ATI COMPREHENSIVE EXAM
g g g
VERSION-1
1) Agnursegingangemergencygdepartmentgcompletesgangassessmentgongangadolescentgclientgthatghasgconductgdisorder.gThegclient
threatenedgsuicidegtogteachergatgschool.gWhichgofgthegfollowinggstatementsgshouldgthegnursegincludegingthegassessment?
a) Tellgmegaboutgyourgsiblings
b) Tellgmegwhatgkindgofgmusicgyouglike
c) Tellgmeghowgoftengdogyougdrinkgalcohol
d) Tellgmegaboutgyourgschoolgschedule
2) *Agnursegisgobservinggbondinggtogthegclientghergnewborn.gWhichgofgfollowinggactionsgbygthegclientgrequiresgthegn
ursegtogintervene?
a) Holdinggthegnewborngingangengfacegposition
b) Askinggthegfathergtogchangegthegnewborn'sgdiaper
c) Requestinggthegnursegtakegthegnewborngnurserygsogshegcangrest
d) Viewinggthegnewborn’sgactionsgtogbeguncooperative
3) Agnursegisgcaringgforgclientgwhogisgtakingglevothyroxin.gWhichgofgthegfollowinggfindingsgshouldgindicategthatgthegmedica
tiongisgeffective?
a) Weightglossg(thisgdruggactsgasgT4gandgwillgnormalizegthegeffectsgofghypothyroidism)
b) Decreasedgbloodgpressure
c) Absencegofgseizures
d) Decreaseginflammation
4) Agnursegisgplanninggdischargegteachinggforgcordgcaregforgthegparentgofgagnewborn.gWhichginstructionsgwouldgyouginclude
gingthegteaching?
a) Contactgprovidergifgthegcordgstillgturnsgblackg(it’sggoinggtogturngblack)
b) Cleangthegbasegofgthegcordgwithghydrogengperoxidegdailyg(cleangwithgneutralgpHgcleanser)
c) Keepgthegcordgdryguntilgitgfallsgoffg(cordgshouldgbegkeptgcleangandgdrygtogpreventginfection)
d) Thegcordgstumpgwillgfallgoffgingfivegdaysg(cordgfallsgoffging10-14gdays)
5) AgnursegisgassessinggagclientgingthegPACU.gWhichgofgthegfollowinggfindingsgindicatesgdecreasedgcardiacgoutput?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constrictedgpupils
6) Agnursegisgassistinggwithgmassgcasualtygtriage:gexplosiongatgaglocalgfactory.gWhichgofgthegfollowinggclientgshouldgthe
gnursegidentifygasgthegpriority?
a) Agclientgthatghasgmassivegheadgtrauma
b) Agclientghasgfullgthicknessgburnsgtogfacegandgtrunk
c) Agclientgwithgindicationsgofghypovolemicgshock
d) Agclientgwithgopengfracturegofgtheglowergextremity
7) Agnursegisgagreceivinggreportgongfourgclients.gWhichgofgthegfollowinggclientsgshouldgthegnursegassessgfirst?
a) Agclientgwhoghasgillealgconduitgandgmucusgingthegpouch
b) Clientgpleasantgarteriovenousgadditionalgvibrationgpalpated
c) Agclientgwhosegchronicgkidneygdiseasegwithgcloudygdiasylategoutflow
d) Agclientgwasgtransurethralgresectiongofgthegprostategwithgagredgtingedgurinegingthegbag
8) Agnursegisgcaringgforgagclientgjustgreceivedgthegfirstgdosegofglisinopril.gThegfollowinggisgangappropriategnursinggintervention?
a) Place’sgcardiacgmonitoring
b) Monitorgthegclientsgoxygengsaturationglevel
c) Providegstandbygassistgwithgthegclientgfromgbed
d) Encouragegfoodsghighgingpotassium
9) Agnursegisgcaringgforgagclientgwhogisginglaborgandghisgseatgisgreceivinggelectronicgfetalgmonitoring.gThegnursegisgre
viewinggthegmonitorgtracinggandgnotesgearlygdecelerations.gWhichgthegfollowinggshouldgthegnursegexpect?
a) Fetaghypoxia
, b) Abruptogplacentae
c) Postgmaturity
d) HeadgCompression
10) Agnursegisgcaringgforgagclientgwhoghasgchronicgkidneygdisease.gThegnurseg shouldgidentifygwhichgofgthegfollowingglab
oratorygvaluesgasgingangindicationgforghemodialysis?
