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ATI PN Comprehensive Final Exam 2026/2027 || VERIFIED
EXAMS!!!
A nurse is caring for a client who has pseudomembrane colitis
d/t Clostridium difficile infection. Which of the following
interventions is the nurse's priority?
Performing hand hygiene before and after contact with the
client
Reducing the client's anxiety due to isolation procedures.
Assisting the client in making nutritional choices
Monitoring the client's intake and output - ANSWER-Performing
hand hygiene before and after contact with the client.
C. difficile is a spore-forming, gram-positive anaerobic bacillus
that produces two virulent exotoxins that attack the lining of
the intestine. The toxins destroy cells and produce
pseudomembranes, patches (plaques) of inflammatory cells,
and decaying cellular debris on the interior surface of the colon.
The spores spread easily by contact with body fluids and
inanimate objects. The greatest risk to this client, as well as to
the nurse and others, is injury from infection transmission;
therefore, the priority intervention is hand hygiene.
A nurse in the emergency department is caring for an
unaccompanied infant following a motor-vehicle crash. During
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assessment, the nurse notes that the infant's anterior fontanel
is almost closed. She has six teeth, is able to sit unsupported,
and can drink from a cup. The child cries whenever anyone new
to her enters the room, says a few words, and is asking for
"mama" and "dada". The nurse should make which of the
following age assessments for this child? - ANSWER-12 months
old
A nurse is caring for a client who has a tracheostomy and is
receiving mechanical ventilation. The low-pressure alarm on the
ventilator sounds, indicating which of the following to the
nurse? - ANSWER-A leak within the ventilator's circuitry [The
low-pressure alarm means that either the ventilator tubing has
come apart or the tubing detached from the client. Low-
pressure alarms are often the result of a malfunction or
displacement of connections somewhere between the
endotracheal or tracheostomy tube and the ventilator.]
A nurse in the emergency department is caring for a client who
reports pain in her left leg following a motor-vehicle crash. The
nurse notes that her left leg has bruising, swelling, and
displacement of the bones. Which of the following actions
should the nurse take first? - ANSWER-Check neurovascular
status distal to the injury
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A nurse is assessing a client who is receiving hemodialysis for
the first time. Which of the following findings indicates to the
nurse that the client is developing dialysis disequilibrium
syndrome (DDS)? - ANSWER-Headache
A nurse is caring for a child who has epistaxis. Which of the
following actions should the nurse take? - ANSWER-Apply
continuous pressure to the lower part of his nose.
A nurse in a prenatal clinic is performing telephone triage for
several clients. Which of the following client reports should the
nurse identify as an expected physiologic adaptation of
pregnancy?
Spotting with urination
Breast tenderness
Thick, white vaginal discharge
Facial swelling - ANSWER-Breast tenderness.
A nurse in the emergency department is assessing a client who
has deep, rapid respirations. Arterial blood gas analysis includes
these values: pH 7.25, PaCO2 40, and HCO3_ 18. Which of the
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following acid-base imbalances should the nurse identify and
report to the provider?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis - ANSWER-Metabolic acidosis [A pH of 7.25
indicates acidosis. If the cause is respiratory, the pH and PaCO2
values deviate in opposite directions. Since the PaCO2 is within
the expected reference range, despite the low pH, the cause
must be metabolic. Therefore, the nurse correctly reports to the
provider that the client has metabolic acidosis.]
A nurse is caring for a client during her first prenatal visit and
notes that she is lactose intolerant. Which of the following
foods should the nurse include on a list of calcium sources for
this client?
Collard greens
Cottage cheese
Orange juice
Broccoli - ANSWER-Collard greens
ATI PN Comprehensive Final Exam 2026/2027 || VERIFIED
EXAMS!!!
A nurse is caring for a client who has pseudomembrane colitis
d/t Clostridium difficile infection. Which of the following
interventions is the nurse's priority?
Performing hand hygiene before and after contact with the
client
Reducing the client's anxiety due to isolation procedures.
Assisting the client in making nutritional choices
Monitoring the client's intake and output - ANSWER-Performing
hand hygiene before and after contact with the client.
C. difficile is a spore-forming, gram-positive anaerobic bacillus
that produces two virulent exotoxins that attack the lining of
the intestine. The toxins destroy cells and produce
pseudomembranes, patches (plaques) of inflammatory cells,
and decaying cellular debris on the interior surface of the colon.
The spores spread easily by contact with body fluids and
inanimate objects. The greatest risk to this client, as well as to
the nurse and others, is injury from infection transmission;
therefore, the priority intervention is hand hygiene.
A nurse in the emergency department is caring for an
unaccompanied infant following a motor-vehicle crash. During
,2|Page
assessment, the nurse notes that the infant's anterior fontanel
is almost closed. She has six teeth, is able to sit unsupported,
and can drink from a cup. The child cries whenever anyone new
to her enters the room, says a few words, and is asking for
"mama" and "dada". The nurse should make which of the
following age assessments for this child? - ANSWER-12 months
old
A nurse is caring for a client who has a tracheostomy and is
receiving mechanical ventilation. The low-pressure alarm on the
ventilator sounds, indicating which of the following to the
nurse? - ANSWER-A leak within the ventilator's circuitry [The
low-pressure alarm means that either the ventilator tubing has
come apart or the tubing detached from the client. Low-
pressure alarms are often the result of a malfunction or
displacement of connections somewhere between the
endotracheal or tracheostomy tube and the ventilator.]
A nurse in the emergency department is caring for a client who
reports pain in her left leg following a motor-vehicle crash. The
nurse notes that her left leg has bruising, swelling, and
displacement of the bones. Which of the following actions
should the nurse take first? - ANSWER-Check neurovascular
status distal to the injury
,3|Page
A nurse is assessing a client who is receiving hemodialysis for
the first time. Which of the following findings indicates to the
nurse that the client is developing dialysis disequilibrium
syndrome (DDS)? - ANSWER-Headache
A nurse is caring for a child who has epistaxis. Which of the
following actions should the nurse take? - ANSWER-Apply
continuous pressure to the lower part of his nose.
A nurse in a prenatal clinic is performing telephone triage for
several clients. Which of the following client reports should the
nurse identify as an expected physiologic adaptation of
pregnancy?
Spotting with urination
Breast tenderness
Thick, white vaginal discharge
Facial swelling - ANSWER-Breast tenderness.
A nurse in the emergency department is assessing a client who
has deep, rapid respirations. Arterial blood gas analysis includes
these values: pH 7.25, PaCO2 40, and HCO3_ 18. Which of the
, 4|Page
following acid-base imbalances should the nurse identify and
report to the provider?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis - ANSWER-Metabolic acidosis [A pH of 7.25
indicates acidosis. If the cause is respiratory, the pH and PaCO2
values deviate in opposite directions. Since the PaCO2 is within
the expected reference range, despite the low pH, the cause
must be metabolic. Therefore, the nurse correctly reports to the
provider that the client has metabolic acidosis.]
A nurse is caring for a client during her first prenatal visit and
notes that she is lactose intolerant. Which of the following
foods should the nurse include on a list of calcium sources for
this client?
Collard greens
Cottage cheese
Orange juice
Broccoli - ANSWER-Collard greens
