ATI PN COMPREHENSIVE EXIT EXAM Practice Questions AND
CORRECT ANSWERS
Assessment Technologies Institute (ATI) PN COMPREHENSIVE EXIT EXAM Practice Questions AND CORRECT ANSWERS
A. Tell the child they will feel discomfort during the catheter insertion. B. Use a mummy restraint to hold the child
during the catheter insertion.
1. A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old. Which of the
following actions should the nurse take?
A. Tell the child they will feel discomfort during the catheter insertion.
B. Use a mummy restraint to hold the child during the catheter insertion.
C. Require the parents to leave the room during the procedure.
Correct Answer: A. Tell the child they will feel discomfort during the catheter insertion.
It is important to be honest with children about procedures. Telling them they will feel
discomfort prepares them for the sensation. Using a mummy restraint is not typically used for a
7-year-old, and parents should be allowed to stay to provide comfort if the child wishes .
---
2. A nurse is caring for a client who has an arteriovenous fistula. Which of the following findings
should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels.
D. Swishing sound upon auscultation.
Correct Answer: B. Absence of a bruit.
A thrill and bruit are expected findings indicating patency of an AV fistula. Absence of a bruit
suggests stenosis or thrombosis and should be reported immediately .
---
,3. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of the
teaching?
A. "I will soak in the tub rather than showering."
B. "I will wear loose clothing around my ICD."
C. "I will stop using my microwave oven at home because of my ICD."
D. "I can hold my cellphone on the same side of my body as the ICD."
Correct Answer: B. "I will wear loose clothing around my ICD."
Loose clothing prevents irritation over the ICD site. Clients should shower, not soak in tubs.
Microwaves are safe. Cell phones should be kept on the opposite side of the body from the ICD .
---
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence
about being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant."
B. "You should discuss your feelings about being pregnant with your provider."
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Correct Answer: A. "Describe your feelings to me about being pregnant."
Ambivalence is a normal feeling in early pregnancy. This open-ended, therapeutic response
encourages the client to express her feelings and concerns .
---
5. A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include in the
plan of care?
,A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
Correct Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
Bowel training programs aim to establish a predictable schedule. Administering a suppository 30
minutes before the scheduled time stimulates defecation. Fluid intake should be increased, not
limited. Fiber should be increased. Warm drinks, not cold, may help stimulate peristalsis .
---
6. A nurse is caring for a client who is in active labor and requests pain management. Which of
the following actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
Correct Answer: B. Place the client in a warm shower.
Non-pharmacological pain management, such as a warm shower or bath (hydrotherapy), is an
effective comfort measure during active labor. Ondansetron is an antiemetic. Fundal pressure is
not a comfort measure and is generally not recommended. The supine position can cause
supine hypotension and is not comfortable .
---
7. A nurse in an emergency department is performing triage for multiple clients following a
disaster in the community. To which of the following types of injuries should the nurse assign
the highest priority?
, A. Below-the-knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10 cm (4 in) laceration to the forearm
Correct Answer: A. Below-the-knee amputation
In disaster triage, the highest priority is given to clients with life-threatening injuries that have a
high chance of survival with immediate intervention. A below-the-knee amputation involves
severe hemorrhage and requires immediate attention. A 95% burn is likely expectant (low
chance of survival). A fractured tibia and a forearm laceration are less urgent .
---
8. A nurse manager is updating protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
A. Remove the client's restraint every 4 hours.
B. Document the client's condition every 15 minutes.
C. Attach the restraint to the bed's side rails.
D. Request a PRN restraint prescription for clients who are aggressive.
Correct Answer: B. Document the client's condition every 15 minutes.
When restraints are used, the client must be monitored frequently. Documentation of the
client's condition, circulation, and vital signs is required every 15 minutes. Restraints should be
removed every 2 hours. Restraints must never be attached to side rails. PRN orders for restraints
are not permitted .
---
9. A nurse is teaching an in-service about nursing leadership. Which of the following information
should the nurse include about an effective leader?
