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ATI COMPREHENSIVE EXIT FINAL With Answers | 100% CORRECT UPDATED

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COMPREHENSIVE ATI QUESTIONS

1.                  A nurse is caring for a client who is experiencing a diazepam overdose.
Which of the following medication should the nurse administer?
A nurse is caring for a client who is febrile. To reduce the client’s fever, the
nurse applies a cooling blanket. Which of the following findings indicates the
client is having an adverse reaction to the cooling?
A nurse is planning care for a client who sustained a major burn over 20% of
the body. Which of the following interventions should the nurse include to
support the client’s nutitional requirements
A nurse is caring for a client who has severe hypertension and is to receive
nitoprusside via continuous IV infusion. Which of the following actions should
the nurse plan to take?
 

2.                  A nurse is caring for a client who is recovering from an amputation for her
right arm below the elbw. Which of the following information should the nrurse
A nurse is caring for a client who has cancer of the throat and is
receiving radiation therapy. The nurse should monitor for which of the following
findings as an adverse effect of the radiation?

7. A nurse in an intensive care unit is assessing a client who has heart failure
and has been receiving metoprolol for 3 days. Which of the following findings
indicates the treatment has been effective?
8. A nurse is admitting a client who has schizophrenia and experiences
occasional auditory hallucinations. The client states “Its hard not to listen to the
voices” which of the following questions should the nruse ask the client?
9. A nurse is preparing to administer cefpodoxime 10 mg/kg/day PO divided
equally every 12 hr to a child who weighs 66lbs. available is cefpodoxime 20
mg/ml oral solution. How many Mls should the nurse administer per dose?
10. A nurse is teaching a client who has chronic urinary tract infections. Which of
the following instructions should the nurse include?

11. A nurse is assessing the coping strategies of a client who has recently retired.
Which of the following statements by the client indicates that the client is using
compensation as a defense mechanism?

12. A nurse is caring for a client who is recovering from an amputation of her
right arm below the elbow. Which of the following information should the nurse
report to the occupational therapist?

13. A nurse is providing teaching to a client who is at 12 weeks of gestation. The
nurse should tell the client that she will undergo which of the following
screening tests at 16 weeks of gestation?

14. A nurse is planning care for a client who is 3 days postoperative following a
below the knee amputation. Which of the following actions should the nurse
include in the plan?
15. A nurse is assessing a client who is pregnant and has new diagnosis of
hyperemesis gravidarum. Which of the following findings should the nurse
expect?
16. A nurse is providing discharge teacing to a client who has type 1 dm about
preventing diabetic ketoacidosis when ill. Which of the following statements by
the client indicates an understanding of the teaching?
17. A nurse is caring for a client who has schizophrenia and is experiencing
delusions. Which of the following actions should the nurse take?
18. A nurse is teaching a wellness class about depression for a group of older
adults clients. Which of the following information should the nurse include in the
teaching?
19. A nurse is preparing for discharge information for a client who has type 2
dm. which of the following information resources should the nurse provide to
the client?

20. A nurse is preparing to perform a heel stick on an infant. Which of the
following actions should the nurse plan to take to reduce the infant’s pain during
the procedure?
21. A nurse is administering a continuous enteral feeding to a client.
Which of the following actions should the nurse take?
A nurse is preparing to obtain a clients signature on an informed consent
22. form. Which of the following actions should the nurse take first?
23. A nurse is preparing to obtain a client’s signature on an informed consent .
which of the following actions should the n take first ?
24. A nurse is planning care for a client who is receiving continuous enteral tube
feedings through an open system, which of the interventions should the nruse
include in the plan of care?
25. A nurse on an antepartum unit is prioritizing care for multiple clients. Which
of the following clients should the nurse see first?

26. A nurse is providing discharge teaching for the guardian of a school age child
following a cardiac catheterization instructions should the nurse include in the
teaching?

