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ATI PN Comprehensive Exit Exam Questions Advanced
/ Hard / Mixed Difficulty | 100% Pass Guaranteed |
Graded A+
1. A practical nurse (PN) is caring for a client who has a prescription for oxygen at 2 L/min via
nasal cannula. Which of the following actions should the PN take to ensure safe delivery of
oxygen?
A. Humidify the oxygen if the flow rate is greater than 4 L/min
B. Apply petroleum-based ointment to the nares to prevent dryness
C. Place the client in a supine position
D. Set the flow rate to 6 L/min to improve oxygenation
☑ Correct Answer: A
☑ Explanation: Oxygen should be humidified at flow rates greater than 4 L/min to prevent
drying of the mucous membranes. Petroleum-based ointments are flammable and should be
avoided with oxygen use. The client should be in a semi-Fowler's position to promote lung
expansion. A flow rate of 6 L/min is not appropriate for a nasal cannula without a prescription.
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2. A PN is reinforcing teaching with a client who has a new prescription for warfarin. Which of
the following foods should the PN instruct the client to limit?
A. Cranberries
B. Bananas
C. Apples
D. Rice
☑ Correct Answer: A
☑ Explanation: Cranberries (and cranberry juice) can increase the effects of warfarin,
leading to an increased risk of bleeding. Clients on warfarin should maintain a consistent intake
of vitamin K-rich foods (green leafy vegetables). Bananas, apples, and rice do not significantly
affect warfarin metabolism.
3. A client who is 2 hours postoperative from a total hip arthroplasty reports pain in the
operative leg. The PN notes the toes are pale and cool to the touch. Which action should the PN
take first?
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A. Apply a warm compress to the operative leg
B. Administer the prescribed analgesic
C. Notify the healthcare provider
D. Elevate the operative leg on pillows
☑ Correct Answer: C
☑ Explanation: Pale, cool toes indicate possible arterial insufficiency or compromised
circulation, which is a medical emergency. The PN should notify the healthcare provider
immediately. Applying heat, administering analgesics, or elevating the leg could worsen the
condition if there is a vascular compromise.
4. A PN is caring for a client with an indwelling urinary catheter. Which of the following actions
should the PN take to prevent catheter-associated urinary tract infection (CAUTI)?
A. Empty the drainage bag every 24 hours
B. Secure the tubing to the client's thigh
C. Place the drainage bag on the client's bed
D. Clean the perineal area with antiseptic solution daily
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☑ Correct Answer: B
☑ Explanation: Securing the catheter tubing to the client's thigh prevents tension and
movement of the catheter, which can introduce bacteria. The drainage bag should be emptied
every 8 hours, placed below the level of the bladder (not on the bed), and the perineal area
should be cleaned with soap and water (not necessarily antiseptic).
5. A PN is reinforcing teaching with a client who has type 2 diabetes mellitus about self-
monitoring of blood glucose. Which of the following statements by the client indicates
understanding?
A. "I should wash my hands with warm water before testing my blood sugar."
B. "I should prick the center of my fingertip."
C. "I will use the same lancet for up to 3 tests."
D. "I will test my blood sugar before meals and at bedtime."
☑ Correct Answer: A
☑ Explanation: Washing hands with warm water before testing increases blood flow and
removes contaminants. The side of the fingertip should be pricked, not the center. Lancets
ATI PN Comprehensive Exit Exam Questions Advanced
/ Hard / Mixed Difficulty | 100% Pass Guaranteed |
Graded A+
1. A practical nurse (PN) is caring for a client who has a prescription for oxygen at 2 L/min via
nasal cannula. Which of the following actions should the PN take to ensure safe delivery of
oxygen?
A. Humidify the oxygen if the flow rate is greater than 4 L/min
B. Apply petroleum-based ointment to the nares to prevent dryness
C. Place the client in a supine position
D. Set the flow rate to 6 L/min to improve oxygenation
☑ Correct Answer: A
☑ Explanation: Oxygen should be humidified at flow rates greater than 4 L/min to prevent
drying of the mucous membranes. Petroleum-based ointments are flammable and should be
avoided with oxygen use. The client should be in a semi-Fowler's position to promote lung
expansion. A flow rate of 6 L/min is not appropriate for a nasal cannula without a prescription.
,2
2. A PN is reinforcing teaching with a client who has a new prescription for warfarin. Which of
the following foods should the PN instruct the client to limit?
A. Cranberries
B. Bananas
C. Apples
D. Rice
☑ Correct Answer: A
☑ Explanation: Cranberries (and cranberry juice) can increase the effects of warfarin,
leading to an increased risk of bleeding. Clients on warfarin should maintain a consistent intake
of vitamin K-rich foods (green leafy vegetables). Bananas, apples, and rice do not significantly
affect warfarin metabolism.
3. A client who is 2 hours postoperative from a total hip arthroplasty reports pain in the
operative leg. The PN notes the toes are pale and cool to the touch. Which action should the PN
take first?
,3
A. Apply a warm compress to the operative leg
B. Administer the prescribed analgesic
C. Notify the healthcare provider
D. Elevate the operative leg on pillows
☑ Correct Answer: C
☑ Explanation: Pale, cool toes indicate possible arterial insufficiency or compromised
circulation, which is a medical emergency. The PN should notify the healthcare provider
immediately. Applying heat, administering analgesics, or elevating the leg could worsen the
condition if there is a vascular compromise.
4. A PN is caring for a client with an indwelling urinary catheter. Which of the following actions
should the PN take to prevent catheter-associated urinary tract infection (CAUTI)?
A. Empty the drainage bag every 24 hours
B. Secure the tubing to the client's thigh
C. Place the drainage bag on the client's bed
D. Clean the perineal area with antiseptic solution daily
, 4
☑ Correct Answer: B
☑ Explanation: Securing the catheter tubing to the client's thigh prevents tension and
movement of the catheter, which can introduce bacteria. The drainage bag should be emptied
every 8 hours, placed below the level of the bladder (not on the bed), and the perineal area
should be cleaned with soap and water (not necessarily antiseptic).
5. A PN is reinforcing teaching with a client who has type 2 diabetes mellitus about self-
monitoring of blood glucose. Which of the following statements by the client indicates
understanding?
A. "I should wash my hands with warm water before testing my blood sugar."
B. "I should prick the center of my fingertip."
C. "I will use the same lancet for up to 3 tests."
D. "I will test my blood sugar before meals and at bedtime."
☑ Correct Answer: A
☑ Explanation: Washing hands with warm water before testing increases blood flow and
removes contaminants. The side of the fingertip should be pricked, not the center. Lancets
