Exam (elaborations)
ATI EXIT EXAM|74 QUESTIONS AND ANSWERS A+ RATED
ATI EXIT EXAM|74 QUESTIONS AND ANSWERS A+ RATED
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ATI EXIT EXAM|74 QUESTIONS ANDANSWERS A+ RATED
A nurse is caring for a client who has Non Hodgkin's Lymphoma and is
receiving chemotherapy. Which of the following is the priority assessment
finding? - -Erythema at the IV insertion site
The greatest risk to the client is injury to the tissue due to extravasation of
chemotherapy. Erythema at the IV site can indicate extravasation is
occurring, which can lead to infection and tissue loss. This is the priority
assessment finding.
-A nurse is educating a client who is scheduled for a kidney transplant.
Which of the following information about HYPERACUTE REJECTION should the
nurse include in the teaching? - -The organ will need to be removed if
hyperacute rejection occurs.
Removing the thransplant is the only treatment for hyperacute rejection, due
to the widespread clotting cascade that leads to ischemic necrosis of the
transplant.
-A nurse is assessing a client who has systemic lupus erythematosus (SLE).
Which of the following findings should the nurse expect? - --Decreased Urine
Output
-Butterfly Rash
-Joint Inflammation
-due to kidney damage, Lupus nephritis, NOT CALCULI
-A nurse is assessing a client who has a new prescription for clindamycin to
treat acute pelvis inflammatory disease. The nurse should report which of
the following findings to the provider? - -WATERY DIARRHEA, is the priority
The greatest risk to this client is pseudomembranous colitis, which is
manifested by watery diarrhea. The nurse should report immediately so they
can d/c the med
-dont be fooled by the other advese effects: vaginitis, furry tongue, n/v- they
are NOT THE PRIORITY
-A nurse is assessing a client who has HIV. Which of the following findings
should cause the nurse to suspect that the client's diagnosis has progressed
to AIDS? - -Small, purple-colored skin lesions
, these are indications of Kaposi's sarcoma (an AIDS-defining illness)
-A nurse is providing teaching to a client who has rheumatoid arthritis and
reports persistent pain. Which of the following responses should the nurse
make? - -"Ask a friend or a family member to help with household chores"
-A nurse is planning discharge teaching for a client who is receiving
chemotherapy and has bone marrow suppression. Which of the following
instructions should the nurse plan to include in the teaching? - -"Bathe with
an antimicrobial soap twice per day"
-Define EPISTAXIS - -NOSE BLEED
-A nurse receives prescriptions from the provider for performing
NASOPHARYNGEAL SUCTIONING on four clients. For which of the following
clients should the nurse clarify the provider's prescription? - -A client w
Epistaxis
Avoid providing nasopharyngeal suctioning for a client w nasal bleeding bcs
the intervention might cause an increase in bleeding
-Define Fremitus - -Vibration of chest when someone speaks
-A nurse is assessing a client who has acute resp distress syndrome (ARDS.
Which of the following findings should the nurse report to the provider? - -
INTERCOSTAL RETRACTIONS
indicated increased resp compromise in a client w ARDS
-A nurse is providing discharge teaching to a pt w pulmonary tuberculosis
and a new prescription for RIFAMPIN. Which of the following instructions
should the nurse include? - -"Expect your urine and other secretions to be
orange while taking this medication"
it is a hepatoxin, inform provider is s/s of hepatitis occur (jaundice, fatigue,
discomfort)
-A nurse is caring for a client in an acute respiratory failure who is receiving
mechanical ventilation which of the following assessments is the best
method for the nurse to use to determine effectiveness of the current
treatment regimen - -Arterial blood gasses, is the priority
need to evaluate ABGs to determine serum oxygen sat and acid-base
balance
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