ATI RN COMPREHENSIVE EXIT EXAM 2020

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ATI RN COMPREHENSIVE EXIT EXAM 2020 (Detail Solutions) 1.A nurse is implementing interventions for a group of patients. Which actions are nursing interventions? (Select all that apply.) a. Ord... er chest x-ray for suspected arm fracture. b. Prescribe antibiotics for a wound infection. c. Reposition a patient who is on bed rest. d. Teach a patient preoperative exercises. e. Transfer a patient to another hospital unit. 2. A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.) a. Ambulating a patient b. Inserting a feeding tube c. Performing resuscitation d. Documenting wound care e. Teaching about medications 3. A nurse is preparing to carry out interventions. Which resources will the nurse make sure are available? (Select all that apply.) a. Equipment b. Safe environment c. Confidence d. Assistive personnel e. Creativity 4. Which interventions are appropriate for a patient with diabetes and poor wound healing? (Select all that apply.) a. Perform dressing changes twice a day as ordered. b. Teach the patient about signs and symptoms of infection. c. Instruct the family about how to perform dressing changes. d. Gently refocus patient from discussing body image changes. Administer medications to control the patient’s blood sugar as e. ordered. 1. A nurse determines that the patient’s condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting? a. Assessment b. Planning c. Implementation d. Evaluation 2. A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next? a. Assessment b. Planning c. Implementation d. Evaluation 3 3. A new nurse asks the preceptor to describe the primary purpose of evaluation. Which statement made by the nursing preceptor is most accurate? “An evaluation helps you determine whether all nursing interventions a. were completed.” “During evaluation, you determine when to downsize staffing on b. nursing units.” “Nurses use evaluation to determine the effectiveness of nursing c. care.” d. “Evaluation eliminates unnecessary paperwork and care planning.” 4. After assessing the patient and identifying the need for headache relief, the nurse administers acetaminophen for the patient’s headache. Which action by the nurse is priority for this patient? a. Eliminate headache from the nursing care plan. Direct the nursing assistive personnel to ask if the headache is b. relieved. c. Reassess the patient’s pain level in 30 minutes. d. Revise the plan of care. 5. A nurse is getting ready to discharge a patient who has a problem with physical mobility. What does the nurse need to do before discontinuing the patient’s plan of care? 4 a. Determine whether the patient has transportation to get home. b. Evaluate whether patient goals and outcomes have been met. c. Establish whether the patient has a follow-up appointment scheduled. d. Ensure that the patient’s prescriptions have been filled to take home. . 6. The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome? The nurse provides assistance while the patient is walking in the a. hallways. b. The patient is able to ambulate in the hallway with crutches. c. The patient will deny pain while walking in the hallway. d. The patient’s level of mobility will improve. 7. The nurse is evaluating whether a patient’s turning schedule was effective in preventing the formation of pressure ulcers. Which finding indicates success of the turning schedule? a. Staff documentation of turning the patient every 2 hours 5 b. Presence of redness only on the heels of the patient c. Patient’s eating 100% of all meals d. Absence of skin breakdown 8. A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next? a. Reassess the patient and situation. b. Revise the turning schedule to increase the frequency. c. Delegate turning to the nursing assistive personnel. d. Apply medication to the area of skin that is broken down. ...................................................................................continued......................................................................................... [Show More]

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