EXIT EXAM ATI (REAL!) 2022

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EXIT EXAM ATI (REAL!) a nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. which of the following statements by the parent indicates an understanding of the te... aching ? - a nurse is reinforcing teaching with a client who has a new presciption for verapamil. which of the following instructions should the nurse include in the teachings? a nurse recieves change of shift report for a group of clients. which of the following clients should the nurse check first? a nurse is caring for a client who has chlamydial infection and the new prescription for doxycycline the client reports nausea and vomiting after starting medication. which of the following recommendations should the nurse make? - a nurse is caring for a client who is postopperative following joint replacement and has a new prescription for enoxaparin for which of the following adverse effects should the nurse monitor? - a nurse is collecting a health history from a parent of 4 year old child. which of the following statements to be is the priority for the nurse to address? a nurse is caring for a client who has heart failure and is taking furosemide. which of the following findings should the nurse recognize as an adverse effect of this medication? - a nurse is reinforcing teaching about home safety with a parent of a 12 month old infant. which of the following statements by the parent indicates understanding of the teaching? a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian culture which of the following communication techniques by the nurse demonstrates cultural sensitivity? a nurse is checking for gastric residual volume(GRV) on a client who is scheduled to receive an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML on two consecutive measurements. which of the following actions should the nurse take? a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the following tasks should the nurse delegate to the AP? a nurse is caring for a client who has terminal cancer which of the following actions should the nurse take to promote the clients autonomy? - a nurse finds client's partner crying in the hallway the partner states I just don't know how I am to go on after my husband is gone. which of the following responses should the nurse make? a nurse is caring for an adolescent client who has bulimia nervosa. which of the following action should the nurse take? a nurse is checking a client who is postoperative and has a midline abdominal incision. the nurse notes a separate of the incision. which of the following actions should the nurse take? a nurse is caring for a school age child who has ADHD and is taking methylphenidate. the nurse should identify which of the following is the adverse effect of this medication? a nurse is administering medication to a client. which of the following actions should the nurse take? a nurse is preparing to administer protamine to a client. which of the following therapeutic effects should the nurse expect to document in the clients medical record? - a nurse is caring for a client in a mental health facility who is pacing back and fourth and wringing his hands. which of the following actions should the nurse take? a nurse is caring for a client who is 2 days postoperative following an above the knew amputation. which of the following actions should the nurse take to promote progression toward independence and mobility for the client? a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant prior to administrating immunizations. the nurse should recognize that a respiratory rate of 30/min indicates which of the following findings? a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago. which of the following findings should the nurse expect? a nurse is reinforcing discharged teaching with the family of a client who has dependent personality disorder. which of the following instructions should the nurse include in the teachings? a charge nurse in a long term care facility notices the smell of alcohol on a nurses breath which of the following actions should the nurse take first? a nurse is supervising an assistive personnel (AP) which of the following actions by the AP indicates effective use of the client care materials? a nurse is preparing to administer spironolactone and lisinopril to a client the client reports anxiety dyspnea and weakness of the legs which of the following actions should the nurse take first? a nurse is assisting with the care of a client who is receiving chemotherapy and radiation for advanced breast cancer. the client states" I am thinking about stopping the treatments" which of the following responses should the nurse make? a nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version 6 hours ago. the nurse identifies the fetus is in the right occiput anterior position. the nurse should place the fetal heart rate monitor on which of the following sites to auscultate the fetal heart rate? a nurse is reinforcing teaching with a client who is at 35 weeks gestation and will soon undergo a contraction stress test. which of the following information should the nurse include in the teaching? a nurse is collecting date from a client who presents to the facility and reports vomiting which of the following findings indicates the client is experiencing a fluid volume deficit? a nurse is reinforcing dietary teaching with a client who is at 37 weeks gestation and has gestation hypertension. which of the following foods should the nurse recommend ( select all that apply) a client who has cancer is being discharged home with hospice services the client has a prescription for oxycodone for pain control which of the following medications should the nurse remind the client to take regularly to prevent a common