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ATI Comprehensive Exit Exam 180 Correct Newest Questions & Answers 2025 Graded A+ Complete Solutions Verified by Experts 100% Correct PDF DOWNLOAD yi A nurseis caring fora client who has given informed consent for ECT. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? a. b. “Most peoplewho have this procedurefeel better following the treatment.” c “Tt’sokayto be nervous before this treatment.” ad. “Your doctor wouldn't have ordered this treatment unless itwas necessary.” While performing a routine assessment, a nurse notices fraying on the electrical cordofa client’s CPM device. Which of the following actions should the nursetake first? a. Reportthedefectto the equipment maintenancestatf. b. Ensure the device inspection sticker is current G d. Initiatea requisition fora replacement CPM device | A nurse is caring for a client who is postoperativeand has a new prescription for hydromorphone. Which of the following actions should the nurse take? a. Documentadministration ofthe medication upon removal from the medication dispensing system b, Withholdthe medication ifthe client does not appear to be in pain. G | d, Withholdthe medication ifthe clienthas a fever A nurse performinga change-of-shiftassessment. Which of the followingclients has the priority finding? a. ‘ype 2 DM and ablood glucose of 250 mg/dL b. Pneumonia witha productive cough anda fever of 38.8° C (101,8° F) G d. First-degree heart blockand.a heart rate of 62/min A nurse in an outpatient mental health facility is providing teaching toa group of adolescents, Which of the following statements by a client indicates an understanding of the teaching? “Twill limit my alcohol useto one drink daily while taking disulfiram.” 1 will avoid foods containing tyramine while taking fluoexetine.” aoe | “Twill take my lithium on an emptystomach.” (pharm pg. 64: takinglithium with food will help decrease GI distress) A nurse in the emergency departments assessing client who has major depressive disorder, Which of the following actions should the nurse take first? [View Exhibit] a. Administer Zofran tothe client for nausea b, c Encouragetheclient toverbalize feelings d, Obtain theclient’s weight Anurseis completing an admission assessment for aclient whoahs narcissistic personality disorder. Which of the following should the nurse expect? a. b, Exhibits separation anxiety c Ritualistic behavior i] re apied with agin: 19. 20. 21. 22, a 4 d. “Can your child name five colors?” . A nurseis preparing to assess fetal heart tones fora client whois at 12 weeks of gestation. Which of the following actions should the nurse take? a. Measure the fundal height to determine the placement of the ultrasound stethoscope b. Perform Leopold maneuvers prior to auscultatingthe FHR © Bosonshenlnoundsshoscapshovsshesympiys spose BR d. Place the client ina side-lying position prior to assessing the FHR . A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? a. Thereisaloop of tubing below the drainage system », RESSEERWOERINBDRRBRR rc dsuzpg 104 tidaling nthe water seal chamtber and continuous bubbling only in the suction chamber) c. ‘Thelung has re-expanded d. Thetubingis partially obstructed by clots . A charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge ? a. b. Aclientwhois 1 day postoperative following a vertebroplasty c Aclientwhohas COPD anda respiratory rateof44/min ad. Aclientwhohas cancer witha sealed implant for radiation therapy A nurseis caring for a client who has ESRD, The client’sadult childasks the nurse about becoming a living kidney donor for her father, Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure? a. Osteoarthritis >. Ei c. Amputation d. Primary glaucoma A nurse is caring for a clientwho is 4 days postpartum, Which of thefollowing assessment findings should the nurse expect? (SATA) a. Foul perineal odor b, Pundusdisplaced to the right Lochiaserosa ro Postpartum chill A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? a. b. Hold hand to perform percussionson the child c Administera bronchodilator after the procedure d, Performthe procedure priorto meals A home care nurse is making a follow upvisit with a client who has COPDandis using a compressed oxygen system in his home. Which of the following action should the nurse take? 23. 24, 26. 27. 28. 29. 