ATI PN COMPREHENSIVE EXIT EXAM
QUESTIONS WITH CORRECT ANSWERS
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should the
nurse include in the plan of care? - Answer-The nurse should irrigate the bladder using
strict sterile technique and maintain closed catheter drainage system to minimize the
rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive per
sonnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs
earlier. Which of the following actions should the nurse take firsT? - Answer-check the
clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? -
Answer-A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is
overweight. Which of the following statements should the nurse include in teaching? -
Answer-keep fat intake to no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - Answer-difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr postoperative following
abdominal surgery. The provider writes a prescription to advance the client to a re gular
Diet. For which of the following findings should the nurse notify the provider? - Answer-
The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states. "He is high on
something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should
suspect intoxication with which of the following substances? - Answer-
Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room during he meal t
ime. The AP appears drowsy while performing routine tasks. Which of the following a
ctions should the nurse take? - Answer-Report the observations about the ap to the
unit's nurse manager.
A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec
ting foods that have a high water content. The nurse should include that which of the
,following raw foods contains the highest amount of water per 1 cup serving? - Answer-
cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse should
assist the client into which of the following positions? - Answer-lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago.
The client states "I really thought I'd be back to my usual routines by now, but I can't
think of anythingelse except my son is gone" Which of the following responses should
the nurse make? - Answer-Grieving for your son is hard work. It will take as much time
as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in
active labor. The nurse recognizes late deceleration on the fetal monitor tracing.
Whichof the following actions should the nurse take? - Answer-Place the client in the
lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information
should the nurse manager include in the in-service? - Answer-Remove rings when
washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of
the following statements should the nurse include in the instructions? - Answer-Place
your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? -
Answer-Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the following
actions should the nurse perform first? - Answer-check for a gag reflex
While administering a medication to a client, a nurse notices a trayed electrical cord
connecting the client's continuous passive motion machine to the electrical outlet. Which
of the following actions should the nurse take? - Answer-Remove the device from the
client's room.
A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy.
Which of the following manifestations should the nurse report to the provider as
indicating possible hypocalcemia? - Answer-Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement an
d functioning of the drain, which of the following should the nurse expect to observe? -
Answer-The safety pin is present at the distal end of the drain.
, A community health nurse is helping to reinforce teaching about hepatitis A with a group
of employees at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor
that can impede learning for the participants? - Answer-Poor lighting in the learning
setting
A nurse is observing newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly
licensed nurse selects which of the following solutions to clean the inner cannula? -
Answer-hydrogen peroxide
A nurse is caring for a client who has right sided heart failure. The client's partner exp
resses concern the the client will die. Which of the following responses should the nurse
make? - Answer-"It is difficult to see someone so sick. Whathave you been told about
your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-service for newly hired
assistive personnel about legal issues within the facility. Which of the following should
the nurse include as an example of assault? - Answer-Informing a client the nurse is
going to administer an injection even though the client refuses.
A nurse is collecting data from who is severe pain. Which of the tollowing questions
should the nurse ask first? - Answer-"Where is your pain located?"
A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the
provider? - Answer-Platelet count 95,000 mm3
A nurse is performing a dressing change for a client who had abdominal surgery 5 day s
ago. The nurse notes organs protruding from the incision. Which of the following act
ions should the nurse take? - Answer-Cover the exposed area with sterile, saline-
soaked dressings.
A nurse is speaking with the adult daughter of a client who has Alzheimer's disease.
The daughter states, "I love my dad, but caring for him is wearing me out." Which of the
following response should the nurse make? - Answer-"Let's discuss how caring for your
father is affecting your health.
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re
ports waking during the night with tremors and anxiety. which of the following inform
ation should the nurse provide to help the client manage his symptoms? - Answer-Eat a
bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-
QUESTIONS WITH CORRECT ANSWERS
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should the
nurse include in the plan of care? - Answer-The nurse should irrigate the bladder using
strict sterile technique and maintain closed catheter drainage system to minimize the
rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive per
sonnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs
earlier. Which of the following actions should the nurse take firsT? - Answer-check the
clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? -
Answer-A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is
overweight. Which of the following statements should the nurse include in teaching? -
Answer-keep fat intake to no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - Answer-difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr postoperative following
abdominal surgery. The provider writes a prescription to advance the client to a re gular
Diet. For which of the following findings should the nurse notify the provider? - Answer-
The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states. "He is high on
something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should
suspect intoxication with which of the following substances? - Answer-
Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room during he meal t
ime. The AP appears drowsy while performing routine tasks. Which of the following a
ctions should the nurse take? - Answer-Report the observations about the ap to the
unit's nurse manager.
A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec
ting foods that have a high water content. The nurse should include that which of the
,following raw foods contains the highest amount of water per 1 cup serving? - Answer-
cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse should
assist the client into which of the following positions? - Answer-lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago.
The client states "I really thought I'd be back to my usual routines by now, but I can't
think of anythingelse except my son is gone" Which of the following responses should
the nurse make? - Answer-Grieving for your son is hard work. It will take as much time
as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in
active labor. The nurse recognizes late deceleration on the fetal monitor tracing.
Whichof the following actions should the nurse take? - Answer-Place the client in the
lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information
should the nurse manager include in the in-service? - Answer-Remove rings when
washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of
the following statements should the nurse include in the instructions? - Answer-Place
your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? -
Answer-Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the following
actions should the nurse perform first? - Answer-check for a gag reflex
While administering a medication to a client, a nurse notices a trayed electrical cord
connecting the client's continuous passive motion machine to the electrical outlet. Which
of the following actions should the nurse take? - Answer-Remove the device from the
client's room.
A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy.
Which of the following manifestations should the nurse report to the provider as
indicating possible hypocalcemia? - Answer-Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement an
d functioning of the drain, which of the following should the nurse expect to observe? -
Answer-The safety pin is present at the distal end of the drain.
, A community health nurse is helping to reinforce teaching about hepatitis A with a group
of employees at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor
that can impede learning for the participants? - Answer-Poor lighting in the learning
setting
A nurse is observing newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly
licensed nurse selects which of the following solutions to clean the inner cannula? -
Answer-hydrogen peroxide
A nurse is caring for a client who has right sided heart failure. The client's partner exp
resses concern the the client will die. Which of the following responses should the nurse
make? - Answer-"It is difficult to see someone so sick. Whathave you been told about
your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-service for newly hired
assistive personnel about legal issues within the facility. Which of the following should
the nurse include as an example of assault? - Answer-Informing a client the nurse is
going to administer an injection even though the client refuses.
A nurse is collecting data from who is severe pain. Which of the tollowing questions
should the nurse ask first? - Answer-"Where is your pain located?"
A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the
provider? - Answer-Platelet count 95,000 mm3
A nurse is performing a dressing change for a client who had abdominal surgery 5 day s
ago. The nurse notes organs protruding from the incision. Which of the following act
ions should the nurse take? - Answer-Cover the exposed area with sterile, saline-
soaked dressings.
A nurse is speaking with the adult daughter of a client who has Alzheimer's disease.
The daughter states, "I love my dad, but caring for him is wearing me out." Which of the
following response should the nurse make? - Answer-"Let's discuss how caring for your
father is affecting your health.
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re
ports waking during the night with tremors and anxiety. which of the following inform
ation should the nurse provide to help the client manage his symptoms? - Answer-Eat a
bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-
