ATI COMPREHENSIVE EXIT EXAM 2024/2025 NGN
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Tai...
The nurse is reviewing the client's electronic medical record. which of
the following actions should the nurse take: Select the 5 actions that
the nurse should perform
1. Place the client on seizure precautions
2. Administer magnesium sulfate IV bolus as prescribed
,3. Monitor the client's blood pressure every hour
4. obtain creatinine, platelet, BUN, and liver enzymes as prescribed
5. Assess for worsening headache and epigastric pain hourly and PRN
6. Monitorlevel of consciousness, DTRs and visual disturbances
hourly - ANSWER- 1. Place on seizure precautions
2. Administer magnesium sulfate IV Bolus as prescribed
4. Obtainthe creatinine, plateler, BUN, and liver enzymes values as
prescribed
5. Assess for worsening headache and epigastric pain hourly an PRN
6. Monitor level of consciousness, DTRs, and visual disturbances hourly
A nurse at a provider's office is caring for a client who is 28 years of age.
After reviewing the client's current assessment findings, the nurse should
identify that the client i experiencing
(condition) as evidence by (findings)
The nurse has reviewed the recent Nurse's Notes and the Diagnostic
results. click to highlight the findings that indicate the client's
condition is not improving.
, - Clonus positive. DTR 4+
-Reports headache as 4 on a 0 to 10 pain scale
- Hgb 11g/dl (>11g/dl)
-Platelets 95,000mm3 (150000-400000)
-BUN 20mg/dL (10 to 20mg/dL)
-Creatinine 0.9mg/dL (0.5 to 1mg/dL)
-aspartate aminotransferase (AST) 60units/L (0 to 35 units/L)
- Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l) -
ANSWER- - Clonus positive. DTR 4+
-Reports headache as 4 on a 0 to 10 pain scale
-Platelets 95,000mm3 (150000-400000)
-aspartate aminotransferase (AST) 60units/L (0 to 35 units/L)
A nurse is caring for a postpartum client. A nurse is performing an
assessment on the client. Which of the following findings should the
nurse report to the provider. Select all that apply.
-Fundus 2 cm below the umbilicus
-Blood Pressure 152/105 mm Hg
-+2 pitting edema
- Headache
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