30. a. Ensure thatthe client checks the gauge weekly b. Storetheoxygen tank wrench in a locked cabinet c. Havetheclientstoresmaller tanks under his bed ame Location of crackles [IMAGE] A nurse is caring for a newly client who has bacterial meningitis. Which of the following actions should the nurse take? (medsurg pg. 31) a. b. Place the client in high-Fowler’s position c. PerformROM exercises once per shift d. Monitortheclient forhypoglycemia . A nurse is reviewing the preadmission lab tests results of a client who is to undergo hip arthroplasty in 2 days. Which of the following results should the nurse reportto the provider? a. Nal42mFq/I. b. Blood glucose 80 mg/dl. p d PI11.5seconds A nurseiscaring for a client who has undergonea modified radical mastectomy. The client has a closed-suction drain, Which of the following actions should the nurse take? a. b, Secure thedrain to the bedding c Pasition theaffected extremity below the level of the client’s heart d. Maintain the client ina supine position for the first 24 hr. A nurseis receiving change of shift report for four clients, Which of the following clients should the nurse assess first? a. DMandHbAtcofs.2% b. c Received V Lasixand K of 3.6 mFq/L. d. Hepatitis Band total bilirubin of 1.2 mg/dl. A nurse is developing plan of care for a newborn mother tested positive for heroin during pregnancy, Newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? a. b. Swaddle the newborn with his legs extended c Administer naloxoneto the newborn d, Maintain eyecontact with the newborn during feedings Nutritional teaching for an adult client who has seizure disorder and a new prescription for phenytoin, Which of the following instructions by the nurse is appropriate? a. “Youshould expecta change in the color of your stool whiletaking this medication.” = (pharm pg. 96: consume adequate amounts of calcium and vitamin D) c “Planto take this medication with antacids.” d. “Limit foods that contain folicacid while taking this medication.” A nurse is assessing a client who presents to the L&D unit reporting the onset of contractions, Which of the following findings should the nurse identify as a manifestation of false labor? 38. Arial fibrillation places the clientat risk for which of the following conditions? 40, 42. 43. 44, a. Pulmonary emboli b. Cardiac tamponade c. Widened pulse pressure d, Hemothorax . Client with schizophrenia and experiences auditory hallucinations. Whichactions should the nurse inchade in the plan? a. Refertothe hallucinationsas if theyare real b, Encourage the client to lie down in a quiet room «Ask the client directly what he ish d. Avoid eyecontact with the client Circumcised newborn. Which of the following instructions should the nurse include in the teaching? a. “Wrapsterile gawze around thepenisifbleeding occurs.” b, “Usesoapto cleanse the site.” d. “Remove yellow exudate around the penis.” . Crohn’s disease, Which of the following diagnostic procedures should the nurse plan to teach the client regarding pernicious anemia? a. Schilling test (medsurgpg 254) b, Oral glucose tolerance test c. D-dimer test d. Thyroid scan A nurse is creating a care plan for a client who is postoperative following a CABG. To prevent complications of cardiac surgery, which of the following instructions should the nurse include in the plan of care? a. Administer atropineto the client iftachycardia is present b. Maintain the indwelling urinary catheter until the client is ready for discharge c. Prepare for fluid volumereplacement ifthe central venous pressure steadily increases d. Check the client’s hemoglobin level if chest tube drainage is 300 mL in the first 1 hr (medsurg pg. 185: volume exceeding 150 mL/hr could be a sign of hemorrhage) A vurse is reviewing the medication administration record of a client who has rheumatoid arthritis and is 1 day postoperative following a left total hip arthroplasty. Which of the following medicationsplaces the clientat risk for delayed wound healing? a. Morphine b. Digoxin Prednis d. Omeprazole Client becomes unconscious and monitor displays v-tach. Which action should the nurse take first after determining the client does not have a palpable pulse? a. Establish TV access b, Administer epinephrine c Defibrillate d, Assess heartsounds . A nurse is caring for several clients on a med surg unit. For which of the following nursing activities is it required that the nurse use sterile gloves? a. Initiating TV assess. a. Cleanse thetip of the penis ina side to side motion b. Pick up the catheter 13 cm (5 in) from its tip c Performthe cleansing procedure