ATI comprehensive exit predictor STUDY
THIS ONE
. If a purchaser develops cor pulmonale (right-sided heart failure), the nurse
could count on to take a look at
1. Growing respiration difficulty visible with exertion.
2. Cough efficient of a huge amount of thick, yellow mucus.
Three. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-three
. The nursing crew consists of RNs, one LPN/LVN, and one nursing
assistant. The nurse must recollect the assignments suitable if the
nursing assistant is assigned to take care of
1. A client with Alzheimer's requiring help with feeding.
2. A consumer with osteoporosis complaining of burning on urination.
3. A purchaser with scleroderma receiving a tube feeding.
4. A patron with most cancers who has Cheyne-Stokes respirations. - ANS-1
A 23-yr-antique man is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the following signs need to
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased stage of cognizance. - ANS-four
A 23-yr-antique lady at 32-weeks gestation is seen inside the outpatient
health facility. Which of the subsequent findings, if assessed by way of the nurse, would
imply a likely difficulty?
1. The patron's urine test is tremendous for glucose and acetone.
2. The client has 1+ pedal edema in both toes on the stop of the day.
Three. The patron complains of an growth in vaginal discharge.
4. The consumer says she feels strain against her diaphragm when the toddler actions. - ANS-1
A 38-yr-vintage lady is again to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
determined by way of the nurse on the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
,3. Tracheostomy set-up.
Four. Suction system. - ANS-1
A fifty nine-year-old lady with bipolar sickness is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
breasts." Which of the subsequent responses by means of the nurse is BEST?
1. "You are seeing things that aren't actual."
2. "Why do not we pass make a few fudge."
3. "You are experiencing a facet effect of Haldol."
4. "I'll contact your health practitioner to trade your medicine." - ANS-3
A 69-12 months-old consumer is present process his second change of intermittent
peritoneal dialysis (IPD). Which of the following might require an
intervention by using the nurse?
1. The consumer complains of ache for the duration of the inflow of the dialysate.
2. The client complains of constipation.
3. The dialysate outflow is cloudy.
Four. There is blood-tinged fluid around the intra-abdominal catheter. - ANS-3
A rate nurse is discussing the responsibility of nurses carig for clients who have C. Difficile.
Which of the subsequent data ought to the nurse consist of within the coaching?
A) Assign the patron to a room with a poor air-glide gadget
b) Use alcohol-primarily based hand sanitizer while leaving the clients room
c) easy contaminated surfaces within the customers room with a phenol answer
d) have family members wear a gown and gloves whilst journeying - ANS-D
A purchaser identified with dementia wanders the halls of the locked nursing unit at some stage
in the day. To ensure the consumer's safety while strolling inside the halls, the nurse ought to do
which of the following?
1. Administer PRN haloperidol (Haldol) to lower the need to walk.
2. Assess the purchaser's gait for steadiness.
Three. Restrain the patron in a geriatric chair.
Four. Administer PRN lorazepam (Ativan) to provide sedation. - ANS-2
A patron has a records of oliguria, hypertension, and peripheral edema.
Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient have to be
constrained within the patron's weight loss plan?
1. Protein.
2. Fats.
3. Carbohydrates.
Four. Magnesium. - ANS-1
, a purchaser has a new prescription for spironilactone ( aldactone ) which of the subsequent
laboratory price must the nurse recognized as a purpose to withhold the morning dose of the
medicine and notify the issuer - ANS-serum potassium 5.2
a customer has prescription for valproic ( Depakote) which of the following laboratory cost ought
to the nurse count on display for the consumer taking this remedy - ANS-thrombocytes, amylase
matter and liver function check
A patron is admitted with a analysis of acute appendicitis. When assessing the stomach, the
nurse would count on to find rebound tenderness at which area?
A) Left decrease quadrant
b) Left top quadrant
c) Right top quadrant
d) Right lower quadrant - ANS-D
A consumer is being discharged with sublingual nitroglycerin (Nitrostat).
The customer ought to be advised by the nurse to
1. Take the drugs 5 minutes after the ache has started.
2. Forestall taking the drugs if a stinging sensation is absent.
Three. Take the medication on an empty belly.
Four. Avoid abrupt adjustments in posture. - ANS-four
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the following:
pulse 68, respirations 8, BP one hundred/68, customer snoozing quietly. Which of the
following nursing actions is MOST appropriate?
1. Allow the customer to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
Three. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANS-three
A patron is receiving general parenteral vitamins (TPN). To decide the
client's tolerance of this treatment, the nurse ought to determine for which of the
following?
1. A large boom in pulse rate.
2. A lower in diastolic blood pressure.
Three. Temperature in excess of ninety eight.6°F (37°C).
4. Urine output of at least 30 cc according to hour. - ANS-four
A client is scheduled for a left lower lobectomy. The medical doctor has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse might determine
that the drugs is suitable if the consumer displays which of the
following signs and symptoms?