a) glomerulargfiltrationgrategofg14gmL/gminute
b) BUNg16gmg/DL
c) serumgmagnesiumg1.8gmggmg/dl
d) Serumgphosphorusg4.0g mg/dL
11) Agnursegisgcaringgforganginfantgwhoghasgagprescriptiongforgcontinuousgpulsegoximetry.gThegfollowinggisgangappropriate
gactiongforgthegnursegtogtake?
a) Placedginfantgundergradiantgwarmer
b) Movegthegprobegsitegeveryg3ghours
c) Heatgthegskingonegminutegpriorgtogplacinggthegprogram
d) Placedgagsensorgongthegindexgfinger
12) Agnursegingagmentalghealthgfacilitygreceivesgagchangegofgshiftgreportgongforgclients.gWhichgofgthegfollowinggclientsgsho
uldgthegnursegplangtogassessgfirst?
a) Clientgplacedgingrestraintsgtogthegaggressivegbehavior
b) Agnewglimitedgclientgpleasuresghistorygofg4.5gkggweightglossgingthegpastgtwogmonths
c) ClientgisgreceivinggagPRNgdosegofghealthgheardgallgtwoghoursgagogforgincreasedganxiety
d) Appliedghe’llgbegreceivingghisgfirstgECTgtreatmentgtoday
13) Agnursegworkinggatgthegclinicgisgteachinggaggroupgofgclientsgwhogaregpregnantgongthegusegofgnonpharmacologicalgpa
ingmanagement.gWhichgofgthegfollowinggstatementsgbygthegnursegisgangappropriategdescriptiongofgthegusegofghypnos
isgduringglabor?
a) Hypnosisgfocusesgongthegbiofeedbackgasgagrelaxationgtechnique
b) Hypnosisgpromotesgincreasedgcontrolgofghergpaingperceptiongduringgcontractions
c) Hypnosisgusesgtherapeuticgtouchgtogreduceganxietygduringglabor
d) Hypnosisgprovidesginstructiongtogminimizegpain
14) AgnursegingagCountygJailghealthgclinicgisgleadingggroupgtherapygsession.gAg clientgwhogwasgincarceratedgforgtheftgisgaddre
ssinggtheggroup.gWhichgofgthegfollowinggisgangexamplegofgreactiongformation?g(rxngformationgisgwhengyougusegoppositeg
feelings;gex:gbeinggsupergnicegtogsomeonegyougdislike)
a) Igstealgthingsgbecausegit’sgthegonlygwaygIgcangkeepgmygmindgoffgmygbadgmarriage
b) Igcan’tgbelievegIgwasgaccusedgofgsomethinggIgdidn’tgdo
c) Igdon’tgwantgtalkgaboutgmygfeelingsgrightgnow.gWegwillgtalkgmoregnextgtime
d) Igthinkgthatgpeoplegjustgyou’regjustglazygandgshouldgearngmoneyghonestly
15) Agnursegisgobtaininggthegmedicalghistorygofgagclientgwhoghasgagnewgprescriptiongforgisosorbidegmonotitrate.gWhichg
ofgthegfollowinggshouldgthegnursegidentifygasgagcontraindicationgtogmedication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migrainegheadaches
16) ?
17) Thegnursesgisgcaringgforgagclientgrecoveringgfromgangacutegmyocardialginfarction.gWhichgfollowingginterventiongshoul
dgthegnursegincludegingthegpointgofgcare?
a) Drawgagtroponinglevelgeverygfourghours
b) PerformancegEKGgeveryg12ghours
c) Plantgoxygengtentgfellgovergminutesgviagrebreathergmask
d) Obtaingagcardiacgrehabilitationgconsult
18) AgNursesgcaringgforgclientgwhoghasgbreastgcancergandghasgbeengcoveringgreceivinggchemotherapy.gWhichgofgthegfoll
owingglaboratorygvaluesgshouldgnursegreportgtogprovider?
