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1. A nurse is planning care for a preschool-age child
who is in the acute phase of Kawasaki disease. Which
of the following interventions should the nurse
include in the plan of care?
a. Give acetaminophen to control the child’s fever
B. Monitor the client’s cardiac status (Peds p120)
c. Administer antibiotics via intermittent IV bolus for 24 hrs
NURS ATI PN COMPREHENSIVE EXIT EXAM Questions
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d. Provide stimulation with children of the same age
in the playroom
2. A nurse observes a client on the psychiatric unit
muttering and standing near a window. The client
states, “The voices are telling me to jump.” Which of the
following is an appropriate response by the nurse?
a. “Do you recognize the voices as belonging to
NURS ATI PN COMPREHENSIVE EXIT EXAM Questions
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anyone you know?”
B. “I understand the voices are frightening you,
but I do not hear any voices.”
c. “That can’t be true. The only voices in this room are
yours and mine.”
d. “You shouldn’t be afraid when you think the voices
are telling you to hurt yourself.”
Rationale: try to reorient the client back to reality.
NURS ATI PN COMPREHENSIVE EXIT EXAM Questions
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3. 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? (Select all that apply.)
a. “I need an attorney to witness my signature on
the advance directives.” *(nurse witnesses it)
b. “I have the right to refuse treatment.” (Leadership p38)
c. “My doctor will need to approve my advance
NURS ATI PN COMPREHENSIVE EXIT EXAM Questions
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