ATI_PN_Comprehensive_Exit_Exam_2021

1) A inurse iin ian iemergency idepartment icompletes ian iassessment ion ian iadolescent iclient ithat ihas iconduct idisorder. iThe iclient ithreatened isuicide ito iteacher iat ischool. iWhich iof ithe ifollowing istatements ishould ithe inurse iinclude iin ithe iassessment? a) Tell ime iabout iyour isiblings b) Tell ime iwhat ikind iof imusic iyou ilike c) Tell ime ihow ioften ido iyou idrink ialcohol d) Tell ime iabout iyour ischool ischedule 2) *A inurse iis iobserving ibonding ito ithe iclient iher inewborn. iWhich iof ifollowing iactions iby ithe iclient irequires ithe inurse ito iintervene? a) Holding ithe inewborn iin ian ien iface iposition b) Asking ithe ifather ito ichange ithe inewborn's idiaper c) Requesting ithe inurse itake ithe inewborn inursery iso ishe ican irest id) Viewing ithe inewborn’s iactions ito ibe iuncooperative 3) A inurse iis icaring ifor iclient iwho iis itaking ilevothyroxin. iWhich iof ithe ifollowing ifindings ishould iindicate ithat ithe imedication iis ieffective? a) Weight iloss i(this idrug iacts ias iT4 iand iwill inormalize ithe ieffects iof ihypothyroidism) b) Decreased iblood ipressure c) Absence iof iseizures d) Decrease iinflammation 4) A inurse iis iplanning idischarge iteaching ifor icord icare ifor ithe iparent iof ia inewborn. iWhich iinstructions iwould iyou iinclude iin ithe iteaching? a) Contact iprovider iif ithe icord istill iturns iblack i(it’s igoing ito iturn iblack) b) Clean ithe ibase iof ithe icord iwith ihydrogen iperoxide idaily i(clean iwith ineutral ipH icleanser) ic) Keep ithe icord idry iuntil iit ifalls iof if i(cord ishould ibe ikept iclean iand idry ito iprevent iinfection) d) The icord istump iwill ifall ioff iin ifive idays i(cord ifalls ioff iin i10-14 idays) 5) A inurse iis iassessing ia iclient iin ithe iPACU. iWhich iof ithe ifollowing ifindings iindicates idecreased icardiac ioutput? a) Shivering ib) Oliguria c) Bradypnea d) Constricted ipupils 6) A inurse iis iassisting iwith imass icasualty itriage: iexplosion iat ia ilocal ifactory. iWhich iof ithe ifollowing iclient ishould ithe inurse iidentify ias ithe ipriority? a) A iclient ithat ihas imassive ihead itrauma b) A iclient ihas ifull ithickness iburns ito iface iand itrunk ic) A iclient iwith iindications iof ihypovolemic ishock d) A iclient iwith iopen ifracture iof ithe ilower iextremity 7) A inurse iis ia ireceiving ireport ion ifour iclients. iWhich iof ithe ifollowing iclients ishould ithe inurse iassess ifirst? a) A iclient iwho ihas iilleal iconduit iand imucus iin ithe ipouch b) Client ipleasant iarteriovenous iadditional ivibration ipalpated c) A iclient iwhose ichronic ikidney idisease iwith icloudy idiasylate ioutflow d) A iclient iwas itransurethral iresection iof ithe iprostate iwith ia ired itinged iurine iin ithe ibag 8) A inurse iis icaring ifor ia iclient ijust ireceived ithe ifirst idose iof ilisinopril. iThe ifollowing iis ian iappropriate inursing iintervention? a) Place’s icardiac imonitoring b) Monitor ithe iclients ioxygen isaturation ilevel c) Provide istandby iassist iwith ithe iclient ifrom ibed d) Encourage ifoods ihigh iin ipotassium 9) A inurse iis icaring ifor ia iclient iwho iis iin ilabor iand ihis iseat iis ireceiving ielectronic ifetal imonitoring. iThe inurse iis ireviewing ithe imonitor itracing iand inotes iearly idecelerations. iWhich ithe ifollowing ishould ithe inurse iexpect? a) Feta ihypoxia b) Abrupto iplacentae c) Post imaturity d) Head iCompression 10) A inurse iin ian iemergency idepartment icompletes ian iassessment ion ian iadolescent iclient ithat ihas iconduct idisorder. iThe iclient ithreatened isuicide ito iteacher iat ischool. iWhich iof ithe ifollowing istatements ishould ithe inurse iinclude iin ithe iassessment? a) Tell ime iabout iyour isiblings b) Tell ime iwhat ikind iof imusic iyou ilike c) Tell ime ihow ioften ido iyou idrink ialcohol d) Tell ime iabout iyour ischool ischedule 11) *A inurse iis iobserving ibonding ito ithe iclient iher inewborn. iWhich iof ifollowing iactions iby ithe iclient irequires ithe inurse ito iintervene? a) Holding ithe inewborn iin ian ien iface iposition b) Asking ithe ifather ito ichange ithe inewborn's idiaper c) Requesting ithe inurse itake ithe inewborn inursery iso ishe ican irest d) Viewing ithe inewborn’s iactions ito ibe iuncooperative 12) A inurse iis icaring ifor iclient iwho iis itaking ilevothyroxin. iWhich iof ithe ifollowing ifindings ishould iindicate ithat ithe imedication iis ieffective? a) Weight iloss i(this idrug iacts ias iT4 iand iwill inormalize ithe ieffects iof ihypothyroidism) b) Decreased iblood ipressure c) Absence iof iseizures d) Decrease iinflammation 13) A inurse iis iplanning idischarge iteaching ifor icord icare ifor ithe iparent iof ia inewborn. iWhich iinstructions iwould iyou iinclude iin ithe iteaching? a) Contact iprovider iif ithe icord istill iturns iblack i(it’s igoing ito iturn iblack) b) Clean ithe ibase iof ithe icord iwith ihydrogen iperoxide idaily i(clean iwith ineutral ipH icleanser) c) Keep ithe icord idry iuntil iit ifalls iof if i(cord ishould ibe ikept iclean iand idry ito iprevent iinfection) d) The icord istump iwill ifall ioff iin ifive idays i(cord ifalls ioff iin i10-14 idays) 14) A inurse iis iassessing ia iclient iin ithe iPACU. iWhich iof ithe ifollowing ifindings iindicates idecreased icardiac ioutput? a) Shivering b) Oliguria c) Bradypnea d) Constricted ipupils