ATI PN COMPREHENSIVE EXIT EXAM B PRACTICE QUESTIONS & ANSWERS/ Latest Solution

Document Content and Description Below

A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with... an unengaged presenting part. Which of the following actions should the nurse take? (ANS- Apply the external fetal heart rate monitor. A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? (ANS- lack of sleep A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. which of the following information should the nurse provide to help the client manage his symptoms? (ANS- Eat a bedtime snack a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking low-dose aspirin daily. The nurse should include that this medication has which of the following therapeutic effects for CAD? (ANS- Antiplatelet A nurse is collecting data from a client who has an unprepared femur fracture and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor. Which of the following of the prescribed medication should the nurse administer? (ANS- Hydromorphone 5 mg orally. A nurse is reinforcing preoperative teaching with a client scheduled for a bowel retention with ileostomy. Which of the following descriptions should the nurse give of the expected output from a mature ileostomy? (ANS- liquid with little odor A nurse is caring for a client who is 16 hr postoperative following a total hip arthroplasty. the client reports numbness, pain, and tingling in the affected leg. Which of the following actions should the nurse take first? (ANS- compare capillary refill in toes bilaterally A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the teaching about the acute phase of diverticulitis? (ANS- "I will receive the nutrient I need through my IV Fluid" A nurse in reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk of cancer? (ANS- Lamb A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of the following modes should the nurse include as a method of transmitting hepatitis A? (ANS- Consumption of contaminated food. A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? (ANS- Although it is unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full-term newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the establishment of an adequate weight-gain pattern. A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care? (ANS- The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the risk of infection. A nurse is reviewing a client's electronic medical record and finds that an assistive personnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse take first? (ANS- Check the client's temperature. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first? (ANS- A client whose urinary output was 100mL for the past 12 hrs A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Which of the following statements should the nurse include in teaching? (ANS- keep fat intake to no more that 30% of daily caloric intake. A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect? (ANS- Difficulty concentrating. A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal surgery. The provider writes a prescription to advance the client to a regular Diet. For which of the following findings should the nurse notify the provider? (ANS- The client has absent bowel sounds. A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral resection fo the prostate. Which of the following instructions should the nurse include in the teaching? (ANS- perform Kegel exercises daily. A nurse is reinforcing teaching about ways to reduce solid fat consumption with a client who has an elevate cholesterol level. which of the following strategies should the nurse include in the teaching? (ANS- purchase beef that is a loin cut. [Show More]

Last updated: 2 years ago

Preview 1 out of 28 pages