Homework answers / question archive / ATI COMPREHENSIVE  EXIT FINAL A nurse in an emergency department completes an assessment on an adolescent?           client that has ?      conduct?           disorder

ATI COMPREHENSIVE  EXIT FINAL A nurse in an emergency department completes an assessment on an adolescent?           client that has ?      conduct?           disorder

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55) Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing?    evaluation??

 

56. A nurse is caring for a group of clients. Which of the following client should nurse assess first?

 

57. A nurse is taking a medication history from client was type II diabetes mellitus?           is scheduled for an?  arteriogram. Which of the following medications to the nurses instruct the client to ?      discontinue 48 hrs?     prior to the procedure?

 

58. The nurses assessing client with posttraumatic?         ? stress disorder?          . Which of the following findings to the?       nurse expect to find?

 

59. A nurse working in a long-term care facility is caring for an older adult client has dementia?           . The clients?        often agitated and frequently wanders the halls?    . Which of the following intervention should the nurse?    include in the plan of care?

 

60. A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first?

 

61. A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first?

 

62. A nurse receives report on a group of clients. Which of the following client should the nurse attend to first?

 

63. A client at 38?  weeks of gestation enters the emergency department. The nurse should recognize that which?   of the following indicates that the client is in the latent phase of labor?
64. The charge nurse for medical surgical units discovers client care assignments that should be reassigned.

Which of the following delegated tasks should be reassigned?    ??

 

65. A nurse caring for the client who has a cast due to a compound fracture to the right ankle. Which of the following findings requires immediate intervention?

 

 

66. The nurses providing care for preschoolers with acute gastroenteritis. Basing information below which of the following is an appropriate nursing action? Click on the links of this below for additional client information

 

67. The nurses caring for a client whose taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication?

 

68. A nurse is caring for a client on the cardiac care unit who is hemodynamically unstable. Which of the following dysrhythmias should the nurse plan for cardioversion?

 

69)Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions?

70) A nurse assesses an older adult client with the decrease caloric intake and weight loss.?         Which of the? following findings should the nurse report to the provider immediately?

 

71. A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate an AP?

 

72. A nurse from the state health department this is instructing a  group nurses regarding reportable infections. Which of the following infections should the nurse report to the CDC?

 

73. The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is a priority finding by the nurse?
74. Nurses caring for a client whose 1? day postop following a ?  Hypophysectomy?       for the removal of the?       pituitary tumor. Which of the following findings requires further assessment by nurse?
75. A client with the left leg cast is using crutches for ambulation. The nurse recognizes client needs further?      

 instruction of the client?  

 

76. A nurse is caring for a toddler who has respiratory syncytial virus? . Which of the following actions?  should the nurse plan to take?

 

78. A nurse is admitting to a client to emergency department and initiates continuous cardiac

 monitoring. Which of the following ECG with strips indicates    sinus tachycardia?      ??

 

 

79. A nurse is planning care for client to prevent complications of immobility. With the following actions should the nurse  including the plan of care? 

 

80) A nurse discovers that the wrong dosage of medication was given to client?         . When determining?      what action to take your should recognize that which of the following ethical principles should be applied?

81. A nurse is review in the prescription for doxazosin?         with a client. Which of the following should be?   included in the teaching? 
82.              Addresses planning to provide teaching to young adult client who is insomnia?      . Which of the?         following should the nurse include in the teaching?

 

 

83) A nurse is caring for client who has a stool culture that is  positive for Clostridium?           ? difficile?      . Which?            of the following infection control precautions is appropriate?

84.  A nurse  is planning care for a child?  who has ?         increased  intracranial pressure?       with a ?          decreased?        level of consciousness. Which of the  following intervention should the nurse including the plan of care??       
85.  The nurse  is assessing a client is receiving radiation?            therapy. Which of the following findings?            should the nurse expect? 

 

87) A nurse is caring for a client who has preeclampsia? and is experiencing ? postpartum? ? hemorrhage? .?  The nurse should identify that which of the following medications? is ? contraindicated? ??

  

88) A nurse is caring for client was GERD?         . Which of the following assessment findings the nurse expect?        to find?

89)  A nurse is caring for a newborn?       who is under ? phototherapy? ? lights? .  Which of the following is an?  appropriate nursing action? 

90) This is assessing clients as had a long arm cast. Which of the following findings of the dress moderate and when assessing for acute compartment syndrome??       

