ATI QUESTIONS TO REVIEW BEFORE
EXIT & NCLEX:
Three Phases of Wound Healing - ANS--Inflammatory: Begins at the time of damage and lasts
3-five days; manifestations encompass neighborhood edema, pain, redness & warm
temperature
-Fibroblastic: Begins the 4th day after harm and lasts 2-4 wks; scar tissue bureaucracy and
granulation tissue paperwork inside the tissue mattress
-Maturation: Begins as early as three wks after the injury and might ultimate for 1 year; scar
tissue will become thinner and is company and inelastic on palpatation
A three-month-vintage infant has simply passed through a cheiloplasty. The nurse is
undertaking an evaluation following the procedure and desires to complete a pain evaluation.
Which of the subsequent pain evaluation gear will the nurse use to conduct this ache
evaluation?
Select one:
a. FLACC
b. FACES
c. Numeric scale
d. Oucher - ANS-ANSWER=A
RATIONALE: The Oucher pain assessment device is usually recommended for kids b/w
3-thirteen yoa. Pain is rated on a scale of 0-5 the usage of a diagram of 6 photos
A charge nurse is delegating a challenge. The nurse is aware which of the following represents
powerful delegation? Select all that apply.
Select one or greater:
a. Delegating a challenge that need to be assigned to a manager.
B. Referring to the ANA Code of Ethics for powerful delegation practices.
C. Asking the nurse if they may be able to completing the delegated challenge.
D. Delineating the favored effects of the delegation.
E. Monitoring how the delegated assignment is being accomplished - ANS-ANSWER(S)--> C,
D, E
RATIONALE:
,A.) Delegating a venture that need to be assigned to a supervisor isn't effective delegation.
Improper delegation includes delegating obligations and duties which might be past the
capability of the person to whom they're being delegated or that need to be completed with the
aid of the manager.
D.) Effective delegation approach making plans beforehand while figuring out responsibilities to
be carried out. Assess the situation, and absolutely delineate the preferred effects.
E.) Monitoring how the undertaking is being achieved is considered powerful delegating.
A price nurse is handling a conflict between co-employees. Which of the subsequent are
powerful control capabilities for war decision? Select all that follow.
Select one or more:
a. Suppress the want for closure and follow-as much as negotiation.
B. Pursue opportunity dispute resolutions when war cannot be resolved.
C. Avoid facilitating war decision related to subordinates.
D. Create a piece surroundings that minimizes the conditions for war.
E. Obtain wanted unit resources thru powerful negotiation techniques - ANS-ANSWERS=B, D,
E
RATIONALE:
-Creating a piece environment that minimizes the conditions for struggle is a crucial leadership
ability for warfare resolution
-Obtaining wished unit resources through powerful negotiation techniques is a critical leadership
ability for battle decision
-Pursuing alternative dispute resolutions when warfare cannot be resolved by using using
traditional conflict control strategies is a vital leadership ability for struggle resolution
A purchaser identified with depression is taking the medication phenelzine, a monoamine
oxidase inhibitor (MAOI). What ingredients have to the nurse discuss with the client to keep
away from the detrimental impact of hypertensive disaster? Select all that apply.
Select one or extra:
a. Basil
b. Avocados
c. Salami
d. Bananas
e. Oats - ANS-ANSWER=B, C, D
RATIONALES:
Avocadoes, bananas, salami=are ingredients excessive in tyramine. When a pt is on a MAOI,
meals excessive in tyramine should be averted to save you the adverse effect, hypertensive
disaster
,A consumer experiencing intermittent chest ache has been admitted to the sanatorium. Which
of the subsequent laboratory values should the nurse record to the fitness care issuer without
delay?
A. Total myoglobin 60 mcg/L
b. Cardiac troponin T 1.2 ng/mL
c. C-reactive protein (CRP) zero.2 mg/dL
d. Creatine kinase (CK) ninety gadgets/ - ANS-ANSWER-->B) Cardiac troponin T 1.2 ng/mL
RATIONALE: Normal creatine kinase for ladies is 30-a hundred thirty five gadgets/L and 55-a
hundred and seventy gadgets/L for males.
A client is admitted to the hospital for suspected infective endocarditis. The purchaser is
reporting chills, fatigue, myalgia and dyspnea upon exertion. When assessing the client the
nurse notes a coronary heart murmur and a temperature of 102.3 F (38.2 C). Which of the
following orders ought to the nurse implement first?
Select one:
a. Administer acetaminophen 325 mg with the aid of mouth
b. Administer IV Penicillin G, 2 million units
c. Obtain the blood cultures from 3 sites
d. Order the EKG - ANS-ANSWER=C
RATIONALE: (a)-administering an antipyretic medicinal drug should comply with the
management of antibx's. Temperatures may be as excessive as 102-104 degrees F. In pts
w/infective endocarditis. Antipyretics are a priority for this pt, however it's far a lower precedence
than blood cultures and antibx management. Pts at threat for endocarditis must be dealt with
w/prophylactic antibx's prior to dental methods; breathing and GI diagnostic procedures; GU &
Cardiac surgical procedures
A consumer is admitted to the clinic with a analysis of Grave's sickness. Which of the
subsequent findings must be mentioned to the issuer without delay?
