ATI PN Comprehensive Exit Exam With complete
solution Newest RATED A+ 2025/2026 NEW!!
A nurse is assisting with the plan of care for a client following a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
transurethral resection of the prostate. Which of the following interventions should the nurse Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
include in the plan of care? - Correct Answers The nurse should irrigate the bladder using strict
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sterile technique and maintain closed catheter drainage system to minimize the rick of infection.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the following actions should the nurse take firsT? - Correct Answers check the clients temp
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is receiving change-of-
Il` Il` Il` Il`
shift report for four clients. Which of the following clients should the nurse see first? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers A client whose urinary output was 100mL for the past 12 hrs
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse in reinforcing teaching about weight loss with a female older adult client who is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` overweight. Which of the following statements should the nurse include in teaching? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers keep fat intake to no more that 30% of daily caloric intake.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is collecting data from a client who has iron deficiency anemia. Which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` findings should the nurse expect? - Correct Answers difficulty concentrating
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A Nurse is collecting data from an older adult client who is 48 hr postoperative following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` abdominal surgery. The provider writes a prescription to advance the client to a re gular Diet. For
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` which of the following findings should the nurse notify the provider? - Correct Answers The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client has absent bowel sounds
Il` Il` Il` Il`
,Il` A parent brings her adolescent son to an urgent care center and states. "He is high on something
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` and needs help" The client is
Il` Il` Il` Il` Il`
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
intoxication with which of the following substances? - Correct Answers Methamphetamines
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` appears drowsy while performing routine tasks. Which of the following a ctions should the nurse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` take? - Correct Answers Report the observations about the ap to the unit's nurse manager.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` that have a high water content. The nurse should include that which of the following raw foods
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` contains the highest amount of water per 1 cup serving? - Correct Answers cherry tomatoes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client into which of the following positions? - Correct Answers lateral recumbent
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` states "I really thought I'd be back to my usual routines by now, but I can't think of anythingelse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` except my son is gone" Which of the following responses should the nurse make? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers Grieving for your son is hard work. It will take as much time as you need to come to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` terms with your loss. Il` Il` Il`
Il` A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should the nurse take? - Correct Answers Place the client in the lateral position.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse manager is providing an in-
Il` Il` Il` Il` Il` Il`
service on hand hygiene to assistive personnel. which of the following information should the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
nurse manager include in the in-service? - Correct Answers Remove rings when washing hands
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with soap and water
Il` Il` Il` Il`
,Il` A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` following statements should the nurse include in the instructions? - Correct Answers Place your
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` baby's crib away from heat vents.
Il` Il` Il` Il` Il`
Il` A nurse is preparing to administer a client's morning medications.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Which of the follow ing actions should the nurse take to verify the client's identity? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers Scan the facility identification board.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should the nurse perform first? - Correct Answers check for a gag reflex
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` While administering a medication to a client, a nurse notices a trayed electrical cord connecting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the client's continuous passive motion machine to the electrical outlet. Which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` actions should the nurse take? - Correct Answers Remove the device from the client's room.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the following manifestations should the nurse report to the provider as indicating possible
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` hypocalcemia? - Correct Answers Tingling of fingers Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` functioning of the drain, which of the following should the nurse expect to observe? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers The safety pin is present at the distal end of the drain.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A community health nurse is helping to reinforce teaching about hepatitis A with a group of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` employees at a childcare facility. Il` Il` Il` Il`
Which of the following characteristics should t he nurse identify as an external factor that can
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
impede learning for the participants? - Correct Answers Poor lighting in the learning setting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` nurse identifies proper performance of the procedure when the newly licensed nurse selects
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` which of the following solutions to clean the inner cannula? - Correct Answers hydrogen
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` peroxide
Il` A nurse is caring for a client who has right sided heart failure. The client's partner exp resses
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` concern the the client will die. Which of the following responses should the nurse make? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers "It is difficult to see someone so sick. Whathave you been told about your partner's
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` prognosis?"
Il` A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` personnel about legal issues within the facility. Which of the following should the nurse include as
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` an example of assault? - Correct Answers Informing a client the nurse is going to administer an
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` injection even though the client refuses. Il` Il` Il` Il` Il`
Il` A nurse is collecting data from who is severe pain. Which of the tollowing questions should the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` nurse ask first? - Correct Answers "Where is your pain located?"
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is reviewing the laboratory results for a client who is at
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
29 weeks gestation. For which of the following results should the nurse notify the provider? -
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Correct Answers Platelet count 95,000 mm3
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` nurse notes organs protruding from the incision. Which of the following act ions should the nurse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` take? - Correct Answers Cover the exposed area with sterile, saline-soaked dressings.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` states, "I love my dad, but caring for him is wearing me out." Which of the following response
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should the nurse make? - Correct Answers "Let's discuss how caring for your father is affecting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` your health. Il`
solution Newest RATED A+ 2025/2026 NEW!!
