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ATI Exit Exam #2 version of comprehensive retake test – (174 Q’s and As)
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ATI Exit Exam #2 version ofcomprehensive retake test – (174 Q’s
and As)
A nurse is caring for a client who has a recent diagnosis of a terminal illness.
The nurse should identify which of the following as an indication of
hopelessness? - -The client has a decreased level of energy
-A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (SATA-3) - -1.
Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
-A nurse on a mental health unit is planning care for a group of clients.
Which of the following clients should the nurse see first? - -A client who has
schizo and is having command hallucinations
-A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying 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?
- -"Let me show how to swaddle and cuddle him, then try."
-A nurse is using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take? - -Keep the
finger in dependent position
-A nurse is reviewing the home medications with a client who recently had a
transient ischemic attacks and is to begin taking clopidogrel. The nurse
should instruct the client that which of the following otc meds interact
adversely w clopidogrel? - -Naproxen
-A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client's foot is pale w a weak pedal pulse and the
client reports foot numbness. Which of the following actions should the nurse
take first? - -Check for pain w passive movement of the affected extremity
-A nurse in a providers office is reinforcing teaching about cigarette smoking
w a client. Which of the following adverse effects should the nurse include in
the teaching? - -Somnolence
-A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the staff can
,medicate a client against his will, without a court hearing in which of the
following situations? - -A client who is attempting to hurt himself or others
-A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching? - -"Monitor for muscle weakness while taking the medication"
-A charge nurse is discussing confidentiality requirements w a newly
licensed nurse when sharing a client's medical info. Which of the following
individuals should the charge nurse identify as appropriate with whom to
share client info? - -A social worker who's assigned an involuntary
committed school-age client
-A nurse is reviewing lab values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? - -
Urine protein plus
-A nurse is collecting data from a client who is 4 hr postop following a
hemicolectomy. Which of the following findings is a nurse's priority, requiring
immediate intervention? - -O2 sat 89%
-A nurse in a provider's office is collecting data from a client who has a
history of hypertension during his annual physical examination. Which of the
following findings should the nurse report to the provider immediately? - -
Blurred vision
-A nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first? - -
Elevate the client's HOB
-A nurse is reinforcing teaching on a client who has diabetes mellitus. Which
of the following lab tests is most accurate of blood glucose effective
management? - -Glycoslated Hemoglobin
-A nurse charge on a mental health unit is supervising a newly licensed
nurse. For which of the following actions by the newly licensed nurse should
the supervising nurse intervene? - -Tells a client he will lose his phone
privileges if he does not take his medication
-A nurse is supervising an AP obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the
client's room? - -Oral suction equipment
-A nurse is reinforcing discharge teaching with a family of a client who has
dependent personality disorder. What action should the nurse take? - -
Encourage client to be assertive
, -A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? - -"You should avoid crossing your legs for 3 months"
-A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching? - -Eat a small meal every 2-3 hr
-A nurse is reinforcing teaching with a client who has GERD and a
prescription for ranitidine. Which of the following statements by the client
indicates and understanding of the teaching? - -"I should take this
medication in the morning and at night"
-A nurse is assisting with the admission of a client who has pulmonary tb.
Which of the following types of isolation precautions should the nurse
include? - -Airborne
-A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include? - -"Perform pulmonary hygiene 1 hr
before meals"
-A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a
therapeutic effects of the treatment? - -Reduced fat in stools
-A nurse is caring for a client who has paranoid schizo and believes that she
is being followed by FBI agents who are pretending to be the psychiatric
staff. Which of the following responses should the nurse make? - -The
psychiatric staff not the FBI. They're here to help you
-A nurse is assisting in the care of a client who has a fractured femur and is
in Buck's traction, which of the following actions should the nurse take? - -
Ensure the weights are hanging freely
-A nurse is reviewing the med record of a client who requires continuous
oxygen saturation monitoring. Which of the following should the nurse
identify as a factor that can affect the validity of the readings? - -Peripheral
Vascular Disease
-A nurse is collecting data from a group of clients. Which of the following
clients should the nurse identify as having xanthelasama? - -Lady with eyes
closed with nodule on eyelid
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