NCLEX Final ATI (A GUARNTEED)

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NCLEX Final ATI (A GUARNTEED) An 18 month old infant admitted with Pneumocystis carinii pneumonia has enzyme linked immunosorbent assay (ELISA) testing and is diagnosed as being human immunodeficie... ncy virus (HIV) positive. In planning care, the nurse should be aware that the infant's mother is also HIV positive. An adolescent client who has had no prenatal care is admitted in labor and gives birth to a stillborn preterm fetus. The client is crying and says to the nurse, "Why did this happen to me?" Which of the following responses is appropriate from the nurse at this time? "I am so sorry that this has happened." After 30 min of rambling about the "ozone layer" and being "doomed to die," a client begins pacing in an increasingly agitated manner. What should the nurse do first? Remain with the client and attempt to reduce the environmental stimuli. After an exploratory laparotomy, a client is admitted to the medical surgical unit with an indwelling urinary catheter and a Jackson Pratt (JP) drainage tube. Which finding should indicate to the nurse that the client may be experiencing a postoperative complication? Pulse oximetry of 85% At a maternal health clinic, a nurse talks with several prenatal clients on the phone. Which client report does the nurse realize is a normal physiologic adaptation to pregnancy? Breast tenderness At the first prenatal visit, a nurse learns that a pregnant client is lactose intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client? Collard greens A charge nurse on a pediatric floor receives the results from the morning laboratory work. Which of the following client results will require the nurse call to the primary care provider first? A client who has diabetic ketoacidosis (DKA) and a blood glucose of 375 mg/dL A client admitted with borderline personality disorder is expressing concern about requiring a prolonged hospitalization. What is the therapeutic statement the nurse could make when interacting with this client? "Tell me what concerns you the most about being hospitalized." A client asks the nurse if it is common to experience vaginal yeast infections during pregnancy. Which of the following is an appropriate response? "The hormonal changes in pregnancy affect the vaginal pH, making yeast infections common." A client being treated for antisocial personality disorder is becoming increasingly loud and belligerent on the mental health unit. Which approach should the nurse use to manage this client's potentially violent behavior? Use clear, calm statements and set limits on the behavior. A client comes to the emergency department reporting fever and severe upper left quadrant abdominal pain. The primary care provider suspects pancreatitis. Based on this information, the nurse expects to see an elevation in the client's serum amylase and lipase. A client comes to the emergency department with deep, rapid respirations. Arterial blood gas analysis includes these values: pH 7.25, PCO2 40, and HCO3- 18. The nurse reports to the provider that the client is experiencing metabolic acidosis. A client diagnosed with acute systemic lupus erythematosus (SLE) is to begin treatment for systemic manifestations. The nurse should recognize that the preferred classification of medications to be used is corticosteroids. A client diagnosed with multidrug resistant tuberculosis (MDR TB) has been prescribed ethambutol (Myambutol). The nurse plans to instruct the client that it is likely he will experience loss of red/green color discrimination. [Show More]

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