27. A nurse in an emergency department is caring for a 3 year old child who has
suspected epiglottis. Which of the following actions should the nurse take?
28. A nurse is preparing to provide discharge teaching to a client who is newly
diagnoses with diabetes mellitus. Which of the following statements by the client
indicates a readiness to learn?
29. A home health nurse is preparing to make an initial visit to a family following
a referral from a local provider. Identify the sequence of steps the nurse should
take when conducting a home visit.

30. A nurse is teaching a guardian of an adolescent who has mild persisten
asthma and a new prescription for maintenance prednisone. Which of the
following statements by the guardian indicates an understanding of the
teaching?

31. A nurse is using an IV pump for a newly admitted client. Which of the
following actions should the nurse take?

A nurse is assessing a client who is receiving daily aspirin therapy. The nruse
32. should identify that which of the following findings might indicate an allergic
reaction to this medication?
33. A nruse manager is developing a protocol for staff discipline. Which of the
following actions should the nruse manager take when impliemnting this new
protocol?
34. A nruse is caring for a 1 month old infant who has manifestation of severe
dehydration and a prescription for parenteral fluid therapy the guardian asks:
what are the idications that my baby needs an iv?” which of the following
responses should the nurse make?
35. A nurse on a mental health unit is planning room assignments for four
clients. Which of the following clients should the nurse assign to a room near the
nurses station?
36. A nurse is perfomring an abdominal assessment as part of a cleints
comprehensive physical examination. Which of the following is the final step the
nurse should perform?
37. A nurse is teaching a client who is pregnant and has a new prescription for an
iron supplement. Which of the following statements should the nurse include?
38. A nurse is teaching a client who is receiving radiation therapy about skin
protection. Which of the following client statements understanding of the
teaching?
39. A nurse is caring for a client who is 4 hr postpartum. The client reports an
urge to void but is unable to void. Which of the following actions should the
nurse take?
40. A nurse is preparing educational material for a client. Which of the following
techniques should the nurse use in creating the material?
41. A nurse is reviewing laboratory findings for a client who is receiving tpn. For
which of the following findings should the nurse notify the provider?
42. A nurse is providing discharge teaching to a client who is postoperative
following surgery for carpal tunnel syndrome. Which of the following statements
by the client indicates an understanding of the teaching?
43. A nurse is planning care for a client who has an L4 spinal cord injury. Which
of the following interventions to prevent skin breakdown should the nurse
include in the plan of care?
44. A nurse is caring for a client who repeatedly refuses meals. The nurse
overhears an AP telling the client” if you don’t eat ill put restraints on your wrists
and feed you. The nruse should intervene and explain to the AP that this
statement constitutes which of the following torts?
45. A nurse is caring for a client who reports insomnia. Which of the following is
the priority for the nruse to report to the provider?
46. A nurse is teaching a client who has heart failyre about engaging in an
exercise program. Which of the following statements by the client indicates an
understandings of the teaching?
47. A nurse is assessing a client who has anorexia nervosa. Which of the
following findings indicates effectiveness of the treatment plan?
48. A nurse is assessing a client to determine the needs for physical restraints.
The nurse should identify which of the following as an acceptable reason to
apply physical restraints.
49. A nurse is reviewing the laboratory results of a client who is taking
cyclosporine following a kidney transplant. Which of the following findings
should the nurse report to the provider?
50. A nurse is planning a community health program about parkinsons disease,
which of the following interventions should the nurse include as a tertiary
prevention strategy?
51. A nurse is creating a plan of care for a newly admitted client who has
obsessive compulsive disorder. Which of the following interventions should the
nurse include?
52. A nurse is teaching a client who has alcohol use disorder about disulfiram.
Which of the following client statements indicates an understanding of the
teaching?
53. A nurse is assessing a client who has type 1 diabetes mellulitis and was
administered insulin lispro 1 hr ago. Which of the following manifestations
indicates that the client might be experiencing hypoglycemia?