a) WBCg3,000/mm3
b) Hemoglobing14gg/dl
c) Plateletg250,000/mm3
d) aPTTg30gseconds
, 19) HomeghealthgnursegisgcarefullygplannedgforgAlzheimer’sdisease.Togthegfollowinggactiongshouldgthegnursegincludegingthegp
langofgcare
a) Placegagdailygcalendargingthegkitchen
b) Replacegbuttongclothinggwithgzipperedgitems
c) Replacegthegcarpetgwithghardwoodgfloors
d) Creategvariationgingdailygroutine
20) Nursegisgperforminggchangegofgshiftgassessmentsgong4gclients.gWhichgofgthegfollowinggfindingsgshouldgthegnursegrep
ortgtogprovidergfirst?
a) Thegclientgwasgcysticgfibrosisgandghasgagthickgproductivegclockgandgreportsgthirst
b) Clientgwhoghasggastroenteritisgandgisglethargicgandgconfused
c) ThegClientghasgdiabetesgmellitusghasgmorninggfastinggLegalgcostgofg185gmggovergdeal
d) Thegclientgwasgsickgofgsigninggitgreportsgpaing15gminutesgaftergreceivinggoralganalgesic
21) Agnursegisgcaringgforgagclientgwasgingthegsecondgtrimestergofgpregnancygandgasksghowgtogtreatgconstipation.gWhich
gofgthegfollowinggstatementsgbygthegnursegisgappropriate?
a) Decreasegtakinggvitaminsgandgsupplementsgtogeverygothergday
b) Eatg15gggofgfibergpergday
c) Consumeg48gouncesgofgwatergeachgdayg(needgatgleastg64goz)
d) Drinkghotgwatergwithglemongjuicegeachgmorninggwhengyougwakegup
22) ?
23) Agnursegisgcaringgforgagclientgwhogisgpreparingghisgadvancegdirectives.gWhichgisgthegfollowinggstatementsgbygthegclientgin
dicatesgangunderstandinggofgadvancedgdirectives?gselectgallgthatgapply
a) Igcan’tgchangegmyginstructionsgoncegagminute
b) Mygdoctorgwillgneedgtogapprovegmygadvancegdirectives
c) Igneedgangattorneygtogwitnessgmygsignaturegongthegadvancegdirectives
d) Ighavegthegrightgtogrefusegtreatment
e) Myghealthgcaregproxygcangmakegmedicalgdecisionsgforgme
24) Agnursegisgcaringgforgagclientgwhogisgatg 32gweeksggestationgandg hasgaghistorygofgcardiacdisease.gWhichgofgthegfo
llowinggpositionsgshouldgthegnursegplacegthegclientgtog bestgpromoteoptimalcardiacoutput?
a) Thegchest
b) Standing
c) Supine
d) Leftglateral
25) Agnursegisgcaringgforgaggroupgofgclients.gWhichgofgthegfollowinggclientsgshouldgthegnursegassigngtogangAP?
a) Clientgwhoghasgchronicgobstructivegpulmonarygdiseasegandgneedsgguidancegongincentivegspirometry
b) Clientgwhoghasgawokengfollowinggagbronchoscopygandgrequestsgagdrink
c) Clientgwhoghadgagmyocardialginfarctiong3gdaysgagogreportsgchestgdiscomfort
d) Clientgwhoghadgagcerebrovasculargaccidentgtwogdaysgagogandgneedsghelpgtoileting
26) Nursegprovidinggdischargegteachinggtogthegclientgwhoghasgschizophreniagandgisg startinggtherapygwithgclozapine.gWhi
chgofgthegfollowinggisgtheghighestprioritygforgthegclientgtoreportgtogthegprovider?
a) Constipation
b) blurredgvision
c) Fever
d) DrygMouth
27) AgnursegobservesgangAPgprovidinggcaregtogagchildgwhogisgingskeletalgtraction.gWhichgofgthegfollowinggactiongre
quiresgintervention?
a) Providinggaghighgproteingsnack
b) Assistinggthegchildgtogreposition
c) Placinggweightsgasgagchild’sgbed
d) Massaginggpressuregpoints-causesgskingbreakdown
28) AgnursegisgplanninggtogdelegategtogangAPgthegfastinggbloodgglucosegtestinggforgagclientgwhoghasgdiabetesgmellitus.gWhic
hgofgthegfollowinggactiongshouldgthegnursegtake?
a) DeterminegifgthegAPgisgqualifiedgtogperformgthegtest.
