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PN-ATI EXIT QUESTION BANK ALL WITH 550
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
QUESTION: A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the following information should the nurse include in the teaching - ANSWER✔✔Interlace the fingers while rubbing hands together QUESTION: A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin lispro and insulin glargine which of the following instruction should the nurse include in the teaching - ANSWER✔✔Drawl up the insulin list Bro and insulin glargine in separate syringes QUESTION: A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which of the following interventions should the nurse recommend to include in the plan - ANSWER✔✔Measure the clients abdominal girth daily QUESTION: A nurse is caring for a newborn who has hyperbilirubinemia and is receiving photo therapy which of the following findings should the nurse report to the provider - ANSWER✔✔Loose stools
QUESTION: A nurse is caring for a client who is today's postoperative the client has a prescription for acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the nurse in advertently administers two tablets to the client in which of the following location should the nurse document the eror - ANSWER✔✔Controlled substance inventory record QUESTION: A nurse is caring for a adolescent client who is bulimia nevosa which of the following actions should the nurse take first - ANSWER✔✔Observe the client during and after meals QUESTION: A nurse is assigned an assistive personnel to perform a Gastroatomy Feeling for a client who has been receiving feedings at homeWhich of the following actions should the nurse take to monitor the APs performance of the task - ANSWER✔✔Request the AP to provide a return demonstration of the task QUESTION: A community health nurse is a system in the development of a brochure about hypertension which of the following actions should the nurse take - ANSWER✔✔Explain the medical terminology using basic one syllable words QUESTION: And charge nurse assigned a nurse to care for a group of clients which of the following client should the nurse ask the charge nurse to reassign to an RN - ANSWER✔✔A client who has a new diagnosis of diabetes mellitus and needs to learn self administration of insulin
Decision and stop the treatment QUESTION:nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce presoription for which of the following - ANSWER✔✔Bupropion Naltrexone Methadone Disulfiram QUESTION: Anurse is collecting data from a client who has diabetic ketoacdosis. Which of the following findings should expect - ANSWER✔✔Frutiy breath QUESTION: A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-occlusive which of the following actions should the nurse take? (Click on the "Exhibit" button for additional information There are three tabs that contain separate categories data.) Exhibit - ANSWER✔✔Recommend a transfusion of packed Rbcs QUESTION: A nurse is contributing to the development of an in-service training about the differences in mental health bellefs across various cultural groups. Which of the following culture-bound syndromes should the nurse include when discussing Navajo Indian cultural beliefs? - ANSWER✔✔Ghost sickness QUESTION: A nurse is assisting with the care of a client who has schizophrenia and auditory hallueinations. Which of the following responses should the nurse make - ANSWER✔✔"Let's talk about what the voices are saying to you."
QUESTION: A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations. Which of the following reaponsea should the nurse make - ANSWER✔✔Let's talk about what the voices are saying to you. QUESTION: A nurse is discussing informed consent with a newly licensed nurse. Which of the following statements by the newly liscensed nurse indicates an understanding of the information - ANSWER✔✔"A client can. withdraw consent at any time after signing the informed consent form." QUESTION: A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium intake. Which of the following foods should the nurse recommend? - ANSWER✔✔ 1 baked potato QUESTION: A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. The nurse notes bright red urinary drainage after notifying the surgeon which of the following actions should the nurse take? - ANSWER✔✔Request a prescription to obtain the clients bun level. QUESTION: A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for a client who has a sigmoid colostomy which of the following instruction should the nurse include in the teaching - ANSWER✔✔Empty clients asked me pouch before removing skin barrier
QUESTION: A nurse is receiving change of shift report on a group of clients which of the following client should the nurse see first - ANSWER✔✔A client who is postoperative following hip arthroplasty and reports calf pain QUESTION: A charge nurse working in a long-term care facility overhears to assistive personnel in the nurses station discussing a client who was just admitted which of the following actions should the charge nurse take - ANSWER✔✔Tell the APs to stop the conversation QUESTION: A nurse is caring for a client who has a prescription for worsen which of the following laboratory test should the nurse monitor - ANSWER✔✔International normalized ratio QUESTION: A nurse is preparing to perform a wet to dry dressing change for a client who has an infected abdominal wound which of the following techniques should the nurse use when performing the dressing change - ANSWER✔✔Clean the wound from center to outer edges QUESTION: A nurse is reinforcing teaching with a parent who is preschooler has night terrors which of the following instructions should the nurse include - ANSWER✔✔Use a night light near the child's bed QUESTION: A nurse is assisting with the community health education course for a family members who have an Alzheimer's disease which of the following information should the nurse include? - ANSWER✔✔Limit number of choices for the client
