ATI COMPREHENSIVE EXIT EXAM RETAKE WITH NGN LATEST VERSION 2023/2024

ATI COMPREHENSIVE EXIT EXAM RETAKE WITH NGN LATEST VERSION 2023/2024 A nurse is preparing to initiate intravenous fluids via infusion pump to the client. Which of the following actions should the nurse take? A. Obtain a surge protector that can accommodate the pump and several other appliances B. verify that the extension cord for the pump is ungrounded C. report the pump has a frayed cord and proceed with the infusion D. check the expiration date on safety inspection sticker of the pump D. check the expiration date on safety inspection sticker of the pump NEXT GEN: The nurse understands that the patient has likely developed LITHIUM TOXICITY and will need to be monitored for..... Seizure activity a nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port? A. non coring needle B. an angio catheter C. a butterfly needle D. a 25 gauge needle A. a non coring needle a nurse is conducting an initial assessment of a client and notices A discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take? a. Contact the charge nurse to see if the prescription was changed b. complete an incident report and place it in the client's medical record c. submit a written warning for the nurse involved in the incident d. compare the current infusion with the prescription and the client's medication d. compare the current infusion with the prescription and the client's medication record A nurse is caring for a client who is near the end of life and is on a complete bed rest. The client states that he needs to have a bowel movement. The nurse offers a bed pan. The client states "I ve always used the bathroom". Which of the following responses should the nurse make? a. Tell me what concerns you have about using a bedpan b. make sure to use a nearby furniture to support yourself when walking to the bathroom c. I will have the physical therapist ambulate you to the bathroom d. you have to use the bedpan for your own safety a. Tell me what concerns you have about using a bedpan A nurse is caring for a client who is in labor. Select the five actions the nurse should take. SATA a. Increase the flow rate of the maintenance IV fluid b. have the charge nurse notify the provider c. place the client in a trendelenburg position d. exert upward pressure on the presenting part e. attempt to push the umbilical cord back into the cervix f. administer oxygen at 10L/min via non rebreather face mask a. Increase the flow rate of the maintenance IV fluid b. have the charge nurse notify the provider c. place the client in a trendelenburg position d. exert upward pressure on the presenting part A nurse is providing an in service about client evacuation during a fire. Which of the following client should the nurse instruct the staff to evacuate first? a. A client who is ambulatory and receiving oxygen b. a client who has a fracture in is imbalance suspension traction c. a client who is bedridden and wears a hearing aid d. a client who uses a wheelchair and is confused a. a client who is ambulatory and receiving oxygen A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings should the nurse expect the? a. Reduced right sided breath sounds b. intercostal retractions c. High pitched stridor d. paradoxical chest movement a. Reduced right sided breath sounds Which of the following interventions should the nurse include in the plan of care? Select all that apply a. increase oxygen flow rate to 4L/min b. assess the clients breath sounds c. perform chest percussions and vibration d. Restrict the clients fluid intake e. instruct the client to perform diaphragmatic breathing f. place the client in a supine position a. increase oxygen flow rate to 4L/min b. assess the clients breath sounds c. perform chest percussions and vibration A nurse is caring for a client who is postoperative following a liver biopsy. Which of the following positions should the nurse place the client immediately following the procedure? a. Prone b. Trendelenburg c. hi fowlers d. right lateral a. prone A nurse is caring for a client who states he recently purchase lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? a. The client has a history of alcohol use disorder b. the client has a history of asthma c. the client takes vitamin C daily d. the client takes furosemide twice daily b. the client has a history of asthma a nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications? a. Ranitidine b. vitamin B12 c. vitamin K d. metoclopramide b. vitamin B12 a nurse is teaching a newly licensed nurse about caring for clients in the emergency department period which of the following should the nurse include when the teaching about interacting with the client who is aggravated, pacing, and speaking loudly? A. Use a face shield with a mask when providing care for the client B. tell the client you seem to be very upset C. engage the panic alarm D. initiate seclusion protocol b. tell the client you seem to be very upset A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching? a. Take your temperature immediately after waking and before getting out of bed b. take your temperature within 30 minutes after your first morning void c. take your temperature one hour after getting out of bed d. take your temperature every night before going to bed a. Take your temperature immediately after waking and before getting out of bed A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hours ago. Which of the following findings indicates a positive test? a. An induration measuring 10mm b. an induration measuring 5mm c. A reddened area measuring 10mm d. A reddened area measuring 5mm a. An induration measuring 10mm a nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery. Which of the following instructions should the nurse include? a. Encouraged the client to avoid wearing shoes at home b. place a throw rug over electrical cords c. mark the edges of the doorway to the house with tape d. ensure that area rugs have rubber backs c. mark the edges of the doorway to the house with tape A nurse is caring for a client who has heart failure. Which of the following manifestation should the nurse expect? a. Crackles in the lungs b. decreased thirst c. tachycardia d. poor skin turgor a. Crackles in the lungs A nurse is assessing a client who received hydromorphone 4 milligrams IV 15 minutes ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications? a. Acetylcysteine b. Protamine c. naloxone d. flumazenil c. naloxone A nurse is planning care for a school age child who is 4 hours postoperative following appendicitis period which of the following should the nurse include in the plan of care