91) I Just came from client is receiving IV moderate (Conscious) sedation?      with ?   midazolam?      . The client?         has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse? 

 

92) A nurses in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the clients name and discussing details of his diagnosis. Which of following actions should the nurse take first? 

  

93) A community health nurse is teaching a group of adults about the importance of health screenings. The nurse should  include African American males?       almost ?            twice as likely? as ?       caucasian?      ? males? to?        experience which of the following? 

94) A nurse is caring for a client who sprained his left ankle 12 hrs ago .?        Which of the following?   prescription is given by the provider should the nurse clarify?

95)  A nurse is providing dietary? teachings for client who has ? hepatic?            ? encephalopathy?       . Which the?   following food selections indicates that client understands teaching?

96) A nurse is planning care for client sealed radiation implant?            and is to remain in the hospital for 1?          week. Which of the following should the nurse include in the plan of care? 

97) A nurses for Caring for four clients. Which of the following client should the nurse care for first?          

98)  The nurses planning care for newly admitted adolescent?     who has ?         bacterial meningitis?   . Which the?  following instructions is appropriate for the nurse to include in the plan of care? 

99)  Nurse is giving discharge  instructions to client has new ileostomy? . The nurse should recognize that?      the teaching has been effective when the client states.

 

100)           A nurse in a provider’s office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client’s history is a contraindication?     to use in combination ?      oral?     contraceptives??

  

101)            The nurses providing teaching to a client who has mild persistent asthma? has been prescribed?  montelukast. Which of the following statements to the nursing put in teaching??    

 

102)            I nurse on the medical surgical unit is receiving reports on four clients. Which of the following client should the nurse assess  first? 

103)            A nurse is assessing a client who has pericarditis?    . Which of the following findings is priority?     

104)            A charge nurse is providing teaching to a new licensed nurse on how to cleanup surfaces?    contaminated with blood. Which of the following agents said the nurse include in the teaching??    

105)           *A nurse is preparing to feed a newly admitted patient with dysphagia?     . Which of the following?   actions in response take? 

  

106)            A nurses caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel telling the client. “If you don't eat, I’ll put restraints on your wrists and feed you.” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?

107)            A charge nurse is evaluating the time management skills for new licensed nurse. The charge nurse  should intervene when a newly licensed nurse does which of the following?

 

108)            A nurse is  monitoring the client during an IV urography procedure?        . Which of the following client?     reports is the priority finding?

109)            A nurse is planning to delegate client assignments to the assistive personnel. which of the following task is appropriate for the nurse to  delegate?

 

110)            A nurse is assessing a client wasn’t following vital signs: Oral temperature of 37.2°C (99 F). Apical pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min, and blood pressure of 132/40 mm

Hg. What is the clients pulse pressure?     ??

111)           A nurse if caring for a group of clients in a medical surgical unit. Which of the following situations requires completion of an incident report?

112)            A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin?    . Which of?   the following should nurse monitor?

113)            The nurses providing discharge instructions about engorgement for client has decided not to breastfeed. Which of the following statements by the client indicates a need for further instruction by the nurse?

114)            A nurses caring for client in preterm labor who is receiving magnesium sulfate by continuous IV?  infusion. Which of the following client findings indicates medication ?       toxicity?            ??

 

115)            The nurse is completing an assessment for newborn who is 2 hrs old?        . Which of the following?   findings are indicative of cold stress? ??

 

116. A nurse is planning care for four clients. Which of the following clients is the highest priority?

 

117. A nurse is caring for a male adolescent?   client who has ?           heart failure?   . Based on the client’s chart?         finds. Which of the following actions should the nurse plan to take?

 

118. The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the following clinical manifestations are associated with this finding?

 

119. A nurse is assessing for allergies before administering Propofol?            to a client placed on the mechanical?            ventilator. Which of the following allergies is a contraindication?   to the medication??         
120. A nurse is assessing a client diagnosed with schizophrenia?       . The nurse asks the client to interpret the?          following statement, “When the cat’s away, the mice will play”. The client response was, “The mice come out when the cat is not around”. The nurse should document this finding which of the following in the client’s chart?

 

121. A nurse caring for a client who is receiving total parental nutrition?     . Which of the following?     assessment findings required immediate intervention by the nurse?

 

122. A nurse in the telemetry unit is receiving the laboratory findings for adult male client who’s been treated for myocardial function? . The following is an expected finding for the client??           

