ATI PN COMP ONLINE PRACTICE 2024A
FOCUSED REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS
A nurse is preparing a client for a knee arthroplasty. The client tells the nurse "I'm so
anxious about this surgery." Which of the following strategies could the nurse implement
to help decrease the client's anxiety?
-Change the subject to one unrelated to the client's procedure.
-Help the client understand that anxiety about surgery is unnecessary.
-Encourage the client to talk about concerns related to the procedure.
-Reassure the client about the surgeon's abilities. - Answer--Encourage the client to talk
about concerns related to the procedure.
This is an example of a therapeutic communication technique that can help decrease a
client's anxiety.
A nurse is caring for a client who has schizophrenia and reports hearing voices that
others cannot hear. Which of the following actions should the nurse take?
Ask the client who is speaking.
Tell the client that they are not really hearing anything.
Proceed with the client's care without acknowledging the hallucinations.
Encourage the client to focus on activities in the present. - Answer-Encourage the client
to focus on activities in the present.
because this can help the client distinguish between reality and their hallucinations.A
nurse
A nurse is caring for a client who is struggling to breastfeed their newborn. The client
tells the nurse, "I'm embarrased that I can't breastfeed my baby because I feel like it
means I'm a bad mother." Which of the following responses should the nurse make?"
"I can make arrangements for a breastfeeding specialist to visit with you."
"Breastfeeding comes naturally to mothers. You'll figure it out as you practice."
"Use an artificial nipple for the infant to practice sucking."
"If I were you, I'd switch to bottle feeding. You don't need this stress." - Answer-"I can
make arrangements for a breastfeeding specialist to visit with you."
The nurse should identify that this client might feel embarrassed to ask for assistance or
be unaware of available resources. Therefore, the nurse should refer this client to a
specialist.
A nurse is providing care for a client who has major depressive disorder. Which of the
following findings should the nurse expect?
Delusions of grandiosity
Illogical speech patterns
Fixation on excessive exercise
Difficulty making simple decisions - Answer-Difficulty making simple decisions
, A nurse is caring for a client who has a terminal diagnosis. The nurse should identify
that which of the following interventions will assist the client to make decisions related to
end-of-life care?
Administering opioids to the client for pain management
Encouraging the client to maintain a routine of self-care for as long as possible
Reinforcing teaching about the grieving process with the client's family
Providing information about nutrition management options if the client becomes unable
to tolerate oral intake - Answer-Providing information about nutrition management
options if the client becomes unable to tolerate oral intake.
The nurse should identify that clients who are receiving end-of-life care might
experience dehydration and an inability to tolerate food. Therefore, the nurse should
provide information about nutrition management options to the client and the client's
family to help them to make decisions about how to meet the client's fluid and nutritional
needs while maintaining their comfort and quality of life.
A nurse is collecting client data from an older adult client. Which of the following client
statements should the nurse recognize as a possible indication of elder abuse?
"I got a bruise from banging my arm while I was struggling to get up to answer the
phone."
"My son puts my retirement checks in his bank account and provides me with an
allowance."
"I can't remember if I took the blood pressure pills that the home health nurse put in my
pill box."
"Ever since I was diagnosed with Alzheimer's disease, my daughter restricts my
driving." - Answer-"My son puts my retirement checks in his bank account and provides
me with an allowance."
The nurse should identify that unauthorized use of an older adult's money could indicate
financial abuse. When an older adult client's child takes control of their finances, it could
prevent the client from being able to care for their basic needs.
A nurse is reinforcing teaching about long-term prednisone therapy with a client who
has rheumatoid arthritis. Which of the following statements should the nurse include?
"Long-term use of this medication can result in the development of gastric ulcers."
"You should expect to lose weight while taking this medication."
"Hypotension is an expected adverse effect of this medication."
"You should eat foods that are low in potassium while taking this medication." -
Answer-"Long-term use of this medication can result in the development of gastric
ulcers."
The nurse should inform the client that long-term use of glucocorticoids, such as
prednisone, can cause osteoporosis, gastric ulceration, and adrenal suppression.
A nurse is caring for a client who has a prescription for an intramuscular injection of
vitamin B12. Which of the following should the nurse identify as a contraindication for
the administration of this medication?