54. A nurse is preparing to initiate intravenous fluids via infusion pump for a
client. Which of the following actions should the nurse take?
55. A nurse is caring for a client who will undergo a procedure. The client states
he does not want to provider to discuss the results with his partner . which of the
following is an appropriate response for the nurse to make?
56. A nurse is caring for a client who is obese. The client is crying and states
“everyone is staring at me because o my weight.” Which of the following
responses should the nurse make?
57. A nurse is teaching a group of clients at a community health fair about
genetic risks for diseases. Which of the following statements by a client indicates
an understanding of the teaching?
58.A nurse manager is planning a performance evaluation for a staff nurse.
Which of following actions should the nurse manager take?
59. A nurse is caring for a client who has acute glomerulonephritis. The nurse
should identify that which of the following findings is the priority?
60. A nurse is teaching participants at a community center about advance
directives. Which of the following information should the nurse include in the
teaching?
61. 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?
62. A nurse is caring for a client who is postoperative and has a chest tube
drainage system. For which of the following findings should the nurse notify the
provider?
63. A nurse is planning care for a client who is receiving hemodialysis. Which of
the following actions should the nurse include in the plan of care?
Check the vascular access site for bleeding after dialysis
64. A nurse is preparing to administer vancomycin IV to an adult client. The
client asks the nurse if the medications can be given 2 hr earlier. Which of the the
following statements should the nurse make?
65. A nurse is preparing to administer a medication that is available in a glass
ampule. Which of the following actions should the nurse plan to take?
66. A nurse is caring for a client who had heart failure. For which of the following
lab values should the nurse withhold the client’s morning dose of digoxin and
contact the provider
67. A nurse is assessing a client who had an uncomplicated vaginal birth 3 days
ago. In which of the following locations should the nurse expect to palpate the
clients fundus?
68. A nurse is planning care for a client who is chinese American and reports
adhering to chinese culture postpartum practices. Which of the following should
the nurse anticipate?
69. A nurse is caring for a client who speaks a language different from the nruse.
Which of the following actions should the nurse take?
70. A charge nurse on a medical surgical unit is planning assignments for a LPN
who has been sent from the postpartum unit due to a staffing shortage for the
shift. Which of the following client assignments should the nruse delegate to the
LPN?
71. A nurse is caring for a 1 day old newborn who has jaundice and is receiving
phototherapy. Which of the following actions shoul the nurse take?
72. A nurse is providing discharge teaching to a client who has a new
prescription for phenelzine. The nurse should instruct the client that is safe to
eat which of the following foods while taking this medication?
73. A nurse in a PACU is caring for a client who is postoperative following a knee
arthroplasty using general anesthesia. Which of the following findings should the
nurse report to the provider immediately?
74. A nurse is planning care for a group of clients. Which of the following
methods should the nurse use to manage time effectively?
75. A nurse is assessing a client who is receiving peritoneal dialysis for
manifestation for peritonitis. Which of the following findings should the nurse
identify as the first indication of peritonitis?
76. A charge nurse is supervision the care of four clients. For which of the
following occurrences should the nurse complete an incident report?
77. A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not want life sustainging measures. The clients family
wants the client to have life sustaining measures. Which of the following actions
should the nurse take?
78. A nurse is preparing to administer a NG tube feeding to a school age child.
Which of the following actions should the nurse plan to take?
79. A nurse is reviewing the lab report of a client who has been receiving lithium
carbonate for the past 12 months. The nurse notes a lithium level of 0.8. which of
the following orders from the provider should the nurse expect?
80. A nurse is a mental health facility is aring for a child who is experiencing a
panic level of anxiety. Which of the following actions should the nurse take?
81. A nurse is teaching a group of newly licensed nurses about client advocacy.
Which of the following statements by a newly licensed nurse indicates an
understandings of the teaching?
