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
teaching ? – I will use the cool mist vaporizor in my baby’s room
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? – change
positions slowly
a nurse recieves change of shift report for a group of clients. which of the following
clients should the nurse check first? – a client admitted to the facility who has ascending
Guillain barrel syndrome
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? – take the medications with
crackers
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? – epistaxis
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? – I have noticed that
my child is withdrawn since we switched day care providers
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? –
hypokalemia
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? – I will turn pot handles to the side of the stove while cooking
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? – holding eye contact for brief instances
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? – hold the feeding and recheck the GRV in 1 Hr
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? – performing indwelling
urinary catheter care
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? – be honest with the client
about prognosis
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? – explain to me more about how you are feeling
a nurse is caring for an adolescent client who has bulimia nervosa. which of the
following action should the nurse take? – observe the client during and after meals
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? – place the client supine with the knee flexed
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?
- Tinnitus
a nurse is administering medication to a client. which of the following actions should the
nurse take? – verify with another nurse when calculating a new dose of medication
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? –
decreased clotting time
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? – walk with the
client to the recreation room
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? – encourage the client to use the over
the bed trapeze
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? – the reference rate is within the
expected reference range
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? – report of lochia