ATI EXIT EXAM (Answered) 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 indicates 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I have noticed that my child is withdrawn since we switched day care providers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 parent of a 4 month old infant during a
home visit. which of the following statements by the parent indicates 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