b) HelpgthegAPgperformedgthegbloodgglucosegtest
c) AssigngthegAPgtogaskgthegclientgisgtakingghisgdiabeticgmedicationgtoday
d) HavegAPgcheckgthegmedicalgrecordgforgpriorgbloodgglucosegtestgresults
, 29) Agnursegisgassessinggclientgbroughtgtogtheghospitalgpsychiatricgemergencygservicesgbygaglawgenforcementgofficer.gThegclie
ntghasgdisorganized,gincoherentspeechgwithglooseassociationsgandgreligiouscontent.gYougshouldgrecognizegthegsignsgand
gsymptomsgasgbeinggconsistentgwithgwhichgofgthegfollowing?
a) Alzheimer’sgdisease
b) Schizophrenia
c) Substancegintoxication
d) Depression
30) Agnursegisgcaringgforgagchildgwhoghasginfectiousgmononucleosis..gWhichgofgthegfollowinggfindingsgaregassociatedgwi
thgthisgdiagnosis?gSelectgallgthatgapply
a) splenomegaly
b) Koplikgspotsg(thisgisgassociatedgwithgmeasles)
c) Malaise
d) Vertigo
e) Soregthroat
31) Nursegisgperforminggdressinggchangegforgclientgwasgagsacralwoundusinggnegativegpressuregwoundgtherapy.gWhic
hgThegfollowinggactionsgshouldgthegnursegtakegfirst?
a) Applygskingpreparationgtogwoundgedges.
b) Normalgsaline
c) Dongsterileggloves
d) Determinegpainglevel
32) Agnursesgcaringgforgclientgrecoverygfromgthegbowelsurgerygwhoghasgnasogastrictubegconnectedgtoglowgintermi
ttentgsuction.gWhichgthegfollowinggassessmentgfindingsgshouldgindicategtogthegnursegthatgthegNGgtubegmaygnotgbeg
functioninggproperly?
a) Drainagegfluidgisggreenish-yellow
b) aspirategpHgofg3
c) Abdominalgrigidity
d) airgbubblesgnotedgingthegNGgtube
33) AgnursegisgpreparinggtogadministergTPNgwithgaddedgfatgsupplementsgtogagclientgwhoghasgmalnutrition.gWhichgofgthegfol
lowinggactiongshouldgthegnursegtake?
a) Piggybackg0.9gsodiumgchloridegwithgTPNgsolution
b) Checkgforgangallergygtogeggs
c) DiscussgthegTPSgsolutiongforg12ghours
d) Monitorgforghypoglycemia
34) Agchargegnursegisgdiscussinggthegusegofgapplyinggicegtogagclient’sginjuredkneegwithgagnewlyglicensedgnurse.gWhich
gofgthegfollowinggshouldgthegnursegidentifygasgagbenefit?g(A/C?)
a) Systemicganalgesicgeffect
b) increasegingyourgmetabolism
c) Decreasedgcapillarygpermeability
d) Vasodilation
35) Nursegisgdevelopinggdischargegcaregplansgforgclientghasgosteoporosis.gTogpreventginjurygthegnursegshouldginstructgthegclientgto
a) Performgweightgbearinggexercises
b) Avoidgcrossinggtheglegsgbeyondgthegmidline
c) Avoidgsittinggingonegpositiongforgprolongedgperiods
d) Splitgaffectedgarea
36) Agnursegongacutegmed-surgicalgunitgisgperforminggassessmentsgongaggroupgofgclients.gWhichgisghighestgpriority?
a) ThegclientghasgsurgicalghypoparathyroidismgandgpositivegTrousseau’sgsign
b) AgclientgwhogwasgClostridiumgdifficilegwithgacutegdiarrhea
c) Agclientgwhogisgacutegkidneyginjurygandgurinegwithgaglowgspecificggravity
d) Thegclientgwhoghasgoralgcancergandgreportsgagsoregonghisggums
37) Nursesgcaringgforgagclientgwasgcongestivegheartgfailure.gWhichgofgthegfollowinggprescriptionsgforgthegprovidergshouldgthegnurse
anticipate?
