ATI COMPREHENSIVE EXIT EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A

A charge nurse is discussing the use of applying ice to the clients injured knee with a newly licensed nurse, which of the following should the nurse identify as a benefit - answer-decreased capillary permeability A charge nurse is evaluating the time management skills for a new license nurse. The charge nurse should interview when a newly licensed nurse does which of the following - answer-Works on several test simultaneously A charge nurse is providing teaching to a new license nurse on how to clean up surfaces contaminated with blood which of the following agents should the nurse include in the teaching - answer-Chlorine bleach A client at 38 weeks of gestation interest emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor. - answer-The cervix is dilated 2 cm A client was having suicidal thoughts tells a nurse it just does not seem worth it anymore. Why not and my misery which of the following responses for the nurses appropriate - answer-Do you have a plan to end your life? A client who does not speak. English arrives at the emergency department, accompanied by a child which of the following action should the nurse take - answer-Ascertain what language, the client speaks and get an interpreter A client who is eight hours postpartum ask the nurse if she will need to receive Rh immune globulin in the client is gravida 2 para 2 in her blood type is AB negative. The newborn blood type is be positive which of the following statements is appropriate. - answer-You should receive Rh immune globulin within 72 hours of delivery A client with the left leg cast is using crutches for ambulation. The nurse recognizes client needs further instruction when - answer-Maintains 3 to 4 finger with between a crutch pad and axilla A community health nurse is teaching a group of adults about the importance of health screenings the nurse should include African-American males, almost twice as likely as Caucasian males to experience which of the following - answer-stroke A nurse administers a dose of metoclopramide to a client prior to chemotherapy treatment which of the following medication should the nurse administer - answer-Diphenhydramine A nurse and an AP came for a group of clients which of the following task is appropriate for the nurse to delegate to an AP - answer-Administrative oral fluids to a client with dysphasia A nurse discovers at the wrong dose of medication is given to the client with determining what action to take. You should recognize that which of the following ethical principle should be applied. - answer-Veracity A nurse from the state health department is instructing a group of nurses regarding reportable infections, which of the following instructions. Should the nurse report to the CDC. - answer-Lyme disease A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states I do not know how much longer I can take this, but I'm afraid he'll really hurt me if I leave which of the following is an appropriate nursing intervention - answer-Help the client to recognize the signs of escalation of the best behavior A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? - answer-I think that people just you're just lazy and should earn money honestly A nurse in a hospital cafeteria overhears to APs discussing a client. They are using the clients name of discuss the details of his diagnosis which of the following action should the nurse take first. - answer-Tell the AP to discontinue their conversation A nurse in a mental health facility receives a change of shift report on four clients which of the following client. Should the nurse plan to assess first. - answer-Client placed in restraints to the aggressive behavior A nurse in a providers office is providing education to a client who is 16 weeks of gestation and has a new prescription for Ferrous sulfate which of the following instruction should the nurse provide - answer-Take your iron medication with fluids, other than coffee or tea A nurse in intensive care unit is planning care for a client who has alcohol withdrawal syndrome, which of the following should the nurse include in the plan of care - answer-Provide frequent orientation to time and place A nurse in the ER caring for a client or multiple wins, do to motor vehicle crash, which of the following interventions are appropriate SATA - answer-Apply direct pressure to bleeding wounds Cover wounds with a sterile dressing Determine date of last tetanus toxoid vaccination A nurse in the providers office is interviewing a client who is requesting an oral contraceptive, which of the following findings in the clients history is a contraindication to use in combination oral contraceptives - answer-impaired liver function A nurse in the telemetry unit is receiving the laboratory findings for adult male client who's been treated for myocardial infraction the following is an expected finding for the client - answer-Troponin 1 (TNI) 8mg/dl A nurse in urgent care clinic is collecting omission history from my client who is 16 weeks of gestation and has bacterial vaginosis to the nurse should recognize that which of the following clinical findings are associated with this infection - answer-Profuse, milky, white discharge A nurse is admitting a client who is in labor and at 38 weeks gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2 which of the following questions is most appropriate for the nurse to ask the client. - answer-Do you have any active lesions? A nurse is admitting to a client to emergency department in initiates, continuous, cardiac monitoring, which of the following ECG strips, indicate sinus tachycardia - answer-B A nurse is assessing a client brought to the hospital psychiatric emergency service by law-enforcement officer. The client has just organized incoherent speech with loose associations and religious contact. You should recognize the signs and symptoms as being consistent with which of the following. - answer-Schizophrenia A nurse is assessing a client diagnosed with schizophrenia. The nurse asked the client to interpret the following statement. When the cats away the mice will play the client response was the mice come out when the cat is not around the nurse should document this finding which of the following in the clients chart - answer-Concrete thinking A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac output - answer-oliguria A nurse is assessing a client one hour following birth, and outside. Her uterus is buggy and located 2CM above the umbilicus which of the following action should the nurse take first - answer-Massage the fundus A nurse is assessing a client who has a chest tube following a thoracotomy, which of the following findings requires intervention by the nurse - answer-1 cm of water present in the water seal A nurse is assessing a client who has pericarditis, which of the following findings is priority - answer-paradoxical pulse A nurse is assessing a client with the following vital signs oral temperature: 37.2 (99F) apical pulse rate: 80/min, radial pulse rate: 62/min, respiratory rate: 16/min and BP: 132/40mmhg What is the clients pulse pressure? - answer-Systolic pressure subtracted by diastolic pressure (132-40=92) A nurse is assessing a clients cardiovascular system, identify where the nurse should place the diaphragm of the stethoscope to best hear the closing of the aortic heart valve "hot spot" - answer- A nurse is assessing an older adult client with the decrease caloric, intake, and weight loss which of the following findings should the nurse report to the provider immediately - answer-The client experiences, coughing, and wheezing after eating A nurse is assessing an older adult client, who had a stroke, which of the following findings should the nurse recognize as an indication of dysphasia - answer-Abnormal movements of the mouth A nurse is assessing for allergies before administering propofol to a client place on a mechanical ventilator, which of the following allergies is a contraindication for this medication - answer-Eggs A nurse is assisting the provider with a paracentesis for a client who has ascites following collection of the specimen, which of the following action should the nurse take next - answer-Label the specimen A nurse is assisting with mass, casualty triage explosion at a local factory which of the following client. Should the nurse identify as a priority. - answer-A client with indications of hypovolemic shock A nurse is caring for a child who has infectious mononucleosis which of the following findings are associated with this diagnosis SATA - answer-Splenomegaly Malaise Sore throat A nurse is caring for a client in an