ATI PN EXIT Exam | ACTUAL EXAM | Complete PN
Exit Questions & Verified Answers | Latest
Update | Already Graded A
A postoperative client reports sudden shortness of breath and chest pain. Which
action should the PN take first?
A. Check oxygen saturation
B. Offer water to drink
C. Encourage coughing
D. Document the findings
Correct Answer: A. Check oxygen saturation
Rationale: Oxygen saturation provides immediate objective data about respiratory
status and guides further interventions. Offering water or encouraging coughing
could worsen an unknown condition, and documentation is secondary to
assessment.
,The PN is caring for a client receiving morphine via PCA. The client is difficult to
arouse and has a respiratory rate of 8/min. The PN should:
A. Apply oxygen via nasal cannula
B. Stop the PCA infusion
C. Increase the PCA dose
D. Encourage deep breathing
Correct Answer: B. Stop the PCA infusion
Rationale: Respiratory depression is a life-threatening side effect of opioids.
Stopping the infusion immediately prevents further sedation. Oxygen may help, but
removing the cause is the priority.
A client with a stage II pressure injury has a dressing change with hydrocolloid
dressing. Which finding indicates the dressing is effective?
A. Dressing is intact and opaque
B. Wound edges are macerated
C. Minimal serous drainage present
,D. Dressing has foul odor
Correct Answer: C. Minimal serous drainage present
Rationale: Hydrocolloid dressings maintain a moist environment and absorb light
drainage. Maceration, foul odor, or opacity may indicate infection or dressing
failure.
A client with COPD is receiving oxygen at 4 L/min via nasal cannula and becomes
increasingly somnolent. The PN should:
A. Increase oxygen to 6 L/min
B. Lower oxygen to 2 L/min
C. Switch to a face mask
D. Encourage pursed-lip breathing
Correct Answer: B. Lower oxygen to 2 L/min
Rationale: High oxygen levels can suppress the hypoxic drive in COPD patients,
leading to respiratory depression. Reducing oxygen delivery is the safest
immediate action.
A client with diabetes has a blood glucose of 48 mg/dL. The PN should administer:
, A. 8 oz diet soda
B. 4 oz orange juice
C. 1 slice of toast
D. 1 cup of milk
Correct Answer: B. 4 oz orange juice
Rationale: Orange juice provides 15 g of rapid-acting carbohydrates, the
recommended treatment for hypoglycemia. Diet soda lacks sugar, and toast and
milk act more slowly.
A client with heart failure is prescribed furosemide 40 mg PO daily. Which finding
indicates the medication is effective?
A. Weight loss of 0.5 kg in 24 hours
B. Serum potassium 3.0 mEq/L
C. Urine output 30 mL/hr
D. Blood pressure 90/60 mmHg
Correct Answer: A. Weight loss of 0.5 kg in 24 hours
Exit Questions & Verified Answers | Latest
Update | Already Graded A
A postoperative client reports sudden shortness of breath and chest pain. Which
action should the PN take first?
A. Check oxygen saturation
B. Offer water to drink
C. Encourage coughing
D. Document the findings
Correct Answer: A. Check oxygen saturation
Rationale: Oxygen saturation provides immediate objective data about respiratory
status and guides further interventions. Offering water or encouraging coughing
could worsen an unknown condition, and documentation is secondary to
assessment.
,The PN is caring for a client receiving morphine via PCA. The client is difficult to
arouse and has a respiratory rate of 8/min. The PN should:
A. Apply oxygen via nasal cannula
B. Stop the PCA infusion
C. Increase the PCA dose
D. Encourage deep breathing
Correct Answer: B. Stop the PCA infusion
Rationale: Respiratory depression is a life-threatening side effect of opioids.
Stopping the infusion immediately prevents further sedation. Oxygen may help, but
removing the cause is the priority.
A client with a stage II pressure injury has a dressing change with hydrocolloid
dressing. Which finding indicates the dressing is effective?
A. Dressing is intact and opaque
B. Wound edges are macerated
C. Minimal serous drainage present
,D. Dressing has foul odor
Correct Answer: C. Minimal serous drainage present
Rationale: Hydrocolloid dressings maintain a moist environment and absorb light
drainage. Maceration, foul odor, or opacity may indicate infection or dressing
failure.
A client with COPD is receiving oxygen at 4 L/min via nasal cannula and becomes
increasingly somnolent. The PN should:
A. Increase oxygen to 6 L/min
B. Lower oxygen to 2 L/min
C. Switch to a face mask
D. Encourage pursed-lip breathing
Correct Answer: B. Lower oxygen to 2 L/min
Rationale: High oxygen levels can suppress the hypoxic drive in COPD patients,
leading to respiratory depression. Reducing oxygen delivery is the safest
immediate action.
A client with diabetes has a blood glucose of 48 mg/dL. The PN should administer:
, A. 8 oz diet soda
B. 4 oz orange juice
C. 1 slice of toast
D. 1 cup of milk
Correct Answer: B. 4 oz orange juice
Rationale: Orange juice provides 15 g of rapid-acting carbohydrates, the
recommended treatment for hypoglycemia. Diet soda lacks sugar, and toast and
milk act more slowly.
A client with heart failure is prescribed furosemide 40 mg PO daily. Which finding
indicates the medication is effective?
A. Weight loss of 0.5 kg in 24 hours
B. Serum potassium 3.0 mEq/L
C. Urine output 30 mL/hr
D. Blood pressure 90/60 mmHg
Correct Answer: A. Weight loss of 0.5 kg in 24 hours
