EXIT EXAM ATI
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home
visit. which of the following statements by the parent indicates an understanding of the
teaching ? - ANS-I will use the cool mist vaporizor in my baby's room
a nurse is reinforcing teaching with a client who has a new presciption for verapamil.
which of the following instructions should the nurse include in the teachings? -
ANS-change positions slowly
a nurse recieves change of shift report for a group of clients. which of the following
clients should the nurse check first? - ANS-a client admitted to the facility who has
ascending Guillain barrel syndrome
a nurse is caring for a client who has chlamydial infection and the new prescription for
doxycycline the client reports nausea and vomiting after starting medication. which of
the following recommendations should the nurse make? - ANS-take the medications
with crackers
a nurse is caring for a client who is postopperative following joint replacement and has a
new prescription for enoxaparin for which of the following adverse effects should the
nurse monitor? - ANS-epistaxis
a nurse is collecting a health history from a parent of 4 year old child. which of the
following statements to be is the priority for the nurse to address? - ANS-I have noticed
that my child is withdrawn since we switched day care providers
a nurse is caring for a client who has heart failure and is taking furosemide. which of the
following findings should the nurse recognize as an adverse effect of this medication? -
ANS-hypokalemia
a nurse is reinforcing teaching about home safety with a parent of a 12 month old infant.
which of the following statements by the parent indicates understanding of the
teaching? - ANS-I will turn pot handles to the side of the stove while cooking
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian
culture which of the following communication techniques by the nurse demonstrates
cultural sensitivity? - ANS-holding eye contact for brief instances
,a nurse is checking for gastric residual volume(GRV) on a client who is scheduled to
receive an intermitted enteral feeding the nurse finds the client to have a GRV greater
than 250 ML on two consecutive measurements. which of the following actions should
the nurse take? - ANS-hold the feeding and recheck the GRV in 1 Hr
a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which
of the following tasks should the nurse delegate to the AP? - ANS-performing indwelling
urinary catheter care
a nurse is caring for a client who has terminal cancer which of the following actions
should the nurse take to promote the clients autonomy? - ANS-be honest with the client
about prognosis
a nurse finds client's partner crying in the hallway the partner states I just don't know
how I am to go on after my husband is gone. which of the following responses should
the nurse make? - ANS-explain to me more about how you are feeling
a nurse is caring for an adolescent client who has bulimia nervosa. which of the
following action should the nurse take? - ANS-observe the client during and after meals
a nurse is checking a client who is postoperative and has a midline abdominal incision.
the nurse notes a separate of the incision. which of the following actions should the
nurse take? - ANS-place the client supine with the knee flexed
a nurse is caring for a school age child who has ADHD and is taking methylphenidate.
the nurse should identify which of the following is the adverse effect of this medication?
- ANS-Tinnitus
a nurse is administering medication to a client. which of the following actions should the
nurse take? - ANS-verify with another nurse when calculating a new dose of medication
a nurse is preparing to administer protamine to a client. which of the following
therapeutic effects should the nurse expect to document in the clients medical record? -
ANS-decreased clotting time
a nurse is caring for a client in a mental health facility who is pacing back and fourth and
wringing his hands. which of the following actions should the nurse take? - ANS-walk
with the client to the recreation room
, a nurse is caring for a client who is 2 days postoperative following an above the knew
amputation. which of the following actions should the nurse take to promote progression
toward independence and mobility for the client? - ANS-encourage the client to use the
over the bed trapeze
a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant prior
to administrating immunizations. the nurse should recognize that a respiratory rate of
30/min indicates which of the following findings? - ANS-the reference rate is within the
expected reference range
a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago.
which of the following findings should the nurse expect? - ANS-report of lochia
a nurse is reinforcing discharged teaching with the family of a client who has dependent
personality disorder. which of the following instructions should the nurse include in the
teachings? - ANS-assume responsibility for making the clients decisions
a charge nurse in a long term care facility notices the smell of alcohol on a nurses
breath which of the following actions should the nurse take first? - ANS-remove the
nurse from the client care area
a nurse is supervising an assistive personnel (AP) which of the following actions by the
AP indicates effective use of the client care materials? - ANS-wear clean gloves when
assisting a client with oral hygiene
a nurse is preparing to administer spironolactone and lisinopril to a client the client
reports anxiety dyspnea and weakness of the legs which of the following actions should
the nurse take first? - ANS-withhold the prescribed medication?
a nurse is assisting with the care of a client who is receiving chemotherapy and
radiation for advanced breast cancer. the client states" I am thinking about stopping the
treatments" which of the following responses should the nurse make? - ANS-tell me
more about what you are thinking
a nurse is caring for a client who reports having a decrease in fetal movement following
an external cephalic version 6 hours ago. the nurse identifies the fetus is in the right
occiput anterior position. the nurse should place the fetal heart rate monitor on which of
the following sites to auscultate the fetal heart rate? - ANS-lower right of the stomach
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home
visit. which of the following statements by the parent indicates an understanding of the
teaching ? - ANS-I will use the cool mist vaporizor in my baby's room
a nurse is reinforcing teaching with a client who has a new presciption for verapamil.