a) Callgthegprovidergtogclientsgrespiratorygrategisglessg18/min
b) Givegthegclientg500gmLgIVgbolusgofg0.9gsodiumgchloridegoverg1ghr
c) Givegthegclientgenalaprilg2.5gmggPOgtwicegdaily
d) Callgthegprovidergifgthegclientsgpulsegrategisglessgthang80/min
g g g
VERSION-1
1) Agnursegingangemergencygdepartmentgcompletesgangassessmentgongangadolescentgclientgthatghasgconductgdisorder.gThegclient
threatenedgsuicidegtogteachergatgschool.gWhichgofgthegfollowinggstatementsgshouldgthegnursegincludegingthegassessment?
a) Tellgmegaboutgyourgsiblings
b) Tellgmegwhatgkindgofgmusicgyouglike
c) Tellgmeghowgoftengdogyougdrinkgalcohol
d) Tellgmegaboutgyourgschoolgschedule
2) *Agnursegisgobservinggbondinggtogthegclientghergnewborn.gWhichgofgfollowinggactionsgbygthegclientgrequiresgthegn
ursegtogintervene?
a) Holdinggthegnewborngingangengfacegposition
b) Askinggthegfathergtogchangegthegnewborn'sgdiaper
c) Requestinggthegnursegtakegthegnewborngnurserygsogshegcangrest
d) Viewinggthegnewborn’sgactionsgtogbeguncooperative
3) Agnursegisgcaringgforgclientgwhogisgtakingglevothyroxin.gWhichgofgthegfollowinggfindingsgshouldgindicategthatgthegmedica
tiongisgeffective?
a) Weightglossg(thisgdruggactsgasgT4gandgwillgnormalizegthegeffectsgofghypothyroidism)
b) Decreasedgbloodgpressure
c) Absencegofgseizures
d) Decreaseginflammation
4) Agnursegisgplanninggdischargegteachinggforgcordgcaregforgthegparentgofgagnewborn.gWhichginstructionsgwouldgyouginclude
gingthegteaching?
a) Contactgprovidergifgthegcordgstillgturnsgblackg(it’sggoinggtogturngblack)
b) Cleangthegbasegofgthegcordgwithghydrogengperoxidegdailyg(cleangwithgneutralgpHgcleanser)
c) Keepgthegcordgdryguntilgitgfallsgoffg(cordgshouldgbegkeptgcleangandgdrygtogpreventginfection)
d) Thegcordgstumpgwillgfallgoffgingfivegdaysg(cordgfallsgoffging10-14gdays)
5) AgnursegisgassessinggagclientgingthegPACU.gWhichgofgthegfollowinggfindingsgindicatesgdecreasedgcardiacgoutput?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constrictedgpupils
6) Agnursegisgassistinggwithgmassgcasualtygtriage:gexplosiongatgaglocalgfactory.gWhichgofgthegfollowinggclientgshouldgthe
gnursegidentifygasgthegpriority?
a) Agclientgthatghasgmassivegheadgtrauma
b) Agclientghasgfullgthicknessgburnsgtogfacegandgtrunk
c) Agclientgwithgindicationsgofghypovolemicgshock
d) Agclientgwithgopengfracturegofgtheglowergextremity
7) Agnursegisgagreceivinggreportgongfourgclients.gWhichgofgthegfollowinggclientsgshouldgthegnursegassessgfirst?
a) Agclientgwhoghasgillealgconduitgandgmucusgingthegpouch
b) Clientgpleasantgarteriovenousgadditionalgvibrationgpalpated
c) Agclientgwhosegchronicgkidneygdiseasegwithgcloudygdiasylategoutflow
d) Agclientgwasgtransurethralgresectiongofgthegprostategwithgagredgtingedgurinegingthegbag
8) Agnursegisgcaringgforgagclientgjustgreceivedgthegfirstgdosegofglisinopril.gThegfollowinggisgangappropriategnursinggintervention?
a) Place’sgcardiacgmonitoring
b) Monitorgthegclientsgoxygengsaturationglevel
c) Providegstandbygassistgwithgthegclientgfromgbed
d) Encouragegfoodsghighgingpotassium
9) Agnursegisgcaringgforgagclientgwhogisginglaborgandghisgseatgisgreceivinggelectronicgfetalgmonitoring.gThegnursegisgre
viewinggthegmonitorgtracinggandgnotesgearlygdecelerations.gWhichgthegfollowinggshouldgthegnursegexpect?
a) Fetaghypoxia
, b) Abruptogplacentae
c) Postgmaturity
d) HeadgCompression
10) Agnursegisgcaringgforgagclientgwhoghasgchronicgkidneygdisease.gThegnurseg shouldgidentifygwhichgofgthegfollowingglab
oratorygvaluesgasgingangindicationgforghemodialysis?
