ATI PN Comprehensive Exit Exam FORM
A, B AND C Questions With Complete
Solutions
Which finding requires immediate follow-up for a client with COPD? -
| | | | | | | | | |
CORRECT ANSWER✔✔-Confusion and restlessness
| | | |
Which laboratory value should the nurse monitor for a client prescribed
| | | | | | | | | |
furosemide? - CORRECT ANSWER✔✔-Potassium
| | | |
What is the priority nursing action for a postoperative client with
| | | | | | | | | |
sudden shortness of breath? - CORRECT ANSWER✔✔-Administer
| | | | | | |
oxygen
|
When should the nurse check the blood glucose for peak action after
| | | | | | | | | | |
administering insulin lispro? - CORRECT ANSWER✔✔-1 hour
| | | | | | |
Which assessment finding indicates worsening condition for a client
| | | | | | | |
with cirrhosis and ascites? - CORRECT ANSWER✔✔-Increasing
| | | | | | |
abdominal girth with shortness of breath
| | | | | |
,Which finding requires immediate action for a client receiving morphine
| | | | | | | | |
IV? - CORRECT ANSWER✔✔-Respiratory rate of 10/min
| | | | | | |
What should the nurse do first for a client with diabetes reporting
| | | | | | | | | | |
shakiness, sweating, and confusion? - CORRECT ANSWER✔✔-Give oral
| | | | | | | |
glucose
|
Which finding indicates proper function of a chest tube? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Intermittent bubbling with coughing
| | | |
Which laboratory value should the nurse monitor for a client prescribed
| | | | | | | | | |
warfarin? - CORRECT ANSWER✔✔-INR
| | | |
Which urine output should be reported immediately for a client with
| | | | | | | | | |
acute kidney injury? - CORRECT ANSWER✔✔-25 mL/hr
| | | | | | |
Which intervention is most effective for a client with pneumonia having
| | | | | | | | | |
crackles and increased work of breathing? - CORRECT ANSWER✔✔-
| | | | | | | | |
Provide oxygen therapy | |
Which ECG change should the nurse expect for a client with
| | | | | | | | | |
hypokalemia? - CORRECT ANSWER✔✔-Flattened T waves
| | | | | |
,What intervention is appropriate for a client receiving chemotherapy
| | | | | | | |
with a WBC count of 1,500/mm³? - CORRECT ANSWER✔✔-Place the
| | | | | | | | | |
client in isolation
| | |
What is the priority action for a postpartum client with heavy vaginal
| | | | | | | | | | |
bleeding and a boggy uterus? - CORRECT ANSWER✔✔-Massage the
| | | | | | | | |
fundus
|
Which action is priority for a child with croup having stridor at rest? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Administer humidified oxygen
| | | |
Which response is appropriate for a client with schizophrenia
| | | | | | | |
experiencing hallucinations? - CORRECT ANSWER✔✔-I don't hear them,
| | | | | | | |
but I know they are real to you.
| | | | | | | |
Which adverse effect should the nurse monitor for a client prescribed
| | | | | | | | | |
lisinopril? - CORRECT ANSWER✔✔-Dry cough
| | | | |
Which finding indicates a complication for a client with a fracture in
| | | | | | | | | | |
traction? - CORRECT ANSWER✔✔-Numbness and tingling
| | | | | |
Which apical pulse finding requires withholding digoxin? - CORRECT
| | | | | | | |
ANSWER✔✔-54/min
|
, Which assessment finding is expected for a client with dehydration? -
| | | | | | | | | |
CORRECT ANSWER✔✔-Poor skin turgor
| | | |
Which finding indicates the nasogastric tube is functioning correctly? -
| | | | | | | | |
CORRECT ANSWER✔✔-Greenish drainage present in the collection
| | | | | | |
container
|
Which instruction should the nurse include for a client prescribed
| | | | | | | | |
enoxaparin? - CORRECT ANSWER✔✔-Inject into abdominal tissue
| | | | | | |
Which finding requires immediate intervention for a client experiencing
| | | | | | | |
alcohol withdrawal? - CORRECT ANSWER✔✔-Visual hallucinations
| | | | | |
Which finding indicates therapeutic effect for a client using an albuterol
| | | | | | | | | |
inhaler? - CORRECT ANSWER✔✔-Improved breath sounds
| | | | | |
Which assessment finding is priority during the first 24 hours for a client
| | | | | | | | | | | |
with burns covering 30% of the body? - CORRECT ANSWER✔✔-Urine
| | | | | | | | | |
