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ATI VATI RN GREEN LIGHT EXAM
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ATI VATI RN GREENLIGHT EXAM
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ATI VATI RN GREENLIGHT EXAMFOR MORE INFORMATION EAMIL AT: academiajones22@gmail.com
A school nurse is assessing a child who has scabies. Which of the following is an expected finding? Correct Answer:
Red, itchy papules on child's groin area
A nurse is caring for a client who is at risk for developing diabetes insipidus (DI) following a severe head injury. Which
assessment finding indicates to the nurse that the client is developing DI? Correct Answer: Urine output 250 mL/hr
A nurse is caring for a client who is 2 hr postoperative following an ileal conduit procedure for bladder cancer. For which of
the following findings should the nurse notify the provider? Correct Answer: A dusky-colored stoma
A nurse on the orthopedic floor is completing the morning assessments on several clients. Which of the following clients has
the greatest risk for fat embolism syndrome (FES)? Correct Answer: A 24-year- old male who has a casted femur fracture
A nurse in the clinic is providing information to a client who has mastitis of left breast. The client asks the nurse, Does this
mean that I must stop nursing my baby?" Which of the following is an appropriate statement by the nurse? Correct Answer:
No, you can continue to nurse from both your breasts
A nurse is reviewing morning laboratory values for several clients. Which of the following findings is the highest priority for
the nurse to report to the provider? Correct Answer: A client who is prescribed digoxin and furosemide and has a potassium
level of 3.1 mEq/L
A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who has major depressive
disorder. Which of the following should the nurse include in the teaching? Correct Answer: A general anesthetic
administered prior to ECT treatments
A nurse is teaching a client who has left-leg weakness how to use a standard walker. Which of the following actions by the
client indicates a need for further teaching? Correct Answer: Moves the left leg and walker ahead together
A nurse is teaching a client who has left-leg weakness how to use a standard walker. Which of the following actions by the
client indicates a need for further teaching? Correct Answer: Places the walker 2 feet forward with each step
A nurse is caring for a client who has a diagnosis of antisocial personality disorder. The nurse should expect the client to
demonstrate which of the following? Correct Answer: Poor impulse control
A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which
of the following laboratory tests to determine effective long-term management of blood glucose levels? Correct Answer:
HbA1c
A nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. Which of the following should
the nurse include in the plan of care? Correct Answer: Screen the client for tardive dyskinesia
,A nurse at the family planning clinic triages several clients over the phone. Which of the following
clients should the nurse instruct to come to the clinic? Correct Answer: A client who uses
diaphragm for contraception and has lost 30 lb in the past 6 months dieting
A nurse is teaching a family about home hospice care. Which of the following is appropriate for
the nurse to include in the teaching? Correct Answer: Hospice care improves the quality of life
through palliative care
A nurse is caring client who has a left femur fracture and is in skeletal traction. The client reports
pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by
the nurse? Correct Answer: Realign the extremity in traction
At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of
client reports. Which of the following client reports should the nurse assess first? Correct Answer:
Indigestion
A nurse is planning to change the dressings on a school-age child who has sustained multiple
burns. Which of the following actions should the nurse plan to take? Correct Answer: Apply the
dressings in a proximal to distal pattern
A nurse is caring for an adolescent client who has no previous history of a seizure disorder and is
admitted after having a 3-min tonic-clonic seizure 2 weeks after sustaining a mild concussion. The
client is scheduled to have an EEG in the morning. For breakfast, the client orders coffee and a
donut. Which of the following nursing actions is appropriate at this time? Correct Answer: Explain
that the client may not have coffee prior to the EEG
A nurse is caring for a mother who was prescribed methadone during pregnancy. The nurse should
assess the newborn for which of the following manifestations of neonatal abstinence syndrome?