The client is taking warfarin PO.
FOCUSED REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS
A nurse is preparing a client for a knee arthroplasty. The client tells the nurse "I'm so
anxious about this surgery." Which of the following strategies could the nurse implement
to help decrease the client's anxiety?
-Change the subject to one unrelated to the client's procedure.
-Help the client understand that anxiety about surgery is unnecessary.
-Encourage the client to talk about concerns related to the procedure.
-Reassure the client about the surgeon's abilities. - Answer--Encourage the client to talk
about concerns related to the procedure.
This is an example of a therapeutic communication technique that can help decrease a
client's anxiety.
A nurse is caring for a client who has schizophrenia and reports hearing voices that
others cannot hear. Which of the following actions should the nurse take?
Ask the client who is speaking.
Tell the client that they are not really hearing anything.
Proceed with the client's care without acknowledging the hallucinations.
Encourage the client to focus on activities in the present. - Answer-Encourage the client
to focus on activities in the present.
because this can help the client distinguish between reality and their hallucinations.A
nurse
A nurse is caring for a client who is struggling to breastfeed their newborn. The client
tells the nurse, "I'm embarrased that I can't breastfeed my baby because I feel like it
means I'm a bad mother." Which of the following responses should the nurse make?"
"I can make arrangements for a breastfeeding specialist to visit with you."
"Breastfeeding comes naturally to mothers. You'll figure it out as you practice."
"Use an artificial nipple for the infant to practice sucking."
"If I were you, I'd switch to bottle feeding. You don't need this stress." - Answer-"I can
make arrangements for a breastfeeding specialist to visit with you."
The nurse should identify that this client might feel embarrassed to ask for assistance or
be unaware of available resources. Therefore, the nurse should refer this client to a
specialist.
A nurse is providing care for a client who has major depressive disorder. Which of the
following findings should the nurse expect?
Delusions of grandiosity
Illogical speech patterns
Fixation on excessive exercise
Difficulty making simple decisions - Answer-Difficulty making simple decisions
, A nurse is caring for a client who has a terminal diagnosis. The nurse should identify
that which of the following interventions will assist the client to make decisions related to
end-of-life care?
Administering opioids to the client for pain management
Encouraging the client to maintain a routine of self-care for as long as possible
Reinforcing teaching about the grieving process with the client's family
Providing information about nutrition management options if the client becomes unable
to tolerate oral intake - Answer-Providing information about nutrition management
options if the client becomes unable to tolerate oral intake.
The nurse should identify that clients who are receiving end-of-life care might
experience dehydration and an inability to tolerate food. Therefore, the nurse should
provide information about nutrition management options to the client and the client's
family to help them to make decisions about how to meet the client's fluid and nutritional
needs while maintaining their comfort and quality of life.
A nurse is collecting client data from an older adult client. Which of the following client
statements should the nurse recognize as a possible indication of elder abuse?
"I got a bruise from banging my arm while I was struggling to get up to answer the
phone."
"My son puts my retirement checks in his bank account and provides me with an
allowance."
"I can't remember if I took the blood pressure pills that the home health nurse put in my
pill box."
"Ever since I was diagnosed with Alzheimer's disease, my daughter restricts my
driving." - Answer-"My son puts my retirement checks in his bank account and provides
me with an allowance."
The nurse should identify that unauthorized use of an older adult's money could indicate
financial abuse. When an older adult client's child takes control of their finances, it could
prevent the client from being able to care for their basic needs.
A nurse is reinforcing teaching about long-term prednisone therapy with a client who
has rheumatoid arthritis. Which of the following statements should the nurse include?
"Long-term use of this medication can result in the development of gastric ulcers."
"You should expect to lose weight while taking this medication."
"Hypotension is an expected adverse effect of this medication."
"You should eat foods that are low in potassium while taking this medication." -
Answer-"Long-term use of this medication can result in the development of gastric
ulcers."
The nurse should inform the client that long-term use of glucocorticoids, such as
prednisone, can cause osteoporosis, gastric ulceration, and adrenal suppression.
A nurse is caring for a client who has a prescription for an intramuscular injection of
vitamin B12. Which of the following should the nurse identify as a contraindication for
the administration of this medication?
The client is taking warfarin PO.
