Comprehensive EXIT EXAM EXAM 2024 AND PRACTICE QUESTIONS |ACCURATE ANSWERS| VERIFIED, Exams of Nursing

Download Comprehensive EXIT EXAM EXAM 2024 AND PRACTICE QUESTIONS |ACCURATE ANSWERS| VERIFIED and more Exams Nursing in PDF only on Docsity! ATI comprehensive EXIT EXAM EXAM 2024 AND PRACTICE QUESTIONS |ACCURATE ANSWERS| VERIFIED FOR GUARANTEED PASS |GRADED A |NEW VERSION WITH 150 + QUESTIONS A nurse is preparing to feed a newly admitted patient with dysphasia, which of the following actions should the nurse take - ANSWER Sit at or below the clients are level during feedings A nurse is caring for a client who repeatedly refuses Mills. The nurse over here is an AP telling the client. If you don't eat, I'll put restraints on your wrist and feed you. The nurse should intervene and explain to the AP that this statement constitutes which of the following torts - ANSWER Assault A charge nurse is evaluating the time management skills for a new license nurse. The charge nurse should interview when a newly licensed nurse does which of the following - ANSWER Works on several test simultaneously A nurse is monitoring the client during IV urography procedure which of the following client reports is Priority finding - ANSWER Swollen lips A nurse is planning to delegate client assignments to an AP which of the following task is appropriate for the nurse to delegate - ANSWER Collecting urine sample A nurse is assessing a client with the following vital signs oral temperature: 37.2 (99F) apical pulse rate: 80/min, radial pulse rate: 62/min, respiratory rate: 16/min and BP: 132/40mmhg What is the clients pulse pressure? - ANSWER Systolic pressure subtracted by diastolic pressure (132-40=92) A nurse is caring for a group of clans in a medical surgical unit which of the following situation requires completion of an incident report - ANSWER A client who is IV pump has malfunctioned A nurse is caring for a client who has diabetes, insipidus and is receiving desmopressin which of the following should the nurse monitor - ANSWER weight The nurse is providing discharge instructions about engorgement for a client has decided not to breast-feed, which of the following statements by the client indicates a need for further instruction by the nurse - ANSWER I will manually expressed breastmilk A nurse is caring for a client in preterm labor, who is receiving magnesium sulfate by continuous IV infusion, which of the following client findings indicates medication toxicity - ANSWER Urine output of 20 ML per hour The nurse is completing an assessment for newborn who is two hours old which of the following findings is indicative of cold stress - ANSWER Jitteriness of the hands A nurse is planning care for four clients which of the following clients is the highest priority - ANSWER A client who is wearing an arm cast and reports numb fingers A client who is eight hours postpartum ask the nurse if she will need to receive Rh immune globulin in the client is gravida 2 para 2 in her blood type is AB negative. The newborn blood type is be positive which of the following statements is appropriate. - ANSWER You should receive Rh immune globulin within 72 hours of delivery A nurse is caring for the mother of an adolescent who was killed in a motor vehicle crash after a school event from other states I should never have let him take the car. It's all my fault which of the following responses by the nurse is appropriate. - ANSWER You appear to be feeling overwhelmed A nurse is educating a client about caloric intake and weight reduction, which of the following client statements, indicates an understanding of the teaching - ANSWER If I eat 500 fewer calories per day I should lose 1 pound per week A nurse is teaching postoperative care with the parents of a toddler, following cleft palate repair which of the following should the nurse include in the teaching - ANSWER Remove elbow splints periodically to perform range of motion A nurse is caring for four clients, which of the following task and the nurse delegate to an AP - ANSWER Perform chest compressions during cardiac resuscitation A nurse, an emergency department is serving on a committee that is reviewing the facility protocol for disaster readiness. The nurse should recommend that the protocol include which of the following as a clinical manifestation of smallpox. - ANSWER rash in mouth A nurse is preparing to perform close intermittent bladder irrigation for a client following a transurethral resection of the prostate (TURP) which of the following actions is appropriate by the nurse - ANSWER Apply sterile gloves A nurse is caring for a client who has been taking haloperidol for several years which of the following assessment findings. Should the nurse recognize as a long-term side effects of this medication - ANSWER Lipsmacking A nurse is planning care for a client who has Alzheimer's disease and demonstrates confusion and wandering behavior, which of the following should the nurse include in the plan of care - ANSWER Leave one side rail up on the clients bed A nurse is reviewing the laboratory date of a client who has diabetes, which of the following laboratory test is an indicator of long-term disease management - ANSWER Glycosylated hemoglobin (Ha1c) A nurse on a pediatric care unit