QUESTION: Following a kosher diet which of the following on the menu is OK - ANSWER✔✔Roasted salmon QUESTION: Which of the following breaks Patient confidentiality - ANSWER✔✔A nurse tells the chaplain that her assigned client has a new diagnosis of cancer QUESTION: A nurse is collecting data on a client who has alcohol use disorder and is experiencing withdrawal which of the following manifestations should the nurse expect? - ANSWER✔✔Hypertension QUESTION: A nurse is reviewing the medical record of a client who has COPD which of the following laboratory findings indicates a need to request a dietary referral for the client? - ANSWER✔✔Pre-albumin 13 mg /dL QUESTION: A nurse is collecting data from a client who has anorexia nervosa which of the following findings should the nurse identify as a positive outcome to treatment? - ANSWER✔✔The client resumes menstruation QUESTION: A nurse is caring for a client who has an abdominal surgical incision and notices an evisceration which of the following actions should the nurse take? - ANSWER✔✔Cover the one with a transparent dressing
QUESTION: A nurse is reviewing the guideines for dOcumenting client care, Which of the following actions should the nurse plan to take - ANSWER✔✔Avoid quoting client comments when documenting. QUESTION: A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin patches which of the following statements by the client indicates an understanding - ANSWER✔✔I will place the pitch on a hairless area of skin QUESTION: A nurse is reinfording discharge teachingIwith a cliant who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER✔✔"I should throw away my used tissues in a closed plastic bag. QUESTION: A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse check first? - ANSWER✔✔A dient admitted to the facility who has ascending Guillain-Barré syndrome QUESTION: A nurse is collecting data from a client who is at 20 of the following findings should the nurse monitor as a common adverse effect of iron weeks of gestation and has been taking ferrous sulfate. For which the following findings should the nurse report to the provider? - ANSWER✔✔Constipation
QUESTION: A nurse is reinforcing teaching with a client who is to habe their plaster cast applied to his right arm Which of the Following information should the nurse include in the teaching - ANSWER✔✔The client's extremity Should be elevated after the cast is applied QUESTION: A nurse is caring for a client who is why her newborn is receiving phytonadione injection which of the following statements shiuld the nurse make - ANSWER✔✔This medication prevents your baby from developing bleeding problems QUESTION: - ANSWER✔✔Encourage the client to be assertive QUESTION: A nurse is caring for a client who has antisocial personality disorder who request to smoke outside of a scheduled smoke break which of the following is an appropriate response by the nurse? - ANSWER✔✔The smoking times on the unit or after each meal QUESTION: A nurse in a mental health facility is reinforcing teaching with a client about panic attacks which of the following statements by the client indicates an understanding of the instructions? - ANSWER✔✔I will use abdominal breathing at the first sign of a panic attack QUESTION: A nurse is caring for a female client who has an indwelling catheter with a urinary drainage system which of the following actions should the nurse take? - ANSWER✔✔Instruct the client to hold the drainage bag a waist height when ambulating
teaching? - ANSWER✔✔You can begin collection of urine after discarding your first morning void QUESTION: A nurse is caring for a client who has Graves' disease which of the following findings should indicate to the nurse that the client is developing a thyroid storm? - ANSWER✔✔Tachycardia QUESTION: A nurse is preparing for the admission of a client who has a seizure disorder which of the following supplies should the nurse place at the bedside for this client? - ANSWER✔✔A tongue blade QUESTION: A nurse is caring for a client who has paranoid schizophrenia and believes that she is being followed by FBI agents who are pretending to be psychiatric staff which of the following responses should the nurse make? - ANSWER✔✔This must be frightening to you let's talk more about it QUESTION: A nurses assistant a client who has cancer to select high protein foods which of the following foods should the nurse recommend as the highest source of protein - ANSWER✔✔ 8 ounce chopped hard boil egg QUESTION: A nurse is preparing a sterile field to perform a dressing change for a clients leg wound which of the following actions should the nurse take? - ANSWER✔✔Play sterile objects at least 2.5 cm from the edge of the sterile field
QUESTION: A nurse is reviewing the plan of care for a client who is receiving treatment for anorexia nervosa which of the following laboratory findings indicates that the clients nutrition plan is effective? - ANSWER✔✔Cholesterol 190 mg/daL QUESTION: A nurse is collecting data from a client who has taken MEDROXYPROGESTERONE acetate for the past six months which of the following statements by the client should the nurse report to the provider immediately? - ANSWER✔✔I have breast tenderness QUESTION: A nurse is planning care for a client who is six hours postoperative following a right knee arthroplasty which of the following interventions should the nurse include in the clients plan of care? - ANSWER✔✔Use the continuous passive motion machine intermittently QUESTION: A nurse is preparing to administer eyedrops to a child which of the following actions should the nurse take? - ANSWER✔✔Apply pressure to the lacrimal punctum after administering drops QUESTION: A nurse is reinforcing teaching with a 36-year-old client who is 16 weeks of gestation and is scheduled for aminocentesis the nurse should include in the teaching the aminocentesis is performed to identify which of the following findings - ANSWER✔✔Chromosomal abnormalities