a) glomerulargfiltrationgrategofg14gmL/gminute
b) BUNg16gmg/DL
c) serumgmagnesiumg1.8gmggmg/dl
d) Serumgphosphorusg4.0g mg/dL
11) Agnursegisgcaringgforganginfantgwhoghasgagprescriptiongforgcontinuousgpulsegoximetry.gThegfollowinggisgangappropriate
gactiongforgthegnursegtogtake?
a) Placedginfantgundergradiantgwarmer
b) Movegthegprobegsitegeveryg3ghours
c) Heatgthegskingonegminutegpriorgtogplacinggthegprogram
d) Placedgagsensorgongthegindexgfinger
12) Agnursegingagmentalghealthgfacilitygreceivesgagchangegofgshiftgreportgongforgclients.gWhichgofgthegfollowinggclientsgsho
uldgthegnursegplangtogassessgfirst?
a) Clientgplacedgingrestraintsgtogthegaggressivegbehavior
b) Agnewglimitedgclientgpleasuresghistorygofg4.5gkggweightglossgingthegpastgtwogmonths
c) ClientgisgreceivinggagPRNgdosegofghealthgheardgallgtwoghoursgagogforgincreasedganxiety
d) Appliedghe’llgbegreceivingghisgfirstgECTgtreatmentgtoday
13) Agnursegworkinggatgthegclinicgisgteachinggaggroupgofgclientsgwhogaregpregnantgongthegusegofgnonpharmacologicalgpa
ingmanagement.gWhichgofgthegfollowinggstatementsgbygthegnursegisgangappropriategdescriptiongofgthegusegofghypnos
isgduringglabor?
a) Hypnosisgfocusesgongthegbiofeedbackgasgagrelaxationgtechnique
b) Hypnosisgpromotesgincreasedgcontrolgofghergpaingperceptiongduringgcontractions
c) Hypnosisgusesgtherapeuticgtouchgtogreduceganxietygduringglabor
d) Hypnosisgprovidesginstructiongtogminimizegpain
14) AgnursegingagCountygJailghealthgclinicgisgleadingggroupgtherapygsession.gAg clientgwhogwasgincarceratedgforgtheftgisgaddre
ssinggtheggroup.gWhichgofgthegfollowinggisgangexamplegofgreactiongformation?g(rxngformationgisgwhengyougusegoppositeg
feelings;gex:gbeinggsupergnicegtogsomeonegyougdislike)
a) Igstealgthingsgbecausegit’sgthegonlygwaygIgcangkeepgmygmindgoffgmygbadgmarriage
b) Igcan’tgbelievegIgwasgaccusedgofgsomethinggIgdidn’tgdo
c) Igdon’tgwantgtalkgaboutgmygfeelingsgrightgnow.gWegwillgtalkgmoregnextgtime
d) Igthinkgthatgpeoplegjustgyou’regjustglazygandgshouldgearngmoneyghonestly
15) Agnursegisgobtaininggthegmedicalghistorygofgagclientgwhoghasgagnewgprescriptiongforgisosorbidegmonotitrate.gWhichg
ofgthegfollowinggshouldgthegnursegidentifygasgagcontraindicationgtogmedication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migrainegheadaches
16) ?
17) Thegnursesgisgcaringgforgagclientgrecoveringgfromgangacutegmyocardialginfarction.gWhichgfollowingginterventiongshoul
dgthegnursegincludegingthegpointgofgcare?
a) Drawgagtroponinglevelgeverygfourghours
b) PerformancegEKGgeveryg12ghours
c) Plantgoxygengtentgfellgovergminutesgviagrebreathergmask
d) Obtaingagcardiacgrehabilitationgconsult
18) AgNursesgcaringgforgclientgwhoghasgbreastgcancergandghasgbeengcoveringgreceivinggchemotherapy.gWhichgofgthegfoll
owingglaboratorygvaluesgshouldgnursegreportgtogprovider?
