ATI PN Comprehensive Exit Review|39 Q and
A
Nuchal rigidity (neck stiffness), photophobia (intolerance of bright light) and
headache. - -180. A nurse is assisting with the admission of an adolescent
client who is suspected of having bacterial
meningitis. Which of the following findings should the nurse expect?
-179. A nurse is planning client care for a shift. Which of the following should
the nurse plan to delegate to an assistive personnel? - -d. Ambulating a
client receiving patient-controlled analgesia.
-178. A nurse is reinforcing teaching to an adult client who is prescribe
Lipitor. The nurse should advise the client that which of the following is an
adverse effect of this medication and should be reported to the provider? - -
b. Unexplained muscle pain
-177. A nurse is collecting data from a client who has right-sided heart
failure. Which of the following findings should the nurse expect? - -a.
Dependent edema
-A pregnant client presents with bright red painless vaginal bleeding at 30
weeks. What should the nurse plan to assess for?
a. Placenta previa
b. Placental abruption
c. Cervical dilation
d. Cervical tears - -a. Placenta previa
-The new graduate nurse on a surgical oncology floor is reviewing
osteosarcoma signs and symptoms. Which of the following findings does the
nurse review that can be seen in a client with osteosarcoma? Select all that
apply
a. Localized acute pain
b. increased range of motion
c. gait disturbance
d. increased appetite
e. palpable mass - -a. Localized acute pain-e. palpable mass-. c. gait
disturbance
-A client with COPD is receiving care at the primary provider's clinic with
worsening of symptoms of emphysema. The provider orders an outpatient
chest xray to determine if there have been any changes in lung structure.
Which best describes what would show on a chest x-ray in the later stages of
emphysema?
a. increase size of heart
, b. flattened diaphragm
c. plaque formation scattered throughout the lung
d. mediastinal shift to the right - -b. flattened diaphragm
-A client presents for the care of a primary care facility. The client is
coughing and has a fever of 102. Which statement from the nurse regarding
protective equipment is most appropriate in preventing the potential spread
of this client's infection?
a. please wait while I put on a mask before taking your vital signs
b. I'm sorry, but you cannot come in here with your symptoms
c. you will need to wear a mask, gown, and gloves while you wait to see the
doctor
d. you will need to wear a mask while you wait to see the provider - -you will
need to wear a mask while you wait to see the provider
-The nurse speaking to parents about treating head lice advises that any
children with allergies to which of the following should avoid using
permethrin 1%?
a. ragweed
b. strawberries
c. grass and hay
d. peanut butter - -a. ragweed
-A client has developed a reaction after receiving a blood transfusion. The
nurse suspects that it is a bacterial reaction due to a contaminated blood
product. Which of the following signs or symptoms would the nurse see with
this type of reaction? Select all that apply
a. hypertension
b. distended neck veins
c. vomiting
d. nausea
e. fever and chills - -c. vomiting
d. nausea
e. fever and chills
-A nurse assessing a four-year-old's language development knows to be
concerned by which one of the following assessment findings?
a. speech that is unintelligible
b. repeating the same question many times until the child gets an answer
c. frequent imitation of words that the child is unfamiliar with
d. the ability to form sentences of about three to four words - -a. speech that
is unintelligible
-Which best describes the difference between a do-no-resuscitate (DNR)
order and an advanced directive?
a. an advance directive is a medical order, while a DNR is not
A
Nuchal rigidity (neck stiffness), photophobia (intolerance of bright light) and
headache. - -180. A nurse is assisting with the admission of an adolescent
client who is suspected of having bacterial
meningitis. Which of the following findings should the nurse expect?
-179. A nurse is planning client care for a shift. Which of the following should
the nurse plan to delegate to an assistive personnel? - -d. Ambulating a
client receiving patient-controlled analgesia.
-178. A nurse is reinforcing teaching to an adult client who is prescribe
Lipitor. The nurse should advise the client that which of the following is an
adverse effect of this medication and should be reported to the provider? - -
b. Unexplained muscle pain
-177. A nurse is collecting data from a client who has right-sided heart
failure. Which of the following findings should the nurse expect? - -a.
Dependent edema
-A pregnant client presents with bright red painless vaginal bleeding at 30
weeks. What should the nurse plan to assess for?
a. Placenta previa
b. Placental abruption
c. Cervical dilation
d. Cervical tears - -a. Placenta previa
-The new graduate nurse on a surgical oncology floor is reviewing
osteosarcoma signs and symptoms. Which of the following findings does the
nurse review that can be seen in a client with osteosarcoma? Select all that
apply
a. Localized acute pain
b. increased range of motion
c. gait disturbance
d. increased appetite
e. palpable mass - -a. Localized acute pain-e. palpable mass-. c. gait
disturbance
-A client with COPD is receiving care at the primary provider's clinic with
worsening of symptoms of emphysema. The provider orders an outpatient
chest xray to determine if there have been any changes in lung structure.
Which best describes what would show on a chest x-ray in the later stages of
emphysema?
a. increase size of heart
, b. flattened diaphragm
c. plaque formation scattered throughout the lung
d. mediastinal shift to the right - -b. flattened diaphragm
-A client presents for the care of a primary care facility. The client is
coughing and has a fever of 102. Which statement from the nurse regarding
protective equipment is most appropriate in preventing the potential spread
of this client's infection?
a. please wait while I put on a mask before taking your vital signs
b. I'm sorry, but you cannot come in here with your symptoms
c. you will need to wear a mask, gown, and gloves while you wait to see the
doctor
d. you will need to wear a mask while you wait to see the provider - -you will
need to wear a mask while you wait to see the provider
-The nurse speaking to parents about treating head lice advises that any
children with allergies to which of the following should avoid using
permethrin 1%?
a. ragweed
b. strawberries
c. grass and hay
d. peanut butter - -a. ragweed
-A client has developed a reaction after receiving a blood transfusion. The
nurse suspects that it is a bacterial reaction due to a contaminated blood
product. Which of the following signs or symptoms would the nurse see with
this type of reaction? Select all that apply
a. hypertension
b. distended neck veins
c. vomiting
d. nausea
e. fever and chills - -c. vomiting
d. nausea
e. fever and chills
-A nurse assessing a four-year-old's language development knows to be
concerned by which one of the following assessment findings?
a. speech that is unintelligible
b. repeating the same question many times until the child gets an answer
c. frequent imitation of words that the child is unfamiliar with
d. the ability to form sentences of about three to four words - -a. speech that
is unintelligible
-Which best describes the difference between a do-no-resuscitate (DNR)
order and an advanced directive?
a. an advance directive is a medical order, while a DNR is not