QUESTION: A nurse is discussing risk factors for child abuse with members of the parenting group the nurse should identify which of the following findings as a characteristic of perpetrators of child abuse - ANSWER✔✔Rigid expectations of behavior QUESTION: A nurse begins to be the newly admitted client who reports that she has my hair anything to eat today the The nurse interrupts the bath and obtains a healthy meal for the client this action by the nurse is an example of which of the following - ANSWER✔✔Veracity QUESTION: A nurse is caring for a client who is so hours. For the following surgical creation of a tracheostomy which of the following is she should the nurse take to help promote the clients recovery - ANSWER✔✔Keep suction equipment at the bedside QUESTION: A nurse is assisting with the admission of a client who has vera Cella zoster which of the following intervention should the nurse plan to implement - ANSWER✔✔Initiate contact precautions for the client QUESTION: A nurse is caring for a client who has major depressive disorder and is taking antidepressants the nurse should identify which of the following findings is the priority to report to the provider - ANSWER✔✔The client has a sudden increase in energy QUESTION: America's hair for a client who is postoperative following joint replacement and he has a new prescription for enoxaparin. for which of the following actions should the nurse monitor - ANSWER✔✔Epistaxis
QUESTION: A nurse in a providers office is caring for a client who states my doctor is always in a big hurry it makes me nervous and I forget what I wanted to ask her which of the following responses should the nurse make - ANSWER✔✔Let's make a list of what you'd like to ask the doctor before she comes in to see you QUESTION: A nurse is preparing to administer enoxaparin 1.5 mg per kilogram subcutaneously to a client who has a pulmonary embolism the client weighs 132 pounds the amount available is 100 mg/mL how many milliliters should the nurse administer - ANSWER✔✔0.9 ml QUESTION: A nurse is assisting with the green needle examination of a client who is in eight weeks of gestation the nurse notes the clients vagina and vulva are a purpleish color the nurse should document to find them as which of the following - ANSWER✔✔Chadwick sign QUESTION: A nurse is contributing to the plan of care for a client who has urinary incontinence which of the following intervention should the nurse suggest to help prevent skin breakdown - ANSWER✔✔Dry the skin thoroughly after cleansing the perennial area QUESTION: The nurse is reinforcing teaching with a client who is receiving chemotherapy and develop stomatitis which of the following instruction should the nurse include in the teaching - ANSWER✔✔Use a soft bristle toothbrush
QUESTION: A nurse is observing an assistive personnel take a clients and tympanic temperature which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure - ANSWER✔✔The AP pulls the pinna up and back QUESTION: A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives which of the following findings is a contra indication for this client - ANSWER✔✔Hypertension QUESTION: A nurse is re-enforcing discharge teaching with a client who is stable angina pectoris which of the following statements by the client indicates an understanding of what to do when chest pain occurs - ANSWER✔✔Stop what I am doing and lie down QUESTION: A nurse is receiving a telephone prescription from a clients provider which of the following actions should the nurse take (select all that apply) - ANSWER✔✔Ask the provider to spell out the name of the medication, request that the provider confirm the read back of the prescription, record the date and time of the telephone prescription QUESTION: A nurse is reinforcing teaching about passive range of motion exercises with the family of a client who has had a stroke which of the following instructions should the nurse include in the teaching - ANSWER✔✔Support the extremity above and below each joint during the exercises
QUESTION: A nurse is caring for a client who receives cyclosporine instead of cycloserine the nurse to monitor the client for which of the following Adverse effects - ANSWER✔✔Respiratory depression QUESTION: A nurse is reinforcing teaching with a client who has a prescription for an antibiotic therapy the client tells the nurse that he always experiences diarrhea when he takes antibiotics which of the following food choices should the nurse recommend to lessen the occurrence of diarrhea - ANSWER✔✔Yogurt QUESTION: A nurse is reviewing the medical record for a child who is scheduled to receive a varicella immunization which of the following findings in the clients record should the nurse recognize as a contra indication - ANSWER✔✔Chemotherapy treatments QUESTION: A nurse in a long-term care facility is delegating care for a group of clients for the upcoming shift which of the following tasks the nurse delegate to an assistive personnel (select all that apply) - ANSWER✔✔Measure vital signs for a client who requires contact precaution, record urine output for a client who has a super pubic catheter, trees for a client who is receiving radiation therapy to radiology QUESTION: A nurse in an inpatient medical health facility is reinforcing teaching with a client who signed a consent form for electro convulsive therapy which of the following statements about a client indicates an understanding of the procedure - ANSWER✔✔I might have short term memory loss after the procedure