adverse effect of this pain medication? a nurse is caring for an adolescent client who has been hospitalized for several weeks which of the following actions should the nurse take relative to the clients developmental stage? a nurse is reinforcing teaching with a parent of a preschool age child who has a new diagnosis of varicella. which of the following statements by the parent indicates and understanding of the teaching? a nurse is caring for a client who is experiencing urge incontinence and limited dexterity. which of the following actions should the nurse take? a nurse is participating in a performance improvement program. which of the following actions should the nurse take to evaluate the effectiveness of the program? a nurse at a long term care facility is reviewing the plan of care for a client who has prescription for mitten restraints. which of the following tasks should the nurse assign to the assistive personnel? a nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new prescription for timolol eye drops which of the following statements by the clients indicate an understanding of the teaching? a nurse is obtaining a history from a client who wants to take oral contraceptives. which of the following findings is the nurse's priority? a home health nurse is preparing to set up a continuous passive motion (CPM) machine for a client who is postoperative. which of the following actions should the nurse plan to take first? a nurse is preparing to administer morphine 30 mg PO to a client who reports pain. available morphine solution 20 mg/ml. how many ML should the nurse administer (round to the nearest tenth. use a leading zero if it applies do not use a trailing zero) a nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. which of the following information should the nurse include in the teaching? a nurse is reinforcing dietary teaching with a client who experienced a myocardial infarction. the nurse should instruct the client to limit which of the following in the diet? a nurse is reinforcing teaching with the family of a client who has a terminal illness about the grief process which of the following information should the nurse include in the teaching? a nurse is collecting data from a client who has a diabetic ketoacidosis. which of the following findings should the nurse expect? a nurse in a long term care facility is caring for an older adult client who has a history of hypertension. which of the following findings should the nurse recognize is indicative of transient ischemic attacks? a nurse is planning care for a client who recently attempted suicide. which of the following action should the nurse plan to take? a nurse is caring for a client who has an upper gastrointestinal bleed. which of the following actions? a nurse with the admission of an adolescent client who is suspected to have bacterial meningitis which of the following findings should the nurse expect? a nurse is transcribing a prescription from a provider. the prescription reads gentamicin 2 gtt OD Q4H which of the following information should the nurse clarify with the provider? a nurse is reinforcing discharge with a client who is postoperative and has a prescription for oxycodone which of the following information should the nurse include regarding the prevention of constipation? a nurse is reinforcing teaching with a parent of a child who has a new prescription ferrous sulfate in liquids form. which of the following statements by the parent indicates an understanding of the teachings? a nurse is collecting data from a client who has acute cholecystitis. which of the following findings should the nurse expect? a nurse is caring for a 3 year old child at a well child visit the parents report they are concerned that their son has begun playing with an imaginary friend which of the following responces should the nurse make? a nurse is assisting with a physical examination on a 7 year old child which of the following actions should the nurse take? a nurse is delegating client care assignments. which of the following tasks should the nurse assign to assistive personnel? a nurse is caring for a client who has a femoral- popliteal bypass graft 2 days ago when monitoring peripheral pulses the nurse is unable to locate a pulse in the affected leg. which of the following actions should the nurse take? a nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. which of the following is having desired effect? a nurse is assisting with a prenatal examination of a client who is at 8 weeks gestation the nurse notes purplish color of the vagina an vulva the nurse should document the findings of which of the following? a nurse is caring for a client who recently gave birth to her first child The newborn I carrying and the client states "I can't seem to do anything right. what should I do?" which of the following responses should the nurse make? a charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy for which of the following actions by the newly licensed nurse should the nurse intervene? a nurse is reinforcing teaching with the support person of a client who is in the first stage of labor which of the following instructions should the nurse include regarding effleurage? a nurse is reinforcing discharge teaching with a family of a client who has Alzheimer's disease the client has wandering behavior and the family is concerned about safety at home which of the following instructions should the nurse include in the teachings ? - a nurse is reinforcing teaching with a mother who is breast feeding her 3 week old newborn. which of the following instructions should the nurse include in the teaching? a nurse is collecting data from a child during a well child visit which of the following actions should the nurse take when checking the Childs