ATI FINAL EXAM 2
1. A nurse is reviewing the laboratory results for a client who is at 32 gestation. For which of the following results should the nurse notify the provider?
a. Hgb 12 g/dL
b. Platelet count 90,000/mm2
c. Hematocrit 37%
d. Creatinine 0.7 mg/dL
2. After receiving change-of-sh...
ati final exam 2 1 a nurse is reviewing the laboratory results for a client who is at 32 gestation for which of the following results should the nurse notify the provider a hgb 12 gdl b platelet
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ATI FINAL EXAM 2 5. A nurse is caring for an older adult client who
has pneumonia. When reinforcing teaching about
1. A nurse is reviewing the laboratory results for the diagnosis age- related changes with the client’s
a client who is at 32 gestation. For which of the family, which of the following alterations should
following results should the nurse notify the the nurse include?
provider? a. Increased inflation of the basilar lungs
a. Hgb 12 g/dL b. Increased elasticity of the thoracic cage
b. Platelet count 90,000/mm2 c. Hypertrophy of the bronchial mucous gland
c. Hematocrit 37% d. Hyperactive cough reflex
d. Creatinine 0.7 mg/dL
6. A client is participating in an anger
2. After receiving change-of-shift report, which of management session explain that his recent
the following clients should the nurse collect data behavior are related to his job loss. Which of the
from first? following mechanism is the client using?
a. A client who has a history of pancreatitis a. Projection
and reports severe abdominal pain b. Rationalism
b. A client who has heart failure and reports c. Repression
severe dyspnea d. Sublimation
c. A client who is scheduled for abdominal
surgery in 1 hrs 7. A nurse is reinforcing teaching with the client
d. A postoperative client who has diabetes who is about to undergo a thoracentesis. Which if
mellitus and a blood glucose of 280 mg/dK the following statements by the client indicates an
understanding of the information?
3. A nurse is preparing a client for surgery. The a. “I will have general anesthesia during the
client tells the nurse that he is concerned about the procedure.”
safety of a large sum of money in his wallet. b. “I will lie flat for 6 hours before the
Which of the following actions is appropriate for procedure.”
the nurse to take? c. “I will have the chest x-ray following the
a. Place the money in an envelope and lock it procedure.”
in the client’s medication drawer d. “I will breathe deeply through my nose
b. Contact security personnel to place the during the procedure.”
money in the facility safe
c. Hold the money for the client until he 8. A nurse is reviewing the medical record of a
returns from surgery client who is requesting an oral contraceptive.
d. Label the money and leave it with the unit Which of the following findings should the nurse
secretary. identify as a contraindication to the use of oral
contraceptive?
4. A nurse is preparing to instill an otic suspension a. History of renal calculi
into an adult client’ ear. Which of the following b. Migraines with aura
methods should the nurse plan to use? c. BMI of 26
a. Pull the auricle upward and outward. d. History of cholecystectomy
b. Pull the auricle downward and backward.
c. Pull the auricle upward and backward.
d. Pull the auricle downward an outward.
, 9. A nurse is reinforcing discharge teaching about 13. A nurse is reinforcing teaching about
transmission precautions with a client who has colostomy care with a client. Which of the
Hepatitis C. Which of the following information following client statements indicate an
should the nurse include? understanding of how to care for the colostomy?
a. Avoid sharing razors with other family a. I will cleanse the stoma site gently with an
members. antiseptic solution.
b. Clean toilet surfaces with bleach after each b. I will contact my doctor right away if my
use stoma is red
c. Advice family members to receive a c. I will cut the water opening 1 inch bigger
hepatitis c immunization than my stoma.
d. Do not prepare food for other family d. I will empty the colostomy bag when is I
member s while infectious. one half full.
10. A nurse is preparing to administer an IM 14. A nurse is reinforcing teaching with a client
injection to a client. To reduce the risk of a needle who has a permanent pacemaker in place. Which
stick injury, the nurse should take which of the of the following statements by the client indicates
following actions? an understanding of the teaching?
a. Place a cap hold securely on the used needle a. “I should have my doctor replace the battery
a before disposal. in the pacemaker in a year.”
b. Recap the needle using a one-handed scoop b. “I need to record my pulse rate daily.”
approach before proper disposal. c. “I should avoid taking tub baths.”
c. Dispose of the used needle immediately in d. “I will remove my microwave oven from my
a puncture proof sharps container. house.”
d. Detach and dispose of the use needle
promptly following injection. 15. A nurse is collecting data from a parent of a
preschooler at a well-child visit. Which of the
11. A nurse is reinforcing teaching with a client following findings is a contraindication to a
who has new prescription for levothyroxine. measles, mumps and rubella (MMR)
Which of the following statements indicates immunization?
understanding of the instructions? a. Family history of allergies to penicillin
a. “I should take this medication with meals.” b. Erythema at injection site with previous
b. This medication will take 2 weeks to reach immunization.
full effectiveness.” c. Long-term use of immunosuppressants
c. “I need to take this medication for the d. Current use of antimicrobial therapy.
rest of my life.”
d. “If I forget to take the medication, I can 16. A nurse is reinforcing teaching with a client
double the next dose.” who has a vitamin C deficiency. Which of the
following foods should the nurse include as having
12. A nurse is caring for a client who is receiving the highest vitamin C content?
prazosin. The client’s blood pressure is 100/60 mm a. 1 cup yogurt
Hg. which of the following actions should the nurse b. 1 cup raw broccoli
take? c. 1 large baked potato
a. Administer a reversal agent d. 1 cup boiled carrots
b. Initiate cardiac monitoring
c. Instruct the client to stand up slowly
d. Inform the client to report urinary retention
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