ATI Comprehensive Exam 2019 B

a nurse is caring for a client who had an abdominal surgery 24 hours ago. Which of the following actions is the nurse's priority? Assist with deep breathing and coughing A nurse is conducting group therapy with clients who have breast "I told my doctor that I would like to start a support group for other cancer. The nurse should recognize which of the following statements by a client as an example of altruism? A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? A nurse is caring for a 2-month-old infant who has hirschsprung disease. Which of the following areas should the nurse assess for manifestations of HD? A nurse at a mental health clinical is caring for four clients. The nurse should recognize that which of the following clients is using dissociation as a defense mechanism? A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestations of hypoglycemia A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understand home hospice care? A nurse is caring for a client who had active pulmonary tuberculosis. Which of the following actions should the nurse take? A nurse is providing teaching to a client who is at 24 weeks of gestation and is scheduled for a 3-hr glucose tolerance test. Which of the following instructions should the nurse include in the teaching? A nurse on a pediatric unit has received change-of-shift report women who are sick, in my community." Monitor the client's mouth every 8 hours C- the Lower Right hand quadrant a client who was abused as a child describes the abuse as if it happened to someone else irritability A client who channels their energy into a new hobby following the loss of their job we can expect the hospice nurse to provide support for us after our mother's death Assign the client to a private room with negative air pressure You will need to fast the night before the test A 10 year old child who is awaiting surgery for an appendectomy for four children. Which of the following children should the nurse and experienced sudden relief from pain A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? A nurse is caring for a client who is post-op after receiving moderate conscious sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? A nurse is working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? A nurse is providing teaching for a client who has a fracture of the right fibula with a short-leg cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? A nurse is planning to delegate client care tasks to an assistive personnel. Which of the following tasks should the nurse plan to abdominal bloating Check the client's oxygen saturation level A middle adult client who has unstable vital signs Use a three-point gait Radial vein of the inner arm Perform gastrostomy feedings through a client's established gastrostomy tube delegate to the AP A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse review prior to adjusting the client's heparin? A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? A nurse is providing education to the parent of a school-age child who has asthma. Which of the following statements by the parent indicates an understanding of the teaching? A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider? A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive therapy ECT. the client states to the nurse "I'm not sure about this now. I'm afraid its too risky" which of the following responses should the nurse make? A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 ibs. What is the amount in grams the nurse should admnisiter A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurse plan to take? A nurse is providing discharge teaching to a client who is receiving home oxygen therapy. Which of the following instructions should the nurse include in the teaching? A nurse is providing teaching to the gaurdians of a newborn about measures to prevent sudden infant death syndrome. Which of the following guardian statements indicates an understanding of teaching? A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer? A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loved ones. Which of the following actions should the nurse take? A nurse is caring for a client who has a clogged percutaneous gastronomy feeding tube. Which of the following actions should the nurse take first? A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan? A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? Use a protective cover on the scale when weighing the infant aPTT Time medication was given I will make sure my child receives a yearly influence immunizations Apply a cold pack to the client's ankle for 30 min every hour blurred vision You have the right to change your mind about this procedure at any time. 18 grams Use the ventrogluteal site Wear clothing made with cotton fabrics while oxygen is in use I will not allow anyone to smoke near my baby Oxytocin Make a referral to social services Change the position of the client Support the clients left arm on a pillow while sitting instruct the patient to avoid coughing during the procedure A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following A client who requires airborne precautions should be placed in a statements by one of the staff nurses indicates an understanding negative pressure room of isolation precautions? A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of the following food recommendations should the nurse make? A nurse is assessing an older adult client who has pneumonia. Which of the following findings should the nurse expect? A nurse is providing teaching about home care to the parents of a child who has autism spectrum disorder. Which of the following instructions should the nurse include? A nurse is preparing to administer lactated ringers 1,500 mL IV to infuse at 50 mL/hr. The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? A nurse is caring for a client following a vacuum-assisted birth. The nurse should monitor the client for which of the following complications related to vacuum assisted birth? A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? A nurse is providing discharge teaching for the parents of a preschool-age child who has a new prescription for amoxicillin suspension. Which of the following instructions should the nurse include in the teaching? A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? A nurse is caring for a client who has active TB. Which of the following actions should nurse plan to take to prevent the transmission of the disease? A nurse is caring for a client who has deep-vein thrombosis. Which of the following actions should the nurse take? A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect? A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations shoudl the nurse identify as an indication for potential violence? A nurse is caring for four clients. Which of the following tasks should the nurses delegate to the AP? A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following findings should the nurse identify as an indication that the medication is effective? A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. A nurse is updating the plan of care for a client who is 48 hour postop following a laryngectomy and is unable to speak. Which of the following actions should the nurse plan to take first? A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan? A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might save their life. Which of the following actions should the nurse take first? broccoli, yogurt, and cream cheese acute confusion Use a reward system to modify the child's behavior 13 gtt/min cervical laceration pH 7.31 Store the medication in the refrigerator, shake the medication bottle well each dose is given, report diarrhea to the provider immediately Instruct the client to void Have the client wear a surgical mask while being transported outside the room Instruct the client to elevate the affected extremity when sitting occlusive dressing on te insertion site the client is pacing around the chair in which their partner is sitting Arrange the lunch tray for a client who has a hip fracture Decreased hallucinations inspection, auscultation, percussion, palpation Determine the client's reading skills Increase the client's dietary iron intake Explore the clients reasons for refusing the treatment