PN ATI Fundamentals Proctored Exam
A nurse is assisting with the allergic reaction, itching
care of a patient who is receiving
a unit of packed RBCs
The patient has manifestations of_____as
evidenced by the patient's____-
- patient is cachectic with flaccid muscle tone
A nurse in an emergency department (ED) - skin is dry and scaly with bruises on extremities
is assisting with the care of a patient.
-pulse rate 118/min
What findings indicate the patient might
be malnourished? - abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient 1. measure the patient's intake and output
who has pancreatitis.
2.Document the patient's vital signs
Select 3 tasks the nurse should delegate
to an assistive personnel (AP) 3.Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has The patient's output was 60 mL for the past 3 hours
chronic kidney disease. The nurse
should identify that which of the following *this represents oliguria and can indicate a decrease in kidney perfusion or function
findings is the priority to report to the
provider?
A nurse is preparing to administer an check the gastric pH of the gastric aspirate
enteral feeding to a patient who has an NG
tube in place. Which of the following
methods should the nurse use to verify
correct placement of the NG tube?
1
/
, A nurse is repositioning a patient who internally rotate the patient's hips by using a trochanter roll
has quadriplegia and is in the supine
position. Which of the following actions
should the nurse take to prevent
patient
musculoskeletal injury?
A nurse is preparing to palpate a dorsalis pedis
patient's pulse. The nurse should
recognize that which of the following
pulses is located on the top of the
patient's foot?
A patient who is scheduled to undergo notify the charge nurse of the patient's concerns
surgery tells the nurse that they do
not understand the procedure and
are
reconsidering their decision to have it.
Which of the following actions should the
nurse take?
A nurse is reinforcing preoperative "this can help prevent pneumonia"
teaching with a patient about how to
turn, cough, and deep breathe. Which
of the following statements by the
patient
indicates an understanding of the
teaching?
A nurse is preparing to document 3+ pitting edema
information about a patient's lower legs,
which are swollen with 6 mm edema.
Which of the following information
should the
nurse document?
A nurse is checking for a patient's pulse count the patient's radial and apical pulses simultaneously with another nurse
deficit after detecting an irregular
heart rate. Which of the following actions
should the nurse take?
A nurse is contributing to a plan of care for pad bony prominences on the wrist
a patient who has a new prescription for
a wrist restraint. Which of the following
actions should the nurse take?
A nurse is assisting with the plan of care for assist a patient to get out of bed after a breathing treatment
four adults. Which of the following tasks
should the nurse assign to an assistive
personnel?
A nurse is collecting data from a patient a purple colored stoma
who is 2 days postop following a
colostomy placement. Which of the
following findings should the nurse report
to the provider?
A nurse is reviewing the medical record BUN 8 mg/dL (10 to 20 mg/dL)
of a female patient who has heart failure.
The nurse should identify which of the *with fluid volume excess, the nurse should expect the patient's BUN to be below
following lab results as an indication that the expected reference range due to hemodilution
the patient has fluid volume excess.
2
/
A nurse is assisting with the allergic reaction, itching
care of a patient who is receiving
a unit of packed RBCs
The patient has manifestations of_____as
evidenced by the patient's____-
- patient is cachectic with flaccid muscle tone
A nurse in an emergency department (ED) - skin is dry and scaly with bruises on extremities
is assisting with the care of a patient.
-pulse rate 118/min
What findings indicate the patient might
be malnourished? - abdomen is distended
- BMI 17
A nurse is assisting in the care of a patient 1. measure the patient's intake and output
who has pancreatitis.
2.Document the patient's vital signs
Select 3 tasks the nurse should delegate
to an assistive personnel (AP) 3.Transfer the patient from a wheelchair to the bed
A nurse is caring for a patient who has The patient's output was 60 mL for the past 3 hours
chronic kidney disease. The nurse
should identify that which of the following *this represents oliguria and can indicate a decrease in kidney perfusion or function
findings is the priority to report to the
provider?
A nurse is preparing to administer an check the gastric pH of the gastric aspirate
enteral feeding to a patient who has an NG
tube in place. Which of the following
methods should the nurse use to verify
correct placement of the NG tube?
1
/
, A nurse is repositioning a patient who internally rotate the patient's hips by using a trochanter roll
has quadriplegia and is in the supine
position. Which of the following actions
should the nurse take to prevent
patient
musculoskeletal injury?
A nurse is preparing to palpate a dorsalis pedis
patient's pulse. The nurse should
recognize that which of the following
pulses is located on the top of the
patient's foot?
A patient who is scheduled to undergo notify the charge nurse of the patient's concerns
surgery tells the nurse that they do
not understand the procedure and
are
reconsidering their decision to have it.
Which of the following actions should the
nurse take?
A nurse is reinforcing preoperative "this can help prevent pneumonia"
teaching with a patient about how to
turn, cough, and deep breathe. Which
of the following statements by the
patient
indicates an understanding of the
teaching?
A nurse is preparing to document 3+ pitting edema
information about a patient's lower legs,
which are swollen with 6 mm edema.
Which of the following information
should the
nurse document?
A nurse is checking for a patient's pulse count the patient's radial and apical pulses simultaneously with another nurse
deficit after detecting an irregular
heart rate. Which of the following actions
should the nurse take?
A nurse is contributing to a plan of care for pad bony prominences on the wrist
a patient who has a new prescription for
a wrist restraint. Which of the following
actions should the nurse take?
A nurse is assisting with the plan of care for assist a patient to get out of bed after a breathing treatment
four adults. Which of the following tasks
should the nurse assign to an assistive
personnel?
A nurse is collecting data from a patient a purple colored stoma
who is 2 days postop following a
colostomy placement. Which of the
following findings should the nurse report
to the provider?
A nurse is reviewing the medical record BUN 8 mg/dL (10 to 20 mg/dL)
of a female patient who has heart failure.
The nurse should identify which of the *with fluid volume excess, the nurse should expect the patient's BUN to be below
following lab results as an indication that the expected reference range due to hemodilution
the patient has fluid volume excess.
2
/