82. A nurse in a surgical clinical is teaching to a client who is scheduled for a
modified radical mastectomy. Which of the following statements by the client
indicates an understanding of the teaching?
83. A nurse is preparing to perform a dressing change on a preschooler. Which of
the following actions should the nurse to prepare the child for the procedure?
84. A nurse is teaching a client who has a new prescription for oxycodone
extended release. Which of the following instructions should the nurse include?
85. A Charge nurse is teaching a group of newly licensed nurses about the correct
use of restraints. Which of the following examples should the charge nurse
include in the teaching?
86. A charge nurse is teaching a newly licensed nurse about the facilities
computerized documentation system. Which of the following information should
the nurse include?
87. A nurse overhears two assisteve personals discussing care for a client while
in the elevator.. which of the following actions should the nurse take?
88. A nurse is assessing a client who is 1 day postoperative following the
placement of an ileostomy. Which of the following findings should the nurse
report to the provider?
89. A nurse is providing teaching to a client who has heart failure and a new
prescription for furosemide. Which of the following statements should the nurse
make?
90. A home health nurse is performing a home safety evaluation for an older
adult client who uses a walker. The nurse should identify that which of the
following findings indicates proper home safety?
91. A nurse is assessing a school age child who has a urinary tract infection.
Which of the following should the nurse expect?
92. A nurse is teaching a newly licensed nurse about incident reports. Which of
the following statements by the newly licensed nurse indicates an
understandings of the teaching?
93. A nurse is caring for a client who has preeclampsia and is receiving
magnesium sulfate. The nurse should identify that which of the following
findings is a manifestation of magnesium toxicity?
94. A nurse is preparing to teach the parents of a child who ahs cystic fibrosis.
Which of the following instructions should the nurse plan to include?
95. A nurse is admitting a client who has a blood culture positive for MRSA.
There are no private rooms available. The nurse should place the client in a room
with which of the following clients?
96. A nurse is caring for a client who is at 11 weeks of gestation. Which of the
following immunixation should the nurse recommend?
Influenza
97. A nurse is reviewing home recommendations with a client who is
postoperative following knee surgery. Which of the following recommendations
should the nurse make?
98. A nurse is caring for a client who has gestational hypertension and is
experiencing toxic effects due to magnesium sulfate therapy. The nurse shoud
anticipate administering which of the following medications?
99. A nurse is providing teaching about crutch safety to a client. Which of the
following client actions indicates an understanding of the teaching?
100. A nurse is caring for a client who is 12 hr postoperative following a TURP.
Which of the following findings should the nurse report to the provider?
101. A nurse on a mental health unit is caring for a client who is being admitted
immediately following a sexual assault. Which of the following interventions
should the nurse include in the plan of care?
102. A nurse is assessing an older adult client for social isolation. The nurse
should identify that which of the following statements by the client indicates a
risk for social isolation?
103. A nurse is caring for a group of clients. Which of the following actions by the
nurse demonstrates client advocacy?
104. A nurse in an ER is caring for a client who has a closed head injury. Which of
the following actions should the nurse take first?
105. A nurse is preparing to assist with the lumbar puncture of an infant. The
nurse should plan to place the infant in which of the following positions?
106. A nurse is caring for a school age child who has sickle cell anemia and is in
vaso occlusive crisis. Which of the following actions should the nurse take?
107. A nurse is caring for a client who ahs chronic kidney failure and a serum
potassium level of 6.8. which of the following actions should the nurse take?
108. A nurse is caring for a client who is wearing antiembolic stockings. Which of
the following interventions should the nurse include in the plan of care?
109. A nurse in a family practice clinic for idiopathic scoliosis. Which of the
following assessments should the nurse perform as part of this screening ?
110. A nurse is educating the guardian of a toddler about the behaviors to expect
immediately following discharge. Which of the following statements should the
nurse include in the teaching?
