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ATI Comprehensive Exit Exam
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ATI Comprehensive Exit Exam ATI Comprehensive Exit Exam A nurse is caring for a client who is experiencing cerebral edema. Which of the following actions should the nurse take? ANS Perform multiple nursing care activities at one time. A nurse is admitting an adolescent who has rubella...

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  • September 27, 2022
  • 21
  • 2022/2023
  • Exam (elaborations)
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  • ati comprehensive
  • ati comprehensive exit
  • ati comprehensive exit exam
  • ati comprehensive exit exam a nurse is caring for a client who is experiencing cerebral edema which of the following actions sh

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ATI Comprehensive Exit Exam

A nurse is caring for a client who is experiencing cerebral edema. Which of the
following actions should the nurse take? ANS Perform multiple nursing care activities
at one time. A nurse is admitting an adolescent who has rubella. Which of the
following actions should the nurse take? ANS Droplet A client is requesting
information from a nurse about a nitrazine test. Which of the following statements
should the nurse? ANS "This test will determine if there is leaking amniotic fluid. A
nurse is reviewing the laboratory results of a client who has rheumatoid arthritis?
Which of the following findings should the nurse report to the provider? ANS
Erythrocyte sedimentation 75 mm/hr A nurse is suctioning the airway of a client who
is receiving mechanical ventilation via an endotracheal tube. Which of the following
findings should the nurse identify that the suctioning has been effective? ANS
Presence of a productive cough A nurse is caring for a client who is in a seclusion
room following violent behavior. The client continues to display aggressive behavior.
Which of the following actions should the nurse take? ANS Speak assertively to the
client. A charge nurse is observing a newly licensed nurse insert an indwelling urinary
catheter for a female client. Which of the following actions by the nurse requires
intervention by the charge nurse? ANS Opens the sterile kit by unfolding the flap
closet to her first A nurse is caring for a client who is scheduled for a surgical
procedure and states, " I don't want to have this surgery anymore." Which of the
following responses should the nurse make? ANS You have the right to refuse the
procedure A nurse is teaching a group of school-age children about healthy snack
options. Which of following snacks should the nurse include? ANS Air popped
Popcorn A nurse is providing teaching to a client who has new prescription for
enoxaparin. Which of following medication for pain relief should the nurse include in
the teaching that can be taken concurrently with enoxaparin? ANS Acetaminophen A
nurse is caring for a client who has fibromyalgia and requests pain medication.
Which of the following medications should the nurse plan to administer? ANS
Pregablin A nurse is caring for a client who has fracture of the left hip and is in
skeletal traction. Which of the following actions should the nurse take? ANS Provide
a trapeze for the client to aid movement in bed A nurse is caring for a client who had
an embolic stroke and has a new prescription for alteplase. Which of the following in
the client's history should the nurse identify as a contraindication to receiving
alteplase? ANS Hip arthoplasty 1 week ago A nurse is providing discharge teaching
for a client who has a new implantable cardioverter defibrillator. Which of the
following client statements demonstrates understanding of the teaching? ANS "I will
wear loose clothing over my ICD." A nurse is assessing a client who is postoperative
following abdominal surgery and has an indwelling urinary catheter that is draining
dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse
anticipate? ANS Obtain a urine specimen for culture and sensitivity A nurse is caring
for a client who has experienced a stillbirth. Which of the following actions should
the nurse take during the initial grieving process? ANS Offer to take pictures of the