a) WBCg3,000/mm3
b) Hemoglobing14gg/dl
c) Plateletg250,000/mm3
d) aPTTg30gseconds
, 19) HomeghealthgnursegisgcarefullygplannedgforgAlzheimer’sdisease.Togthegfollowinggactiongshouldgthegnursegincludegingthegp
langofgcare
a) Placegagdailygcalendargingthegkitchen
b) Replacegbuttongclothinggwithgzipperedgitems
c) Replacegthegcarpetgwithghardwoodgfloors
d) Creategvariationgingdailygroutine
20) Nursegisgperforminggchangegofgshiftgassessmentsgong4gclients.gWhichgofgthegfollowinggfindingsgshouldgthegnursegrep
ortgtogprovidergfirst?
a) Thegclientgwasgcysticgfibrosisgandghasgagthickgproductivegclockgandgreportsgthirst
b) Clientgwhoghasggastroenteritisgandgisglethargicgandgconfused
c) ThegClientghasgdiabetesgmellitusghasgmorninggfastinggLegalgcostgofg185gmggovergdeal
d) Thegclientgwasgsickgofgsigninggitgreportsgpaing15gminutesgaftergreceivinggoralganalgesic
21) Agnursegisgcaringgforgagclientgwasgingthegsecondgtrimestergofgpregnancygandgasksghowgtogtreatgconstipation.gWhich
gofgthegfollowinggstatementsgbygthegnursegisgappropriate?
a) Decreasegtakinggvitaminsgandgsupplementsgtogeverygothergday
b) Eatg15gggofgfibergpergday
c) Consumeg48gouncesgofgwatergeachgdayg(needgatgleastg64goz)
d) Drinkghotgwatergwithglemongjuicegeachgmorninggwhengyougwakegup
22) ?
23) Agnursegisgcaringgforgagclientgwhogisgpreparingghisgadvancegdirectives.gWhichgisgthegfollowinggstatementsgbygthegclientgin
dicatesgangunderstandinggofgadvancedgdirectives?gselectgallgthatgapply
a) Igcan’tgchangegmyginstructionsgoncegagminute
b) Mygdoctorgwillgneedgtogapprovegmygadvancegdirectives
c) Igneedgangattorneygtogwitnessgmygsignaturegongthegadvancegdirectives
d) Ighavegthegrightgtogrefusegtreatment
e) Myghealthgcaregproxygcangmakegmedicalgdecisionsgforgme
24) Agnursegisgcaringgforgagclientgwhogisgatg 32gweeksggestationgandg hasgaghistorygofgcardiacdisease.gWhichgofgthegfo
llowinggpositionsgshouldgthegnursegplacegthegclientgtog bestgpromoteoptimalcardiacoutput?
a) Thegchest
b) Standing
c) Supine
d) Leftglateral
25) Agnursegisgcaringgforgaggroupgofgclients.gWhichgofgthegfollowinggclientsgshouldgthegnursegassigngtogangAP?
a) Clientgwhoghasgchronicgobstructivegpulmonarygdiseasegandgneedsgguidancegongincentivegspirometry
b) Clientgwhoghasgawokengfollowinggagbronchoscopygandgrequestsgagdrink
c) Clientgwhoghadgagmyocardialginfarctiong3gdaysgagogreportsgchestgdiscomfort
d) Clientgwhoghadgagcerebrovasculargaccidentgtwogdaysgagogandgneedsghelpgtoileting
26) Nursegprovidinggdischargegteachinggtogthegclientgwhoghasgschizophreniagandgisg startinggtherapygwithgclozapine.gWhi
chgofgthegfollowinggisgtheghighestprioritygforgthegclientgtoreportgtogthegprovider?
a) Constipation
b) blurredgvision
c) Fever
d) DrygMouth
27) AgnursegobservesgangAPgprovidinggcaregtogagchildgwhogisgingskeletalgtraction.gWhichgofgthegfollowinggactiongre
quiresgintervention?
a) Providinggaghighgproteingsnack
b) Assistinggthegchildgtogreposition
c) Placinggweightsgasgagchild’sgbed
d) Massaginggpressuregpoints-causesgskingbreakdown
28) AgnursegisgplanninggtogdelegategtogangAPgthegfastinggbloodgglucosegtestinggforgagclientgwhoghasgdiabetesgmellitus.gWhic
hgofgthegfollowinggactiongshouldgthegnursegtake?
a) DeterminegifgthegAPgisgqualifiedgtogperformgthegtest.
