ATI Comprehensive for Final Exam NCLEX

A home health nurse is caring for a child who has lyme disease. Which of the following is an appropriate action for the nurse to take a. Ensure the state health department has been notified b. Administer antitoxin c. Educate the family to avoid sharing personal belongings d. Assess for skin necrosis - a. Ensure the state health department has been notified A nurse is caring for a client who has been admitted to the hospital. (NGN) - - Provide frequent rest periods - Restrict client sodium intake - Advise client to avoid using soap and alcohol based lotions - Instruct the client to avoid blowing their nose forcefully - Assess the client's lv of orientation A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first? a. Administered an antiemetic medication b. Evaluate functioning of the suction device c. Provide oral hygrine care d. Replace the NG tube - b. Evaluate functioning of the suction deviceWhile performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion device. Which of the following actions should the nurse take first a. Initiate a requisition for a replacement CPM device b. Report the defect to the equipment maintenance staff c. Remove the device from the room d. Ensure the device inspection sticker is current - c. Remove the device from the room A nurse is setting up a sterile field to perform would irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution a. Remove the cap and place it sterile-side up on a clean surface b. Pace sterile gauze over areas of spilled c. Hold the bottle in the center of the sterile field when pouring the solution d. Hold the irrigation solution bottle with the label facing away from the palm of the hand - a. Remove the cap and place it sterile-side up on a clean surface A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan a. Wear loose-fitting underwear b. Take a bubble bath after intercourse c. Drink four 240 ml (8 oz) glasses of water each day d. Void every 5-6 hr during the day - a. Wear loose-fitting underwearA nurse is caring for a newborn. Fiil in the blank (NGN) The client at risk for developing _____ and _____ a. Hypoglycemia b. Bronchopulmonary dysplasia c. Transient tachypnea of the newborn d. Tachycardia - Tachypnea of the newborn and hypoglycemia. A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? a. Pale and a 24-hr fluid deficit of 30 mL b. Sunken fontanels and dry mucous membranes c. Decrease appetite and irritability d. Temperature 38 C and pulse rate of 124/min - b. Sunken fontanels and dry mucous membranes A nurse is conducting health promotion education regarding contraindication to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse includes in the teaching? a. Hypertension b. Fibromyalgia c. Renal calculi d. Fibrocystic breast diseases - a. HypertensionA nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? a. I can continue to take St. john wort while taking this medication b. I know it will be a couple of weeks before the medication helps me feel better c. I expect this medication to raise my blood pressure d. I should take this medication on an empty stomach - b. I know it will be a couple of weeks before the medication helps me feel better