STUDY FOR ATI COMPREHENSIVE EXIT EXAM| NEW!!| click on
AVAILABLE I
C
Terms in this set (154)
A nurse is assisting with the plan of care The nurse should irrigate the bladder using strict sterile
for a client following a technique and maintain closed catheter drainage system to
transurethral resection of the prostate. minimize the rick of infection.
Which of the following interventions should
the nurse include in the plan of care?
A nurse is reviewing a client's check the clients temp
electronic medical record and finds that
an assistive
per sonnel recorder the client's temperature
as 35.3 degrees Celsius (95.5 degrees F) 2
hrs earlier. Which of the following actions
should the nurse take firsT?
A nurse is receiving change-of- A client whose urinary output was 100mL for the past 12 hrs
shift report for four clients. Which of the
following clients should the nurse see first?
A nurse in reinforcing teaching about weight keep fat intake to no more that 30% of daily caloric intake.
loss with a female older adult client who
is overweight. Which of the following
statements should the nurse include in
teaching?
A nurse is collecting data from a client who difficulty concentrating
has iron deficiency anemia. Which of
the
following findings should the nurse expect?
,A Nurse is collecting data from an older The client has absent bowel sounds
adult client who is 48 hr postoperative
following abdominal surgery. The provider
writes a prescription to advance the
client to a re gular Diet. For which of the
following findings should the nurse notify
the
provider?
A parent brings her adolescent son to an Methamphetamines
urgent care center and states. "He is high
on something and needs help" The client
is
exhibiting agitation and paranoia and
reports visual hallucinations. The nurse
should suspect intoxication with which of
the following substances?
A nurse notices an assistive personnel Report the observations about the ap to the unit's nurse
taking a nap in the break room during he manager.
meal t ime. The AP appears drowsy
while
performing routine tasks. Which of the
following a ctions should the nurse take?
A nurse is reinforcing teaching with a client cherry tomatoes
who has a fluid volume deficit about selec
ting foods that have a high water content.
The nurse should include that which of the
following raw foods contains the highest
amount of water per 1 cup serving?
The nurse is position a client who is lateral recumbent
scheduled for a lumbar puncture. The nurse
should assist the client into which of the
following positions?
A nurse is talking with a client whose son Grieving for your son is hard work. It will take as much time as
died in a motor- vehicle crash 2 weeks you need to come to terms with your loss.
ago. The client states "I really thought I'd
be back to my usual routines by now, but I
can't think of anythingelse except my son
is gone" Which of the following responses
should the nurse make?
A nurse is assisting with monitoring a client Place the client in the lateral position.
who is at 40 weeks of gestation and is in
active labor. The nurse recognizes late
deceleration on the fetal monitor
tracing. Whichof the following actions
should the nurse take?
, A nurse manager is providing an in- Remove rings when washing hands with soap and water
service on hand hygiene to
assistive personnel. which of the
following
information should the nurse
manager include in the in-service?
A nurse is reinforcing home safety Place your baby's crib away from heat vents.
instructions with the parent of a
newborn. Which of the following
statements should the nurse include in
the instructions?
A nurse is preparing to administer a Scan the facility identification board.
client's morning medications.
Which of the follow ing actions should the
nurse take to verify the client's
identity?
A nurse is caring for a client following a check for a gag reflex
bronchoscopy procedure. Which of the
following actions should the nurse perform
first?
While administering a medication to a client, Remove the device from the client's room.
a nurse notices a trayed electrical cord
connecting the client's continuous passive
motion machine to the electrical outlet.
Which of the following actions should the
nurse take?
A nurse is caring for a client who is 4 hr Tingling of fingers
postoperative following a total
thyroidectomy. Which of the
following manifestations should the
nurse report to the provider as
indicating possible
hypocalcemia?
A nurse is caring for a client who has a The safety pin is present at the distal end of the drain.
Penrose drain. To ensure proper placement
an d functioning of the drain, which of the
following should the nurse expect to
observe?
A community health nurse is helping to Poor lighting in the learning setting
reinforce teaching about hepatitis A with a
group of employees at a childcare facility.
Which of the following characteristics
should t he nurse identify as an
external factor that can impede
learning for the participants?