ATI NURSING 2024 EXIT EXAM

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 ? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER I have noticed that my child is withdrawn since we switched day care providers a nurse is caring for a client who has heart failure and is taking furosemide.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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER Tinnitus a nurse is administering medication to a client. which of the following actions should the nurse take? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER orthostatic hypotension