ATI Exit Exam practice test

A nurse is administering IV vancomycin to a client. The client develops flushing and erythema of the face, neck, and upper torso during the infusion. Which action should the nurse take first?

A nurse is caring for a client who is 1 hour postpartum following a vaginal birth. The fundus is boggy and displaced to the right of midline. Which action should the nurse take first?

A nurse is caring for a client who has major depressive disorder and was recently started on fluoxetine. The client states, I finally have the energy to do what I have been planning. Which action should the nurse take?

A nurse is assessing an 8-month-old infant who has a suspected diagnosis of intussusception. Which finding should the nurse expect?

A nurse is caring for a client who has acute pancreatitis. Which laboratory finding should the nurse report to the provider as a sign of a serious complication?

A nurse is monitoring a client who is receiving a continuous heparin infusion for a pulmonary embolism. The most recent aPTT is 95 seconds with a therapeutic range of 46 to 70 seconds. Which action should the nurse take?

A nurse is teaching a client who has a new prescription for warfarin. Which statement by the client indicates a need for further teaching?

A nurse is caring for a client who has chronic kidney disease and a serum potassium of 6.5 mEq/L. Which finding should the nurse identify as the priority concern?

A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate for the nurse to delegate?

A nurse is teaching the parents of a child who has cystic fibrosis about pancreatic enzyme replacement. Which instruction should the nurse include?

A nurse is caring for a client in active labor who suddenly reports a constant, severe abdominal pain. Assessment reveals a rigid, board-like abdomen and dark red vaginal bleeding. Which complication should the nurse suspect?

A nurse is preparing to administer digoxin to a client who has heart failure. The client's apical heart rate is 52/min. Which action should the nurse take?

A nurse is caring for a client who has alcohol use disorder and was admitted 8 hours ago. The client is now diaphoretic, tremulous, and has a heart rate of 116/min and blood pressure of 162/98 mm Hg. Which medication should the nurse anticipate administering?

A nurse is caring for a client who had a thyroidectomy 4 hours ago. The client reports tingling around the mouth and muscle cramping in the hands. Which action should the nurse take first?

A nurse is caring for a client who has a chest tube connected to a water-seal drainage system. The nurse notes continuous bubbling in the water-seal chamber. Which action should the nurse take first?

A nurse is reviewing the laboratory results of a client who is receiving gentamicin. Which result indicates a need to notify the provider before the next dose?

A nurse is caring for a client who has a diagnosis of Addisonian crisis. Which assessment finding should the nurse expect?

A nurse is assessing a 2-year-old child admitted with dehydration from acute gastroenteritis. Which finding indicates the dehydration is severe?

A nurse is caring for a client receiving a unit of packed red blood cells. Fifteen minutes into the transfusion, the client reports chills, low back pain, and a feeling of apprehension. Which action should the nurse take first?