which of the following instructions should the nurse include in the teachings? -
ANS-change positions slowly
a nurse recieves change of shift report for a group of clients. which of the following
clients should the nurse check first? - ANS-a client admitted to the facility who has
ascending Guillain barrel syndrome
a nurse is caring for a client who has chlamydial infection and the new prescription for
doxycycline the client reports nausea and vomiting after starting medication. which of
the following recommendations should the nurse make? - ANS-take the medications
with crackers
a nurse is caring for a client who is postopperative following joint replacement and has a
new prescription for enoxaparin for which of the following adverse effects should the
nurse monitor? - ANS-epistaxis
a nurse is collecting a health history from a parent of 4 year old child. which of the
following statements to be is the priority for the nurse to address? - ANS-I have noticed
that my child is withdrawn since we switched day care providers
a nurse is caring for a client who has heart failure and is taking furosemide. which of the
following findings should the nurse recognize as an adverse effect of this medication? -
ANS-hypokalemia
a nurse is reinforcing teaching about home safety with a parent of a 12 month old infant.
which of the following statements by the parent indicates understanding of the
teaching? - ANS-I will turn pot handles to the side of the stove while cooking
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian
culture which of the following communication techniques by the nurse demonstrates
cultural sensitivity? - ANS-holding eye contact for brief instances
,a nurse is checking for gastric residual volume(GRV) on a client who is scheduled to
receive an intermitted enteral feeding the nurse finds the client to have a GRV greater
than 250 ML on two consecutive measurements. which of the following actions should
the nurse take? - ANS-hold the feeding and recheck the GRV in 1 Hr
a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which
of the following tasks should the nurse delegate to the AP? - ANS-performing indwelling
urinary catheter care
a nurse is caring for a client who has terminal cancer which of the following actions
should the nurse take to promote the clients autonomy? - ANS-be honest with the client
about prognosis
a nurse finds client's partner crying in the hallway the partner states I just don't know
how I am to go on after my husband is gone. which of the following responses should
the nurse make? - ANS-explain to me more about how you are feeling
a nurse is caring for an adolescent client who has bulimia nervosa. which of the
following action should the nurse take? - ANS-observe the client during and after meals
a nurse is checking a client who is postoperative and has a midline abdominal incision.
the nurse notes a separate of the incision. which of the following actions should the
nurse take? - ANS-place the client supine with the knee flexed
a nurse is caring for a school age child who has ADHD and is taking methylphenidate.
the nurse should identify which of the following is the adverse effect of this medication?
- ANS-Tinnitus
a nurse is administering medication to a client. which of the following actions should the
nurse take? - ANS-verify with another nurse when calculating a new dose of medication
a nurse is preparing to administer protamine to a client. which of the following
therapeutic effects should the nurse expect to document in the clients medical record? -
ANS-decreased clotting time
a nurse is caring for a client in a mental health facility who is pacing back and fourth and
wringing his hands. which of the following actions should the nurse take? - ANS-walk
with the client to the recreation room
, a nurse is caring for a client who is 2 days postoperative following an above the knew
amputation. which of the following actions should the nurse take to promote progression
toward independence and mobility for the client? - ANS-encourage the client to use the
over the bed trapeze
a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant prior
to administrating immunizations. the nurse should recognize that a respiratory rate of
30/min indicates which of the following findings? - ANS-the reference rate is within the
expected reference range
a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago.
which of the following findings should the nurse expect? - ANS-report of lochia
a nurse is reinforcing discharged teaching with the family of a client who has dependent
personality disorder. which of the following instructions should the nurse include in the
teachings? - ANS-assume responsibility for making the clients decisions
a charge nurse in a long term care facility notices the smell of alcohol on a nurses
breath which of the following actions should the nurse take first? - ANS-remove the
nurse from the client care area
a nurse is supervising an assistive personnel (AP) which of the following actions by the
AP indicates effective use of the client care materials? - ANS-wear clean gloves when
assisting a client with oral hygiene
a nurse is preparing to administer spironolactone and lisinopril to a client the client
reports anxiety dyspnea and weakness of the legs which of the following actions should
the nurse take first? - ANS-withhold the prescribed medication?
a nurse is assisting with the care of a client who is receiving chemotherapy and
radiation for advanced breast cancer. the client states" I am thinking about stopping the
treatments" which of the following responses should the nurse make? - ANS-tell me
more about what you are thinking
a nurse is caring for a client who reports having a decrease in fetal movement following
an external cephalic version 6 hours ago. the nurse identifies the fetus is in the right
occiput anterior position. the nurse should place the fetal heart rate monitor on which of
the following sites to auscultate the fetal heart rate? - ANS-lower right of the stomach