oculomotor nerve? a nurse is reinforcing teaching with a client who is to start taking ferrous sulfate elixir which of the following statements by the client indicates an understanding of the teaching? a charge nurse asks a staff nurse to recommend a client for discharge in response to a mass casualty disorder which of the following should the staff nurse recommend? a nurse is caring for a mother who is breastfeeding her newborn 1 week following delivery which of the following types of stool should the nurse expect? a nurse is reinforcing teaching about foot care with a client who has diabetes mellitus which of the following statements by the client indicates an understanding of the teaching? a charge nurse is confidentiality requirements with a newly licensed nurse is about sharing a clients medical information which of the following individuals should the charge nurse identify as appropriate with whom to share the client information? a nurse is assisting with monitoring a client who has preclampsia and is receiveing an infusion of magnesium sulfate. for which of the following findings should the nurse prepare to stop the infusion and notify the charge nurse? A nurse on a hospice unit is caring for a client who has cancer and is in the active phase of dying. which of the following will findings requires intervention by a nurse? a nurse is caring for an adolescents client who has not had a child and is requested the most reliable method of birth control. which of the following methods should the nurse recommend that the client discuss with the provider? a nurse is collecting nutritional data from a group of adult clients. for which of the following clients should the nurse recommend an interprofessional care conference with a dietitian? a nurse is assisting a client to ambulate when the clients begins to have to have a generalized seizure. identify the sequence of action. a nurse is caring for a client who is at 34 weeks of gestation. which of the following statement by the client is the nurse priority to report to the provider? a nurse is preparing to administer an intermittent enteral feeding to a client who has a small bore NG tube. which of the following actions should the nurse plan to take? a nurse is caring for a preschool age child who recently experienced the death of a parent. which of the following findings should the nurse identify as consistent with this age group? a nurse manager is seeking ways to increase cost effectiveness on the unit. in which of the following clients care situations should the nurse manager intervene? a nurse is collecting data from a client who is postoperative and received an opioid analgesic for pain. which of the following findings should the. nurse identify as as adverse effect of this medication? a nurse is providing skin care for a 14 year old adolescent client who is in skeletal traction for a fractured femur. which of the following actions should the nurse take? a nurse is caring for a client who has a prescription fr warfarin. which of the following laboratory tests should the nurse monitor? a nurse in an inpatient mental health facility is observing two clients playing cards in the day room. one of the clients becomes agitated and throws the cards down on the table. which of the following actions should the nurse take first? a nurse is reviewing the medical record for a child who is schedule to receive varicella immunization. which of the following findings in the client's record should the nurse recognize as a contraindication? a nurse is reinforcing teaching about sterile technique with a newly licensed nurse. the nurse should include in the teaching that which of the following procedures requires sterile technique? a nurse is reinforcing teaching with a client who has hypertension about dietary measure to control blood pressure. which of the following by the client indicates an understanding of the teaching? a nurse is caring for a client following electronvulsive therapy for treatment of depressive disorder. which of the following findings should the nurse expect 15 minutes following the procedure? a nurse is reinforcing teaching with a client who is planning to become pregnant about dietary intake needed to reduce the risk of neural tube defects. which of the following foods is priority for the nurse to include in the teaching? a nurse is caring for a client who has a new prescription for ferrous sulfate. for which of the following findings should the nurse monitor the client? a nurse is providing care for a child who has cystic fibrosis. which of the following outcomes is a therapeutic effect of administering pancreatic enzymes? a nurse is reinforcing discharge teaching with a patient of a newborn about umbilical cord care. which of the following statements by the parent indicates an understanding of teaching? - a nurse is preparing to administer acetaminophen 50 mg by mouth to an infant, available is acetaminophen liquid 80 mg/ 0.8 ml how many ml should the nurse administer? a nurse is caring for a client who is in buck's traction. which of the following actions should the nurse take? a nurse is caring for a client who delivered by cesarean birth 1 day ago. the client requests non pharmacological interventions to manage pain. when changing positions. which of the following responses should the nurse make? a nurse is caring for a client who has new diagnosis of heart failure and a prescription of digoxin. the nurse should monitor the client for which of the following manifestation as an adverse effect of this medication? a nurse in an inpatient facility is caring for a client who has anorexia nervosa at home, the client exercised frequently throughout. which of the following intervention should the nurse implement? a nurse is assisting with the care of