EXIT EXAM ATI 2022
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. which of the following statements by the parent indicates an understanding of the teaching? - correct answer I will use the cool mist vaporizer in my baby's room a nurse is reinforcing teaching with a client who has a new prescription for verapamil. which of the following instructions should the nurse include in the teachings? - correct answer change positions slowly a nurse receives change of shift report for a group of clients. which of the following clients should the nurse check first? - correct answer a client admitted to the facility who has ascending Guillain barrel syndrome a nurse is caring for a client who has chlamydial infection and the new prescription for doxycycline the client reports nausea and vomiting after starting medication. which of the following recommendations should the nurse make? - correct answer take the medications with crackers a nurse is caring for a client who is postoperative following joint replacement and has a new prescription for enoxaparin for which of the following adverse effects should the nurse monitor? - correct answer epistaxis a nurse is collecting a health history from a parent of 4-year-old child. which of the following statements to be is the priority for the nurse to address? - correct answer I have noticed that my child is withdrawn since we switched day care providers a nurse is caring for a client who has heart failure and is taking furosemide. which of the following findings should the nurse recognize as an adverse effect of this medication? - correct answer hypokalemia a nurse is reinforcing teaching about home safety with a parent of a 12-month-old infant. which of the following statements by the parent indicates understanding of the teaching? - correct answer I will turn pot handles to the side of the stove while cooking 1 / 3
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian culture which of the following communication techniques by the nurse demonstrates cultural sensitivity? - correct answer holding eye contact for brief instances a nurse is checking for gastric residual volume (GRV) on a client who is scheduled to receive an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML on two consecutive measurements. which of the following actions should the nurse take? - correct answer hold the feeding and recheck the GRV in 1 Hr.a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the following tasks should the nurse delegate to the AP? - correct answer performing indwelling urinary catheter care a nurse is caring for a client who has terminal cancer which of the following actions should the nurse take to promote the client’s autonomy? - correct answer be honest with the client about prognosis a nurse finds client's partner crying in the hallway the partner states I just don't know how I am to go on after my husband is gone. which of the following responses should the nurse make? - correct answer explain to me more about how you are feeling a nurse is caring for an adolescent client who has bulimia nervosa. which of the following action should the nurse take? - correct answer observe the client during and after meals a nurse is checking a client who is postoperative and has a midline abdominal incision. the nurse notes a separate of the incision. which of the following actions should the nurse take? - correct answer place the client supine with the knee flexed a nurse is caring for a school age child who has ADHD and is taking methylphenidate. the nurse should identify which of the following is the adverse effect of this medication? - correct answer Tinnitus a nurse is administering medication to a client. which of the following actions should the nurse take? - correct answer verify with another nurse when calculating a new dose of medication 2 / 3
a nurse is preparing to administer protamine to a client. which of the following therapeutic effects should the nurse expect to document in the client’s medical record? - correct answer decreased clotting time a nurse is caring for a client in a mental health facility who is pacing back and forth and wringing his hands. which of the following actions should the nurse take? - correct answer walk with the client to the recreation room a nurse is caring for a client who is 2 days postoperative following an above the new amputation. which of the following actions should the nurse take to promote progression toward independence and mobility for the client? - correct answer encourage the client to use the over the bed trapeze a nurse is at a pediatric clinic and is checking the vital signs of a 2-month-old infant prior to administrating immunizations. the nurse should recognize that a respiratory rate of 30/min indicates which of the following findings? - correct answer the reference rate is within the expected reference range a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago. which of the following findings should the nurse expect? - correct answer report of lochia a nurse is reinforcing discharged teaching with the family of a client who has dependent personality disorder. which of the following instructions should the nurse include in the teachings? - correct answer assume responsibility for making the clients decisions a charge nurse in a long-term care facility notices the smell of alcohol on a nurse’s breath which of the following actions should the nurse take first? - correct answer remove the nurse from the client care area a nurse is supervising an assistive personnel (AP) which of the following actions by the AP indicates effective use of the client care materials? - correct answer wear clean gloves when assisting a client with oral hygiene a nurse is preparing to administer spironolactone and lisinopril to a client the client reports anxiety dyspnea and weakness of the legs which of the following actions should the nurse take first? - correct answer withhold the prescribed medication?
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