ATI Exit exam RN Comprehensive Predictor 2019 Form D
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority? -Answer- Assist with deep breathing and
...
ATI Exit exam RN Comprehensive Predictor 2019 Form D
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority? -Answer- Assist with deep breathing and
coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism? -Answer- "I told my doctor that I would like to start a support
group for other women who are sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV infusion.
Which of the following actions should the nurse take? -Answer- Monitor the client's
mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of
the following areas should the nurse assess for manifestations of HD? -Answer- C
The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize
the following clients is using dissociation as a defense mechanism? -Answer- A client
who was abused as a child describes the abuse as if it happened to someone else
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes
mellitus. The nurse should instruct the client to monitor for which of the following
findings as a manifestation of hypoglycemia? -Answer- irritability
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? -Answer- A client who channels their energy into a new hobby following
the loss of their job
A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an indication
that the family understands home hospice care? -Answer- "We can expect the hospice
nurse to provide support for us after our mother's death"
A nurse is caring for a client who has active tuberculosis. Which of the following actions
should the nurse take? -Answer- Assign the client to a private room with negative air
pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule
for a 3 hour oral glucose tolerance test. Which of the following instructions should the
nurse include in the teaching? -Answer- "You will need to fast the night before the test"
A nurse on a pediatric unit has received change of shift report for four children. Which of
the following children should the nurse assess first? -Answer- A 10 year old child who is
awaiting surgery for an appendectomy and experienced sudden relief from pain
A nurse in a community center is providing an education session to a group of clients
about ovarian cancer. Which of the following manifestations of ovarian cancer should
the nurse include in the teaching? -Answer- Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate (conscious)
sedation. The client suddenly becomes restless and reports feeling lightheaded. Which
of the following actions should the nurse take? -Answer- Check the client's oxygen
saturation level
A nurse is working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first? -Answer- A middle
adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with a
short leg cast in place and a new prescription for crutches. The client is non-weight
bearing for 6 weeks. Which of the following instructions should the nurse include in the
teaching? -Answer- Use a three-point gait
A nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client? -Answer- Radial vein
of the inner arm
A nurse is planning to delegate client care tasks to an AP. Which of the following tasks
should the nurse plan to delegate to the AP? -Answer- Perform gastrostomy feedings
through a client's established gastrostomy tube
A nurse is caring for a newborn immediately after delivery. Which of the following
interventions should the nurse implement to prevent heat loss by conduction? -AnswerUse a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion. Which of
the following laboratory tests should the nurse review prior to adjusting the client's
heparin? -Answer- aPTT
A nurse administers an incorrect dose of medication to a client. The nurse recognized
the error immediately and completes and incident report. Which of the following facts
related to the incident should the nurse document in the client's medical record? -
Answer- Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching? -Answer- "I will make sure my child receives a yearly influenza immunization"
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