1. A nurse, an emergency department complete an assessment on an
adolescent client that has conduct disorder. The client threaten suicide to a
teacher at school which of the following statements should the nurse include
in the assessment.: Tell me how often do you drink alcohol?
2. A nurse is observing bonding to the client, her newborn, which of the
following actions by the client requires the nurse to intervene: Viewing the
newborn's actions to be uncooperative
3. A nurse is caring for a client who is taking levothyroxine, which of the
following finding should indicate that the medication was effective: Weight
loss
4. A nurse is planning, discharge teaching for cord care for a parent of a
newborn which instructions would you include in the teaching: Keep the cord
dry until it falls off (cord should be kept clean and dry to prevent infection)
5. A nurse is assessing a client in PACU, which of the following findings
indicates decreased cardiac output: oliguria
6. A nurse is assisting with mass, casualty triage explosion at a local
factory which of the following client. Should the nurse identify as a priority.:
A client with indications of hypovolemic shock
7. A nurse is receiving report on for clients which of the following client
should the nurse assess first: A client who is chronic kidney disease with
cloudy, diasylate outflow
8. A nurse is caring for a client just received the first dose of lisinopril.
The following is appropriate nursing intervention.: Provide standby assist with
the client from bed
9. A nurse is caring for a client who is in labor, and is receiving
electronics fetal monitoring. The nurse is reviewing the monitor tracing in
notes early decelerations, which of the following should the nurse expect:
Head compression
, ATI comprehensive EXIT EXAM
10. A nurse is caring for a client who has chronic kidney disease. The nurse
should identify which of the following laboratory values as an indication of
hemodialysis.: Glomerular filtration rate of 14 ML/minute
11. A nurse is caring for an infant who has prescription for continuous pulse
oximetry. The following is an appropriate action for the nurse to take.:
Heat the skin one minute prior to placing the program
12. A nurse in a mental health facility receives a change of shift report on
four clients which of the following client. Should the nurse plan to
assess first.: Client placed in restraints to the aggressive behavior
13. A nurse working at the clinic is teaching a group of clients who are
pregnant on the use of nonpharmacological pain management, which of
the following statement by the nurse is an appropriate description of the
use of hypnosis during labor: Hypnosis promotes increase control of her
pain perception during contractions
14. A nurse in a County Jail health clinic is leading group therapy session. A
client who was incarcerated for theft is addressing the group. Which of
the following is an example of reaction formation?: I think that people just
you're just lazy and should earn money honestly
15. A nurse is obtaining a medical history of a client who has a new
prescription for Isosorbide monotitrate which of the following should the
nurse identify as a contraindication to medication: glaucoma
16. 16: No questions
17. The nurse is caring for a client recovering from an acute myocardial
infraction, which of the following intervention should the nurse include
in the point of care: Obtain a cardiac rehabilitation consult
18. A nurse is caring for a client who has breast cancer and has been
covering receiving chemotherapy, which of the following laboratory
value should nurse report to the provider: WBC 3,000/mm3
, ATI comprehensive EXIT EXAM
19. Home health nurse is carefully planned for Alzheimer's disease to the
following action. Should the nurse include in the plan of care: Place a
daily calendar in the kitchen
20. A nurse is performing change of shift assessments on four clients which
of the following findings. Should the nurse report to the provider first.:
Client who has gastroenteritis and his lethargic and confused
21. A nurse is caring for a client who is in the second trimester of pregnancy
and ask how to treat constipation which of the following statements by
the nurse is appropriate: Drink hot water with lemon juice each morning
when you wake up
22. 22: No question
23. A nurse is caring for a client who is preparing his advance directives,
which of the following statements by the client indicates an
understanding of advance directives SATA: I have the right to refuse
treatment
My health care proxy can make medical decisions for me
24. A nurse is caring for a client who is 32 weeks gestation and has a history
of cardiac disease which of the following positions to the nurse place the
client to best promote optimal, cardiac output: Left lateral
25. A nurse is caring for a group of clients which of the following client.
Should the nurse assigned to an AP.: Client who had a cerebral vascular
accident two days ago, and needs help toileting
26. A nurse is providing discharge, teaching to a client who has
schizophrenia, isn't starting therapy with clozapine which of the
following is the highest priority for the client to report to the provider:
Fever
27. A nurse observes an AP providing care to a child, who is in a skeletal
traction, which of the following action requires intervention: Placing
weights as a child's bed