is delegating client care which of the following Task should the nurse delegate to an AP - ANSWER Transport a school age child to x-ray A nurse is caring for a client who has been taking propranolol, which of the following findings indicates a need to withhold the medication - ANSWER Pulse 54/min A nurse working in a mental health facility, observes a client who has bipolar disorder walk over to a table occupied by other clients and knock the game off the table which of the following is an appropriate response by the nurse - ANSWER Come outside with me for a walk A nurse is caring for a client who has human immunodeficiency virus (HIV) with neutropenia which of the following precautions should the nurse take while caring for this client - ANSWER Use a dedicated stethoscope for the client. A nurse is checking laboratory results for a client which of the following laboratory findings indicates hypervolemia - ANSWER Urine specific gravity 1.001 A nurse is caring for a group of clients in a long-term care facility which of the following situation should the nurse recognize as a safety hazard - ANSWER A client's rest restraints tied to the bed rails A nurse is caring for a client in mental health facility in the clients. Daughter is crying and tells the nurse that she feels guilty for leaving her father in the hospital which of the following is an appropriate response. - ANSWER I'd like to know more about what's bothering you. A nurse is planning care for a client following gastric bypass surgery. The nurse should include which of the following dietary instructions from preparing the client for discharge. - ANSWER Start each meal with a protein source A nurse is assessing a client who has a chest tube following a thoracotomy, which of the following findings requires intervention by the nurse - ANSWER 1 cm of water present in the water seal A provider has written a do not resuscitate order for a client who is comatose and does not have advanced directives a member of the clans Family says to the nurse. I wonder when the doctor will tell us what's going on which of the following action should the nurse take first. - ANSWER Ask The Family what the provider has discussed with them A nurse is performing a skin assessment on a client who has risk factors for development of skin cancer. The nurse should understand that is suspicious lesion is. - ANSWER Asymmetric with variegated coloring A nurse is caring for a client who has a prescription for atorvastatin, which of the following client conditions is a contraindication to this medication - ANSWER Нерatitis C A nurse is planning care for an adolescent who has chronic renal failure, which of the following action should the nurse include in the plan of care - ANSWER Restrict protein intake to the RDA A nurse is assessing a client one hour following birth, and outside. Her uterus is buggy and located 2CM above the umbilicus which of the following action should the nurse take first - ANSWER Massage the fundus A nurse is caring for a client who is receiving intermittent internal tube feedings which of the following intervention should the nurse perform - ANSWER Position the head of bed at 30° during feeding A nurse is caring for a seven month old infant, who is being treated for severe dehydration, which of the following assessment findings indicates treatment has been effective - ANSWER Flat anterior fontanelle A nurse is providing teaching to a client who has a Soffa Gille cancer and is scheduled to start radiation therapy which of the following should the nurse include in the teaching - ANSWER Wear clothing over the area of radiation treatment A nurse in a providers office is providing education to a client who is 16 weeks of gestation and has a new prescription for Ferrous sulfate which of the following instruction should the nurse provide - ANSWER Take your iron medication with fluids, other than coffee or tea 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. - ANSWER Tell me how often do you drink alcohol? A nurse is observing bonding to the client, her newborn, which of the following actions by the client requires the nurse to intervene - ANSWER Viewing the newborn's actions to be uncooperative A nurse is caring for a client who is taking levothyroxine, which of the following finding should indicate that the medication was effective - ANSWER Weight loss A nurse is planning, discharge teaching for cord care for a parent of a newborn which instructions would you include in the teaching - ANSWER Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection) A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac output - ANSWER oliguria 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. - ANSWER A client with indications of hypovolemic shock A nurse is receiving report on for clients which of the following client should the nurse assess first - ANSWER A client who is chronic kidney disease with cloudy, diasylate outflow A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate nursing intervention. - ANSWER Provide standby assist with the client from bed 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 - ANSWER Head compression 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. - ANSWER Glomerular filtration rate of 14 ML/minute 