ATI RN Comprehensive Exam

1. 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 a. Ensure the state health department has been noti- fied b. Administer antitoxin c. Educate the family to avoid sharing personal be- longings d. Assess for skin necrosis 2. A nurse is caring for a client who has been admitted to the hospital. (NGN) 3. A nurse is caring for a client who has a vented NG a. Ensure the state health department has been notified - Provide frequent rest periods - Restrict client sodium intake - Advise client to avoid using soap and alcohol based lotions - Instruct the client to avoid blowing their nose forceful- ly - Assess the client's lv of orien- tation b. Evaluate func- tube set to low intermittent suction and has vomited. tioning of the suc- Which of the following actions should the nurse per- form first? a. Administered an antiemetic medication b. Evaluate functioning of the suction device c. Provide oral hygrine care d. Replace the NG tube 4. While performing a routine assessment, a nurse no- tices fraying on the electrical cord of a client's contin- tion device c. Remove the de- vice from the room uous passive motion device. Which of the following actions should the nurse take first a. Initiate a requisition for a replacement CPM device b. Report the defect to the equipment maintenance staff c. Remove the device from the room d. Ensure the device inspection sticker is current 5. A nurse is setting up a sterile field to perform would irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solu- tion a. Remove the cap and place it sterile-side up on a clean surface b. Pace sterile gauze over areas of spilled c. Hold the bottle in the center of the sterile field when pouring the solution d. Hold the irrigation solution bottle with the label facing away from the palm of the hand 6. A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan a. Wear loose-fitting underwear b. Take a bubble bath after intercourse c. Drink four 240 ml (8 oz) glasses of water each day d. Void every 5-6 hr during the day a. Remove the cap and place it ster- ile-side up on a clean surface a. Wear loose-fit- ting underwear 7. A nurse is caring for a newborn. Fiil in the blank (NGN) Tachypnea of the newborn and hy- The client at risk for developing and a. Hypoglycemia b. Bronchopulmonary dysplasia c. Transient tachypnea of the newborn d. Tachycardia