A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to teacher at school. Which of the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of ...
ATI comprehensive final exam with correct answers A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to teacher at school. Which of the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule Correct answers - c) Tell me how often do you drink alcohol
*A nurse is observing bonding to the client her newborn. Which of following actions by the client requires
the nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative Correct answers - d) Viewing the newborn's actions to be uncooperative
A nurse is caring for client who is taking levothyroxine. Which of the following findings should indicate that
the medication is effective?
a) Weight loss b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation Correct answers - a) Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism)
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it falls off d) The cord stump will fall off in five days Correct answers - c) Keep the cord dry until it falls off
a) Contact provider if the cord still turns black (it's going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser)
c) Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac
output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupil Correct answers - b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client
should the nurse identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity Correct answers - c) A client with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated c) A client whose chronic kidney disease with cloudy dialysate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag Correct answers
- c) A client whose chronic kidney disease with cloudy dialysate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing
intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium Correct answers - c) Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse
expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression Correct answers - d) Head Compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the
following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL Correct answers - a) glomerular filtration rate of 14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger Correct answers - c) Heat the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for clients. Which of the following
clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today Correct answers - a) Client placed in restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an appropriate
description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain Correct answers - b) Hypnosis promotes increased control of her pain perception during contractions
14) A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? a) I steal things because it's the only way I can keep my mind off my bad marriage
b) I can't believe I was accused of something I didn't do
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