ATI PN 2020 C0MPREHENSIVE EXAM QUESTIONS AND ANSWERS

ATI PN 2020 C0MPREHENSIVE EXAM QUESTIONS AND ANSWERS A nurse is caring for a client who has heart failure and reports difficulty with limiting sodium in their diet. Which of the following recommendations should the nurse provide? Replace bottled salad dressing with homemade vinegar and oil dressing. ● A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications? Methadone ● A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching? "I can place a rolled towel on each side of my newborn's head until he can hold his head up." A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference? A client who has hemiparesis and lives alone ● A nurse is reinforcing discharge teaching with a client who has type 1 diabetes mellitus. Which of the following client statements indicates an understanding of the teaching? "I will store opened insulin vials in my refrigerator." ● A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for cellulitis on the left arm. Which of the following techniques should the nurse use? Take the child on a tour of the surgery and recovery areas. A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For which of the following results should the nurse notify the provider?Ketones positive A nurse is visiting with the family of a client who has just died. Which of the following actions should the nurse take to promote comfort for the family? Allow the family as much time as they want with the client. ● A nurse on a maternal newborn unit is assisting with the preparation of an in-service presentation about infection control. Which of the following information should the nurse recommend to include?Visitors who have an upper respiratory infection should wear a mask. A nurse is collecting data from a client who is postoperative and received hydromorphone 4 mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale." Which of the following actions should the nurse take first? Reevaluate the client's response to the medication in 30 min. A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of Pediculosis humanus capitis. Which of the following should the nurse include in the teaching? Wash the bed linens in hot water. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept? A client who had a cesarean delivery 24 hr ago A nurse is assisting with the care of a client who is in active labor. Which of the following data is the priority for the nurse to collect following an amniotomy?Fetal heart rate A nurse is assisting in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include as an example of fidelity? A nurse keeps a promise made to a client. A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include? Maintain elbow restraints on the infant. A nurse administered an IM injection to a client. Which of the following actions should the nurse take to reduce the risk of a needlestick injury? Dispose of the used needle immediately in a sharps container. A nurse is collecting data from a client who has hepatitis A. Whichof the following findings should the nurse expect Abdominal pain A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make? "You should empty the colostomy bag when it is three-fourths full." ● A charge nurse is explaining the role of a licensed practical nurse to an assistive personnel (AP). Which of the following responsibilities should the charge nurse include? Assessing a client's health status A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate? Droplet ● A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching? "I should use an injection site that is 1 inch from the previous site." PAUSE ● A nurse is reinforcing teaching about home safety with the parent of an 8-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? "I will keep the door to the bathroom closed." ● A nurse is collecting data from a newly admitted client. Which of the following questions should the nurse ask to assess the client's abstract thinking ability? "What does the phrase 'butterflies in my stomach' mean?" ● A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect? Chronic constipation ● A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN? A client who has a new onset of chest pain A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse? The television set is turned to a loud volume. The chair sits too low A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include? Call EMS if a seizure lasts 5 min or more. A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? "It is a light stroking of the skin during a uterine contraction." A newly licensed nurse is having difficulty finishing client care tasks during their shift. Which of the following techniques should the nurse plan to use to assist with time management? Try to complete a task before moving on to the next. A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following interventions should the nurse recommend? Observe the client for 1 hr after meals. A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? Periorbital edema ● A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization. Which of the following instructions should the nurse include? "You can take a shower 1 day after your procedure." A nurse is preparing to administer 5 units of regular insulin and 20 units of NPH insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first? Withdraw 5 units of regular insulin from the vial. A nurse working at a crisis hotline call center receives a call from a client who states, "I cannot take it. My life is over." Which of the following is the priority response by the nurse? Are you thinking of harming yourself?" ● A nurse has obtained a client's oxygen saturation measurement of 88% on 2 liters of oxygen via nasal cannula. Which of the following actions should the nurse take? Compare the result with the baseline reading. ● A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain? Lip smacking A nurse is reinforcing teaching with the parents of a preschool-age child who has a new diagnosis of celiac disease. Which of the following foods should the nurse recommend? corn tortillas with black beans A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following methods should the nurse plan to use?. A nurse is caring for a client who is breastfeeding their 5-day-old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively? Makes audible swallowing sounds A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts? Cloudy vision Pull the auricle upward and backward A nurse is collecting data from the guardian of a toddler during a well-child visit. The guardian expresses concern to the nurse because his child has a poor appetite, but drinks a quart of milk each day. The nurse should identify that this practice places the toddler at risk for which of the following conditions? Iron deficiency A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia? "How are you?" A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider? Depression A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following should the nurse include as an expected effect of this medication? Increased heart rate ● A nurse is reinforcing teaching with a school-age child who has hemophilia about participating in school sports. Which of the following sports should the nurse recommend for the child? (Select all that apply.) Gymnastics Golf Swimming A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?. A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed? (Select all that apply.) Insulin aspart ,Regular insulin , Insulin lispro 50.A nurse in a long-term care facility has received change-of-shift report about four clients. Which of the following clients should the nurse attend to first?A client who has COPD and dementia and was agitated during the night shift 51.A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to see me with this bag." Which of the following responses should the nurse make? "Why don't you want people to see the colostomy bag?" 52.A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching? "I will check my pulse rate daily Serve meals with plastic utensils 55.A nurse is caring for a client who is receiving prazosin. The client's blood pressure is 100/60 mm Hg. Which of the following actions should the nurse take? Instruct the client to stand up slowly. 56.A nurse is collecting data from a client who is taking heparin to prevent deep-vein thrombosis and has bloody stools. Which of the following laboratory values should the nurse report to the provider? INR 5.2 57. A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.) Pallor in the exposed portion of the left foot Inability to move the left foot Paresthesia in the left foot 58.A nurse is providing change-of-shift report for a client who has heart failure. Which of the following information should the nurse include in the report? The client's most recent blood pressure reading was 110/60 mm Hg. 59.A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "A client has the right to view their medical record." 60.A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? "I will feed my baby six to eight times a day." 61.A nurse is caring for a female client who has a new diagnosis of breast cancer. The client is concerned about potential changes to her body image depending on her choice of treatment. Which of the following actions should the nurse take? Refer the client to Reach to Recovery. 62.A nurse is caring for a client who has COPD. The nurse should identify that which of the following Productive cough with green sputum 63.A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include