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ATI COMPREHENSIVE B EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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ATI COMPREHENSIVE B EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (148) Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? Ask another nurse to witness the disposal of the new patch. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8 Withhold the heparin infusion A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina Floating dark spots infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider Irritability when being held. signifies increased ICP Assessing a newborn heart rate follow actions the nurse should take Auscultate the apical pulse and count beats for at least 1 min. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool Insert a lubricated gloved finger and advance along the rectal wall. Dietary teaching for a new prescription of phenelzine Broccoli, Yogurt, Cream Cheese Nurse administers incorrect dose of medication. Which facts related to incident report should the nurse document in the client's medical record? Time the medication was given Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first? A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a ruptured appendix. Community health nurse providing teaching on home safety for older adults Have grab bars installed around your bathtub and toilet. School age child with scald burns on both hands and wrists suspected abuse Contact child protective services. Client who has acute blood loss following trauma refuses potentially life saving blood transfusion Explore the client's reasons fro refusing the treatment Discussing common prenatal discomfort 20 weeks gestational I will wear a supportive bra overnight Discharge instructions to client to received home oxygen therapy Wear clothing made with cotton fabrics while oxygen is in use. Preparing an educational session about advocacy to a group of nurses Advocacy is a leadership role that helps others to self actualize Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and decreased urinary output Irrigate the catheter with 0.9% sodium chloride irrigation Child with sickle cell anemia and is having a vaso-occlusive crisis Infuse IV fluids Client teaching about the basal body temp method for birth control Your body temperature might decrease slightly just prior to ovulation Caring for a client who is unconscious and requires emergency medical procedures. Unable to locate family to obtain consent Proceed with provision of medical care Client who has fluid volume overload. Which tasks can nurse delegate to UAP Measure the client's daily weight Checking for Chvostek's sign The nurse should assess for a Chvostek's sign by tapping the client's facial nerve about an inch in front of the tragus of the ear. Facial twitching is a positive finding that indicates hypocalcemia. Reviewing urinalysis report of client with acute glomerulonephritis expected findings Protein

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




NCLEX-RN IMMUNITY EXAM QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE



Terms in this set (83)




The parents of a child with cystic Correct response:

fibrosis express concern about Two parents who are carriers may produce a child who has the disease.
how the disease was transmitted

to their child. What

information should the nurse give

to the clients?

Which would be most important to Correct response:

teach a client older than 65 years to Obtain influenza and pneumococcal vaccines.
prevent a

recurrence of bacterial pneumonia?

The nurse is assigning a room for a client Correct response:

admitted with hepatitis A. Which congestive heart

diagnosis failure

would be an appropriate roommate for

this client?

A client diagnosed with leukemia is Correct

now experiencing neutropenia. Which response:

assessment related to neutropenia is Breath sounds
a priority for the nurse?

A 34-year-old primigravid client at 39 Correct response:

weeks' gestation admitted to the to prevent Rh-positive sensitization with the next pregnancy
hospital in active labor has type B

Rh-negative blood. The nurse should

instruct the client that if the neonate

is Rh positive, the client will receive

an Rh immune globulin injection for


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what reason?




A client's blood test results are: Correct

white blood cell (WBC) count is response:

1,000/μl; prevent

hemoglobin (Hb) level, 14 g/dl; infection

hematocrit (HCT), 42%. Which goal is

most important for this client?

The nurse is caring for a 2-year- Correct response:

old child with cancer. The parents "A donor is determined after testing for similar human leukocyte antigens."
have been told

that the child will need an allogeneic

bone marrow transplant and want to

know what this means. What is the

best response by the nurse?

A preschooler with a history of Correct response:

repaired lumbar myelomeningocele is "Is your child allergic to bananas or any other food?"
in the

emergency department with

wheezing and skin rash. Which

question should the nurse ask the

parent first?

The nurse is preparing to Correct response:

administer the measles-mumps- administer both

rubella (MMR) and vaccines

varicella vaccines to an infant who

has an egg allergy and a wheat

allergy. Which is the appropriate

action by the nurse?

An 8-year-old child has been Correct response:

admitted to the oncology unit with the diagnosis of Down's syndrome at birth
a suspected

diagnosis of acute lymphoblastic

leukemia. The nurse is obtaining a

health history from the parents.

During the interview, the

parents ask the nurse if any of the

factors discussed would make their
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child more at risk for this type of

leukemia. What

information about potential risk factors

is correct for the nurse to share with

the parents?

Antenatal laboratory testing Correct response:

revealed a negative rubella rubella counseling and immunization with live rubella virus vaccine
antibody for a client

admitted to the postpartum unit.

Which action takes priority for this

client during early puerperium?

The parents of a toddler do not want Correct response:

their child to have a varicella "If the child contracts the disease, it could be very serious, even life threatening."
immunization,

stating, "My child will have better

immunity if he or she gets the disease

now." Which is the nurse's best

response?

Which family member exposed to Correct response:

tuberculosis would be at highest risk 76-year-old grandmother

for contracting the disease?

When explaining the long-term toxic Correct response:

effects of cancer treatments on the The use of radiation and combination chemotherapy can result in more
immune system, what should the frequent and more severe immune system impairment.
nurse tell the

client?




At a 6-month well-child check, an Correct response:

infant has a high fever and cold "Make an appointment to come back for the immunizations after your
symptoms and is diagnosed with child has finished the antibiotics."
otitis media. The child is

scheduled to receive the 6-month

immunizations. The parent asks the

nurse if the child will receive them.

What is the

nurse's best response?


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