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ATI Comprehensive NCLEX Review Exam Questions with Complete Solutions Graded A+
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ATI Comprehensive NCLEX Review Exam Questions with Complete Solutions Graded A+
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ATI ComprehensiveNCLEX Review Exam
Questions with Complete
Solutions Graded A+
Denning [Date] [Course title]
,Endometiral infection usually occurs - Answer: with a prolonged rupture of membranes, not vacuum-
assisted births.
Intenstinal gas is a common side effect of - Answer: clients following a cesarean birth
Cervical lacerations are common complications from - Answer: vacuum-assisted birth are rare but can
include perineal, vaginal, or cervical lacerations
When a client is experiencing a wound evisceration... - Answer: the nurse should initially stay with the
client and call for help. Next, the nurse should place saline-soaked gauze on the exposed bowels to keep
the internal organs moist. The nurse should then place the client in a supine position with his hips and
knees bent to relieve pressure from the open wound. Last, the nurse should take the client's vital signs
to assess for changes in hemodynamics.
Valproic acid can cause - Answer: hepatic toxicity
continuous passive motion (CPM) machine - Answer: Turn of the CPM machine during meals to promote
comfort and dietary intake.
-The affected extremity should maintain neutral alignment.
Heparin - Answer: is an anticoagulant that inhibits the conversation of prothrombin to thrombin.
Patients on an anticoagulant drug such as heparin are at an increased risk of bleeding.
-Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-tinged urine.
Correct method for walking upstairs with crutches - Answer: 1. Hold to rail with one hand and crutches
with the other hand.
2. Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3. If not allowed to place weight on the "affected" leg, hop up with the "unaffected" leg.
4. Bring the "affected" leg and the crutches up beside the "unaffected" leg.
5.Remember, the "unaffected" leg goes up first and the crutches move with the "affected" leg.
Droplet precautions - Answer: DROPLET: "SPIDERMAn"
,-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
-Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
Airborne precautions: - Answer: AIRBORNE: "My Chicken Hez TB"
-Measles
-Chicken pox
-Herpes zoster
-TB
Management: neg. pressure room, private room, mask, n-95 for TB.
, -A private room
-Masks or respiratory protection devices for caregivers and visitors.
-An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is known or suspected to
have TB.
-Negative pressure airflow exchange in the room of at least six exchanges per hour.
Contact precautions - Answer: CONTACT: "MRS WEE"
-MRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies, and staph)
-Wound infections
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Management: gown, gloves, goggles, private room
VRSA - contact and airborne precautions (private room, door closed, negative pressure)
-A private room or a room with other clients with the same infection.
-Gloves and gowns worn by the caregivers and visitors.
Stage I pressure ulcer - Answer: Intact skin with an area of persistent, nonblanchable redness, typically
over a bony prominence, that may feel warmer or cooler than the adjacent tissue. The tissue is swollen
and has congestion, with possible discomfort at the site. With darker skin tones, the ulcer may appear
blue or purple.
Stage II pressure ulcer - Answer: Partial-thickness skin loss involving the epidermis and the dermis. The
ulcer is visible and superficial and may appear as an abrasion, blister, or shallow crater. Edema persists,
and the ulcer may become infected, possibly with pain and scant drainage.
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