ATI COMPREHENSIVE EXIT 2024/2025 WITH NGN All 180 Questions And Correct Answers (100% Cor, Exams of Nursing

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ATI COMPREHENSIVE EXIT 2024/2025 WITH NGN All 180

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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? Ensure the state health department has been notified Administer antitoxin Educate the family to avoid sharing personal belongings Assess for skin necrosis Ensure the state health department has been notified 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? Administer an antiemetic medication Evaluate functioning of the suction device Provide oral hygiene care Replace the NG tube Evaluate functioning of the suction device While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion (CMP) device. Which of the following

actions should the nurse take first? Initiate a requisition for a replacement CPM device Report the defect to the equipment maintenance staff Remove the device from the room Ensure the device inspection sticker is current Remove the device from the room A nurse is creating a plan for a female client who has a recurrent UTI. Which of the following interventions should the nurse include in the plan? Wear loose-fitting underwear. Take a bubble bath after intercourse. Drink four 240ml glasses of water each day. Void every 5-6 hr during the day Wear loose-fitting underwear. A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution ? Remove the cap and place it sterile - side up on a clean surface Place sterile gauze areas of spilled solutions within the sterile field Hold the bottle in the center of the sterile field when pouring the solution

Hold the irrigation solutions bottle with the labels facing away from the palm of the hand Remove the cap and place it sterile - side up on a clean surface A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching? Hypertension Fibromyalgia Renal calculi Fibrocystic breast disease Hypertension A 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? "I can continue to take st. john's wort while taking this medication" "I know it will be a couple of weeks before the medication helps me feel better" "I expect this medication to raise my BP" "I should take this medication on an empty stomach" "I know it will be a couple of weeks before the medication helps me feel better" A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? Pale and a 24hr deficit of 30 ml Sunken fontanels and dry mucous membranes Decreased appetite and irritability

Temperature 100.4f and pulse rate 124/min Pale and a 24hr deficit of 30 ml Sunken fontanels and dry mucous membranes Decreased appetite and irritability Temperature 100.4f and pulse rate 124/min A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture? Position a pillow under the client's knees Place a towel roll under the client's neck Align a trochanter wedge between the client's legs Apply an orthotic to the client's foot Align a trochanter wedge between the client's legs A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions should the nurse anticipate? Initiate continuous bladder irrigation Administer a fluid bolus Clamp the catheter tubing for 30 min Obtain a urine specimen for culture and sensitivity

Obtain a urine specimen for culture and sensitivity A nurse is reporting a client's lab tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following lab tests should the nurse plan to report to obtain the prescription for the warfarin? Fibrinogen level aPTT INR Platelet count INR A nurse is assessing a client who is taking haloperidol and is experiencing a pseudoparkinsonism. Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism? Serpentine limb movement Shuffling gait Nonreactive pupils Smacking lips Shuffling gait A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client? Posting swallowing a precaution at the head of the client's bed Noting changes in the treatment plan in the client's medical record Recording the client's progress in the nurses' notes Having interdisciplinary team meetings for the client on a regular basis Having interdisciplinary team meetings for the client on a regular basis

A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating ? Banana slices Grapes Hot dog Popcorn Banana slices A nurse on a medical surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take? Act as a liaison between the facility and the media Recommend to the provider specific acute care clients for discharge Determine the medical needs of incoming clients through the emergency department Call in additional medical surgical unit nursing care staff Determine the medical needs of incoming clients through the emergency department A nurse has just received change of shift report for four clients. Which of the following clients should the nurse assess first? A client who is scheduled for a procedure in 1hr A client who received a pain medication 30 min ago for postoperative pain A client who has just given a glass of orange juice for a low blood glucose level

A client who has 100ml of fluid reaming in his IV bag A client who has just given a glass of orange juice for a low blood glucose level A nurse is performing postmortem care for a recently decreased client prior to the clients family visit. Which of the following actions should the nurse plan to take? Cross the client's arms across their chest Hold the client's eyes shut for a few seconds Place the client's in a high fowler's position Remove the client's denture from their mouth Hold the client's eyes shut for a few seconds A nurse is admitting a client who has schizophrenia. The client states, "Im hearing voices." Which of the following responses is the priority for the nurse to state? 'What are the voices telling you?' "I realize the voices are real to you, but i don't hear anything" 'Have you taken your medication today?' "How long have you been hearing the voices?" 'What are the voices telling you?' A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?