with a fresh swab two times d. Lift the penis so thatit is perpendicularto theclient’: 54, A nurse is caring for a client who is febrile. To reduce fever, the murse applies a cooling blanket. Which of the findings indicates the client is having an adverse reaction to the cooling? a. Tachycardia b. Flushing c. Shiverin: d, Restlessness .. Teaching for misoprostol. Which information shouldbe inchaded in the teaching? uw a a. “Youwill havea urinary catheter inserted prior tothe placement of the medication.” b. “Youwill lie on your side for 30 min after the medication is inserted.” & “Youwillhave oxytocin initiated within 3 hours ofadministration ofthe medication.” d. “Youwill have intermittent fetal monitoring while you receive the medication 56. Clientin psychiatric unit. The client states, “The voices are telling meto jump.” Which of the following is an appropriate response by the nurse? a. “Thatcan’t betrue. The only voices in this roomare yoursand mine.” b. “Youshouldn’t beafraid when youthink the voicesare telling youto hurt yourself.” c. “Lunderstand thevoicesare frightening you, but 1 donot hear any voices.” d. _ “Doyou recognize the voices as belonging to anyone you know?” 57. Teaching the parent ofan infantwho has positional plagiocephaly, Which of the following statements by the parent indicatesan understanding of the teaching? a. “Ishould place my baby in theleftside-lying position at night when using the helmet.” b, “Tshouldavoidtummytimewhen my baby is wearing the helmet,” c. “Tshould expect to have my baby wear this helmet for 10 months.” 58. Which of the following lab findings should the nurse recognize as indicative of rheumatic fever? a. Decreased hgb and platelet count b, Decreased myoglobin and antinuclear antibody titer « El imentation r: nd C-reactive protein d, Elevated creatine kinase and troponin 59. Client with pneumonia gained 4.2 (9.3 Ib.) over the last 5 days. Lab values this morningare: WBC 10,000/mm3, RBC 5.2 million/mm3, platelets 250,000/mm3, BUN 32 mg/dL, and serum creatinine 2.1 mg/dL. lhe nurse should report these findings to which of the following members of the interdisciplinary team? a. Nephrologist b, Cardiologist c Infectious control nurse d, Dietitian 60, A nurse received change of shift report. Which of the following actions should the nurse take to manage time effectively? a. Focuson several client tasksat a time b. Document client careat the end of the shift c Skip breaks until clienttasksare completed d. Makeaclient list for th 61. Protocols for belt restraints, Which of the following guidelines should the nurse include? a. Remove the client’s restraint every 4 hr. b. Request a PRN restraint prescription for clients who are aggressive c. Attachthe restraint to the bed’s side rails ad. Document theclient’s condition 15min 62. Assessing client in ER. Which of the following actions should the nurse take first? [View Exhibit] a. Obtain ABG levels b, Elevatethe hi ftheclient’s ”° ce. Place client onacoating blanket d, Administeran analgesic 63. Clientwho has depressive disorder anda new prescription for amitriptyline. Which of the following statements by the client indicators an understanding of the teaching? a. “Tecan continue to take St. John’s wort while taking this medication.” b “Tknow it will uple of weeks before the medication helps me feel better. (pharm pg. 56: it can take 10-14 days or longer) c. “lexpectthis medication to raise my blood pressure.” d, “Tshould take this medication onan empty stomach.” 64, A nurseispreparingto feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take? a. Instructthe client tolift her chin when swallowing b. Sitatorbelowtheclient’s eyelevel during feedings c. ‘lalkwith the client during her feeding d, Discouragethe client from coughing during feedings 65. Child with sickle cellanemia. The nurse should emphasize the importance of which of the following factors to prevent sickle cell crisis? a. Alow-protein diet db. As hydration c. Calorie restriction d, Increasediron intake 66. Client with indwelling urinary catheter. Which of the following actionsshould the nurse take to provide catheter care? a : A rot b. Empty thecollected urineonce every 24 hr. c. Hangthe drainage bag on a bed rail d, Change the indwelling catheter every 8 hr. 67. Clientexperiencing acute mania, Which of the foods should the nurse provide for this client? a. Peanut rsandiwich b, Chicken noodle soup c. Celery sticks d, Oatmeal with butter 6B, 2222222722 76. 