ATI RN LATEST COMPREHENSIVE FINAL EXIT
EXAM
2023 APRIL- AUGUST LATEST UPDATES
A newborn with apnea is being discharged from the hospital with home monitoring. What
information concerning the infant's care should the practical nurse review with the
parents? - ANSWERS-A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation
of home monitoring presents additional emotional stress. When home monitoring is
required the parents should receive instructions that include cardiopulmonary
resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the practical nurse
(PN) question? - ANSWERS-D. Preoperative prescriptions should be resumed after a
client returns from surgery.
Which task could the practical nurse assign to an unlicensed assistive personnel (UAP)?
- ANSWERS-C. Verify identification arm bands when infant is left in mom's room.
Rationale: Delivering an infant from the nursery to the mother's room and verifying the
identification on both arm bands is a task that could be assigned to a UAP (C). The task
is a predictable, routine task on a unit. Reinforcing teaching about infant sleeping
positions
When reviewing the safety precautions regarding newborns, what information should the
syndrome (SIDS) declines when infants are positioned on their
backs
practical nurse communicate to the parents?
. - ANSWERS-A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death
When reviewing the safety precautions regarding newborns, what information should the
syndrome (SIDS) declines when infants are positioned on their
backs
Which action is most important for the practical nurse (PN) to implement for a client who
has a Stage I pressure ulcer? - ANSWERS-D. Monitor client's serum pre-albumin levels.
,Which action should the practical nurse implement when administering an 8 ounce can
of a concentrated nutritional formula via a client's gastrostomy tube (GT)? - ANSWERS-
D. Give 30 ml of tap water after administration of formula.
A 14-year-old female arrives in the school nurse's office seeking information about
healthcare agencies in the community. The practical nurse (PN) understands the client
can make an autonomous healthcare decision if she has which circumstance? -
ANSWERS-A. Pregnancy.
, Rationale: According to the supreme court a minor who is pregnant (A) can make an
autonomous healthcare decision
A child is admitted for severe abdominal pain and possible appendicitis. Laboratory and
x-ray studies are prescribed. During the diagnostic period, the practical nurse should
implement which nursing actions? (Check all that apply.) - ANSWERS-A. Maintain
child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
A child who is currently undergoing chemotherapy (CT) for leukemia is brought to the
clinic for a possible broken ankle. What priority action should the practical nurse
implement? - ANSWERS-B. Place a mask on the child.
Rationale: The child who is receiving CT for leukemia is immunosuppressed and should
be protected from airborne pathogens and other sick children in the clinic. Placing a
mask on the child
A client arrives in the clinic complaining of radiating back pain. Which finding related to a
possible dissecting aneurysm should the practical nurse (PN) report to the healthcare
provider? - ANSWERS-A. Ripping chest pain and blood pressures of 150/90 in right arm
and 120/70 in left arm.
Rationale: A dissecting aneurysm is a tearing of the intima of a major artery, such as the
ascending aorta, and classically presents with the onset of sudden, severe, ripping pain
that moves. Depending on the location, as the intima of the artery tears, a difference in
the extremity perfusion (A), deceased urine output, or petechiae on the feet occur. (ation
A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in charge
during the shift to handle the staff's reaction to the incident? - ANSWERS-B.Offer a
group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
discussion, and working on unresolved emotional issues to minimize post traumatic
stress for the staff member. A CISD is the best action for the PN in charge to take (B) in
conjunction with the guidance and assistance of the nursing supervisor in the facility
A client is being discharged after repair of a retinal detachment. The practical nurse (PN)
reviews the written discharge information with the client and family. Which instruction
EXAM
2023 APRIL- AUGUST LATEST UPDATES
A newborn with apnea is being discharged from the hospital with home monitoring. What
information concerning the infant's care should the practical nurse review with the
parents? - ANSWERS-A. Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation
of home monitoring presents additional emotional stress. When home monitoring is
required the parents should receive instructions that include cardiopulmonary
resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the practical nurse
(PN) question? - ANSWERS-D. Preoperative prescriptions should be resumed after a
client returns from surgery.
Which task could the practical nurse assign to an unlicensed assistive personnel (UAP)?
- ANSWERS-C. Verify identification arm bands when infant is left in mom's room.
Rationale: Delivering an infant from the nursery to the mother's room and verifying the
identification on both arm bands is a task that could be assigned to a UAP (C). The task
is a predictable, routine task on a unit. Reinforcing teaching about infant sleeping
positions
When reviewing the safety precautions regarding newborns, what information should the
syndrome (SIDS) declines when infants are positioned on their
backs
practical nurse communicate to the parents?
. - ANSWERS-A. Position the infant to sleep on the baby's back.
Rationale: The incident of sudden infant death
When reviewing the safety precautions regarding newborns, what information should the
syndrome (SIDS) declines when infants are positioned on their
backs
Which action is most important for the practical nurse (PN) to implement for a client who
has a Stage I pressure ulcer? - ANSWERS-D. Monitor client's serum pre-albumin levels.
,Which action should the practical nurse implement when administering an 8 ounce can
of a concentrated nutritional formula via a client's gastrostomy tube (GT)? - ANSWERS-
D. Give 30 ml of tap water after administration of formula.
A 14-year-old female arrives in the school nurse's office seeking information about
healthcare agencies in the community. The practical nurse (PN) understands the client
can make an autonomous healthcare decision if she has which circumstance? -
ANSWERS-A. Pregnancy.
, Rationale: According to the supreme court a minor who is pregnant (A) can make an
autonomous healthcare decision
A child is admitted for severe abdominal pain and possible appendicitis. Laboratory and
x-ray studies are prescribed. During the diagnostic period, the practical nurse should
implement which nursing actions? (Check all that apply.) - ANSWERS-A. Maintain
child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
A child who is currently undergoing chemotherapy (CT) for leukemia is brought to the
clinic for a possible broken ankle. What priority action should the practical nurse
implement? - ANSWERS-B. Place a mask on the child.
Rationale: The child who is receiving CT for leukemia is immunosuppressed and should
be protected from airborne pathogens and other sick children in the clinic. Placing a
mask on the child
A client arrives in the clinic complaining of radiating back pain. Which finding related to a
possible dissecting aneurysm should the practical nurse (PN) report to the healthcare
provider? - ANSWERS-A. Ripping chest pain and blood pressures of 150/90 in right arm
and 120/70 in left arm.
Rationale: A dissecting aneurysm is a tearing of the intima of a major artery, such as the
ascending aorta, and classically presents with the onset of sudden, severe, ripping pain
that moves. Depending on the location, as the intima of the artery tears, a difference in
the extremity perfusion (A), deceased urine output, or petechiae on the feet occur. (ation
A client in a nursing home becomes violent and verbally threatens an unlicensed
assistive personnel (UAP). Which is the best way for the practical nurse (PN) in charge
during the shift to handle the staff's reaction to the incident? - ANSWERS-B.Offer a
group discussion session so staff can share their thoughts and feelings
Rationale: A critical incident stress debriefing evolves expression of personal feelings,
discussion, and working on unresolved emotional issues to minimize post traumatic
stress for the staff member. A CISD is the best action for the PN in charge to take (B) in
conjunction with the guidance and assistance of the nursing supervisor in the facility
A client is being discharged after repair of a retinal detachment. The practical nurse (PN)
reviews the written discharge information with the client and family. Which instruction