Correct Answer: Tachypnea
Irritabilit
y
Tremors
A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I
feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the
following actions should the nurse take? Correct Answer: Place the client in low-Fowler's position
A nurse is caring for a postoperative client. Which of the following interventions will reduce the
risk of deep-vein thrombosis? Correct Answer: Apply venous plexus foot pumps
A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is
appropriate? Correct Answer: Use aseptic technique and drop the medication into the conjunctival
sac
A nurse is caring for a client who is receiving a controlled epidural analgesia infusion. Which of the
following nursing actions is appropriate? Correct Answer: Covering the insertion site with a
transparent dressing
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the
following actions should the nurse take? Correct Answer: Prepare the client for a cesarean section
,A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge
nurse has selected. Which of the following actions is appropriate for the nurse to take? Correct
Answer: Ask the charge nurse to assign an experienced nurse to act as a resource
A community health nurse is planning to make home visits to several clients who all live within
a few miles radius of the office. Which of the following clients should the nurse plan to visit
first? Correct Answer: An infant who has failure-to-thrive and was discharged from a facility
yesterday to a foster home on daily weights
A nurse is caring for a client who was involved in a motor-vehicle crash. The client reports
shortness of breath and chest pain and asks the nurse, "Am I dying?" Which of the following actions
should the nurse take first? Correct Answer: Obtain a pulse oximetry reading
A nurse notices smoke coming from a clients room and discovers a fire in the wastebasket. After
moving the client to safety, which of the following is the priority action? Correct Answer: Notify the
facility operator
A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker. Which
of the following statements by the client indicates that the teaching has been effective? Correct
Answer: I will use my cellphone on the ear opposite of my pacemaker
A charge nurse in the emergency department is reviewing the data of four young children who are
receiving treatment. Which of the following should alert the charge nurse to the possibility of child
abuse? Correct Answer: A 3-month old infant who has a skull fracture from reportedly rolling off
the changing table
A nurse is preparing to obtain informed consent for a colonoscopy from a client who does not
speak English. Which of the following actions should the nurse take? Correct Answer: Provide a
consent form in the client's spoken language
A nurse in a residential mental health facility is planning care for a new client who has obsessive
compulsive disorder (OCD). Which of the following is appropriate for the nurse to include in the
plan of care? Correct Answer: Gradually decrease the time allowed for ritualistic behavior
A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the following
is the priority task for the nurse to facilitate in the client's grief process? Correct Answer:
Acknowledging the reality of the newborn's death
A home health nurse is doing an in-home assessment for an older adult client who is at risk for
falls. Which of the following assessment findings should the nurse identify as a potential
hazard for the client? Correct Answer: A computer chair with wheels
A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program-planning strategies should the nurse implement first?
Correct Answer: Arrange a meeting with teenage mothers who are high school students in the
community
, A nurse in the labor and delivery unit is reviewing medications for a group of clients. Which of the
following medications places the fetus at risk for teratogenic effects? Correct Answer: Phenytoin for
seizure disorder
A nurse is caring for a client following an open colectomy. Which of the following findings
places the client at risk for delayed wound healing? Correct Answer: Uncontrolled pain
A nurse is caring for a client who is 2 days postoperative following a lumbar laminectomy
and is reporting nausea. Which of the following actions should the nurse take first? Correct
Answer: Auscultate bowel sounds
A nurse is caring for a client who reports the use of chondroitin and glucosamine. The health benefit
of this supplement combination is to do which of the following? Correct Answer: Improve joint
functioning
A nurse in the recovery room is assessing a client who has a new chest tube. The nurse finds
that the water seal is no longer tidaling. The nurse should identify the finding as resulting from
which of the following? Correct Answer: The tubing may be kinked
A nurse at a public health clinic is caring for a group of clients. Which of the following should the
nurse identify as a reportable diagnosis to the CDC? Correct Answer: Hepatitis A
A nurse is providing discharge teaching about disease prevention to a client who has active
tuberculosis. Which of the following should the nurse include? Correct Answer: Educating the client
how to cover nose and mouth with tissues when coughing
A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is
receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for
which of the following findings? Correct Answer: Contractions occur every 90 seconds
A nurse in a postpartum unit is caring for several clients. After receiving a change-of-shift report,
which of the following clients should the nurse assess first? Correct Answer: A client who is 4 days
postpartum and has lochia serosa
An infection control nurse is reviewing care procedures for four clients. Which of the following
requires the nurse to intervene? Correct Answer: A client who has varicella zoster is placed in a
negative pressure room
A nurse is creating an activity plan for a home-bound older adult client. In the planning, the nurse
considers the physiologic changes that may affect pulmonary function related to the normal aging
process. Which of the following age-related physiological changes should the nurse consider in the
plan? Correct Answer: Decreased blood oxygenation
During the immediate postoperative period following thoracic surgery, a nurse medicates a
client for pain on a schedule. The rationale for this nursing action is which of the following?
Correct Answer: Reduces the respiratory rate
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