ATI PN COMPREHENSIVE PREDICTOR
ADVANCED PRACTICE EXAM
1. A nurse is caring for a client who is post-operative following a transurethral resection of
the prostate (TURP). The client has a continuous bladder irrigation (CBI) system in place.
Which of the following findings should the nurse report to the provider?
A. The drainage in the collection bag is bright red with large clots.
B. The client reports a strong urge to urinate.
C. The drainage is pink-tinged and contains small tissue shreds.
D. The client reports mild bladder spasms.
Answer: A
Conceptual Explanation: While pink-tinged drainage and mild spasms are expected post-
TURP, bright red drainage with large clots indicates arterial bleeding and must be reported
immediately. The urge to urinate is common due to the catheter balloon pressure.
2. A nurse is reinforcing teaching with a client who has a new prescription for sublingual
nitroglycerin. Which of the following instructions should the nurse include?
A. Take a tablet every 15 minutes for up to three doses.
,B. Store the tablets in a clear plastic container for easy viewing.
C. Swallow the tablet with a full glass of water.
D. If pain is not relieved after one tablet, call 911 immediately.
Answer: D
Conceptual Explanation: Current guidelines state that if chest pain is not relieved or
worsens 5 minutes after the first dose, the client should call emergency services. Tablets
must be kept in their original dark glass bottle to prevent degradation.
3. A nurse is reviewing the lab results of a client who is taking warfarin. Which of the
following values indicates the medication is in the therapeutic range?
A. INR of 1.2
B. aPTT of 60 seconds
C. INR of 2.5
D. PT of 11 seconds
Answer: C
Conceptual Explanation: For a client on warfarin, the therapeutic International
Normalized Ratio (INR) is typically between 2.0 and 3.0. An INR of 1.2 is sub-therapeutic,
and aPTT is used to monitor heparin.
, 4. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse provide?
A. Vanilla pudding
B. Fat-free broth
C. Orange juice with pulp
D. Fruit yogurt
Answer: B
Conceptual Explanation: Clear liquids include items that are transparent and liquid at
room temperature, such as broth, gelatin, and apple juice. Pudding and yogurt are
considered full liquids.
5. A nurse is collecting data from a client who is 24 hours postpartum. Which of the following
findings should the nurse report to the provider?
A. Fundus firm at the level of the umbilicus.
B. Locha rubra with small clots.
C. Urinary output of 100 mL over 4 hours.
D. Painful, engorged breasts.
Answer: C
ADVANCED PRACTICE EXAM
1. A nurse is caring for a client who is post-operative following a transurethral resection of
the prostate (TURP). The client has a continuous bladder irrigation (CBI) system in place.
Which of the following findings should the nurse report to the provider?
A. The drainage in the collection bag is bright red with large clots.
B. The client reports a strong urge to urinate.
C. The drainage is pink-tinged and contains small tissue shreds.
D. The client reports mild bladder spasms.
Answer: A
Conceptual Explanation: While pink-tinged drainage and mild spasms are expected post-
TURP, bright red drainage with large clots indicates arterial bleeding and must be reported
immediately. The urge to urinate is common due to the catheter balloon pressure.
2. A nurse is reinforcing teaching with a client who has a new prescription for sublingual
nitroglycerin. Which of the following instructions should the nurse include?
A. Take a tablet every 15 minutes for up to three doses.
,B. Store the tablets in a clear plastic container for easy viewing.
C. Swallow the tablet with a full glass of water.
D. If pain is not relieved after one tablet, call 911 immediately.
Answer: D
Conceptual Explanation: Current guidelines state that if chest pain is not relieved or
worsens 5 minutes after the first dose, the client should call emergency services. Tablets
must be kept in their original dark glass bottle to prevent degradation.
3. A nurse is reviewing the lab results of a client who is taking warfarin. Which of the
following values indicates the medication is in the therapeutic range?
A. INR of 1.2
B. aPTT of 60 seconds
C. INR of 2.5
D. PT of 11 seconds
Answer: C
Conceptual Explanation: For a client on warfarin, the therapeutic International
Normalized Ratio (INR) is typically between 2.0 and 3.0. An INR of 1.2 is sub-therapeutic,
and aPTT is used to monitor heparin.
, 4. A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the
following food items should the nurse provide?
A. Vanilla pudding
B. Fat-free broth
C. Orange juice with pulp
D. Fruit yogurt
Answer: B
Conceptual Explanation: Clear liquids include items that are transparent and liquid at
room temperature, such as broth, gelatin, and apple juice. Pudding and yogurt are
considered full liquids.
5. A nurse is collecting data from a client who is 24 hours postpartum. Which of the following
findings should the nurse report to the provider?
A. Fundus firm at the level of the umbilicus.
B. Locha rubra with small clots.
C. Urinary output of 100 mL over 4 hours.
D. Painful, engorged breasts.
Answer: C