,newborn for the client A nurse is caring for a client who has a major burn injury.
Which of the following actions is the nurse's priority to prevent wound infections?
ANS Maintain consistent hand washing by staff. A nurse is caring for a client who is 1
hr postpartum and unable to urinate. Which of the following actions should the
nurse take? ANS Place the client's hands in warm water A nurse on a med-surgical
unit is preforming medication reconciliation for a newly admitted client. Which of
the following actions should the nurse take? ANS Compare the client's list of home
medications to the admission prescriptions written for the client. A nurse is
preparing to administer betamethasone to the client who is 25 weeks of gestation
and has preterm labor. Which of the following findings should the nurse identify as
an adverse effect of this medication? ANS Hyperglycemia A nurse is providing dietary
teaching to a client who had an exacerbation of COPD. Which of the following
information should the nurse include in the teaching? ANS "During meals, you should
eat foods with a high-calorie content first A nurse is preparing to perform a dressing
change on a preschooler. Which of the following actions should the nurse take to
prepare the child for the procedure? ANS Explain in simple terms how the procedure
will affect the child. A nurse is performing wound care for a client who has an
abdominal incision. Which of the following techniques should the nurse implement?
ANS Irrigate the wound with a low-pressure flow of solution. A nurse on an
antepartum unit is prioritizing care for multiple clients. Which of the following clients
should the nurse see first? ANS A client who has preeclampsia and reports a
persistent headache. A nurse is caring for a clients who is recovering from an
amputation of her right arm below the elbow. Which of the following information
should the nurse report to the occupational therapist? ANS The client who has small
children at home A nurse is caring for a client who has major depression disorder,
The client tells the nurse, " No one cares about me. I'm completely alone." Which of
the following responses should the nurse make? ANS Can you give me an example of
how others are making you feel this way? A nurse is caring for a client who has
sustained a severe head trauma and has significant bleeding from the nose. Which of
the following actions should the nurse take first? ANS Establish a patent airway A
nurse is caring for a client who is receiving oxytocin IV for augmentation of labor.
The client's contractions are occurring every 1 min with 45 seconds duration, and the
fetal heart is 170 to 180/min. Which of the following actions should nurse take? ANS
Discontinue the oxytocin infusion A nurse is admitting a client who has dementia to a
long-term care facility. The client tells the nurse that she lived in this facility years
ago and took care of all the residency by herself. The nurse should document this as
which of the following finding? ANS Confabulation A nurse is reviewing home
recommendations with a client who is postoperative following knee surgery. Which
of the following recommendations should the nurse make? ANS Place a handrail in
the entryway of the house A nurse is caring for a client who is postoperative
following total hip arthroplasty. Which of the following actions should the nurse take
to prevent dislocation of the prosthesis? ANS Keep an abduction pillow between the
client's legs A nurse in a pediatric clinic is teaching a newly hired nurse about the
varicella zoster virus. Which of the following information should the nurse include?
ANS Children who have varicella are contagious until the vesicles are crusted. A
nurse is preparing to obtain a client's signature on an informed consent form. Which
of the following actions should the nurse take first? ANS Ask the client to explain his

, understanding of the procedure. A nurse is teaching a newly licensed nurse about
ergonomic principles. Which of the following actions by the newly licensed nurse
indicates an understanding of the teaching? ANS Uses a mechanical lift device to
move a client from the bed to the chair. A nurse is speaking with the caregiver of a
client who has Alzheimer disease. The caregiver states, "Providing constant care is
very stressful and is affecting all areas of my life. " Which of the following actions
should the nurse take? ANS Assist the caregiver to arrange a daycare program for the
client. A nurse is teaching a client about condom use. Which of the following client
statements should the nurse identify as an understanding of the teaching ANS "I can
store the condoms in the drawer of my night-stand." A nurse is planning care for a
client who has a chest tube. Which of the following interventions should the nurse
include in the plan? Select all that apply. ANS Mark the drainage output on the
collection chamber hourly Add water to the water seal chamber as it evaporates A
nurse is reviewing the medical record of a client who has a prescription for
intermittent heat therapy for a foot injury. Which of the following findings should
the nurse identify as a contraindication for heat therapy? ANS Peripheral neuropathy
A charge nurse is recommending postpartum clients for discharge following a local
disaster. Which of the following clients should the nurse recommend discharge first?
ANS A client who delivered precipitously 36 hours ago and has a second degree
perineal laceration. A nurse is providing teaching about crutch safety to a client.
Which of the following client actions indicates an understanding of the teaching?
ANS The client keeps her axillae free of pressure A nurse is preparing the body of a
client who had died for the family to view. Which of the following actions should the
nurse take? ANS Place a pillow under the client's head A nurse is reviewing annual
educational requirements for fire safety. Identify the sequence the nurse should use
when operating a fire extinguisher. ANS 1. Unlock the handle by pulling on the pin 2.
Point the hose at the base of the fire 3. Squeeze the handles together 4. Sweep the
extinguisher from side to side A nurse is reviewing legal issues in a health care with a
group of newly licensed nurse. Which of the following recommendations should the
nurse make? ANS Ensure that the client has a living will on file prior to treatment. A
nurse is caring for a client who speaks a different language from the nurse. Which of
the following actions should the nurse take? ANS Review the facility policy about the
use of an interpreter. A nurse in the emergency department is caring for a client
following a motor- vehicle crash. Which of the following findings should the nurse
identify as a manifestation of hypovolemic shock? ANS Change in level of
Consciousness A nurse is caring for a client following application of a cast. Which of
the following actions should the nurse take first? ANS Palpate the distal pulse to the
cast A nurse is performing a gait assessment on a client to evaluate the client's ability
to perform ADL's. Which of the following findings indicates a standard gait? ANS The
client's heels touch the ground before their toes. A nurse on a mental health unit is
caring for a client who has suicidal ideation. Which of the following actions should
the nurse take? ANS Establish a no-suicide contract with the client. A nurse is
providing teaching about nutrition to a client who is experiencing anorexia due to
chemotherapy treatment. Which of the following statements should the nurse make?
ANS Add grated cheese to vegetable dishes. A nurse is providing teaching to a client
who has a new diagnosis of type 1 diabetes mellitus about administering NPH and
regular insulin together in one injection. Which of the following instructions should

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