77. 78. 79. 80. 81. 82. 83. Adverse effects of sertraline a. b 4. Dry cough Increased urinary frequency Metallictaste in mouth Excessive sweating (pharm pg, 53: serotonin syndrome) Teaching fora client undergoing radiation therapyand has stomatitis. Which ofthe responses by the client indicates an understanding of the teaching? a. b. c. d, Clientpl to take? a b d, “Tshould limit my intake of dairy products to prevent nausea.” “Ishoul -bristl “1 should moisten my lips with lemon-glycerin swabs.” “Tshould gargle with an alcohol-based mouthwash to kill germs.” aced in seclusion and restraints. Which of the following actions should the nurse plan Ensure that the prescription for restraints be renewed every 6 hr. Havea provider evaluate the client in person within 1 hr. Plan to monitor theclient every 30 min while restrained Completea written record regarding the seclusion and restraint every 2 hr. Client with acute glomerulonephritis. Which of the following food choices should the nurse recommend? (low in potassium, sodium, and protein) a. b c. d, Bagel Banana Eggs Smoked salmon Clientasks about acupuncture to manage his osteoarthritis pain, The nurse should identify which of the following conditions as a contraindication for receiving this treatment? a. b. ad HTN Herpes zoster Obesity Hypothyroidism Reviewing client’s lab results, Which of the following should the nurse review to evaluate the client’s nutritional status? a. b d, Serum albumin Serum sodium Troponin FSR Nurse manger observes two staff nurses reviewing the computer records of a client who is not under their care. Which of the following should the nurse manager take first? Request the nurses presentan in-service on client confidentiality Place documentation of the nurses’ actions in the personnel file Instruct the nurses to close the client’s computer r Advisethe nurses to read the facility's confidentiality policy Discharge teaching to a client who does not speak the same language as the nurse, The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? a. b fon Use gestures to convey meaning Speak slowly when talking to the interpreter Speak directly to the client Pause in the middle of the sentences 84. Teaching the parents ofa client with new onset of seizures and is to undergo an FRG. Which of the following instructions should the nurse include in the teaching? a “Ensure the child’s hair is clean and with nditioner before the procedure.” (medsurg pg. 18: instruct client to wash his hair prior to the procedure and eliminate all oils, gels, and sprays) b. “Keep thechild out of the sun for 4 hr, following the procedure.” c. “Makethe child NPO before the procedure.” d. “Givethe child acetaminophen for pain following the procedure.” 85. Client presented with fine hair, exophthalmos, and reports intolerance to heat. Which of the following endocrine disorders is associated with these findings? a. Hyperthyroidism b, Hyperparathyroidism c. Hypothyroidism d, Hypoparathyroidism 86. Clienton bed rest. The nurse should recognize that which of the following findings is a complication of immobility? a. Decreased serum calcium levels b, Increased BP c. Urinary frequency d, Swollen areaon calf 87. A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? (medsurgpg. 164) a. Administer nitroglycerin 0.4 mg SI. 30 min before the procedure b. Drawblood specimens for cultureand sensitivity c, Transportthe client to radiology fora CT scan d, Obtain CBC with differential 88. A nurse is providing teachingto the parents ofa newborn genetic screening. Which of the following statements should the nurse include in the teaching? a. “Thistest shoul performed afteryour baby is 24 hours ol: b, “A nurse will draw blood from your baby’s inner elbow.” c “Thistest will be repeated when yourbaby is 2 months old.” ad. “Your babywill be given 2 ounces of water to drink prior tothe test.” 89, Newprescription far carbidopa-levodopa. Which of the following instructions should the nurse include? a. “Takewitha protein shake.” b. “Report dark-colored urine.” © “Monitorfor hyperglycemia.” d. “Change positions slowly.” (pharm pg. 93: orthostatic hypotension) 90. Identify ECG [IMAGE] of client with potassium toxicity 91. Clientin postpartum taking methylergonovine. he nurse should recognize that which of the following is a contraindication for this medication? a. HIN (pharm pg. 253: contraindications/precautions) b. Polyuria c. Confusion d, Chlamydia 92. Parent ofan infant who hasa cleft lip palate. Which of the following feeding techniques should the nurse include in the teaching? a. Position the nipple at the front of the infant’s mouth b. Burp the infant frequently during feedings (pedspg. 