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ATI COMPREHENSIVE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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ATI COMPREHENSIVE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (140) For cataract extraction surgery, what are the protocols? -avoid taking aspirin -use cool compress on eye before calling MD if itchy -avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES) -don't lift anything over 10 lbs If a patient 24 hours p/o refuses to ambulate, what should you do first? -assess pain -THEN you can educate, turn patient, give PRN analgesic What happens during true labor? -cervix transitions to anterior position -contractions felt in low ab and back -increases w/ ambulation -cervix thins What are common side effects of amitryptiline (antidepressant)? -dry mouth and constipation (eat fiber and chew gum) and BLURRED VISION -take a night to minimize drowsiness -lack of ability to sweat-avoid overheating What should you do for diabetes insipidus? -monitor increase urine output (polyuria-over 4 L/day) -monitor tachycardia -orthostatic hypotension -increased BUN -monitor for hyperthermia d/t dehydration What should you do to minimize risk of increased ICP? -place client in quiet environment -spread out nursing activities throughout the day -keep head of bed no more than 25 degrees What should you do for a client who recently got a stoma and can't afford it d/t lack of insurance? -arrange for social services -refer to american cancer society -refer to support groups -refer to enterostomal therapist -DO NOT delay discharge What should you teach for myasthenia gravis patients? -cut food into small bites and eat slowly (SEMI-SOLID) -keep HOB elevated 30-60 mins after meal -weigh self daily -take anticholinesterase meds 45-60 mins before meals (NOT anticholinergics) -choose snacks high in calories -ANNUAL FLU VACCINE-avoid pulmonary disorders b/c compromised resp muscles What should you do for clients who have rheumatoid arthritis and are in pain? -allow frequent rest periods throughout the day -recommend warm showers, not baths to prevent falls -apply ice to reduce inflammation -don't do morning ADLs until pain meds are given -don't take more than 4 g of acetaminophen/day -encourage high iron, protein and vitamins What should you give a toddler who has infectious gastroenteritis? -initiate oral rehydration therapy -DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes What should you do if the client vomits on a reusable BP cuff? -send it off in a labeled bag for contamination -DONT throw it away -rinse in cold water immediately after -use chlorine bleach to clean blood spills

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3/21/25, 2:42 NCLEX RN Flashcards |
PM




NCLEX RN EXAM QUESTIONS AND ANSWERS WITH COMPLETE

SOLUTIONS VERIFIED LATEST UPDATE 2025




Terms in this set (35)




is a condition in women that consists of male

pattern hair growth on the face, lower abdomen,

Hirsutism chest and back . #72116868 (58)

During assessment of a client who had major abdominal surgery a week ago, the

nurse notes that the incision has dehisced and evisceration has occurred. The

nurse stays with the client while another staff member gets sterile gauze and

saline. How should the nurse POSITION the client while waiting to cover the wound?

#72116868 (59)

1 1. Low Fowler's position with knees bent

2.Prone to prevent further evisceration

3.Side lying lateral position

4. Supine with head of the bed flat

is the protrusion of internal organs through the

wall of an incision. #72116868 (59)

wound evisceration

A client who is 2 hours post aortic valve replacement is in the intensive care unit

(ICU). The low pressure alarm for the client's radial arterial line sounds. What

ACTION should the nurse take "FIRST"? #72116868 (60)

1. Check for bleeding at tube connection sites

1 2.Perform a fast flush of the arterial line system

3.Re-level the transducer to the phlebostatic axis

4.Zero and re-balance the monitor and system.

hypotension A low pressure alarm could signal #72116868 (60)

The nurse assesses a client with fever and productive cough for the last 10 days.

Which findings support the presence of PNEUMONIA. "SELECT ALL THAT APPLY"

#72116868 (61)
1/
8

, 3/21/25, 2:42 NCLEX RN Flashcards |
PM
1. Coarse crackles

2.Hyperresonance

1,3,4 3.Pleuritic chest pain

4. Shortness of breath

5.Trachea deviating from midline

Which of the following tasks would the charge nurse on a surgical unit assign to the

experienced UNLICENSED ASSISTIVE PERSONNEL (UAP)?

#72116868 (62)

1. Assisting a client in ambulating to the bathroom for the first time following surgery.

2.Explaining why using the incentive spirometer is important to a client
3 with postoperative pneumonia.

3.Feeding a client with dementia who has a blood sugar of 70 mg/dL

4.Taking vital signs every 15 minutes on a client who was just transferred from the

post-anesthesia recovery unit.

A client is admitted to the hospital for chemotherapy complications. Laboratory

results show an absolute neutrophil count of 450 cells/mm. What information

contained in the admission history of this client will need to be "ADDRESSED" during

discharge education?

#72116868 (63)

3 1. Eat steamed vegetables daily

2.Enjoys eating grilled shrimp weekly

3.Gardens as hobby

4.Takes a bath daily and applies moisturizer

The nurse is educating a client recently diagnosed with anaphylactic allergy to latex.

Which statement made by the client indicates that the client UNDERSTOOD the

condition correctly?

#72116868 (64)

1. "I do not need to worry about my allergy when I am outside of a health

care environment."

3 2."I just need to check labels to ensure products do not contain latex and I will be

fine."

3."I should always carry my Epi-pen in case I have difficulty breathing."

4. "I should take better care of myself and eat healthy foods like bananas

and chestnuts."




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