Increased BP Weight loss Decreased inflammation Decreased pain Weight loss A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take? Send the unsigned informed consent form to the facility's risk manager Determine if the client's health surrogate is aware of the risks and benefits of the procedure. Ensure that the client's family supports the provider's decision for surgery Determine iff the procedure is medically necessary for the client. Determine if the client's health surrogate is aware of the risks and benefits of the procedure. A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if they medication can be given 2 hr earlier. Which of the following statements should the nurse make? I can start the medication 30 mins earlier I can adjust the time and schedule for when it's convenient for you I can infuse the medication at a faster rate I have up to 2 hours after the usual schedule time to give you this medication I can start the medication 30 mins earlier

**A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take? Document the client's behaviour prior to being placed in seclusion Assess the client's behaviour once every hour Offer fluids every 2 hr Discuss with the client his inappropriate behavior prior to seclusion. Offer fluids every 2 hr Discuss with the client his inappropriate behavior prior to seclusion. A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should the nurse take? Administer oral acetaminophen Cover the adolescent with a thermal blanket Submerge the adolescent's feet in ice water Initiate a seizure precautions Initiate a seizure precautions A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? I cannot be a witness for your consent to donate You must be at least 21 years of age to become an organ donor

Your desire to be an organ donor must be documented in writing Your name cannot be removed once you are listed in the organ donor lost Your desire to be an organ donor must be documented in writing A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session? Encourage clients to establish a timeline for their own grieving process. Initiate a discussion with clients about ways to cope with changes in family dynamics. Assist clients in identifying ways suicide could have prevented Discourage clients from sharing negative aspects of their relationship with the decreased persons. Initiate a discussion with clients about ways to cope with changes in family dynamics. A nurse is developing a care plan for a client who is buck's traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an AP? Ask the client to describe her pain Check the client's pedal pulse on the right leg Observe the position of the suspended weight Remind the client to use the incentive spirometer Remind the client to use the incentive spirometer

A nurse is caring for a client who is repeatedly refuses meals. The nurse over hears and AP telling the client " If you dont eat. Ill out restraints on your wrist and feed you." The nurse should intervene and explain to the AP that is statement constitutes which of the following torts? Battery Assault Negligence Malpractice Assault NG NG NG NG NG NG A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching? Soak feet twice daily Round the edges of toenails when trimming Use moisturizing lotion between the toes Wear clean cotton socks every day Wear clean cotton socks every day A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?

Instruct the client to lift her chin when swallowing Talk with the client during her feeding Sit at or below the client's eye level during feedings Discourage the client from coughing during feedings. Sit at or below the client's eye level during feedings A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? Polyuria Hypotension Weight loss Hematuria Hematuria A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating? Fidelity Veracity Autonomy Beneficence Beneficence A nurse in an ER department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take? Use leading statements to obtain information from the child

Ensure that multiple nurses are present for the physical examination Explain to the child what will happen when the abuse is reported Reassure the child that no one will be told about the abuse Explain to the child what will happen when the abuse is reported A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention? Using an electronic messaging system to remind clients when to take medications Educating the clients about contraindications to specific immunizations Helping clients understand health screenings covered by their insurance plans Providing clients with information about the benefits of exercise Using an electronic messaging system to remind clients when to take medications A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? Most people who have this procedure feel better following the treatment Your doctor wouldn't have ordered this treatment unless it was necessary Its okay to the nervous before this treatment You dont have to go through with the treatment

You don't have to go through with the treatment A nurse is teaching a new parent about breastfeeding her 2 - week-old infant. Which of the following statements by the parent indicates an understanding of the teaching? After 5 to 10 mins when the breast is emptied, my baby should be removed from the breast Manually expressing my milk will decrease my milk supply My baby should always start on the same breast when feeding The more my baby is at the breast sucking, the more milk i will produce The more my baby is at the breast sucking, the more milk i will produce A nurse is preparing to reposition a cilient who had a stroke. Which of the following actions should the nurse take? Evaluate the client's ability to help with repositioning Reposition the client without the use of assistive devices Raise the side rails on both sides of the client's bed repositioning Discuss the client's preferences for determining a repositioning schedule Evaluate the client's ability to help with repositioning A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? I can go jogging after 2 weeks

I should bend at the waist when putting on my shoes I can lift objects that are less than 10 pounds I can resume activities, such a sewing I should bend at the waist when putting on my shoes A nurse is providing discharge about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? Speak slowly when talking to the interpreter Pause in the middle of sentences Speak directly to the client Use gestures to convey meaning Speak directly to the client A nurse is providing teaching to a client who has a new prescription for Enoxaprin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? Ibuprofen Naproxen sodium Acetaminphen Aspirin Acetaminphen A nurse is receiving a change of shift report for a group of clients. Which of the following clients should the nurse plan to assess first?

A client who has epidural analgesia and weakness in the lower extremities A client who has a hip fracture and a new onset of tachypnea A client who has sinus arrhythmia and is receiving cardiac monitoring A client who has diabetes mellitus and an HbA1c of 6.8% A client who has a hip fracture and a new onset of tachypnea A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis? Scrum Palms of the hands Shoulders Area of trauma Palms of the hands A charge nurse is teaching new staff members about factors that increase a client's risk of becoming violent. Which of the following risk factors should the nurse include as the best predictor of future violence? A history of being in prison Male gender Experiencing delusions Previous violent behavior Previous violent behavior A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? Temperature 99.3f Early decelerations in the FHR

FHR baseline 170/min Contractions lasting 80 seconds FHR baseline 170/min A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify as being complete? Tetracycline 200mg PO Epoetin alfa 150 units/kg three times weekly Digoxin 0.25 mg PO daily Cimetidine PO twice daily Digoxin 0.25 mg PO daily NG A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first? A client who is ambulatory and receiving oxygen A client who has a fracture and is in balance suspension traction A client who is bedridden and wears a hearing aid A client who uses a wheelchair and is confused A client who is ambulatory and receiving oxygen SATA A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?