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. - ANSWER Heat the skin one minute prior to placing the program 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. - ANSWER Client placed in restraints to the aggressive behavior 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 - ANSWER Hypnosis promotes increase control of her pain perception during contractions 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? - ANSWER I think that people just you're just lazy and should earn money honestly 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 - ANSWER glaucoma 16 - ANSWER No questions 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 - ANSWER Obtain a cardiac rehabilitation consult 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 - ANSWER WBC 3,000/mm3 A charge nurse is discussing the use of applying ice to the clients injured knee with a newly licensed nurse, which of the following should the nurse identify as a benefit - ANSWER decreased capillary permeability A nurse is developing discharge care plans for a client who has osteoporosis to prevent injury. The nurse should instruct the client to. - ANSWER Perform weight-bearing exercises A nurse on a cute meds. Surgical unit is performing assessments on a group of clients which is highest priority. - ANSWER A client has surgical hypoparathyroidism, and positive trousseau sign A nurse is caring for a client with congestive heart failure, which of the following prescriptions for the provider should the nurse anticipate - ANSWER Give the client enalapril 2.5 MGPO twice daily. A nurse is caring for a client who has a prescription for sertraline to treat depression, which of the following statements by the client indicates an understanding of the medication treatment plan - ANSWER I understand I may experience difficulty sleeping on this medication A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states I do not know how much longer I can take this, but I'm afraid he'll really hurt me if I leave which of the following is an appropriate nursing intervention - ANSWER Help the client to recognize the signs of escalation of the best behavior A client was having suicidal thoughts tells a nurse it just does not seem worth it anymore. Why not and my misery which of the following responses for the nurses appropriate - ANSWER Do you have a plan to end your life? A nurse is caring for a client who has schizophrenia which of the following assessment findings should the nurse expect - ANSWER Poor problem solving ability A nurse is caring for a client who has deep vein, thrombosis of the left lower extremity which of the following action. Should the nurse take "possible NGN" - ANSWER Withhold heparin IV infusion A nurse is caring for a client with a new prescription of enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse. - ANSWER Inject a medication into lateral abdominal wall A nurse is caring for four clients which of the following client data. Should the nurse report to the provider. - ANSWER A client who has a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 A nurse is caring for a client with end stage osteoporosis and is reporting severe pain clans. Respiratory rate is 14 permanent which of the following medication should the nurse expect to be highest priority to minister to the client. - ANSWER Hydromorphone A nurse is caring for a client who has DVT, which of the following instructions should the nurse include in the plan of care - ANSWER Elevate the client's affected extremity when in bed A nurse is caring for a client who is receiving Oxytocin IV for argumentation of labor. The clients contractions are hurting every 45 seconds within nine second generation the fetal heart rate is 170 to 180 for a minute which of the following action should the nurse take - ANSWER Discontinue Oxytocin infusion A nurse is admitting a client who is in labor and at 38 weeks gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2 which of the following questions is most appropriate for the nurse to ask the client. - ANSWER Do you have any active lesions? A nurse is providing teaching for a child prescribed Ferris sulfate, which of the following instruction should the nurse include - ANSWER Take with a glass of orange juice Four clients present to the emergency department, the nurse should plan to see which of the following clients first - ANSWER a 50-year old client who has slurred speech, is disoriented and reports a headache A nurse is completing a dietary assessment for a client who is Jewish and observes, kosher dietary practices which of the following behaviors should the nurse expect to find - ANSWER meat and dairy products are eaten separately 52 - ANSWER No question A nurse in the ER caring for a client or multiple wins, do to motor vehicle crash, which of the following interventions are appropriate SATA - ANSWER Apply direct pressure to bleeding wounds Cover wounds with a sterile dressing Determine date of last tetanus toxoid vaccination The nurse reviewing clients in Mission laboratory results, which of the findings require further evaluation - ANSWER Creatinine 1.8 A nurse is providing teaching for a client who has a new prescription for methadone, which of the following client statements indicates need for further teaching - ANSWER I