ATI exit with ngn
Study online at https://quizlet.com/_fxrsb5
1. A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?: Ensure the state
health department has been notified
2. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?: Evaluate functioning of the suction device
3. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first?: Remove the device from the room
4. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the sterile
solution?: Remove the cap and place it sterile side up on a CLEAN surface
5. A nurse is creating a plan of care for a female client who has recurrent
UTIs. Which of the following interventions should the nurse include in the
plan?: Wear loose fitting underwear
6. A nurse is caring for an infant who has gastroenteritis. Which of the fol-
lowing assessment findings should the nurse report to the provider?: Sunken
fontanels and dry mucous membranes
7. A nurse is conducting health promotion education regarding contraindica-
tions to combination oral contraceptives use to a group of women. Which of
the following conditions should the nurse include in the teaching?: Hyperten-
sion
8. A nurse is providing teaching to a client who has a depressive disorder and
a new prescription for amitriptyline. Which of the following statements by the
client indicates an understanding of the teaching?: "I know it will be a couple of
weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: Apply an orthotic to the
client's foot.
10. A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25mL/hr. Which of the following interventions should the nurse antic-
ipate?: Obtain a urine specimen for culture and sensitivity
11. A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescriptions for the
warfarin?: INR
, ATI exit with ngn
Study online at https://quizlet.com/_fxrsb5
12. A nurse is assessing a client who is taking haloperidol and is experienc-
ing pseudo parkinsonism. Which of the following findings should the nurse
document as a manifestation of pseudo parkinsonism?: Shuffling gait
13. A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client?: Having
interdisciplinary team meetings for the client on a regular basis.
14. A nurse is caring for a 2 year old toddler. Which of the following food choic-
es should the nurse recommend to promote independence in eating?: Banana
slices
15. A nurse on a medical-surgical unit is notified that a mass casualty event
has occurred in the community. Which of the following actions should the
nurse plan to take?: Determine the medical needs of incoming clients through the
emergency department
16. A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?: A client who was just given
a glass of orange juice for a low glucose level
17. A nurse is performing postmortem care for a recently deceased client prior
to the client's family visit. Which of the following actions should the nurse plan
to take?: Hold the client's eyes shut for a few seconds.
18. A nurse is admitting a client who has schizophrenia. The client states, I'm
hearing voices. Which of the following responses is the priority for the nurse
to state?: What are the voices telling you?
19. A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following findings
as an indication that the medication has been effective?: Weight loss
20. A nurse is caring for a client who is in a coma and is scheduled for a
surgical procedure. Which of the following actions should the nurse take?: -
Determine if the client's health care surrogate is aware of the risks and benefits of
the procedure
21. A nurse is preparing to administer vancomycin IV to a adult client. The
client asks the nurse if the medication can be given 2 hours earlier. Which of
the following statements should the nurse make?: I can start the medication 30
minutes earlier.
22. A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the nurse
to take?: Document the client's behavior prior to being placed in seclusion.
23. A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?: Initiate seizure precautions
Study online at https://quizlet.com/_fxrsb5
1. A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take?: Ensure the state
health department has been notified
2. A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?: Evaluate functioning of the suction device
3. While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first?: Remove the device from the room
4. A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the sterile
solution?: Remove the cap and place it sterile side up on a CLEAN surface
5. A nurse is creating a plan of care for a female client who has recurrent
UTIs. Which of the following interventions should the nurse include in the
plan?: Wear loose fitting underwear
6. A nurse is caring for an infant who has gastroenteritis. Which of the fol-
lowing assessment findings should the nurse report to the provider?: Sunken
fontanels and dry mucous membranes
7. A nurse is conducting health promotion education regarding contraindica-
tions to combination oral contraceptives use to a group of women. Which of
the following conditions should the nurse include in the teaching?: Hyperten-
sion
8. A nurse is providing teaching to a client who has a depressive disorder and
a new prescription for amitriptyline. Which of the following statements by the
client indicates an understanding of the teaching?: "I know it will be a couple of
weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: Apply an orthotic to the
client's foot.
10. A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25mL/hr. Which of the following interventions should the nurse antic-
ipate?: Obtain a urine specimen for culture and sensitivity
11. A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescriptions for the
warfarin?: INR
, ATI exit with ngn
Study online at https://quizlet.com/_fxrsb5
12. A nurse is assessing a client who is taking haloperidol and is experienc-
ing pseudo parkinsonism. Which of the following findings should the nurse
document as a manifestation of pseudo parkinsonism?: Shuffling gait
13. A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client?: Having
interdisciplinary team meetings for the client on a regular basis.
14. A nurse is caring for a 2 year old toddler. Which of the following food choic-
es should the nurse recommend to promote independence in eating?: Banana
slices
15. A nurse on a medical-surgical unit is notified that a mass casualty event
has occurred in the community. Which of the following actions should the
nurse plan to take?: Determine the medical needs of incoming clients through the
emergency department
16. A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?: A client who was just given
a glass of orange juice for a low glucose level
17. A nurse is performing postmortem care for a recently deceased client prior
to the client's family visit. Which of the following actions should the nurse plan
to take?: Hold the client's eyes shut for a few seconds.
18. A nurse is admitting a client who has schizophrenia. The client states, I'm
hearing voices. Which of the following responses is the priority for the nurse
to state?: What are the voices telling you?
19. A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following findings
as an indication that the medication has been effective?: Weight loss
20. A nurse is caring for a client who is in a coma and is scheduled for a
surgical procedure. Which of the following actions should the nurse take?: -
Determine if the client's health care surrogate is aware of the risks and benefits of
the procedure
21. A nurse is preparing to administer vancomycin IV to a adult client. The
client asks the nurse if the medication can be given 2 hours earlier. Which of
the following statements should the nurse make?: I can start the medication 30
minutes earlier.
22. A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the nurse
to take?: Document the client's behavior prior to being placed in seclusion.
23. A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?: Initiate seizure precautions