b) HelpgthegAPgperformedgthegbloodgglucosegtest
c) AssigngthegAPgtogaskgthegclientgisgtakingghisgdiabeticgmedicationgtoday
d) HavegAPgcheckgthegmedicalgrecordgforgpriorgbloodgglucosegtestgresults
, 29) Agnursegisgassessinggclientgbroughtgtogtheghospitalgpsychiatricgemergencygservicesgbygaglawgenforcementgofficer.gThegclie
ntghasgdisorganized,gincoherentspeechgwithglooseassociationsgandgreligiouscontent.gYougshouldgrecognizegthegsignsgand
gsymptomsgasgbeinggconsistentgwithgwhichgofgthegfollowing?
a) Alzheimer’sgdisease
b) Schizophrenia
c) Substancegintoxication
d) Depression
30) Agnursegisgcaringgforgagchildgwhoghasginfectiousgmononucleosis..gWhichgofgthegfollowinggfindingsgaregassociatedgwi
thgthisgdiagnosis?gSelectgallgthatgapply
a) splenomegaly
b) Koplikgspotsg(thisgisgassociatedgwithgmeasles)
c) Malaise
d) Vertigo
e) Soregthroat
31) Nursegisgperforminggdressinggchangegforgclientgwasgagsacralwoundusinggnegativegpressuregwoundgtherapy.gWhic
hgThegfollowinggactionsgshouldgthegnursegtakegfirst?
a) Applygskingpreparationgtogwoundgedges.
b) Normalgsaline
c) Dongsterileggloves
d) Determinegpainglevel
32) Agnursesgcaringgforgclientgrecoverygfromgthegbowelsurgerygwhoghasgnasogastrictubegconnectedgtoglowgintermi
ttentgsuction.gWhichgthegfollowinggassessmentgfindingsgshouldgindicategtogthegnursegthatgthegNGgtubegmaygnotgbeg
functioninggproperly?
a) Drainagegfluidgisggreenish-yellow
b) aspirategpHgofg3
c) Abdominalgrigidity
d) airgbubblesgnotedgingthegNGgtube
33) AgnursegisgpreparinggtogadministergTPNgwithgaddedgfatgsupplementsgtogagclientgwhoghasgmalnutrition.gWhichgofgthegfol
lowinggactiongshouldgthegnursegtake?
a) Piggybackg0.9gsodiumgchloridegwithgTPNgsolution
b) Checkgforgangallergygtogeggs
c) DiscussgthegTPSgsolutiongforg12ghours
d) Monitorgforghypoglycemia
34) Agchargegnursegisgdiscussinggthegusegofgapplyinggicegtogagclient’sginjuredkneegwithgagnewlyglicensedgnurse.gWhich
gofgthegfollowinggshouldgthegnursegidentifygasgagbenefit?g(A/C?)
a) Systemicganalgesicgeffect
b) increasegingyourgmetabolism
c) Decreasedgcapillarygpermeability
d) Vasodilation
35) Nursegisgdevelopinggdischargegcaregplansgforgclientghasgosteoporosis.gTogpreventginjurygthegnursegshouldginstructgthegclientgto
a) Performgweightgbearinggexercises
b) Avoidgcrossinggtheglegsgbeyondgthegmidline
c) Avoidgsittinggingonegpositiongforgprolongedgperiods
d) Splitgaffectedgarea
36) Agnursegongacutegmed-surgicalgunitgisgperforminggassessmentsgongaggroupgofgclients.gWhichgisghighestgpriority?
a) ThegclientghasgsurgicalghypoparathyroidismgandgpositivegTrousseau’sgsign
b) AgclientgwhogwasgClostridiumgdifficilegwithgacutegdiarrhea
c) Agclientgwhogisgacutegkidneyginjurygandgurinegwithgaglowgspecificggravity
d) Thegclientgwhoghasgoralgcancergandgreportsgagsoregonghisggums
37) Nursesgcaringgforgagclientgwasgcongestivegheartgfailure.gWhichgofgthegfollowinggprescriptionsgforgthegprovidergshouldgthegnurse
anticipate?
a) Callgthegprovidergtogclientsgrespiratorygrategisglessg18/min
b) Givegthegclientg500gmLgIVgbolusgofg0.9gsodiumgchloridegoverg1ghr
c) Givegthegclientgenalaprilg2.5gmggPOgtwicegdaily
d) Callgthegprovidergifgthegclientsgpulsegrategisglessgthang80/min