 

123. A nurse is reviewing the results of an ABG?        performed on a client with?     chronic emphysema?         . Which?            of the following results suggests the need for further treatment?

 

124. A nurse is teaching a client about nutritional intake. The nurse should include which of the following in the teaching?
125. A nurse is caring for a client who has a prescription for vancomycin?     ? 1? g IV every 12 hr. The client?         is scheduled to have the morning dose at 0700. The nurse should schedule the trough level?          to be drawn?    at which of the following times?

 

126. A nurse is planning an education session for a client who has type 1 diabetes mellitus? . Which of the? following should the nurse plan to include when teaching the client to monitor for hypoglycemia?

 

 

127. A nurse in an urgent-care clinic is collecting admission history from a client who is 16 weeks of gestation and has bacterial vaginosis?      . The nurse should recognize that which of the following clinical?      findings are associated with this infection?

 

128. A nurse is planning care for a client who has a new diagnosis of dysphagia. Which of the following foods should be included when initiating feeding?

 

129. A nurse receives a change-of-shift report. Which of the following clients should the nurse attend to first?

 

130. A nurse is caring for a client who has lactose intolerance?          and has eliminated dairy products from?          his diet. The nurse should instruct the client to increase consumption of which of the following foods?
131. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin?     . The?    client is gravida 2, para 2, and her blood type is AB negative. The newborns blood type is B positive.

Which of the following statements is appropriate?

 

132. A nurse is caring for the mother of an adolescent who was killed in a motor-vehicle crash after a school event. The mother states, I never should have let him take the car. Its all my fault!" Which of the following responses by the nurse is appropriate?

 

133. A nurse is educating a client about caloric intake and weight reduction. Which of the following client statements indicates an understanding of the teaching?

 

134. A nurses is teaching post-operative care with the parents of a toddler?   following a ?    cleft palate?     repair. Which of the following should be included in the teaching??          

 

135. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel?

 

136. A nurse in an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness. The nurse should recommend that the protocol include which of the following as a clinical manifestation of smallpox?    ??

 

137. A nurse is preparing to perform closed intermittent bladder irrigation?            for a client following a?           transurethral resection of the prostate (TURP). Which of the following actions is appropriate by the nurse?

 

138. A nurse is caring for a client who has been taking haloperidol?  for several years. Which of the?     following assessment findings should the nurse recognize as a long-term side effect?         of this medication??  

 

 

139. A nurse is planning care for a client who has Alzheimers?           ? disease?          and demonstrates ?     confusion?        and?     wandering ? behavior?            . Which of the following should the nurse include in the plan of care??         

 

140. A nurse is reviewing the laboratory data of a client who has diabetes?   ? mellitus?         . Which of the? following laboratory tests is an indicator of long-term disease management?         ??

 

141. A nurse on a pediatric care unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?

 

142. A nurse is caring for a client who has been taking propranolol? . Which of the following findings?     indicates a need to withhold the medication?

 

143. A nurse working in a mental health facility observes a client who has bipolar?  ? disorder?        walk over to?      a table occupied by other clients and knock their game off the table.?        Which of the following is an?            appropriate response ?          by the nurse??  

 

144. A nurse is caring for a client who has human immunodeficiency virus (HIV) with neutropenia.

Which of the following precautions should the nurse take while caring for this client

 

145. A nurse is checking laboratory results for a client. Which of the following laboratory findings indicates hypervolemia?

 

146. A nurse is caring for a group of clients in a long-term care facility?       . Which of the following?     situations should the nurse recognize as a safety hazard?     ??

 

147. A nurse is caring for a client in a mental health facility. The clients daughter is crying and tells the?            nurse that she feels guilty for leaving her father in the hospital. Which of the following is an?      appropriate response?

 

148. A nurse is planning care for a client following gastric bypass surgery?  . The nurse should include?     which of the following dietary instructions when preparing the client for discharge?

 

149. 149 A nurse is assessing a client who has a chest tube ?  following?         ? a? thoracotomy.?         Which of the?        following findings requires interventio?       n by the nurse??           

 

150. A provider has written a do not resuscitate order for a client who is comatose and does not have advance directives. A member of the clients family says to the nurse, ? “I wonder when the doctor will?           tell us what’s going on" Which of the following actions should the nurse take first?          

 

151. A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that a suspicious lesion is

 

152. A nurse is interviewing an older adult client?      about the ?       physiological changes?            he has been?    experiencing. Which of the following changes should the nurse recognize is normally associated with the aging process?

