same client d) Works on several tasks simultaneously - ANSWERS -Works on several tasks simutaneously A nurse is monitoring the client during an IV urography procedure. Which of the following client reports is the priority finding? a) Feeling flushed and warm b) Abdominal fullness c) Swollen lips d) Metallic taste in mouth - ANSWERS -Swollen lips A nurse is plan ning to delegate a client assignments to the assistive personnel, which of the following task is appropriate for the nurse to delegate? a) adjust the flow rate of the clients oxygen tank b) Collecting urine sample c) Measuring the clients pain level d) Mo nitoring blood glucose levels - ANSWERS -Collecting urine sample A nurse is assessing a client following vital signs, oral temp - 99 F, apical pulse rate 80/min, radical pulse rate 62/min, respiratory rate of 16/min and blood pressure 132/40 mmHg. What is t he clients pulse pressure? - ANSWERS -132-40= 92 A nurse is caring for a group of clients in a medical surgical unite. Which of the following situations requires completion of an incident report? a) A client who is absent gag reflex following a bronchosco py b) A client whose IV pump has malfunctioned c) A client who requires insertion of NG tube due to a bowel obstruction d) A client who is absent bell sounds following a gastrectomy - ANSWERS -A client whose IV Pump has malfunctioned A nurse is caring f or a client wh has diabetes insipidus and is receiving desmopressin. Which of the following should the nurse monitor ? a) Fasting blood glucose b) Carbohydrate intake c) Hematocrit d) Weight - ANSWERS -weight The nurse providing discharge instructions about engorgement for a client who has decided not to breastfeed. Which of the following statements by the client indicates a need for further instruction by the nurse? a) I can wear support bra b) I will play co ld compression my breasts c) I will manually express breastmilk d) I can take a mild analgesic - ANSWERS -I will manually express breastmilk A nurses is caring for a client in preterm labor who is receiving magnesium sulfate by continuous IV infusion. Whic h of the following findings indicates medication toxicity? a) Blood glucose of 150 mg/dL b) Urine output of 20 mL per hour c) Systolic blood pressure at 140 mm Hg d) BUN 20 mg/dL - ANSWERS -Urine output 20 ml per hour The nurse is completing assessment fo r a newborn who is 2 years old. Which of the following findings are indicative of cold stress? a) Respiratory rate of 60 per minute b) Jitteriness of the hands c) Diaphoretic d) Bounding peripheral pulses in all extremities - ANSWERS -Jitteriness of hands