139) d, Hold the infant ina supine position 93. Clientwith Alzheimer’s disease. Which of the following should the nurse include in the plan of care? a. Encourage physical activity prior to bedtime b. Replacethecarpet with hardwood floors ce Wearclothing with zippers instead of buttons d. Placelocksat the top of exterior doors (medsurg pg. 46: installing door locks that cannot be easily opened) 94. A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal ? a. Acrocyanosis b, Bulging fontanels c Bradycardia d. Hypertonicity 95. A newly LPN working at an HTY clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention? a. Usingan electronic massaging system to remind clients when to take medications b. Educating clients about contraindicationsto specific immunizations c. Helping clients understand health screenings covered by their insurance plans d, Providing clients with info about the benefits of exercise 96. Client who has bipolar disorderand is experiencing mania. Which of the following should the nurse include in the plan? a. a b. Encourage the client to spend time in the day room ¢. Placetheclientin seclusion when he exhibits signs of anxiety (mental pg. 76: seclusion might be the only way to safely decrease stimulation) ad. Withdrawthe client’s'I'V privileges if he does not attend group therapy 97. Anursein theER is receiving report for four clients, Which should the nursesee first? a, lient who has HTN and report reh he (stroke) b. Client who reports left arm pain followinga fall & Clientwho has heart failure and received diuretic 30 min ago d. Client who reports frequent and painful urination 98. A nurse is visiting a client whose partner states that she is overwhelmed by caring for him, When suggesting respite care, which of the following explanations should the nurse provide? a. “Respite care provides cliniciansto workwith you in caring for your husband.” b * i re allows for time away from caring for your husband,” c. “Respite care includes volunteers who will perform household tasks.” ad. “Respite care offers financial resources to help care for your husband.” 99. Education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching? a. ibrocystic breast disease b. Fibromyalgia c Renalcalculi d. HIN (pharmpg. 246; use cautiously in clients who have hypertension) 100.Admitting a client who is in labor and at 38 weeks of gestation, The client has a history of herpes simplex virus 2. Which of the following questions is most important for the nurse to ask the client? a. “Are youcurrently taking acyclovir?” b. “Do youhaveanactivelesion?” “When did your labor begin?” d. “Howlongagowereyou first diagnosed?” 101.A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? a. Leavinga NG tubeclamped after administering oral medication b. Administerin; ssium vial 1 c. Documenting communication with a provider in the progress notes of client’s medical record d. Placinga yellow bracelet ona client who isat risk for falls 102. Lab results ofa client who has osteomyelitis and is receiving tobramycin. Which of the following findings indicate the client is experiencing an adverse effect of the medication? a. Serumcreatinine0.4 mg/dl. b, Albumin 3.2 g/dL. c. Total bilirubin 0.08 mg/dL d. BUN 30mg/dL 103.A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? a. Zinc b, Calcium c. Folate ds [ron 104,The nurse practices the ethical principles of distributive justice by performing which of the following? a. Ensuring thata clientwhois homeless receives preventive medical cart b, Being honest with the parents ofa child about the need to report suspected abuse c. Keepinga promise to visit witha client who is housebound after the delivery of care d. Accepting the decision ofan older adult client to live alone in her home 105.Client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? a. Observe for bruising of theskin b. Providea dietlowin protein c. Monitorv/severyhour for the first 4 br. d, Administer medications intramnusearly 106.Client with dementia, Which of the following actions should the nurse take to reduce the risk for client injury? a. Keep thetelevision on during the night b. Place the bedside tableat the foot of the bed 114.A nurse is developing an in-service about personality disorders, Which of the following should the nurse include when discussing borderline personality disorder? a. “Theclient mightact seductively.” b. “The client is exceptionally clingy to others.” c “Theclientexhibitsimpulsive behavior.” (mental pg. 85: compulsiveness and lack of social restraint) d. “Theclientis overly concerned about minor details.” 