PN ATI COMPREHENSIVE EXIT EXAM WITH BOTH
QUESTIONS AND VERIFIED 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? CORRECT ANSWERThe 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?
CORRECT ANSWERcheck the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see
first? CORRECT ANSWERA 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? CORRECT ANSWERkeep 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? CORRECT
ANSWERdifficulty 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? CORRECT ANSWERThe 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?
CORRECT ANSWERMethamphetamines
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? CORRECT ANSWERReport 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? CORRECT ANSWERcherry 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? CORRECT
ANSWERlateral 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? CORRECT ANSWERGrieving 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? CORRECT
ANSWERPlace 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? CORRECT
ANSWERRemove 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?
CORRECT ANSWERPlace 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?
CORRECT ANSWERScan 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? CORRECT
ANSWERcheck 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
QUESTIONS AND VERIFIED 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? CORRECT ANSWERThe 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?
CORRECT ANSWERcheck the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see
first? CORRECT ANSWERA 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? CORRECT ANSWERkeep 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? CORRECT
ANSWERdifficulty 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? CORRECT ANSWERThe 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?
CORRECT ANSWERMethamphetamines
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? CORRECT ANSWERReport 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? CORRECT ANSWERcherry 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? CORRECT
ANSWERlateral 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? CORRECT ANSWERGrieving 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? CORRECT
ANSWERPlace 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? CORRECT
ANSWERRemove 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?
CORRECT ANSWERPlace 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?
CORRECT ANSWERScan 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? CORRECT
ANSWERcheck 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