output
|
A, B AND C Questions With Complete
Solutions
Which finding requires immediate follow-up for a client with COPD? -
| | | | | | | | | |
CORRECT ANSWER✔✔-Confusion and restlessness
| | | |
Which laboratory value should the nurse monitor for a client prescribed
| | | | | | | | | |
furosemide? - CORRECT ANSWER✔✔-Potassium
| | | |
What is the priority nursing action for a postoperative client with
| | | | | | | | | |
sudden shortness of breath? - CORRECT ANSWER✔✔-Administer
| | | | | | |
oxygen
|
When should the nurse check the blood glucose for peak action after
| | | | | | | | | | |
administering insulin lispro? - CORRECT ANSWER✔✔-1 hour
| | | | | | |
Which assessment finding indicates worsening condition for a client
| | | | | | | |
with cirrhosis and ascites? - CORRECT ANSWER✔✔-Increasing
| | | | | | |
abdominal girth with shortness of breath
| | | | | |
,Which finding requires immediate action for a client receiving morphine
| | | | | | | | |
IV? - CORRECT ANSWER✔✔-Respiratory rate of 10/min
| | | | | | |
What should the nurse do first for a client with diabetes reporting
| | | | | | | | | | |
shakiness, sweating, and confusion? - CORRECT ANSWER✔✔-Give oral
| | | | | | | |
glucose
|
Which finding indicates proper function of a chest tube? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Intermittent bubbling with coughing
| | | |
Which laboratory value should the nurse monitor for a client prescribed
| | | | | | | | | |
warfarin? - CORRECT ANSWER✔✔-INR
| | | |
Which urine output should be reported immediately for a client with
| | | | | | | | | |
acute kidney injury? - CORRECT ANSWER✔✔-25 mL/hr
| | | | | | |
Which intervention is most effective for a client with pneumonia having
| | | | | | | | | |
crackles and increased work of breathing? - CORRECT ANSWER✔✔-
| | | | | | | | |
Provide oxygen therapy | |
Which ECG change should the nurse expect for a client with
| | | | | | | | | |
hypokalemia? - CORRECT ANSWER✔✔-Flattened T waves
| | | | | |
,What intervention is appropriate for a client receiving chemotherapy
| | | | | | | |
with a WBC count of 1,500/mm³? - CORRECT ANSWER✔✔-Place the
| | | | | | | | | |
client in isolation
| | |
What is the priority action for a postpartum client with heavy vaginal
| | | | | | | | | | |
bleeding and a boggy uterus? - CORRECT ANSWER✔✔-Massage the
| | | | | | | | |
fundus
|
Which action is priority for a child with croup having stridor at rest? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Administer humidified oxygen
| | | |
Which response is appropriate for a client with schizophrenia
| | | | | | | |
experiencing hallucinations? - CORRECT ANSWER✔✔-I don't hear them,
| | | | | | | |
but I know they are real to you.
| | | | | | | |
Which adverse effect should the nurse monitor for a client prescribed
| | | | | | | | | |
lisinopril? - CORRECT ANSWER✔✔-Dry cough
| | | | |
Which finding indicates a complication for a client with a fracture in
| | | | | | | | | | |
traction? - CORRECT ANSWER✔✔-Numbness and tingling
| | | | | |
Which apical pulse finding requires withholding digoxin? - CORRECT
| | | | | | | |
ANSWER✔✔-54/min
|
, Which assessment finding is expected for a client with dehydration? -
| | | | | | | | | |
CORRECT ANSWER✔✔-Poor skin turgor
| | | |
Which finding indicates the nasogastric tube is functioning correctly? -
| | | | | | | | |
CORRECT ANSWER✔✔-Greenish drainage present in the collection
| | | | | | |
container
|
Which instruction should the nurse include for a client prescribed
| | | | | | | | |
enoxaparin? - CORRECT ANSWER✔✔-Inject into abdominal tissue
| | | | | | |
Which finding requires immediate intervention for a client experiencing
| | | | | | | |
alcohol withdrawal? - CORRECT ANSWER✔✔-Visual hallucinations
| | | | | |
Which finding indicates therapeutic effect for a client using an albuterol
| | | | | | | | | |
inhaler? - CORRECT ANSWER✔✔-Improved breath sounds
| | | | | |
Which assessment finding is priority during the first 24 hours for a client
| | | | | | | | | | | |
with burns covering 30% of the body? - CORRECT ANSWER✔✔-Urine
| | | | | | | | | |
output
|