115.Client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching? a. “Twill floss between my teeth every time] brush.” b. “Twillusean enema to manage my constipation.” c. “Lwill remove my shoes when I’m inside my house.” ad. “Twill wipe mynosein: 116.A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first? a. Clarifythe source of the referral b. Contact the family by phone fon hedulea time for the home visi d. Implementthe nursing process 117.Discharge teaching to a client following a total gastrectomy. ‘I'he nurse should instruct the client about which of the following medications? a. Ranitidine b. Vitamin By c. Metoclopramide d. VitaminK 118.A nurse is providing an in-service about client evacuation duringa afire. Whichof the following clients should the nurse instruct the staff to evacuate first? a. Client whois bedridden and wearsa hearing aid b. Clientwho hasa fracture and is in balance suspension traction c lientwho isambul: ndreceivin; n d. Client uses a wheelchair and is confused 119.A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? b. “Repeat thedose if yourchild vomits within 1 hour after taking the medication.” c. “Youcanadd the medication toa half-cup of your child’s favorite juice.” d. “Limityour child’s potassium intake whileshe is taking this medication.” 120,A nurse is providing discharge teaching to a client who has CKD and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? (medsurg pg. 382: “at least 2 1 water daily; control protein; restrict sodium, potassium, phosphorous, and magnesium”) a. Consume foods high in potassium b. Eat. g/kg of protein per day Drinkat least 3 I. of fluid daily Take magnesium hydroxide for indigestion Apo 121,Client who is 33 weeks of gestation followingan amniocentesis. The nurse should monitor the client for which of the following complications? a. Epigastric pain b, Vomiting c HTN d. Contractions (OB pg. 34: advise the client to report to her provider if she experiences fever, chills, leakage of fluid, bleeding from insertion site, decreased fetal movement, vaginal bleeding, or uterine contractions after the procedure) 122. Preoperative assessment for a client allergic to several foods. Which of the following food allergies indicates a risk factor for latex allergy? a. Eggs b, Peanuts c Shrimp d. Bananas 123. Assessing the fontanels of an &-month-old infant, Which of the following findings should the nurse recognize as an expected finding? a. Both fontanelsshow molding b. Both fontanelsarethe same size c Theposterior fontanel is open (closes at 2-3 months) d. Theanterior fontanelisopen (closes at 18 months} 124. Parents of an infant who has tracheostomy. Which of the following instructions should the nurse include in the teaching? a. “Apply suction for 30 secondsatter advancing the catheter.” b. “Set thesuction machineto60 mm Hg.” c “Instill2 mI. ofsalinein the tracheostomy prior to suctioning.” d. “Advance thesuction catheter just past the point of resistance,” 125.Client asks info regarding organ donation, Which of the following responses should the nurse make? a. “Yournamecannot be removed once youare listed on the organ donor list.” b, “Tcannot bea witness foryour consent to donate.” c« “Youmust beatleast21 yearsofage to becomean organ donor.” ad “Yourdesir norgan donor mus! mented in writing,” 126.Client following abdominal surgery. Which of the following findings should the nurse report to the provider? a. BP 100/70 mmHg b. Serous drainage on the abdominal dressing c Temperature 37.6° C(99.7°F) d. Urinary output 20 mL/hr, 127.A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby. Which of the following actions should the nurse take? a. Assist th lescent in applying for Medicai b. Refer the adolescent toa local mental health clinic c Contact theadolescent’s parent for assistance d. Advisethe adolescent to lace the newborn for adoption 128, Client with acute angle-closure glaucoma. Which of the following findings should the nurse expect? (medsurg pg. 66; s/s - elevated IOP; decreased/blurred vision; colored halos; pupils nonreactive to light; severe pain and nausea; photophobia) 