111. A nurse realizes that the wrong medication has been administered to a client.
Which of the following actions should the nurse take first?
112. A nurse is preparing to assist the provider with a paracentesis for a client who has
ascites. Which of the following actions should the burse plan to take?
113. A nurse is caring for a client who is in the advanced stage of ALS. Which of the
following referral is the nurses priority?
114. A nurse is working in a health department is conducting a health screening for a
group of farmworkers. Which of the following client statement indicates a possible
health risk?
115. A nurse is caring for a client who received a transfusion of 250 mo of packed RBCs.
The nurse should identify that which of the following findings indicates the client is
responding positively to the transfusion?
116. A nurse is caring for a group of client who have chronic pain. Which of the following
clients should the nurse identify as a candidate for OT?
117. A nurse is planning care for a client who has unilateral paralysis and dysphagia
following a right hemisphere stroke. Which of the following interventions should the
nurse include in the plan?
118. A nurse is assessing a client who is postoperative and has a history of pulmonary
embolism. Which of the following findings is the priority for th nurse to report to the
provider?
119. A nurse is providing dietary teaching to a client who had CKD. Which of the
following instructions should the nurse include?
120. A nurse is preparing to obtain a health history from a client who is on bedrest.
Which of the following positions should the nurse take to place the client at ease?
121. A newly licensed nurse is reviewing the role of a nurse in dsaster planning, which of
the following is an activity a nurse should engage to assist in disaster preparedness?
122. A nurse is speaking with the partner of a client who is in the early stages of
alzheimers disease. The partner tells the nurse that she is able to manage the cleints
physical care, but she doesn’t want to leave him home alone while she travels for
work. Which of the following referrals should the nurse make?
123. A nurse manager is reviewing documentation with a newly licensened nurse. Which
of the following notations by the new nurse indicates an understanding of the
teaching?
124. A charge nurse is providing an in service to staff nurses about organ donation. The
charge nurse should instruct the staff nurses to continue life support for the donor
client in order to retrieve which of the following organs? SATA
125. A nurse is admitting a client who has schizophrenia to the mental health unit. The
client states I have no one who cares. Which of the following responcses should the
nurse make?
126. A nurse is an ED is caring for a child who reports being sexually abused by a family
member, which of the following actions should the nurse take?
127. A nurse is providing dietary teaching to a client who has ESKD and a potassium level
of 6. Which of the following is the best food for the nruse to recommend to the
client?
128. Nurse is caring for a client who has increased intracranial pressure following a
traumatic brain injury. Which of the following action should the nurse take?
129. A nurse in the infection dieseas division of the local health department is caring for a
client. Which of the following should the rnuse identify should be reported to the
health department?
130. A nurse is initiating a prescription for a dopamine continuous iv infusion for a client
who has heart failure. Which of the following actions should the nurse take?
131. A nurse is caring for a client who has a major burn injury. Which of the following is
the nurses priority to prevent wound infections?
132. A nurse is providing discharge teaching for a client who has a new diagnosis of
multiple sclerosis. Which of the following client statements indicates an
understanding of the teaching?
133. A nurse is reviewing the medication administration record of a client. Which of the
following prescriptions should the nurse clarify?
134. A nurse is teaching a newly licensed nurse about postpartum hemorrhage. Which of
the following statements by the newly licensed nurse indicates an understandings of
the teaching?
135. A nurse is preparing to discharge a client who lives alone and expresses needing
help administering their medications. The nurse should investigate which of the
following services with the client prior to discharge?
136. A nurse is providing teaching to the parents of a newborn who is been circumcised.
Which of the following instructions should the nurse include in the teaching?
137. A nurse on a pediatric unit is preparing to insert an iv catheter for a 7year old who is
dehydrated. Which of the following actions should the nurse take?
138. A nurse is performing gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the following actions should the nurse take?
