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2023 ATI COMPREHENSIVE EXIT EXAM RETAKE NEWEST
EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
A nurse is caring for a client who has paranoid schizo and believes
that she is being followed by FBI agents who are pretending to be
the psychiatric staff. Which of the following responses should the
nurse make? – ANSWER- The psychiatric staff not the FBI. They’re
here to help you
A nurse is assisting in the care of a client who has a fractured femur
and is in Buck’s traction, which of the following actions should the
nurse take? – ANSWER- Ensure the weights are hanging freely
A nurse is reviewing the med record of a client who requires
continuous oxygen saturation monitoring. Which of the following
should the nurse identify as a factor that can affect the validity of
the readings? – ANSWER- Peripheral Vascular Disease
A nurse is collecting data from a group of clients. Which of the
following clients should the nurse identify as having xanthelasama?
- ANSWER- Lady with eyes closed with nodule on eyelid
A nurse is assisting with the admission of a client who has VRE of
the urine. Which of the following types of precautions should the
nurse implement for this client? – ANSWER- Contact precautions
A community health nurse is assisting in the development of a
brochure about hypertension. Which of the following actions should
the nurse take? – ANSWER- Explain medical terminology using
basic one-syllable words
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A nurse is collecting data from an adolescent during an annual
physical examination. Which of the following statements by the
client is the nurse’s priority? – ANSWER- I would rather be alone
than with my fiance
A nurse is placing a dressing over a stage 1 pressure ulcer on a
client’s heel. Which of the following types of wound dressing should
the nurse use? – ANSWER- Transparent film
A nurse is caring for an older adult client who reports pain and has
a prescription for ketorolac 15 mg IM every 5 hr PRN. The client’s
current bp is 114/55 mm Hg. Which of the following actions should
the nurse take? – ANSWER- Administer the medication to the client
A charge nurse in a LTC is developing a performance improvement
plan for an AP. Which of the following actions should the nurse take
when developing the plans? (SATA-3) – ANSWER- 1. Set a specific
time frame for meeting performance goals
- Ask the nurse supervisor to review to plan
- Include the performance standard that the AP should meet
A nurse is reinforcing teaching with a client who is undergoing
radiation therapy to the neck. Which of the following instructions
should the nurse include in the teaching? – ANSWER- Avoid
exposing the neck to the cold
A nurse is assisting with the admission of an older adult client who
has impaired mobility and is at risk for falls. Which of the following
fall precautions should the nurse plan to implement? – ANSWERDetermine the client’s ability to use the call light
A nurse is reinforcing teaching with a client about intermittent
catheterization to measure residual urine. Which of the following
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info should the nurse include in the teaching? – ANSWER- “You
will need to urinate before the procedure”
A nurse is caring for a client who has terminal cancer and has
declined treatment. The nurse attempts to convince the client to
reconsider his decision and discusses this attempt w the charge
nurse. Which of the following actions should the charge nurse take?
- ANSWER- Talk with the nurse about the need to support the
client’s decision
A nurse is reinforcing teaching about breastfeeding w a client who
gave birth 2 days ago. Which of the following info should the nurse
include? – ANSWER- Feed newborn 8-12 times/day every 24 hr
A nurse is assisting w the admission of a school aged child. Which of
the following actions should the nurse plan to take? (Exhibit) –
ANSWER- Initiate contact precautions for the child
A nurse is contributing to the POC 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 client’s
abdominal girth daily
A nurse is reinforcing teaching w a client who has a prescription for
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
A nurse is assisting with the care of a client who has ICP followed a
closed head injury. Which of the following actions should the nurse
take? – ANSWER- Elevate HOB 30 degrees
A nurse is assisting with the plan of care for a client who is in the
3rd trimester of pregnancy and has ankle edema. Which of the