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ATI RN COMPREHENSIVE NGN 2023 EXIT EXAM FORM A, FORM B, FORM C & FORM D
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ATI RN COMPREHENSIVE NGN 2023 EXIT EXAM FORM A, FORM B, FORM C & FORM D
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ATI RN COMPREHENSIVE NGN 2023 EXIT EXAM FORM A, FORM B, FORM C & FORM D 1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7 -year old. Which of the following actions should the nurse take? CORRECT ANSWER - Tell the child they will feel discomfort furing the catheter inse rtion 2. A nurse is caring for a client who has arteriovenous fistula. Which of the following findings should the nurse report? CORRECT ANSWER - Absence of a bruit 3. A nurse is providing discharge teaching for a client who has an implantable cardio eater defibrillator, which of the following statements demonstrates understanding of the teaching? CORRECT ANSWER - I will wear loose clothing around my ICD 4. A nurse is caring for a client who is at 14 weeks of gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? CORRECT ANSWER - "Describe your feelings to me about being pregnant" 5. A nurse is planning care for a client who has a prescription for a bowel - training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? CORRECT ANSWER - Administer a rectal suppository 30 minutes prior to scheduled defecation times. 6. A nurse is caring for a client who is in active labor and request pain management. Which of the following actions should the nurse take? CORRECT ANSWER - Place the client in a warm shower 7. A nurse in an emergen cy department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? CORRECT ANSWER - below knee amputation 8. A nurse manager is updat ing protocols for the use of belt restraints. Which of the following guidelines should the nurse include? CORRECT ANSWER - Document the client's condition every 15 min 9. A nurse is teaching an in -service about nursing leadership. Which of the followi ng information should the nurse include about an effective leader? CORRECT ANSWER - Acts as an advocate for the nursing unit 10. A nurse is reviewing the laboratory findings of a client who has diabetes Melkite's and reports that she has been following her care. The nurse should identify which of the following findings indicates a need to revise the clients plan of care? CORRE CT ANSWER - Hba1c 10% 11. A normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes. A nurse in a providers office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be r eported to the state health department? CORRECT ANSWER - Chlamydia 12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques sho uld the nurse include in the teaching? CORRECT ANSWER - Using modeling to help the clients improve their interpersonal skills 13. A nurse is planning care for a client who practices Orthodox Judaism. The client tells the nurse that Passover Holiday. Wh ich of the following actions should the nurse include in the plan of care? CORRECT ANSWER - Provide unleavened bread 14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment COR RECT ANSWER - The client reports feeling less anxious 15. A nurse in an emergency department is assessing a client who reports ingesting thirty Diazepam tablets respiratory rate of 10/min. After securing the clients airway and initiating an IV, which of the following actions should the nurse do next. CORRECT ANSWER - Administer flumazenil to the client. GABA receptor antagonist It can treat drowsiness caused by sedatives following surgery or drug overdose. 16. A nurse in an emergency department is caring for a client who reports cocaine use 1 hr ago. Which of the following findings should the nurse expect? CORRECT ANSWER - elevated temperature 17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? CORRECT ANSWER - Jitteriness 18. A nurse is a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? CORRECT ANSWER - WBC 14,000 19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? CORRECT ANSWER - The proxy can make treatment decisions if the client is under anesthesia 20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse t ake first? CORRECT ANSWER - Turn the client on their side 21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? CORRECT ANSWER - Confirm the client's perception of the event 22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following actions should the nurse take? CORRE CT ANSWER - Document the client's condition every 15 minutes 23. A charge nurse on a medical surgical unit is planning assignments for licensed practical nurse (LPN) who has been sent from the unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN? CORRECT ANSWER - A client who is postoperative following a bowel resection with an NG tube set to continuous suction 24. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of non -blanchable erythema over his is chium. Which of the following interventions should the nurse include in the care plan? CORRECT ANSWER - Teach the client to shift his weight every 15 minutes while sitting 25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain -management a safe option for the client? CORRECT ANSWER - Pudendal block 26. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the most important? Priority? CORRECT ANSWER - The client reports giving away personal items 27. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregn ancy? (Select all that apply) CORRECT ANSWER - -Tetanus diphtheria and acellular pertussis vaccine. -Inactivated influenza vaccine. 28. A nurse is caring for a client who has end -stage kidney disease. The client's adult child asks the nurse about becom ing a living kidney donor for her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure? CORRECT ANSWER - Hypertension 29. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian CORRECT ANSWER - A client who has gout and states, "I can continue to eat anchovies on my pizza." 30. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? CORRECT ANSWER - "I can giv e you information about respite care if you are interested." 31. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's glucose. The nurse should identify this finding as an adverse effect to of which of the following medications? CORRECT ANSWER - Methylprednisolone 32. The nurse is providing teaching about folic acid to a client who is prima gravies. Which of the following information should the nurse include in the teaching? CORRECT AN SWER - You can increase your dietary intake of folic acid by eating cereals and citrus fruits 33. A community health nurse is assessing a adolescent who is pregnant. Which of the following assessment is the nurses priority? CORRECT ANSWER - help to ado lescent apply for Medicaid? 34. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include? CORRECT ANSWER - -(Unable to read) decrease health care costs. -Critical pathways prevent u nnecessary expense 35. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1 BP: 102/56 mm Hg. HR: 95/ min RR: 18/ min Temp: 37.4C (99.3F) Exhibit 2 Medication Ad ministration Record Clozapine 150 mg pO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors Exhibit 3 Nurses notes:
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