A. Hyperactive deep tendon reflexes
b. Increase in white blood cellular count number from 6,000 mm3 to 8,000 mm3
c. Increase in temperature from ninety nine.Five F to a hundred.Five F
d. Increased variety of stools - ANS-ANSWER-->C) increase in temp from 99.Five to a
hundred.Five F
RATIONALE: Hyperactive deep tendon reflexes are a common manifestation of Grave's
sickness.
, A customer is discharged following a cardiac catheterization process. Which of the following
have to the nurse consist of inside the discharge teaching?
A. Tub baths the night following the procedure are acceptable.
B. Notify company if bruising is stated on the website.
C. Remove dressing the evening of the technique.
D. Limit activity for numerous days after the system. - ANS-ANSWER-->D) restriction hobby for
numerous days after the procedure
RATIONALE: Mild bruising on the insertion website online is not unusual and could solve after
numerous days.
A client is having an exercising electrocardiography (pressure check) performed. The nurse
acknowledges the want to stop the test if which of the following happens?
A. The customer begins to breathe more difficult
b. The patron reports an increase in heart fee.
C. An ST phase depression or T wave inversion on the EKG.
D. QRS complexes start to arise more regularly. - ANS-ANSWER--->C) An ST section
depression or T wave insertion on the EKG
RATIONALE: QRS complexes are a regular part of the cardiac cycle and an increase in QRS
complexes represents an boom in coronary heart rate - a everyday finding with exercising.
A client is convalescing from acute respiratory misery syndrome (ARDS). Which scientific
manifestation calls for instant interest by way of the nurse?
A. Increase in pulse rate
b. A lower in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - ANS-ANSWER-->C) A decrease in BP
RATIONALE:An boom in a customer's pulse fee is a locating that needs extra information
collection due to the fact it is able to be indicative of an autonomic response to ache, tension,
and different
A purchaser is scheduled for surgery. Which of the subsequent findings ought to the nurse
document to the provider prior to surgery?
A.) Serum potassium of three.8 mEq/L
B.) A lacking identification band
C.) Increased anxiety degree
D.) A lower in BP - ANS-ANSWER-->D.) A decrease in BP
EXIT & NCLEX:
Three Phases of Wound Healing - ANS--Inflammatory: Begins at the time of damage and lasts
3-five days; manifestations encompass neighborhood edema, pain, redness & warm
temperature
-Fibroblastic: Begins the 4th day after harm and lasts 2-4 wks; scar tissue bureaucracy and
granulation tissue paperwork inside the tissue mattress
-Maturation: Begins as early as three wks after the injury and might ultimate for 1 year; scar
tissue will become thinner and is company and inelastic on palpatation
A three-month-vintage infant has simply passed through a cheiloplasty. The nurse is
undertaking an evaluation following the procedure and desires to complete a pain evaluation.
Which of the subsequent pain evaluation gear will the nurse use to conduct this ache
evaluation?
Select one:
a. FLACC
b. FACES
c. Numeric scale
d. Oucher - ANS-ANSWER=A
RATIONALE: The Oucher pain assessment device is usually recommended for kids b/w
3-thirteen yoa. Pain is rated on a scale of 0-5 the usage of a diagram of 6 photos
A charge nurse is delegating a challenge. The nurse is aware which of the following represents
powerful delegation? Select all that apply.
Select one or greater:
a. Delegating a challenge that need to be assigned to a manager.
B. Referring to the ANA Code of Ethics for powerful delegation practices.
C. Asking the nurse if they may be able to completing the delegated challenge.
D. Delineating the favored effects of the delegation.
E. Monitoring how the delegated assignment is being accomplished - ANS-ANSWER(S)--> C,
D, E
RATIONALE:
,A.) Delegating a venture that need to be assigned to a supervisor isn't effective delegation.
Improper delegation includes delegating obligations and duties which might be past the
capability of the person to whom they're being delegated or that need to be completed with the
aid of the manager.
D.) Effective delegation approach making plans beforehand while figuring out responsibilities to
be carried out. Assess the situation, and absolutely delineate the preferred effects.
E.) Monitoring how the undertaking is being achieved is considered powerful delegating.
A price nurse is handling a conflict between co-employees. Which of the subsequent are
powerful control capabilities for war decision? Select all that follow.
Select one or more:
a. Suppress the want for closure and follow-as much as negotiation.