139. A nurse is caring for a client who is at 38 weeks gestation is in active labor. Which of
the following actions should the nurse take?
140. A community health nurse is reviewing lab reports for a group of clients. The nurse
should identify that which of the following disorders is on the CDCs nationally
notifiable conditions list?
141. A nurse is assessing an older adult client who had a left sided stroke. Which of the
following findings should the nurse expect?
142. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of
the following actions should the nurse plan to take?
143. A charge nurse is preparing to lead negotiations among nursing staff due to a
conflict about overtime requirements. Which of the following strategies should the
charge nurse use to promote effective negotiation?
144. 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?
145. A nurse is caring for a client who has respiratory depression from an opioid
administration. After administering naloxone to the client, which of the following
findings should the nurse expect?
146. A nurse in the emergency department is interviewing a client immediately following
a sexual assault. Which of the following actions should the nurse take first?
147. A nurse is flushing a client’s intermittent infusion device. The client states “why do
you have to do that if you s\are not giving me medicine?” which of the following
statements should the nurse make?
148. A nurse is assisting with food selection for a client who follows kosher dietary
traditions. Which of the following food choices should the nurse include on the
client’s food tray?
149. A nurse is assessing a client who is receiving morphine IV for pain. Which of the
following findings should the nurse report to the provider first?
150. A director of nursing in a rehab facility is planning to measure the quality of care
provided. Which of the following audits should the director plan to use after clients
are discharged to gather about quality of care?
151. A nurse is caring for an infant who has RSV. Which of the following interventions
should the nurse take?
152. A nurse is preparing to administer ranitidine 50 mg IV over 15 mins to a client.
Available is ranitifine 50 mg in 0.9% sodium chloride solution 100ml. the nurse
should set the IV pump to deliver how mnay ml/hr?
153. A nurse is caring for a client who has preeclampsia and is experiencing a postpartum
hemorrhage. The nurse should expect the provider to prescribe which of the
following medications?
154. A nurse has identified tasks to delegate to a group of Aps after receiving change of
shift report.
155. A nurse is assessing a new born 2 hr following birth. Which of the followings finding
should the nurse expect?
156. A nurse is providing teaching to a client who is on glucocorticoid therapy. Which of
the following statements by the client indicates an understanding of the teaching?
157. A nurse is caring for a client who has depression and reports taking St. johns wart
along with citalopram
158. A nurse is assessing a client’s coccyx area for a pressure ulcer. The nurse notes that
superficial subcutaneous fat is visible and tunneling is present. Which of the
following pressure ulcer stages should the nurse document?
159. A nurse on a medical surgical unite is performing medication reconciliation for a
newly admitted client. Which of the following actions should the nurse take?
160. A nurse is reviewing the medicating administration record of a client who has BPH.
The client asks the nurse about taking saw palmetto. The nurse should instruct the
client that which of the following medications interacts adversely with saw
palmetto?
161. A nurse is providing discharge instructions about newborn safety to a client who is 2
days postpartum. Which of the following instructions should the nurse include?
162. A nurse is caring for a client who has schizophrenia and is experiencing audiroty
hallucinations. Which of the following actions should the nurse take?
163. A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy.
Which of the following actions by the newly licensed nurse requires intervention by
the staff nurse?
164. A nurse is preparing to perform a sterile wound irrigation and dressing change for a
client. Which of the following actions by the nurse indicated a break in surgical
aseptic technique?
165. A nurse is caring for a client who has a new prescription for warfarin. When
reviewing the clients current medications, which of the following medications
should the nurse identify as contraindicated for use with warfarin?
166. A nurse is caring for a clients who experienced a stroke 4 days ago and has
dysphagia. Which of the following actions should the nurse take to assist the client
during meals?
167. A nurse is caring for a client who has major depressive disorder. The client tells the
nurse “no one cares about me, I’m completely alone”