1. Agitation and reduced degree of cognizance.
THIS ONE
. If a purchaser develops cor pulmonale (right-sided heart failure), the nurse
could count on to take a look at
1. Growing respiration difficulty visible with exertion.
2. Cough efficient of a huge amount of thick, yellow mucus.
Three. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-three
. The nursing crew consists of RNs, one LPN/LVN, and one nursing
assistant. The nurse must recollect the assignments suitable if the
nursing assistant is assigned to take care of
1. A client with Alzheimer's requiring help with feeding.
2. A consumer with osteoporosis complaining of burning on urination.
3. A purchaser with scleroderma receiving a tube feeding.
4. A patron with most cancers who has Cheyne-Stokes respirations. - ANS-1
A 23-yr-antique man is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the following signs need to
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased stage of cognizance. - ANS-four
A 23-yr-antique lady at 32-weeks gestation is seen inside the outpatient
health facility. Which of the subsequent findings, if assessed by way of the nurse, would
imply a likely difficulty?
1. The patron's urine test is tremendous for glucose and acetone.
2. The client has 1+ pedal edema in both toes on the stop of the day.
Three. The patron complains of an growth in vaginal discharge.
4. The consumer says she feels strain against her diaphragm when the toddler actions. - ANS-1
A 38-yr-vintage lady is again to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
determined by way of the nurse on the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
,3. Tracheostomy set-up.
Four. Suction system. - ANS-1
A fifty nine-year-old lady with bipolar sickness is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
breasts." Which of the subsequent responses by means of the nurse is BEST?
1. "You are seeing things that aren't actual."
2. "Why do not we pass make a few fudge."
3. "You are experiencing a facet effect of Haldol."
4. "I'll contact your health practitioner to trade your medicine." - ANS-3
A 69-12 months-old consumer is present process his second change of intermittent
peritoneal dialysis (IPD). Which of the following might require an
intervention by using the nurse?
1. The consumer complains of ache for the duration of the inflow of the dialysate.
2. The client complains of constipation.
3. The dialysate outflow is cloudy.
Four. There is blood-tinged fluid around the intra-abdominal catheter. - ANS-3
A rate nurse is discussing the responsibility of nurses carig for clients who have C. Difficile.
Which of the subsequent data ought to the nurse consist of within the coaching?
A) Assign the patron to a room with a poor air-glide gadget
b) Use alcohol-primarily based hand sanitizer while leaving the clients room
c) easy contaminated surfaces within the customers room with a phenol answer
d) have family members wear a gown and gloves whilst journeying - ANS-D
A purchaser identified with dementia wanders the halls of the locked nursing unit at some stage
in the day. To ensure the consumer's safety while strolling inside the halls, the nurse ought to do
which of the following?
1. Administer PRN haloperidol (Haldol) to lower the need to walk.
2. Assess the purchaser's gait for steadiness.
Three. Restrain the patron in a geriatric chair.
Four. Administer PRN lorazepam (Ativan) to provide sedation. - ANS-2
A patron has a records of oliguria, hypertension, and peripheral edema.
Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient have to be
constrained within the patron's weight loss plan?
1. Protein.
2. Fats.
3. Carbohydrates.
Four. Magnesium. - ANS-1
, a purchaser has a new prescription for spironilactone ( aldactone ) which of the subsequent
laboratory price must the nurse recognized as a purpose to withhold the morning dose of the
medicine and notify the issuer - ANS-serum potassium 5.2
a customer has prescription for valproic ( Depakote) which of the following laboratory cost ought
to the nurse count on display for the consumer taking this remedy - ANS-thrombocytes, amylase
matter and liver function check
A patron is admitted with a analysis of acute appendicitis. When assessing the stomach, the
nurse would count on to find rebound tenderness at which area?
A) Left decrease quadrant
b) Left top quadrant
c) Right top quadrant
d) Right lower quadrant - ANS-D
A consumer is being discharged with sublingual nitroglycerin (Nitrostat).
The customer ought to be advised by the nurse to
1. Take the drugs 5 minutes after the ache has started.
2. Forestall taking the drugs if a stinging sensation is absent.
Three. Take the medication on an empty belly.
Four. Avoid abrupt adjustments in posture. - ANS-four
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the following:
pulse 68, respirations 8, BP one hundred/68, customer snoozing quietly. Which of the
following nursing actions is MOST appropriate?
1. Allow the customer to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
Three. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANS-three
A patron is receiving general parenteral vitamins (TPN). To decide the
client's tolerance of this treatment, the nurse ought to determine for which of the
following?
1. A large boom in pulse rate.
2. A lower in diastolic blood pressure.
Three. Temperature in excess of ninety eight.6°F (37°C).
4. Urine output of at least 30 cc according to hour. - ANS-four
A client is scheduled for a left lower lobectomy. The medical doctor has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse might determine
that the drugs is suitable if the consumer displays which of the
following signs and symptoms?
1. Agitation and reduced degree of cognizance.
