ATI Comprehensive Exit Exam

ATI Comprehensive Exit Exam A nurse is caring for a client who is experiencing cerebral edema. Which of the following actions should the nurse take? Perform multiple nursing care activities at one time. A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take? Droplet A client is requesting information from a nurse about a nitrazine test. Which of the following statements should the nurse? "This test will determine if there is leaking amniotic fluid. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis? Which of the following findings should the nurse report to the provider? Erythrocyte sedimentation 75 mm/hr A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify that the suctioning has been effective? Presence of a productive cough A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? Speak assertively to the client. A charge nurse is observing a newly licensed nurse insert an indwelling urinary catheter for a female client. Which of the following actions by the nurse requires intervention by the charge nurse? Opens the sterile kit by unfolding the flap closet to her first A nurse is caring for a client who is scheduled for a surgical procedure and states, " I don't want to have this surgery anymore." Which of the following responses should the nurse make? You have the right to refuse the procedure A nurse is teaching a group of school-age children about healthy snack options. Which of following snacks should the nurse include? Air popped Popcorn A nurse is providing teaching to a client who has new prescription for enoxaparin. Which of following medication for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? Acetaminophen A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse plan to administer? Pregablin A nurse is caring for a client who has fracture of the left hip and is in skeletal traction. Which of the following actions should the nurse take? Provide a trapeze for the client to aid movement in bed A nurse is caring for a client who had an embolic stroke and has a new prescription for alteplase. Which of the following in the client's history should the nurse identify as a contraindication to receiving alteplase? Hip arthoplasty 1 week ago A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator. Which of the following client statements demonstrates understanding of the teaching? "I will wear loose clothing over my ICD." A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate? Obtain a urine specimen for culture and sensitivity A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process? Offer to take pictures of the newborn for the client A nurse is caring for a client who has a major burn injury. Which of the following actions is the nurse's priority to prevent wound infections? Maintain consistent hand washing by staff. A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Which of the following actions should the nurse take? Place the client's hands in warm water A nurse on a med-surgical unit is preforming medication reconciliation for a newly admitted client. Which of the following actions should the nurse take? Compare the client's list of home medications to the admission prescriptions written for the client. A nurse is preparing to administer betamethasone to the client who is 25 weeks of gestation and has preterm labor. Which of the following findings should the nurse identify as an adverse effect of this medication? Hyperglycemia A nurse is providing dietary teaching to a client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching? "During meals, you should eat foods with a high-calorie content first A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure? Explain in simple terms how the procedure will affect the child. A nurse is performing wound care for a client who has an abdominal incision. Which of the following techniques should the nurse implement? Irrigate the wound with a low-pressure flow of solution. A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first? A client who has preeclampsia and reports a persistent headache. A nurse is caring for a clients who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist? The client who has small children at home A nurse is caring for a client who has major depression disorder, The client tells the nurse, " No one cares about me. I'm completely alone." Which of the following responses should the nurse make? Can you give me an example of how others are making you feel this way? A nurse is caring for a client who has sustained a severe head trauma and has significant bleeding from the nose. Which of the following actions should the nurse take first? Establish a patent airway A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client's contractions are occurring every 1 min with 45 seconds duration, and the fetal heart is 170 to 180/min. Which of the following actions should nurse take? Discontinue the oxytocin infusion A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residency by herself. The nurse should document this as which of the following finding? Confabulation A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make? Place a handrail in the entryway of the house A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? Keep an abduction pillow between the client's legs A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include? Children who have varicella are contagious until the vesicles are crusted. A nurse is preparing to obtain a client's signature on an informed consent form. Which of the following actions should the nurse take first? Ask the client to explain his understanding of the procedure. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? Uses a mechanical lift device to move a client from the bed to the chair. A nurse is speaking with the caregiver of a client who has Alzheimer disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life. " Which of the following actions should the nurse take? Assist the caregiver to arrange a daycare program for the client. A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching "I can store the condoms in the drawer of my night-stand." A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? Select all that apply. Mark the drainage output on the collection chamber hourly Add water to the water seal chamber as it evaporates