client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. which of the following findings should the nurse immediately reports to the provider? a nurse is collecting data from an adolescent client who has experienced sexual abuse.which of the following statements by the client should the nurse recognized as the use of the use of defense mechanism of suppression? a nurse is assisting with discharge planning for a group of clients. which of the following clients should the nurse recommend for a home care referral? a nurse is caring for a client who is taking multiple medications and ask about possible interactions. for which of following members of the interdisciplinary team should the nurse make a referral? a nurse on a postpartum unit is reinforcing teaching with a client whose newborn is 1 day old about newborn sensory behaviors. which the following statement by the client indicates an understanding of the teaching? a nurse is caring a female client who has as indwelling catheter with a urinary drainage system. which of the following actions should the nurse take? a nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. the nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating? a charge nurse is monitoring a group of assistive personal(AP) regarding the use of gloves in contact isolation. For which of the following actions by an AP should the charge nurse intervene? a nurse is reinforcing discharge instructions which a client who has myocardial infarction. which of the following statements by the client indicates an understanding of the teaching? a nurse is caring for a client who has an arteriovenous(AV) shunt in his right arm. which of the following actions should the nurse take? a nurse is collecting data from a client who is 12 hours postoperative following intestinal surgery. which of the following findings should the nurse report to the charge nurse prior to client ambulation? a nurse is collecting data from a client who is in her third trimester of pregnancy during a routine prenatal visit. the client report that she feels clammy, and becomes pale while lying down. which of the following actions should the nurse instruct the client to take ? a nurse is assisting a client to move up in bed. which of the following actions should the nurse take? a nurse is reinforcing teaching with a female client who has a urinary tract infection and a prescription for an antibiotic. Which of the following instructions should the nurse include in the teaching? a nurse is performing nasopharyngeal suctioning for an adult client. which of the following technique should the nurse use? a nurse is caring for a client at a follow up visit who has bipolar disorder and a new prescription of a lithium therapy. which of the following findings should indicate to the nurse that the client is experiencing lithium toxicity? a nurse is preparing to administer an intermittent central feeding to a client who has a small-bore NG tube. which of the following actions should the nurse plan to take? - a nurse is caring for a preschool-age child who recently experienced the death of a parent. which of the following findings should the nurse identify as consistent with this age group? a nurse manager is seeking ways to increase cost effectiveness on the unit. in which of the following client care situations should the nurse manager intervene? a nurse is contributing to the plan of care for a client who has delirium. Which of the following interventions should the nurse recommend to include in the plan? a home health nurse is reinforcing teaching with a client about safe food handling to prevent food poisoning. which of the following instructions should the nurse include in the teachings? a nurse is reinforcing dietary teaching with a female client who has an acute kidney injury. which of the following instructions should the nurse should include in the teaching? a nurse is caring for a client who has an indwelling urinary catheter and enters the client's room to provide perineal and catheter care. the client has several friends visiting. To protect the client's privacy, which of the following instructions should the nurse give the visitors? a nurse is contributing to the plan of care for a group of clients. which of the following tasks should the nurse delegate to an assistive personnel? a nurse is caring for a client who has malnutrition and requires an increase in protein intakes. Which of the following food choices should the nurse recommend as a complete protein source? a nurse is caring for a client whose previous blood pressure readings have been within the expected reference range. which of the following factors should the nurse recognized can contribute to a false high blood pressure reading? a nurse is caring for a client who has major depressive disorder. the client states,"i have no reason to live anymore" which of the following actions should the nurse take first? a nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selection by the client demonstrates an understanding of the teaching? a nurse is reinforcing teaching with a client about intermittent catherization to measure residual urine. Which of the following information should the nurse include in the teaching? a nurse on a medical surgical until receives changes of shift report for a group of adult clients. Which of the following clients should the nurse attend first? a nurse Is documenting client care in the nurses' notes and notices that a space was left blank. Which of the following actions should the nurse take? a nurse is caring for a client who has terminal cancer and has declined treatment. The nurse attempts to convince the client to reconsider his decision and discusses this attempt with the charge nurse. Which of the following actions should the charge