Ati Pn Comprehensive Exit Exam With Verified Answer

Ati Pn Comprehensive Exit Exam With
Verified Answer


A nurse is assisting with the plan of care for a client following a
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transurethral resection of the prostate. Which of the following interventions should the nurse include in the
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plan of care?CORRECT ANSWERS✔✔The nurse should irrigate the bladder using strict sterile technique and
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maintain closed catheter drainage system to minimize the rick of infection.
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A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder the
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client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions
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should the nurse take firsT?CORRECT ANSWERS✔✔check the clients temp
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A nurse is receiving change-of-
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shift report for four clients. Which of the following clients should the nurse see first?CORRECT ANSWERS✔✔
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A client whose urinary output was 100mL for the past 12 hrs
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A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Which of
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the following statements should the nurse include in teaching?CORRECT ANSWERS✔✔keep fat intake to no
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more that 30% of daily caloric intake.
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A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should
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the nurse expect?CORRECT ANSWERS✔✔difficulty concentrating
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A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal surgery.
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The provider writes a prescription to advance the client to a re gular Diet. For which of the following findings
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should the nurse notify the provider?CORRECT ANSWERS✔✔The client has absent bowel sounds
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,A parent brings her adolescent son to an urgent care center and states. "He is high on something and needs
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help" The client is
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exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect intoxication
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with which of the following substances?CORRECT ANSWERS✔✔Methamphetamines
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A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP appears
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drowsy while performing routine tasks. Which of the following a ctions should the nurse take?CORRECT
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ANSWERS✔✔Report the observations about the ap to the unit's nurse manager.
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A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that have a
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high water content. The nurse should include that which of the following raw foods contains the highest
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amount of water per 1 cup serving?CORRECT ANSWERS✔✔cherry tomatoes
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The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client into
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which of the following positions?CORRECT ANSWERS✔✔lateral recumbent
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A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I really
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thought I'd be back to my usual routines by now, but I can't think of anythingelse except my son is gone"
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Which of the following responses should the nurse make?CORRECT ANSWERS✔✔Grieving for your son is
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hard work. It will take as much time as you need to come to terms with your loss.
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A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse
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recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the nurse
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take?CORRECT ANSWERS✔✔Place the client in the lateral position.
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A nurse manager is providing an in-
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service on hand hygiene to assistive personnel. which of the following information should the nurse manager
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include in the in-service?CORRECT ANSWERS✔✔Remove rings when washing hands with soap and water
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, A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following
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statements should the nurse include in the instructions?CORRECT ANSWERS✔✔Place your baby's crib
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away from heat vents.
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A nurse is preparing to administer a client's morning medications.
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Which of the follow ing actions should the nurse take to verify the client's identity?CORRECT ANSWERS✔✔
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Scan the facility identification board.
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A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should the
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nurse perform first?CORRECT ANSWERS✔✔check for a gag reflex
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While administering a medication to a client, a nurse notices a trayed electrical cord connecting the client's
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continuous passive motion machine to the electrical outlet. Which of the following actions should the nurse
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take?CORRECT ANSWERS✔✔Remove the device from the client's room.
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A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the following
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manifestations should the nurse report to the provider as indicating possible hypocalcemia?CORRECT
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ANSWERS✔✔Tingling of fingers
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A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of the
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drain, which of the following should the nurse expect to observe?CORRECT ANSWERS✔✔The safety pin is
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present at the distal end of the drain.
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A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a
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childcare facility.
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Which of the following characteristics should t he nurse identify as an external factor that can impede
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learning for the participants?CORRECT ANSWERS✔✔Poor lighting in the learning setting
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A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies
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proper performance of the procedure when the newly licensed nurse selects which of the following solutions
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to clean the inner cannula?CORRECT ANSWERS✔✔hydrogen peroxide
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