 

153. A nurse in an intensive care unit is planning care for a client who has alcohol withdrawal?      syndrome. Which of the following should the nurse include in the plan of care??         
154. A nurse is assessing a client’s cardiovascular system. Identify?   where the nurse should place the?     diaphragm of the stethoscope to best hear the closing of the aortic heart valve?     . (Selectable areas or Hot?          Spots" can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer.)

 

 

155. A nurse manager is planning an audit ?   to measure the quality of care on the unit. Which of the?     following is the most appropriate source for the nurse to consult?

 

156. A nurse is caring for a client who had gastric bypass surgery 1 week ago and has signs of early?     dumping syndrome. Which of the following findings should the nurse expect? ?   (? Select all that apply)

 

 

157. A nurse is caring for a client who is experiencing mild anxiety.? Which of the following findings?     should the nurse expect?

 

158. A nurse is delegating tasks to an assistive personnel. Which of the following instructions demonstrates appropriate communication of the task?

 

159. A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood?     pressure. The nurse should recognize that these findings are potential manifestations of which of the?        following?

 

160. A nurse is assessing an older adult client who had a stroke. Which of the following findings should the nurse recognize as an indication of dysphagia?

 

161. *A nurse is providing preoperative?        teaching to a client who will use ?       PCA morphine sulfate?      following surgery. Which of the following information should the nurse include?
162. A nurse is assisting the provider with a paracentesis for a client who has ascites. Following?    collection of the specimen, which of the following actions should the nurse take next?  
163. A nurse is caring for a client in an inpatient facility who tells the nurse that she is leaving because the facility policy prohibits smoking inside. Which of the following actions should the nurse take?
164. A nurse is preparing to administer a measles, mumps, rubella (MMR?    )? immunization to a child.

Which of the following is a contraindication?            for administration??    

 

165. A nurse is preparing to administer 2.5 mL of medication intramuscularly?        to an ?  adult client?     . Which?            of the following is the safest site for the nurse to use?

 

166. A nurse is teaching a female client how to reduce the risk of urinary tract infections (UTIs). Which of the following should the nurse include as a risk factor for developing a UTI?

 

167. A nurse is providing discharge instructions for a client who has a new prescription for furosemide?     .? Which of the following client statements indicates a need for further teaching?
168. A nurse is caring for a client who has a prescription for atorvastatin?     . Which of the following client?         conditions is a ?           contraindication?        to this medication??    

 

169. A nurse is planning care for an adolescent?          who has ?         chronic renal failure? . Which of the following?        actions should the nurse include in the plan of care?

 

170. A nurse is assessing a client 1? hr following birth and notes that her ?    uterus is boggy and located 2?  cm above the umbilicus. Which of the following actions should the nurse take first??    
171. A nurse is caring for a client who is receiving intermittent enteral tube feedings?        . Which of the? following interventions should the nurse perform

 

172. A nurse is caring for a 7? month-old infant who is being treated for ?     severe dehydration?    . Which of?  the following assessment findings indicates treatment has been effective?

 

173. A nurse is providing teaching to a client who has esophageal cancer?    and is scheduled to start?     radiation therapy. Which of the following should the nurse include in the teaching??       

 

174. A nurse in a provider's office is providing education to a client who is 16?         weeks of gestation and?           has a new prescription for ferrous sulfate. ?  Which of the following instructions should the nurse provide? 

 

175. 175 A nurse receives a change-of-shift report on four clients. Based on the shift report information, which of the following clients should the nurse plan to assess
176. A nurse administers a dose of metoclopramide?  to a client prior to ?      chemotherapy?            treatment. Which?  of the following medications should the nurse administer?

 

177. A client who does not speak English arrives at the emergency department accompanied by a child.

Which of the following actions should the nurse take?

178. A nurse is caring for a client who has severe preeclampsia?       and is receiving ?         magnesium sulfate?      intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity?     . Which of?       the following actions should the nurse take?
179. A nurse is using Naegeles rule?    to calculate the expected delivery date for a newly pregnant?     primigravida. The first day of the clients last period was October. What is the expected delivery date? (Provide the date using four numerals, the first two for the month and the second two for the day. For example, January 2 0102)

 

180. A nurse on a medical-surgical unit is receiving report on four clients. Which of the following clients should the nurse assess first?