understand the methadone may cause me to have difficulty sleeping Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation - ANSWER An older adults who has difficulty taking in fluids A nurse is caring for a group of clients which of the following client should the nurse assess first - ANSWER A client whose abdominal pain and is vomiting coffee ground emesis A nurse is caring for a client who is one day postop follwoing hypophysectomy for the removal of the pituitary tumor, which of the following findings requires further assessment by the nurse - ANSWER Urinary output greater than fluid intake A client with the left leg cast is using crutches for ambulation. The nurse recognizes client needs further instruction when - ANSWER Maintains 3 to 4 finger with between a crutch pad and axilla A nurse is caring for a toddler who has respiratory syncytial virus which of the following action should the nurse plan to take - ANSWER Use a designated stethoscope, when caring for the toddler A nurse is admitting to a client to emergency department in initiates, continuous, cardiac monitoring, which of the following ECG strips, indicate sinus tachycardia - ANSWER B A nurse is planning care for a client to prevent complications of immobility, which of the following action should the nurse include in the plan of care - ANSWER Remove antiembolism stockings for three hours each day to decrease skin breakdown A nurse discovers at the wrong dose of medication is given to the client with determining what action to take. You should recognize that which of the following ethical principle should be applied. - ANSWER Veracity 81 - ANSWER No question A nurse is reviewing the prescription for doxazosin a client which of the following should be included in the teaching - ANSWER Rise slowly, when setting up from bed A nurse, addressing planning to provide teaching too young adult client with insomnia, which of the following should the nurse include in the teaching - ANSWER Consume a high carbohydrate, snack at bedtime A nurse is caring for a client who has a store culture that is positive for clostridium difficile which of the following infection control precautions is appropriate - ANSWER Place the client in private room A nurse is planning care for a child who has increased intercranial pressure with a decreased level of consciousness, which of the following intervention should the nurse include in the plan of care - ANSWER Maintain ahead at a midline position The nurse is assessing a client who is receiving radiation therapy which of the following findings should the nurse expect - ANSWER Platelets 95,000/mm3 A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medication is contraindicated. - ANSWER Methylergonovine A nurse is caring for a client with GERD which of the following assessment findings. Should the nurse expect to find - ANSWER Atypical chest pain A nurse is caring for a newborn who is under phototherapy light switch of the following is an appropriate nursing action - ANSWER Ensure Eyeshield is covering the eyes The nurse is assessing clients, who had a long arm cast, which of the following findings of the dress moderate and when assessing for acute compartment syndrome "question written bad" - ANSWER Edema I just came from client is receiving IV moderate (conscious) sedation with midazolam The client has a respiratory rate of 9/min and is not responding to come out, which is the following is an appropriate action by the nurse.. - ANSWER Administer flumazenil A nurse in a hospital cafeteria overhears to APs discussing a client. They are using the clients name of discuss the details of his diagnosis which of the following action should the nurse take first. - ANSWER Tell the AP to discontinue their conversation A community health nurse is teaching a group of adults about the importance of health screenings the nurse should include African-American males, almost twice as likely as Caucasian males to experience which of the following - ANSWER stroke A nurse is caring for a client who sprained his left ankle 12 hours ago which of the following prescription is given by the provider should the nurse clarify - ANSWER Apply heat to affected extremity for 45 minutes on the 45 is off A nurse is providing dietary teaching for the client who has hepatic and cephalopathy, which of the following foods elections indicates that the client understands teaching - ANSWER Rice with black beans A nurse is planning care for a client with a sailed, radiation implant, and is to remain in the hospital for one week which of the following should the nurse include in the plan of care - ANSWER Where a dosimeter film badge while in the clients room A nurse is caring for four clients which of the following client should the nurse care for first - ANSWER A client with hypothyroidism and has stuporous The nurse is planning care for a newly admitted adolescent who has bacterial meningitis, which of the following instructions is appropriate for the nurse to include in the plan of care - ANSWER Initiate droplet precautions for the client A nurse is giving discharge instructions to a client with a new ileostomy. The nurse should recognize that the teaching has been affected when a client states. - ANSWER My stoma will drain liquid fluid continuously