CORRECT ANSWERS
Assessment Technologies Institute (ATI) PN COMPREHENSIVE EXIT EXAM Practice Questions AND CORRECT ANSWERS
A. Tell the child they will feel discomfort during the catheter insertion. B. Use a mummy restraint to hold the child
during the catheter insertion.
1. A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old. Which of the
following actions should the nurse take?
A. Tell the child they will feel discomfort during the catheter insertion.
B. Use a mummy restraint to hold the child during the catheter insertion.
C. Require the parents to leave the room during the procedure.
Correct Answer: A. Tell the child they will feel discomfort during the catheter insertion.
It is important to be honest with children about procedures. Telling them they will feel
discomfort prepares them for the sensation. Using a mummy restraint is not typically used for a
7-year-old, and parents should be allowed to stay to provide comfort if the child wishes .
---
2. A nurse is caring for a client who has an arteriovenous fistula. Which of the following findings
should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels.
D. Swishing sound upon auscultation.
Correct Answer: B. Absence of a bruit.
A thrill and bruit are expected findings indicating patency of an AV fistula. Absence of a bruit
suggests stenosis or thrombosis and should be reported immediately .
---
,3. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of the
teaching?
A. "I will soak in the tub rather than showering."
B. "I will wear loose clothing around my ICD."
C. "I will stop using my microwave oven at home because of my ICD."
D. "I can hold my cellphone on the same side of my body as the ICD."
Correct Answer: B. "I will wear loose clothing around my ICD."
Loose clothing prevents irritation over the ICD site. Clients should shower, not soak in tubs.
Microwaves are safe. Cell phones should be kept on the opposite side of the body from the ICD .
---
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence
about being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant."
B. "You should discuss your feelings about being pregnant with your provider."
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Correct Answer: A. "Describe your feelings to me about being pregnant."
Ambivalence is a normal feeling in early pregnancy. This open-ended, therapeutic response
encourages the client to express her feelings and concerns .
---
5. A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include in the
plan of care?
,A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
Correct Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
Bowel training programs aim to establish a predictable schedule. Administering a suppository 30
minutes before the scheduled time stimulates defecation. Fluid intake should be increased, not
limited. Fiber should be increased. Warm drinks, not cold, may help stimulate peristalsis .
---
6. A nurse is caring for a client who is in active labor and requests pain management. Which of
the following actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
Correct Answer: B. Place the client in a warm shower.
Non-pharmacological pain management, such as a warm shower or bath (hydrotherapy), is an
effective comfort measure during active labor. Ondansetron is an antiemetic. Fundal pressure is
not a comfort measure and is generally not recommended. The supine position can cause
supine hypotension and is not comfortable .
---
7. A nurse in an emergency department is performing triage for multiple clients following a
disaster in the community. To which of the following types of injuries should the nurse assign
the highest priority?
, A. Below-the-knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10 cm (4 in) laceration to the forearm
Correct Answer: A. Below-the-knee amputation
In disaster triage, the highest priority is given to clients with life-threatening injuries that have a
high chance of survival with immediate intervention. A below-the-knee amputation involves
severe hemorrhage and requires immediate attention. A 95% burn is likely expectant (low
chance of survival). A fractured tibia and a forearm laceration are less urgent .
---
8. A nurse manager is updating protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
A. Remove the client's restraint every 4 hours.
B. Document the client's condition every 15 minutes.
C. Attach the restraint to the bed's side rails.
D. Request a PRN restraint prescription for clients who are aggressive.
Correct Answer: B. Document the client's condition every 15 minutes.
When restraints are used, the client must be monitored frequently. Documentation of the
client's condition, circulation, and vital signs is required every 15 minutes. Restraints should be
removed every 2 hours. Restraints must never be attached to side rails. PRN orders for restraints
are not permitted .
---
9. A nurse is teaching an in-service about nursing leadership. Which of the following information
should the nurse include about an effective leader?