B. Pursue opportunity dispute resolutions when war cannot be resolved.
C. Avoid facilitating war decision related to subordinates.
D. Create a piece surroundings that minimizes the conditions for war.
E. Obtain wanted unit resources thru powerful negotiation techniques - ANS-ANSWERS=B, D,
E
RATIONALE:
-Creating a piece environment that minimizes the conditions for struggle is a crucial leadership
ability for warfare resolution
-Obtaining wished unit resources through powerful negotiation techniques is a critical leadership
ability for battle decision
-Pursuing alternative dispute resolutions when warfare cannot be resolved by using using
traditional conflict control strategies is a vital leadership ability for struggle resolution
A purchaser identified with depression is taking the medication phenelzine, a monoamine
oxidase inhibitor (MAOI). What ingredients have to the nurse discuss with the client to keep
away from the detrimental impact of hypertensive disaster? Select all that apply.
Select one or extra:
a. Basil
b. Avocados
c. Salami
d. Bananas
e. Oats - ANS-ANSWER=B, C, D
RATIONALES:
Avocadoes, bananas, salami=are ingredients excessive in tyramine. When a pt is on a MAOI,
meals excessive in tyramine should be averted to save you the adverse effect, hypertensive
disaster
,A consumer experiencing intermittent chest ache has been admitted to the sanatorium. Which
of the subsequent laboratory values should the nurse record to the fitness care issuer without
delay?
A. Total myoglobin 60 mcg/L
b. Cardiac troponin T 1.2 ng/mL
c. C-reactive protein (CRP) zero.2 mg/dL
d. Creatine kinase (CK) ninety gadgets/ - ANS-ANSWER-->B) Cardiac troponin T 1.2 ng/mL
RATIONALE: Normal creatine kinase for ladies is 30-a hundred thirty five gadgets/L and 55-a
hundred and seventy gadgets/L for males.
A client is admitted to the hospital for suspected infective endocarditis. The purchaser is
reporting chills, fatigue, myalgia and dyspnea upon exertion. When assessing the client the
nurse notes a coronary heart murmur and a temperature of 102.3 F (38.2 C). Which of the
following orders ought to the nurse implement first?
Select one:
a. Administer acetaminophen 325 mg with the aid of mouth
b. Administer IV Penicillin G, 2 million units
c. Obtain the blood cultures from 3 sites
d. Order the EKG - ANS-ANSWER=C
RATIONALE: (a)-administering an antipyretic medicinal drug should comply with the
management of antibx's. Temperatures may be as excessive as 102-104 degrees F. In pts
w/infective endocarditis. Antipyretics are a priority for this pt, however it's far a lower precedence
than blood cultures and antibx management. Pts at threat for endocarditis must be dealt with
w/prophylactic antibx's prior to dental methods; breathing and GI diagnostic procedures; GU &
Cardiac surgical procedures
A consumer is admitted to the clinic with a analysis of Grave's sickness. Which of the
subsequent findings must be mentioned to the issuer without delay?
A. Hyperactive deep tendon reflexes
b. Increase in white blood cellular count number from 6,000 mm3 to 8,000 mm3
c. Increase in temperature from ninety nine.Five F to a hundred.Five F
d. Increased variety of stools - ANS-ANSWER-->C) increase in temp from 99.Five to a
hundred.Five F
RATIONALE: Hyperactive deep tendon reflexes are a common manifestation of Grave's
sickness.
, A customer is discharged following a cardiac catheterization process. Which of the following
have to the nurse consist of inside the discharge teaching?
A. Tub baths the night following the procedure are acceptable.
B. Notify company if bruising is stated on the website.
C. Remove dressing the evening of the technique.
D. Limit activity for numerous days after the system. - ANS-ANSWER-->D) restriction hobby for
numerous days after the procedure
RATIONALE: Mild bruising on the insertion website online is not unusual and could solve after
numerous days.
A client is having an exercising electrocardiography (pressure check) performed. The nurse
acknowledges the want to stop the test if which of the following happens?
A. The customer begins to breathe more difficult
b. The patron reports an increase in heart fee.
C. An ST phase depression or T wave inversion on the EKG.
D. QRS complexes start to arise more regularly. - ANS-ANSWER--->C) An ST section
depression or T wave insertion on the EKG
RATIONALE: QRS complexes are a regular part of the cardiac cycle and an increase in QRS
complexes represents an boom in coronary heart rate - a everyday finding with exercising.
A client is convalescing from acute respiratory misery syndrome (ARDS). Which scientific
manifestation calls for instant interest by way of the nurse?
A. Increase in pulse rate
b. A lower in temperature
c. A decrease in blood pressure
d. Increased oxygen saturation - ANS-ANSWER-->C) A decrease in BP
RATIONALE:An boom in a customer's pulse fee is a locating that needs extra information
collection due to the fact it is able to be indicative of an autonomic response to ache, tension,
and different
A purchaser is scheduled for surgery. Which of the subsequent findings ought to the nurse
document to the provider prior to surgery?
A.) Serum potassium of three.8 mEq/L
B.) A lacking identification band
C.) Increased anxiety degree
D.) A lower in BP - ANS-ANSWER-->D.) A decrease in BP