nurse take? a nurse in a provider's office is reinforcing teaching about dietary practices with the parent of 2 years old toddler. Which of the following statements by the parents should the nurse address first? a nurse is reinforcing teaching with a client about how to collect a fecal occult blood sample. Which of the following statements by the client indicates an understanding of the teaching? a nurse is caring for a client for who is requesting assistance with smoking cessation. The nurse should anticipate a prescription for which of the following medications? A nurse is preparing to irrigate a wound for a client who has methicillin-resistant staphylococcusaureus (MRSA). Which of the following personal protective equipment should the nurse use? A nurse is caring for a client who is experiencing alcohol withdrawal. The nurse should prepare to administer which of the following medications? a nurse is reviewing the food diary of a client who has rheumatoid arthritis and takes cyclosporine the nurse should inform the client that which of the following food items can cause toxicity while the client is taking this medication? a nurse is collecting data from a client who has bipolar disorder. which of the following findings should the nurse expect? a nurse is reviewing laboratory results for a client who has respiratory acidosis. which of the following arterial blood gas (ABG) values should the nurse expect? a nurse in a provider's office is caring for a group of clients who have communicable diseases. which of the following infections should the nurse report tp the state health department? a nurse is reinforcing teaching with a group of adolescent male clients about testicular examinations. which of the following statements by a client indicates an understanding of the teaching? a nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. which of the following statements by the client indicates an understanding of the teaching? a nurse in a long term care facility is preparing to administer medication to a client who she knows. the client has dementia which of the following clients identifiers is acceptable for the nurse to use? a nurse is collecting data from a client who is 1 day postoperative following a c-section birth. which of the following findings is the nurse's priority? a nurse is caring for a client who has right sided hemiplegia after a stroke. which of the following actions should the nurse take to assist the client from bed to wheelchair? - a nurse is caring for a client who has right sided hemiplegia after a stroke. which of the following actions should the nurse take to assist the client from bed to wheelchair? a nurse is reinforcing teaching about home infection with a client who is HIV positive. which of the following statements by the client indicates an understanding of the teaching? a nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements by the client should the nurse report to provider? A nurse is reinforcing teaching about anorexia with a client who has COPD. Which of the following information should the nurse include in the teaching? A nurse is reinforcing preoperative teaching with a client who is about to undergo the creation of ileostomy. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who reports diarrhea for the past 48 hours. Which of the following findings indicates the client is experiencing dehydration? A nurse on a medical unit is preparing to administer oral medications to a group of clients. The nurse should identify that which of the following clients is the greatest risk for aspiration? A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following foods should the nurse instruct the client to avoid? A nurse is completing chart reviews in a long term care facility in response to an increase in client falls. Which of the following resources should in the chart should the nurse use to determine the potential causes of client falls? A nurse is using contact precautions while caring for a toddler. Which of the following actions should the nurse take? A nurse is reinforcing teaching with a client who has a new prescription for a transdermal nitroglycerin patch. Which of the following statement client indicates an understanding of the teaching? A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? (select all that apply) A nurse is preparing to give a client a cleansing enema. The client states he does not want the enema. Which of the following responses should the nurse make? A nurse in a mental health inpatient unit is approached by a client who is very agitated and report concern about his care. Which of the following responses should the nurse make? A nurse is reinforcing teaching with a client who has diabetes mellitus about a 24-hour creatinine clearance test. Which of the following statements should the nurse include in the teaching? A nurse is caring for a client who has heart failure and is taking furosemide. Which of the following statements by the client indicates a need for the nurse to intervene? A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make? A nurse is caring for a client who has signed a consent form for a hysterectomy. The client tells the nurse it is a relief that she will be able to become pregnant. The should inform the provider that which of the following components of the informed consent requires further explanation? A nurse is reinforcing teaching with a parent of a newborn about home safety precautions. Which of the following statements by the parent indicates an understanding of the teaching? A nurse is admitting a client who has Vancomycin-resistant enterococcus (VRE) of the urine. Which of the following types of isolation should the nurse place the client in? [Show More]

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