ATI Exit Exam23 Questions And Answers

The client has a decreased level of energy - A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (SATA-3)

A client who has schizo and is having command hallucinations - A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first?

"Let me show how to swaddle and cuddle him, then try." - A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make?

Keep the finger in dependent position - A nurse is using a glucometer to measure a client's capillary blood glucose level. Which of the following actions should the nurse take?

Naproxen - A nurse is reviewing the home medications with a client who recently had a transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following otc meds interact adversely w clopidogrel?

Check for pain w passive movement of the affected extremity - A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness. Which of the following actions should the nurse take first?

Somnolence - A nurse in a providers office is reinforcing teaching about cigarette smoking w a client. Which of the following adverse effects should the nurse include in the teaching?

A client who is attempting to hurt himself or others - A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the staff can medicate a client against his will, without a court hearing in which of the following situations?

"Monitor for muscle weakness while taking the medication" - A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?

A social worker who's assigned an involuntary committed school-age client - A charge nurse is discussing confidentiality requirements w a newly licensed nurse when sharing a client's medical info. Which of the following individuals should the charge nurse identify as appropriate with whom to share client info?

Urine protein plus - A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which of the following findings should the nurse report to the provider?

O2 sat 89% - A nurse is collecting data from a client who is 4 hr postop following a hemicolectomy. Which of the following findings is a nurse's priority, requiring immediate intervention?

Blurred vision - A nurse in a provider's office is collecting data from a client who has a history of hypertension during his annual physical examination. Which of the following findings should the nurse report to the provider immediately?

Elevate the client's HOB - A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first?

Glycoslated Hemoglobin - A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the following lab tests is most accurate of blood glucose effective management?

Tells a client he will lose his phone privileges if he does not take his medication - A nurse charge on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene?

Oral suction equipment - A nurse is supervising an AP obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room?

Encourage client to be assertive - A nurse is reinforcing discharge teaching with a family of a client who has dependent personality disorder. What action should the nurse take?