ATI COMPREHENSIVE 2020 FORM B 1) 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. Whi... ch of the following statements should the nurse include in the assessment? a) Tell me about yoursiblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about yourschoolschedule 2) *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 actionsto be uncooperative 3) A nurse is caring for client who istaking levothyroxin. Which of the following findings should indicate that the medication is effective? a) Weight loss(this drug acts as T4 and will normalize the effects of hypothyroidism) b) Decreased blood pressure c) Absence ofseizures d) Decrease inflammation 4) 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 (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) 5) 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 pupils 6) A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify asthe priority? a) A client that has massive head trauma b) A client hasfull thickness burnsto face and trunk c) A client with indications of hypovolemic shock A client with open fracture of the lower extremity d) 7) A nurse is a receiving report on four clients. Which of the following clientsshould the nurse assessfirst? a) A client who hasilleal conduit and mucusin the pouch b) Client pleasant arteriovenous additional vibration palpated c) A client whose chronic kidney disease with cloudy diasylate outflow d) A client wastransurethral resection of the prostate with a red tinged urine in the bag 8) 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 9) A nurse is caring for a client who is in labor and his seat isreceiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect? 2 of 44 a) Feta hypoxia b) Abrupto placentae c) Post maturity d) Head Compression 10) A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values asin 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 11) 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 12) A nurse in a mental health facility receives a change ofshift 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 lossin the past two months c) Client isreceiving a PRN dose of health heard all two hours ago for increased anxiety d) Applied he’ll be receiving hisfirst ECT treatment today 13) A nurse working at the clinic isteaching 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) Hypnosisfocuses on the biofeedback as a relaxation technique b) Hypnosis promotesincreased control of her pain perception during contractions c) Hypnosis usestherapeutic touch to reduce anxiety during labor d) Hypnosis providesinstruction to minimize pain 14) A nurse in a County Jail health clinic isleading group therapy session. A client who wasincarcerated for theftis addressing the group. Which of the following is an example of reaction formation? (rxn formation is when you use opposite feelings; ex: being super nice to someone you dislike) 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 c) I don’t want talk about my feelingsright now. We will talk more next time d) I think that people just you’re just lazy and should earn money honestly 15) A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of the following should the nurse identify as a contraindication to medication? a) Glaucoma b) Hypertension c) Polycythemia d) Migraine headaches 16) 17) 17) The nursesis caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care? a) Draw a troponin level every four hours b) Performance EKG every 12 hours c) Plant oxygen tent fell over minutes via rebreather mask d) Obtain a cardiac rehabilitation consult 18) A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider? a) WBC 3,000/mm3 [Show More]
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