ATI COMPREHENSIVE EXIT EXAM 2024

o 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 Ensure the state health department has been notified o A nurse is caring for a client who has been admitted to the hospital (NGN) Provide frequent rest periods for the client restrict the clients sodium intake advise the client to avoid the use of soap and alcohol-based lotions. Instruct the client to avoid blowing their nose forcefully assess the clients level of orientation o A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vommited. Which of the following actions should the nurse perform first Evaluate functioning of the suction device o 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 Remove the device from the room o A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse the nurse take when pouring the sterile solution? Remove the cap and place it sterile- side up on a clean surface o A nurse is creating a plan of care for a female client who has a recurrent urinary tract infection. Which of the following should the nurse include in the plan? Wear loose-fitting underwear o A nurse is caring for a new new born (NGN) Transient tachypnea of the new born hypoglycemia o A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? Sunken fontanels and dry mucous membranes o A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching? Hypertension o A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitrptyline. Which of the following statements by the client indicates an understanding of the teaching? I know it will be a couple of weeks before the medication helps me feel better o A nurse is caring for a client who is immobile. Which of the following is appropriate to prevent contracture? Align a trochanter wedge between the client's legs. o 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 25 ml/hr. Which of the following interventions should the nurse anticipate? Obtain a urine specimen for culture and sensitivity o 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 prescription for the warfarin? INR o 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? Shuffling gait o 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? Having interdisciplinary team meetings for the client on a regular basis o 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? Banana slices o 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? Determine the medical needs of incoming clients through the emergency department o A nurse has just received change of shift report on four clients. Which of the following clients should the nurse assess first? A client who has just given a glass of orange juice for a low blood glucose level o A nurse is performing postmortem care for a recently deceased client prior to the clients family visit. Which of the following actions should the nurse plan to take Hold the client's eyes shut for a few seconds o 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 What are the voices telling you ? o A nurse is administering furosemide IV bolus has a client who has fluid volume excess. The nurse should recognize which of the following findings as indication that the medication has been effective? Weight loss o A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning Turn the suction and set the pressure don sterile gloves insert the catheter during the client's inspiration. Apply suction while rotating the catheter rise the catheter to remove secretions o 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? Determine if the client's health care surrogate is aware of the risks and benefits of the procedure o A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make? "I can start the medication 30 minutes earlier" o A nurse is caring for a client who requires seclusions to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take? Offer fluids every 2 hr o A nurse is caring for an adolescent who has hyperthermia. Which of the following action should the nurse take? Initiate seizure precautions o A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? Your desire to be an organ donor must be documented in writing o 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? Initiate a discussion with the clients about ways to cope with changes in family dynamics o A nurse is developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractures femur of the right leg. Which of the following interventions should the nurse delegate to an assistive perssonel? Remind the client to use the incentive spirometer o A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive perssonel telling the client "if you dont 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 Assuault o A nurse is caring for a client who has been admitted to the antepartum unit (NGN) Last pregnancy resulted in a preterm spontaneous vaginal birth at 30 weeks gestation uterine contractions every 8 minutes palpate strong duration 30 seconds client reports lower back pain and pinkish vaginal discharge o A nurse is caring for a client who has been admitted to the antepartum unit.(NGN) Preterm labor previous preterm birth o A nurse is caring for a client who has been admitted to the antepartum unit.(NGN) PROM SEPSIS o A nurse is caring for a client who has been admitted to the antepartum unit(NGN) Place the client in supine(unanticipated) limit the fluid intake to 3,000 ml/day (Anticipated) administer oxytocin (unanticipated) maintain bed rest with bathroom privileges(anticipated) administer betamethasone(anticipated) administer terbutaline(anticipated) o The nurse continues to care for the client Urine culture obtain provider prescription for antibiotics obtain provider prescription for phenazoprydine o The nurse continues to care for the client Low back pain no discharge no contrations no burning with urination platelets blood pressure WBC temp o Am 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 the teaching? Wear clean cotton socks every day o A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take Sit at or below the client's eye level during feedings. o A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? Haematuria o A nurse is caring for a client whose partner recently dies the nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating? Beneficence o 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? Explain to the child what will happen when the abuse is reported o 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? Using an electronic messaging system to remind clients when to take medications o 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? "you don't have to go through with the treatment" o A nurse is teaching a new parent about breastfeeding her 2-week old infant. Which of the following staments by the paren indicates an understanding of the teaching "The mire my baby is at the breast sucking, the mire mild i will produce" o A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take? Evaluate the client's ability to help with repositioning o 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? I can lift objects that are less than 10 pounds o A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language form the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? Speak directly to the client o A nurse is providing teachinfg 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? Acetaminophen o A nurse is receiving change-of-shift report fir a group of clients. Which of the following clients should the nurse plan to assess first? A client who has a hip fracture and a new onset of tachypnoea o A nurse is performing a skin assessment on a client who has dark skin which of the following locations on the clients body should the nurse observe to assess for cyanosis ? Palms of hand o 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 Previous violent behavior o A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? FHR baseline 170/min o 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? Digoxin 0.25 mg PO daily o A nurse is caring for a client in the emergency department (NGN) Brief psychotic disorder enagage with client several times a day reduce external stimuli suicide risk ability to care for self o A nurse is providing an in-service about client evacuation during a fire. Which of the following client should the nurse instruct the staff to evacuate first? A client who is ambulatory and receiving oxygen o A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care (SATA) Give the client one simple direction at a time establish eye contact when communicating with the client reinforce orientation to time place and person o A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching? How to operate the portable suction machine o A nurse is caring for a client who reports xerostomia following radiation therapy mandible. Which of the following is an appropriate action by the nurse? Provide humidification of the room air o A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following action should the nurse plan to take? Provide anticipatory guidance classes to parents through public schools. o A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect? Malaise o A nurse is an emergency department is caring for a client (NGN) Client presents for evaluation of severe pain in upper abdomen that radiates into his back states pain begin approximately 12 hr ago and is worse when he is supine or after he eats sclera noted to be yellow abdomen firm bowel signs hypoactive client gaurds abdomen and grimaces during palpation o A nurse in an emergency department is caring for a client (NGN) BLLODY STOOLS -PERITONITIS HYBILI-PANCREATITIS ABDOMINAL PAIN-BOTH WBC BOTH o A nurse is caring for an emergency department is caring for a client(NGN) Lung sounds followed by the clients temp o A nurse in an emergency department is caring for a client (NGN) Administer famotidine - anticipated insert indwelling urinary catheter-contraindicated administer lactated ringer's 1L via iv bolus-anticipated insert a nasogastric tube- anticipated o A nurse in an emergency department is caring for a client (NGN) Notify your provider if you experience committing or diarrhea you should eat foods that are low in fat you should eat foods high in protein