How to operate the portable machine How to secure the tracheostomy tube with ties at the back of the neck How to change the non disposable tracheostomy tube daily How to change the tracheostomy dressing using clean technique How to operate the portable machine A nurse is caring for a client who reports xerostomia(dry mouth) following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? Suggest rinsing his mouth with an alcohol-based mouthwash Provide humidification of the room air Offer the client saltine crackers between meals Instruct the client in the use of esophageal speech Provide humidification of the room air A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? Launch a media campaign to increase awareness about industrial pollution Have nurse from outside the community provide health lecture at the county hospital Provide anticipatory guidance classes to parents through public schools

Provide anticipatory guidance classes to parents through public schools A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect? Drooling Malaise Tinnitus Rhinorrhea Malaise NG NG NG NG NG NG A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take? Position the client on the affected side for 4hr following the procedure Instruct the client to avoid coughing during the procedure Inform the client that he will be NPO for 6hr prior to the procedure Place the client in the prone position during the procedure Instruct the client to avoid coughing during the procedure A nurse is assessing a 2-year-old toddler. Which of the following findings should the nurse expect? Head circumference exceeds chest circumference

Palpable fontanels Natural loss of deciduous teeth Nontender, protruding abdomen Nontender, protruding abdomen A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include? Remove the client's restraint every 4hr Document the client's condition every 15 min Request a PRN restraint prescription for clients who are aggressive Attach the restraint to the bed's side rails Document the client's condition every 15 min A nurse in a PACU is transferring care of a client to a nurse in the medical- surgical unit. Which of the following statements should the nurse include in the handoff report? The estimated blood loss was 250 milliliters The client is a member of the board of directors There was a total of 10 sponges used during the procedure The client was intubated without complications The estimated blood loss was 250 milliliters A nurse is an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first?

Determine the client's Glasgow Coma Scale Score Insert an indwelling urinary catheter for the client Administer mannitol IV bolus to the client Prepare the client for an MRI of the brain Determine the client's Glasgow Coma Scale Score A nurse is an emergency department is caring for a client following a motor - vehicle trash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect? The client is oriented times three The client opens eyes to sound The client is unable to obey commands The client withdraws from pain The client is oriented times three A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying? First-degree atrioventricular block Complete heart block Premature atrial complexes

Atrial fibrillation First-degree atrioventricular block A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? Amputation Osteoarthritis Hypertension Primary glaucoma Hypertension ng A case manager is meeting with a client who asks about using alternative therapies to manage her RA. Which of the following statements should the nurse make? We can review some information to help you select a safe alternative practitioner If there are therapies available to you, your provider will tell you about them Feel free to try whatever therapies that fit within your personal belief system Im sure you can find alternative remedies through an online support group We can review some information to help you select a safe alternative practitioner A nurse is preparing to obtain a health history from a client who is on bed rest. Which of the following positions should the nurse take to place the client at ease? Sit in a chair next to the bed

Stand at the side of the bed Sit on the bed next to the client Stand at the foot of the bed Sit in a chair next to the bed A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal? Bulging fontanels Acrocyanosis Bradycardia Hypertonicity - appear stiff/trouble moving muscles. Hypertonicity A nurse is caring for a client who is receiving TPN. The bag has 20ml remaining to infuse, but a new bag is not readily available. Which of the following actions should the nurse take? Administer dextrose 10% in water Give 500ml of lactated Ringer's solution Slow the TPN infusion rate Temporarily discontinue the infusion Administer dextrose 10% in water

A nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? find the spot upper and lower lobes of the lungs, near the clavicles and below the breasts, as well as the midclavicular and anterior axillary lines. A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching? The immunization for varicella should be given at least 1month prior to delivery You can receive the rubella immunization during the third trimester of pregnancy The hep B immunization should not be obtained until after you finish breastfeeding You can receive the immunization for influenza at any time during your pregnancy You can receive the immunization for influenza at any time during your pregnancy A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching? Apply petroleum jelly to soothe the mucous membranes Use synthetic fabrics for the client's bedding Clean the equipment with an alcohol-based cleaning product Avoid using nail polish remover around the client Avoid using nail polish remover around the client A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter. Which of the following instructions should the nurse

include in the teaching? Place tongue on the mouthpiece of the meter Maintain a semi-Fowler's position during testing Record the average of the readings Blow into the meter as hard and quickly as possible Blow into the meter as hard and quickly as possible A nurse is caring for a client who is 12hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer? Bisacodyl 10mg rectal suppository Magnesium hydroxide 30ml PO Famotidine 20mg PO Loperamide 4mg PO Magnesium hydroxide 30ml PO A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include? Perform chest percussion and postural drainage at least twice daily Restrict intake of foods that contain gluten Administer pancreatic enzymes on an empty stomach