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[Solved] ATI COMPREHENSIVE EXIT FINAL With Answers | 100% CORRECT UPDATED

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COMPREHENSIVE ATI QUESTIONS 1. A nurse is caring for a client who is experiencing a diazepam overdose. Which of the following medication should the nurse administer? A nurse is caring for a client who is febrile. To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling? A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client’s nutitional requirements A nurse is caring for a client who has severe hypertension and is to receive nitoprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? 2. A nurse is caring for a client who is recovering from an amputation for her right arm below the elbw. Which of the following information should the nrurse A nurse is caring for a client who has cancer of the throat and is receiving radiation therapy. The nurse should monitor for which of the following findings as an adverse effect of the radiation? 7. A nurse in an intensive care unit is assessing a client who has heart failure and has been receiving metoprolol for 3 days. Which of the following findings indicates the treatment has been effective? 8. A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states “Its hard not to listen to the voices” which of the following questions should the nruse ask the client? 9. A nurse is preparing to administer cefpodoxime 10 mg/kg/day PO divided equally every 12 hr to a child who weighs 66lbs. available is cefpodoxime 20 mg/ml oral solution. How many Mls should the nurse administer per dose? 10. A nurse is teaching a client who has chronic urinary tract infections. Which of the following instructions should the nurse include? 11. A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? 12. A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist? 13. A nurse is providing teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation? 14. A nurse is planning care for a client who is 3 days postoperative following a below the knee amputation. Which of the following actions should the nurse include in the plan? 15. A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis gravidarum. Which of the following findings should the nurse expect? 16. A nurse is providing discharge teacing to a client who has type 1 dm about preventing diabetic ketoacidosis when ill. Which of the following statements by the client indicates an understanding of the teaching? 17. A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? 18. A nurse is teaching a wellness class about depression for a group of older adults clients. Which of the following information should the nurse include in the teaching? 19. A nurse is preparing for discharge information for a client who has type 2 dm. which of the following information resources should the nurse provide to the client? 20. A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse plan to take to reduce the infant’s pain during the procedure? 21. A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take? A nurse is preparing to obtain a clients signature on an informed consent 22. form. Which of the following actions should the nurse take first? 23. A nurse is preparing to obtain a client’s signature on an informed consent . which of the following actions should the n take first ? 24. A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system, which of the interventions should the nruse include in the plan of care? 25. A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first? 26. A nurse is providing discharge teaching for the guardian of a school age child following a cardiac catheterization instructions should the nurse include in the teaching? 27. A nurse in an emergency department is caring for a 3 year old child who has suspected epiglottis. Which of the following actions should the nurse take? 28. A nurse is preparing to provide discharge teaching to a client who is newly diagnoses with diabetes mellitus. Which of the following statements by the client indicates a readiness to learn? 29. A home health nurse is preparing to make an initial visit to a family following a referral from a local provider. Identify the sequence of steps the nurse should take when conducting a home visit. 30. A nurse is teaching a guardian of an adolescent who has mild persisten asthma and a new prescription for maintenance prednisone. Which of the following statements by the guardian indicates an understanding of the teaching? 31. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take? A nurse is assessing a client who is receiving daily aspirin therapy. The nruse 32. should identify that which of the following findings might indicate an allergic reaction to this medication? 33. A nruse manager is developing a protocol for staff discipline. Which of the following actions should the nruse manager take when impliemnting this new protocol? 34. A nruse is caring for a 1 month old infant who has manifestation of severe dehydration and a prescription for parenteral fluid therapy the guardian asks: what are the idications that my baby needs an iv?” which of the following responses should the nurse make? 35. A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assign to a room near the nurses station? 36. A nurse is perfomring an abdominal assessment as part of a cleints comprehensive physical examination. Which of the following is the final step the nurse should perform? 37. A nurse is teaching a client who is pregnant and has a new prescription for an iron supplement. Which of the following statements should the nurse include? 38. A nurse is teaching a client who is receiving radiation therapy about skin protection. Which of the following client statements understanding of the teaching? 39. A nurse is caring for a client who is 4 hr postpartum. The client reports an urge to void but is unable to void. Which of the following actions should the nurse take? 40. A nurse is preparing educational material for a client. Which of the following techniques should the nurse use in creating the material? 41. A nurse is reviewing laboratory findings for a client who is receiving tpn. For which of the following findings should the nurse notify the provider? 42. A nurse is providing discharge teaching to a client who is postoperative follow...
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