A nurse is assisting with the plan of care for a client following a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
transurethral resection of the prostate. Which of the following interventions should the nurse Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
include in the plan of care? - Correct Answers The nurse should irrigate the bladder using strict
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
sterile technique and maintain closed catheter drainage system to minimize the rick of infection.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the following actions should the nurse take firsT? - Correct Answers check the clients temp
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is receiving change-of-
Il` Il` Il` Il`
shift report for four clients. Which of the following clients should the nurse see first? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers A client whose urinary output was 100mL for the past 12 hrs
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse in reinforcing teaching about weight loss with a female older adult client who is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` overweight. Which of the following statements should the nurse include in teaching? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers keep fat intake to no more that 30% of daily caloric intake.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is collecting data from a client who has iron deficiency anemia. Which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` findings should the nurse expect? - Correct Answers difficulty concentrating
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A Nurse is collecting data from an older adult client who is 48 hr postoperative following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` abdominal surgery. The provider writes a prescription to advance the client to a re gular Diet. For
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` which of the following findings should the nurse notify the provider? - Correct Answers The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client has absent bowel sounds
Il` Il` Il` Il`
,Il` A parent brings her adolescent son to an urgent care center and states. "He is high on something
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` and needs help" The client is
Il` Il` Il` Il` Il`
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
intoxication with which of the following substances? - Correct Answers Methamphetamines
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` appears drowsy while performing routine tasks. Which of the following a ctions should the nurse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` take? - Correct Answers Report the observations about the ap to the unit's nurse manager.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` that have a high water content. The nurse should include that which of the following raw foods
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` contains the highest amount of water per 1 cup serving? - Correct Answers cherry tomatoes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` client into which of the following positions? - Correct Answers lateral recumbent
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` states "I really thought I'd be back to my usual routines by now, but I can't think of anythingelse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` except my son is gone" Which of the following responses should the nurse make? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers Grieving for your son is hard work. It will take as much time as you need to come to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` terms with your loss. Il` Il` Il`
Il` A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should the nurse take? - Correct Answers Place the client in the lateral position.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse manager is providing an in-
Il` Il` Il` Il` Il` Il`
service on hand hygiene to assistive personnel. which of the following information should the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
nurse manager include in the in-service? - Correct Answers Remove rings when washing hands
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with soap and water
Il` Il` Il` Il`
,Il` A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` following statements should the nurse include in the instructions? - Correct Answers Place your
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` baby's crib away from heat vents.
Il` Il` Il` Il` Il`
Il` A nurse is preparing to administer a client's morning medications.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Which of the follow ing actions should the nurse take to verify the client's identity? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Answers Scan the facility identification board.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should the nurse perform first? - Correct Answers check for a gag reflex
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` While administering a medication to a client, a nurse notices a trayed electrical cord connecting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the client's continuous passive motion machine to the electrical outlet. Which of the following
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` actions should the nurse take? - Correct Answers Remove the device from the client's room.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` the following manifestations should the nurse report to the provider as indicating possible
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` hypocalcemia? - Correct Answers Tingling of fingers Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` functioning of the drain, which of the following should the nurse expect to observe? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers The safety pin is present at the distal end of the drain.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A community health nurse is helping to reinforce teaching about hepatitis A with a group of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` employees at a childcare facility. Il` Il` Il` Il`
Which of the following characteristics should t he nurse identify as an external factor that can
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
impede learning for the participants? - Correct Answers Poor lighting in the learning setting
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` nurse identifies proper performance of the procedure when the newly licensed nurse selects
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` which of the following solutions to clean the inner cannula? - Correct Answers hydrogen
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` peroxide
Il` A nurse is caring for a client who has right sided heart failure. The client's partner exp resses
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` concern the the client will die. Which of the following responses should the nurse make? - Correct
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Answers "It is difficult to see someone so sick. Whathave you been told about your partner's
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` prognosis?"
Il` A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` personnel about legal issues within the facility. Which of the following should the nurse include as
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` an example of assault? - Correct Answers Informing a client the nurse is going to administer an
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Il` injection even though the client refuses. Il` Il` Il` Il` Il`
Il` A nurse is collecting data from who is severe pain. Which of the tollowing questions should the
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Il` nurse ask first? - Correct Answers "Where is your pain located?"
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Il` A nurse is reviewing the laboratory results for a client who is at
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29 weeks gestation. For which of the following results should the nurse notify the provider? -
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Correct Answers Platelet count 95,000 mm3
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Il` A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The
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Il` nurse notes organs protruding from the incision. Which of the following act ions should the nurse
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Il` take? - Correct Answers Cover the exposed area with sterile, saline-soaked dressings.
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Il` A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter
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Il` states, "I love my dad, but caring for him is wearing me out." Which of the following response
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Il` should the nurse make? - Correct Answers "Let's discuss how caring for your father is affecting
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Il` your health. Il`
