PN3 ATI EXAM
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of
the following instructions should the nurse include in the teaching? - ANS Take temperature once a
day
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and
tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin
this client's secretions? - ANS Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse
and reports difficulty sleeping because of cold feet. Which of the following nursing actions should
the nurse take to promote the client's comfort? - ANS Obtain a pair of slipper socks for the client
A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the
prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? -
ANS Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a
hypothermia blanket. The nurse should monitor the client for which of the following adverse effects
of the hypothermia blanket? - ANS Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which
of the following statements by the client indicates an understanding of the teaching? - ANS "I will
not exercise if my urine is positive for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a client who is
postoperative. After calling for assistance, which of the following actions should the nurse take first?
- ANS Cover the client's wound with a moist, sterile dressing
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic
acidosis. Which of the following manifestations should the nurse expect? - ANS Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the
following should the nurse include in the teaching? - ANS Avoid bending at the waist
, A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The
client refuses breakfast and reports nausea. Which of the following actions should the nurse take
first? - ANS Check the client's vital signs
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse
suspects the client's wound is infected because the drainage from the dressing is yellow and thick.
Which of the following findings should the nurse report as the type of drainage found? - ANS
Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent
postoperative complications which of the following actions should be reinforced during the
teaching? - ANS Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the following findings should
the nurse expect? (Select all that apply.) - ANS Dyspnea, Barrel chest, Clubbing of the fingers,
Shallow respirations
A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene
care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril.
Which of the following actions should the nurse take first? - ANS Test the drainage for glucose
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the
client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take
to prevent autonomic dysreflexia? - ANS Prevent bladder distention
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following
findings should the nurse expect the client to report? - ANS Abnormal vaginal bleeding
A nurse is caring for a client following an open reduction and internal fixation of a fractured femur.
Which of the following findings is the nurse's priority? - ANS Altered level of consciousness
A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection
of the left lung and has a chest tube to suction. Which of the following is the priority finding the
nurse should report to the provider? - ANS Abdomen is distended
A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal
conduit. Which of the following instructions should the nurse include in the teaching? - ANS Change
the ostomy pouch daily
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