EXIT EXAM ATI Questions and answers, Graded A+ 2022.

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EXIT EXAM ATI Questions and answers, Graded A+ 2022. a nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. which of the following statements by the parent ind... icates an understanding of the teaching ? - ✔✔I will use the cool mist vaporizor in my baby's room a nurse is reinforcing teaching with a client who has a new presciption for verapamil. which of the following instructions should the nurse include in the teachings? - ✔✔change positions slowly a nurse recieves change of shift report for a group of clients. which of the following clients should the nurse check first? - ✔✔a client admitted to the facility who has ascending Guillain barrel syndrome a nurse is caring for a client who has chlamydial infection and the new prescription for doxycycline the client reports nausea and vomiting after starting medication. which of the following recommendations should the nurse make? - ✔✔take the medications with crackers a nurse is caring for a client who is postopperative following joint replacement and has a new prescription for enoxaparin for which of the following adverse effects should the nurse monitor? - ✔✔epistaxis a nurse is collecting a health history from a parent of 4 year old child. which of the following statements to be is the priority for the nurse to address? - ✔✔I have noticed that my child is withdrawn since we switched day care providers a nurse is caring for a client who has heart failure and is taking furosemide. which of the following findings should the nurse recognize as an adverse effect of this medication? - ✔✔hypokalemia a nurse is reinforcing teaching about home safety with a parent of a 12 month old infant. which of the following statements by the parent indicates understanding of the teaching? - ✔✔I will turn pot handles to the side of the stove while cooking a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian culture which of the following communication techniques by the nurse demonstrates cultural sensitivity? - ✔✔holding eye contact for brief instances a nurse is checking for gastric residual volume(GRV) on a client who is scheduled to receive an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML on two consecutive measurements. which of the following actions should the nurse take? - ✔✔hold the feeding and recheck the GRV in 1 Hr a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the following tasks should the nurse delegate to the AP? - ✔✔performing indwelling urinary catheter care a nurse is caring for a client who has terminal cancer which of the following actions should the nurse take to promote the clients autonomy? - ✔✔be honest with the client about prognosis a nurse finds client's partner crying in the hallway the partner states I just don't know how I am to go on after my husband is gone. which of the following responses should the nurse make? - ✔✔explain to me more about how you are feeling a nurse is caring for an adolescent client who has bulimia nervosa. which of the following action should the nurse take? - ✔✔observe the client during and after meals a nurse is checking a client who is postoperative and has a midline abdominal incision. the nurse notes a separate of the incision. which of the following actions should the nurse take? - ✔✔place the client supine with the knee flexed a nurse is caring for a school age child who has ADHD and is taking methylphenidate. the nurse should identify which of the following is the adverse effect of this medication? - ✔✔Tinnitus a nurse is administering medication to a client. which of the following actions should the nurse take? - ✔✔verify with another nurse when calculating a new dose of medication a nurse is preparing to administer protamine to a client. which of the following therapeutic effects should the nurse expect to document in the clients medical record? - ✔✔decreased clotting time a nurse is caring for a client in a mental health facility who is pacing back and fourth and wringing his hands. which of the following actions should the nurse take? - ✔✔walk with the client to the recreation room a nurse is caring for a client who is 2 days postoperative following an above the knew amputation. which of the following actions should the nurse take to promote progression toward independence and mobility for the client? - ✔✔encourage the client to use the over the bed trapeze a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant prior to administrating immunizations. the nurse should recognize that a respiratory rate of 30/min indicates which of the following findings? - ✔✔the reference rate is within the expected reference range a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago. which of the following findings should the nurse expect? - ✔✔report of lochia a nurse is reinforcing discharged teaching with the family of a client who has dependent personality disorder. which of the following instructions should the nurse include in the teachings? - ✔✔assume responsibility for making the clients decisions a charge nurse in a long term care facility notices the smell of alcohol on a nurses breath which of the following actions should the nurse take first? - ✔✔remove the nurse from the client care area a nurse is supervising an assistive personnel (AP) which of the following actions by the AP indicates effective use of the client care materials? - ✔✔wear clean gloves when assisting a client with oral hygiene a nurse is preparing to administer spironolactone and lisinopril to a client the client reports anxiety dyspnea and weakness of the legs which of the following actions should the nurse take first? - ✔✔withhold the prescribed medication? a nurse is assisting with the care of a client who is receiving chemotherapy and radiation for advanced breast cancer. the client states" I am thinking about stopping the treatments" which of the following responses should the nurse make? - ✔✔tell me more about what you are thinking a nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version 6 hours ago. the nurse identifies the fetus is in the right occiput anterior position. the nurse should place the fetal heart rate monitor on which of the following sites to auscultate the fetal heart rate? - ✔✔lower right of the stomach a nurse is reinforcing teaching with a client who is at 35 weeks gestation and will soon undergo a contraction stress test. which of the following information should the nurse include in the teaching? - ✔✔you should expect the test to take 2 hours. a nurse is collecting date from a client who presents to the facility and reports vomiting which of the following findings indicates the client is experiencing a fluid volume deficit? - ✔✔orthostatic hypotension a nurse is reinforcing dietary teaching with a client who is at 37 weeks gestation and has gestation hypertension. which of the following foods should the nurse recommend ( select all that apply) - ✔✔raw apples, cooked carrots, lettuce salad a client who has cancer is being discharged home with hospice services the client has a prescription for oxycodone for pain control which of the following medications should the nurse remind the client to take regularly to prevent a common adverse effect of this pain medication? - ✔✔docusate sodium a nurse is caring for an adolescent client who has been hospitalized for several weeks which of the following actions should the nurse take relative to the clients developmental stage? - ✔✔encourage the clients friends to bring their favorite books for her to read a nurse is reinforcing teaching with a parent of a preschool age child who has a new diagnosis of varicella. which of the following statements by the parent indicates and understanding of the teaching? - ✔✔I will apply an antipruritic cream to my Childs skin a nurse is caring for a client who is experiencing urge incontinence and limited dexterity. which of the following actions should the nurse take? - ✔✔establish a urinary habit program a nurse is participating in a performance improvement program. which of the following actions should the nurse take to evaluate the effectiveness of the program? - ✔✔perform chart audits a nurse at a long term care facility is reviewing the plan of care for a client who has prescription for mitten restraints. which of the following tasks should the nurse assign to the assistive personnel? - ✔✔assist the client with a range of motion exercises of the hands a nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new prescription for timolol eye drops which of the following statements by the clients indicate an understanding of the teaching? - ✔✔I should check my heart rate while taking this medication a nurse is obtaining a history from a client who wants to take oral contraceptives. which of the following findings is the nurse's priority? - ✔✔smoking a home health nurse is preparing to set up a continuous passive motion (CPM) machine for a client who is postoperative. which of the following actions should the nurse plan to take first? - ✔✔inspect the CPM machine electrical cord for damage a nurse is preparing to administer morphine 30 mg PO to a client who reports pain. available morphine solution 20 mg/ml. how many ML should the nurse administer (round to the nearest tenth. use a leading zero if it applies do not use a trailing zero) - ✔✔1.5MG a nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. which of the following information should the nurse include in the teaching? - ✔✔apply friction to hands for 10 seconds a nurse is reinforcing dietary teaching with a client who experienced a myocardial infarction. the nurse should instruct the client to limit which of the following in the diet? - ✔✔dietary fiber a nurse is reinforcing teaching with the family of a client who has a terminal illness about the grief process which of the following information should the nurse include in the teaching? - ✔✔anticipatory grieving prolong the grief process a nurse is collecting data from a client who has a diabetic ketoacidosis. which of the following findings should the nurse expect? - ✔✔fruity breath odor a nurse in a long term care facility is caring for an older adult client who has a history of hypertension. which of the following findings should the nurse recognize is indicative of transient ischemic attacks? - ✔✔pain radiating down the left arm a nurse is planning care for a client who recently attempted suicide. which of the following action should the nurse plan to take? - ✔✔observe the client behavior every 2 hours a nurse is caring for a client who has an upper gastrointestinal bleed. which of the following actions? - ✔✔prepare the client for an upper endoscopy a nurse with the admission of an adolescent client who is suspected to have bacterial meningitis which of the following findings should the nurse expect? - ✔✔Nuchal rigidity a nurse is transcribing a prescription from a provider. the prescription reads gentamicin 2 gtt OD Q4H which of the following information should the nurse clarify with the provider? - ✔✔route a nurse is reinforcing discharge with a client who is postoperative and has a prescription for oxycodone which of the following information should the nurse include regarding the prevention of constipation? - ✔✔take a stool softener at bedtime a nurse is reinforcing teaching with a parent of a child who has a new prescription ferrous sulfate in liquids form. which of the following statements by the parent indicates an understanding of the teachings? - ✔✔I will give the iron through a straw a nurse is collecting data from a client who has acute cholecystitis. which of the following findings should the nurse expect? - ✔✔pain in the right upper abdomen a nurse is caring for a 3 year old child at a well child visit the parents report they are concerned that their son has begun playing with an imaginary friend which of the following responces should the nurse make? - ✔✔this is common behavior for children of this age [Show More]

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