ATI exit with ngn exam questions and answers correct and verified 100%

ATI exit with ngn exam questions and answers correct and verified 100%ATI exit with ngn exam questions and answers correct and verified 100% 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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-"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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-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? - correct answers-Document the client's behavior prior to being placed in seclusion. A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should the nurse take? - correct answers-Initiate seizure precautions A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? - correct answers-Your desire to be an organ donor must be documented in writing. A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session? - correct answers-Initiate a discussion with clients about ways to cope with changes in family dynamics A nurse is developing a care plan for a client who is in Buck traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an assistive personnel? - correct answers-Remind the client to use the incentive spirometer A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel telling the client, If you don't eat, I'll 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? - correct answers-Assault A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in this teaching? - correct answers-Wear clean cotton socks every day A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take? - correct answers-Sit at or below the client's eye level during feedings A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? - correct answers-Hematuria A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating? - correct answers-Benefience A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take? - correct answers-Explain to the child what will happen when the abuse is reported a newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention? - correct answers-Using a electronic messaging system to remind clients when to take medication A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? - correct answers-You don't have to go through with the treatment A nurse is teaching a new parent about breastfeeding her 2 week old infant. Which of the following statements by the parent indicates an understanding of the teaching? - correct answers-The more my baby is at the breast sucking, the more milk I will produce A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take? - correct answers-Evaluate the client's ability to help with repositioning a nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? - correct answers-I can lift objects that are less than 10 pounds. A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? - correct answers-Speak directly to the client A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? - correct answers-Actaminophen A nurse is receiving a change of shift report for a group of clients. Which of the following clients should the nurse plan to assess first? - correct answers-A client who has a hip fracture and a new onset of tachypnea A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis? - correct answers-Palms of the hands A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? - correct answers-Previous violent behavior A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? - correct answers-FHR baseline 170/min A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify as being complete? - correct answers-Digoxin 0.25mg PO daily A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first? - correct answers-A client who is ambulatory and receiving oxygen A nurse is planning care for an older client who has dementia. Which of the following interventions should the nurse include in the plan of care? SATA - correct answers-Give the client one simple directions at a time Reinforce orientation to time, place, and person. Establish eye contact when communicating with the client A nurse is providing discharge teaching to the parent of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching? - correct answers-How to operate the portable suction machine A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action of the nurse? - correct answers-Provide humidification of the room air A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? - correct answers-Provide anticipatory guidance classes to parents through public schools A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect? - correct answers-Malaise A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following action should the nurse plan to take? - correct answers-Instruct the client to avoid coughing during the procedure A nurse is assessing a 2 year old toddler. Which of the following findings should the nurse expect? - correct answers-Nontender, protruding abdomen A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include? - correct answers-Document the client's condition every 15 minutes A nurse in a PACU is transferring care of a client to a nurse on the medical surgical unit. Which of the following statements should the nurse include in the hand off report? - correct answers-The estimated blood loss was 250mL A nurse in an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first? - correct answers-Determine the client's Glasgow coma scale score A nurse in an emergency department is caring for a client following a motor vehicle crash. The client's Glasgow coma score rating is 15. Which of the following findings should the nurse expect? - correct answers-The client is oriented times three A nurse is reviewing a client's cardiac rhythm strips and notes a constant PR interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying? - correct answers-First degree atrioventricular block A nurse is caring for a client who has end stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure? - correct answers-Hypertension A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make? - correct answers-We can review some information to help you select a safe alternative practitioner A nurse is preparing to obtain a health history from a client who is on bedrest. Which of the following positions should the nurse take to place the client at ease? - correct answers-Sit in a chair next to the bed A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawals? - correct answers-Hypertonicity A nurse is caring for a client who is receiving total parental nutrition. The bag has 20mL remaining to infuse, but a new bag is not readily available. Which of the following actions should the nurse take? - correct answers-Administer dextrose 10% in water A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching? - correct answers-You can receive the immunization for influenza at any time during your pregnancy A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching? - correct answers-Avoid using nail polish remover around the client A nurse is instructing a school age child who has asthma about the use of a peak expiratory flow meter? Which of the following instructions should the nurse include in the teaching? - correct answers-Blow into the meter as hard and quickly as possible A nurse is caring for a client who is 12 hours postpartum and has a third degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer? - correct answers-Magnesium hydroxide 30mL PO A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include? - correct answers-Perform chest percussion and postural drainage at least twice daily A nurse is planning care for a client who has a prescription for a bowel training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? - correct answers-Administer a cathartic suppository 30 minutes prior to scheduled defecation times A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port? - correct answers-A noncoring needle A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings? - correct answers-Hematoma over the insertion site A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client? - correct answers-Deep tendon reflexes 2+ A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly? - correct answers-Tell the client You seem to be very upset A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect? - correct answers-Spotting A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make? - correct answers-We can provide a copy of your records but the therapist's notes are not included A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following action should the nurse plan to take? - correct answers-The nurse should use a filter needle to withdraw the medication A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindications for receiving this treatment? - correct answers-Herpes zoster A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should then nurse make? - correct answers-Advance directives ca