ATI QUESTIONS TO REVIEW BEFORE EXIT

ATI QUESTIONS TO REVIEW BEFORE EXIT

& NCLEX LATEST VERSION 2023 2024 500+

QUESTIONS AND VERIFIED CORRECT

ANSWERS WITH RATIONALE

GUARANTEED A+ AT FIRST ATTEMPT

• Phases of Wound Healing - Correct Answer: -Inflammatory: Begins at the time of

injury and lasts 3-5 days; manifestations include local edema, pain, redness & warmth -Fibroblastic: Begins the 4th day after injury and lasts 2-4 wks; scar tissue forms and granulation tissue forms in the tissue bed -Maturation: Begins as early as 3 wks after the injury and may last for 1 yr; scar tissue becomes thinner and is firm and inelastic on palpatation

A 3-month-old infant has just undergone a cheiloplasty. The nurse is conducting an assessment following the procedure and needs to complete a pain assessment. Which of the following pain assessment tools will the nurse use to conduct this pain assessment?

Select one:

• FLACC
• FACES
• Numeric scale
• Oucher - Correct Answer: CORRECT ANSWER: WER=A

RATIONALE: The Oucher pain assessment tool is recommended for children b/w 3-13

yoa. Pain is rated on a scale of 0-5 using a diagram of 6 photographs

A charge nurse is delegating a task. The nurse understands which of the following represents effective delegation? Select all that apply.

Select one or more:

• Delegating a task that should be assigned to a manager.
• Referring to the ANA Code of Ethics for effective delegation practices.
• Asking the nurse if they are capable of completing the delegated task.
• Delineating the desired outcomes of the delegation.

e. Monitoring how the delegated task is being accomplished - Correct Answer:

CORRECT ANSWER: WER(S)--> C, D, E

RATIONALE:

A.) Delegating a task that should be assigned to a manager is not effective delegation.Improper delegation includes delegating tasks and responsibilities that are beyond the 1 / 4

capability of the person to whom they are being delegated or that should be done by the manager.D.) Effective delegation meCorrect Answer: planning ahead when identifying tasks to be accomplished. Assess the situation, and clearly delineate the desired outcomes.E.) Monitoring how the task is being accomplished is considered effective delegating.

A charge nurse is managing a conflict between co-workers. Which of the following are effective management functions for conflict resolution? Select all that apply.

Select one or more:

• Suppress the need for closure and follow-up to negotiation.
• Pursue alternative dispute resolutions when conflict cannot be resolved.
• Avoid facilitating conflict resolution involving subordinates.
• Create a work environment that minimizes the conditions for conflict.
• Obtain needed unit resources thru effective negotiation strategies - Correct Answer:

CORRECT ANSWER: WERS=B, D, E

RATIONALE:

-Creating a work environment that minimizes the conditions for conflict is a critical leadership skill for conflict resolution -Obtaining needed unit resources thru effective negotiation strategies is a critical leadership skill for conflict resolution -Pursuing alternative dispute resolutions when conflict cannot be resolved by using traditional conflict management strategies is a critical leadership skill for conflict resolution

A client diagnosed with depression is taking the medication phenelzine, a monoamine oxidase inhibitor (MAOI). What foods should the nurse discuss with the client to avoid the adverse effect of hypertensive crisis? Select all that apply.

Select one or more:

• Basil
• Avocados
• Salami
• Bananas
• Oats - Correct Answer: CORRECT ANSWER: WER=B, C, D

RATIONALES:

Avocadoes, bananas, salami=are foods high in tyramine. When a pt is on a MAOI, foods high in tyramine should be avoided to prevent the adverse effect, hypertensive crisis

A client experiencing intermittent chest pain has been admitted to the hospital. Which of the following laboratory values should the nurse report to the health care provider immediately? 2 / 4

• Total myoglobin 60 mcg/L
• Cardiac troponin T 1.2 ng/mL
• C-reactive protein (CRP) 0.2 mg/dL
• Creatine kinase (CK) 90 units/ - Correct Answer: CORRECT ANSWER: WER-->B)

Cardiac troponin T 1.2 ng/mL

RATIONALE: Normal creatine kinase for females is 30-135 units/L and 55-170 units/L for males.

A client is admitted to the hospital for suspected infective endocarditis. The client is reporting chills, fatigue, myalgia and dyspnea upon exertion. When assessing the client the nurse notes a heart murmur and a temperature of 102.3 F (38.2 C). Which of the following orders should the nurse implement first?

Select one:

• Administer acetaminophen 325 mg by mouth
• Administer IV Penicillin G, 2 million units
• Obtain the blood cultures from three sites
• Order the EKG - Correct Answer: CORRECT ANSWER: WER=C

RATIONALE: (a)-administering an antipyretic medication should follow the

administration of antibx's. Temperatures may be as high as 102-104 degrees F. in pts w/infective endocarditis. Antipyretics are a priority for this pt, but it is a lower priority than blood cultures and antibx administration. Pts at risk for endocarditis should be treated w/prophylactic antibx's prior to dental procedures; respiratory and GI diagnostic procedures; GU & Cardiac surgeries

A client is admitted to the hospital with a diagnosis of Grave's disease. Which of the following findings should be reported to the provider immediately?

• Hyperactive deep tendon reflexes
• Increase in white blood cell count from 6,000 mm3 to 8,000 mm3
• Increase in temperature from 99.5 F to 100.5 F
• Increased number of stools - Correct Answer: CORRECT ANSWER: WER-->C)

increase in temp from 99.5 to 100.5 F

RATIONALE: Hyperactive deep tendon reflexes are a common manifestation of Grave's disease.

A client is discharged following a cardiac catheterization procedure. Which of the following should the nurse include in the discharge teaching?

• Tub baths the night following the procedure are acceptable.
• Notify provider if bruising is noted at the site. 3 / 4

• Remove dressing the evening of the procedure.
• Limit activity for several days after the procedure. - Correct Answer: CORRECT

ANSWER: WER-->D) limit activity for several days after the procedure

RATIONALE: Mild bruising at the insertion site is not unusual and will resolve after several days.

A client is having an exercise electrocardiography (stress test) performed. The nurse recognizes the need to stop the test if which of the following occurs?

• The client begins to breathe harder
• The client experiences an increase in heart rate.
• An ST segment depression or T wave inversion on the EKG.

d. QRS complexes begin to occur more frequently. - Correct Answer: CORRECT

ANSWER: WER--->C) An ST segment depression or T wave insertion on the EKG

RATIONALE: QRS complexes are a normal part of the cardiac cycle and an increase in QRS complexes represents an increase in heart rate - a normal finding with exercise.

A client is recovering from acute respiratory distress syndrome (ARDS). Which clinical manifestation requires immediate attention by the nurse?

• Increase in pulse rate
• A decrease in temperature
• A decrease in blood pressure
• Increased oxygen saturation - Correct Answer: CORRECT ANSWER: WER-->C) A

decrease in BP

RATIONALE:An increase in a client's pulse rate is a finding that needs additional data collection because it may be indicative of an autonomic response to pain, anxiety, and other

A client is scheduled for surgery. Which of the following findings should the nurse report to the provider prior to surgery?

A.) Serum potassium of 3.8 mEq/L B.) A missing identification band C.) Increased anxiety level D.) A decrease in BP - Correct Answer: CORRECT ANSWER: WER-->D.) A decrease in BP

RATIONALE: If a missing ID band is noted the nurse can recreate the band prior to proceeding to the operating room. The ID band is a method of properly identifying a pt & necessary for care

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