ATI PN COMPREHENSIVE EXIT LATEST EXAM 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
Addison's -ANSWER Hyponatremia, hypotension, decreased blood vol,
hyperkalemia, hypoglycemia
Cushing's disease -ANSWER hypernatremia, hypertension,increased blood
vol, hypokalemia,hyperglycemia
No PEE, -ANSWER K+; DO NOT give Potassium without adequate urine
output.
Better peripheral perfusion? -ANSWER EleVate Veins, dAngle Arteries for
better perfusion
APGAR -ANSWER A=Appearance (all pink, pink and blue, blue (pale)
P=Pulse (>100, <100, absent)
G=Grimace (cough, grimace, no response)
A=Activity (flexed, flaccid, limp)
R=Respirations (strong cry, weak cry, absent)
Airborne precautions -ANSWER MTV or My chicken hez tb measles,
chickenpox (varicella) Herpes zoster/shingles TB
Pox/herpes Zoster-Shingles Precautions -ANSWER Private room- negative
pressure with 6-12 air exchanges/hr Mask, N95 for TB
Droplet precautions -ANSWER **Think SPIDERMAN**
S = Sepsis, scarlet fever, streptococcal pharyngitis
P = Parvovirus B19, pneumonia, pertussis
I = Influenza
D = Diptheria
E = Epiglottitis
R= Rubella
M = Mumps, meningitis, mycoplasma or meningeal pneu.
AN= Adenovirus (private room, mask)
,**Droplet requires mask, gown, gloves, mask & goggles**
Contact precautions -ANSWER MRS WEE
*M* = Multidrug Resistant Organism
*R* = Respiratory Infection
*S* = Skin Infections
*W* = Wound Infections
*E* = Enteric Infection (Clostridium Difficile)
*E* = Eye Infections (Conjunctivitis)
SKIN Infections: V CHIPS -ANSWER *V* = Varicella
*C* = Cutaneous Diptheria
*H* = Herepes Zoster
*I* = Impetigo
*P* = Pediculosis
*S* = Scabies
Air/Pulmonary Embolism -ANSWER S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Tx: Heparin, D-dimer lab, O2
Woman in labor (un-reassuring FHR) -ANSWER (late decels, decreased
variability, fetal bradycardia, etc)
Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube Feeding w/ DECREASED LOC: Care -ANSWER Care Includes:
Position pt on *right side* (this promotes emptying of the stomach) with the
HOB *elevated* (to prevent aspiration)
During Epidural Puncture: Care -ANSWER Care Includes: position the
patient *SIDE LYING*
After lumbar puncture and oil based myelogram -ANSWER pt lies in flat
supine (to prevent
headache and leaking of CSF)
Pt w/ Heat Stroke -ANSWER lie flat w/ legs elevated
,during Continuous Bladder Irrigation (CBI) -ANSWER catheter is taped to
thigh so leg should be
kept straight. No other positioning restrictions.
After Myringotomy -ANSWER position on the side of AFFECTED ear,
allows drainage of secretions
After Cataract Surgery: Care -ANSWER The patient will sleep on the
*unaffected* side with a night shield for 1 - 4 weeks.
After Thyroidectomy: Care -ANSWER Care Includes: Position *LOW* or
*semi - fowlers*, support the head, neck and shoulders.
Infant with Spina Bifida -ANSWER position prone (on abdomen) so that sac
does not rupture
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to
a teacher at school. Which of the following statements should the nurse
include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - ANSWER Tell me how often do
you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the
following actions by the client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - ANSWER Viewing
the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the
following findings should indicate that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
, d- Decrease inflammation - ANSWER Weightloss this drug acts as T4 and
will normalize the effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a
newborn. Which instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - ANSWER Keep the cord dry
until it falls off (cord should be kept clean and dry to prevent infection, it will
turn black, clean with neutral ph cleanser, cord falls off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings
indicates decreased cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - ANSWER Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory.
Which of the following client should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - ANSWER A client
with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients
should the nurse asses first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine
in the bag - ANSWER A client whose chronic kidney disease with cloudy
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
Addison's -ANSWER Hyponatremia, hypotension, decreased blood vol,
hyperkalemia, hypoglycemia
Cushing's disease -ANSWER hypernatremia, hypertension,increased blood
vol, hypokalemia,hyperglycemia
No PEE, -ANSWER K+; DO NOT give Potassium without adequate urine
output.
Better peripheral perfusion? -ANSWER EleVate Veins, dAngle Arteries for
better perfusion
APGAR -ANSWER A=Appearance (all pink, pink and blue, blue (pale)
P=Pulse (>100, <100, absent)
G=Grimace (cough, grimace, no response)
A=Activity (flexed, flaccid, limp)
R=Respirations (strong cry, weak cry, absent)
Airborne precautions -ANSWER MTV or My chicken hez tb measles,
chickenpox (varicella) Herpes zoster/shingles TB
Pox/herpes Zoster-Shingles Precautions -ANSWER Private room- negative
pressure with 6-12 air exchanges/hr Mask, N95 for TB
Droplet precautions -ANSWER **Think SPIDERMAN**
S = Sepsis, scarlet fever, streptococcal pharyngitis
P = Parvovirus B19, pneumonia, pertussis
I = Influenza
D = Diptheria
E = Epiglottitis
R= Rubella
M = Mumps, meningitis, mycoplasma or meningeal pneu.
AN= Adenovirus (private room, mask)
,**Droplet requires mask, gown, gloves, mask & goggles**
Contact precautions -ANSWER MRS WEE
*M* = Multidrug Resistant Organism
*R* = Respiratory Infection
*S* = Skin Infections
*W* = Wound Infections
*E* = Enteric Infection (Clostridium Difficile)
*E* = Eye Infections (Conjunctivitis)
SKIN Infections: V CHIPS -ANSWER *V* = Varicella
*C* = Cutaneous Diptheria
*H* = Herepes Zoster
*I* = Impetigo
*P* = Pediculosis
*S* = Scabies
Air/Pulmonary Embolism -ANSWER S&S;chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom
turn patient to left side and lower the head of the bed
Tx: Heparin, D-dimer lab, O2
Woman in labor (un-reassuring FHR) -ANSWER (late decels, decreased
variability, fetal bradycardia, etc)
Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube Feeding w/ DECREASED LOC: Care -ANSWER Care Includes:
Position pt on *right side* (this promotes emptying of the stomach) with the
HOB *elevated* (to prevent aspiration)
During Epidural Puncture: Care -ANSWER Care Includes: position the
patient *SIDE LYING*
After lumbar puncture and oil based myelogram -ANSWER pt lies in flat
supine (to prevent
headache and leaking of CSF)
Pt w/ Heat Stroke -ANSWER lie flat w/ legs elevated
,during Continuous Bladder Irrigation (CBI) -ANSWER catheter is taped to
thigh so leg should be
kept straight. No other positioning restrictions.
After Myringotomy -ANSWER position on the side of AFFECTED ear,
allows drainage of secretions
After Cataract Surgery: Care -ANSWER The patient will sleep on the
*unaffected* side with a night shield for 1 - 4 weeks.
After Thyroidectomy: Care -ANSWER Care Includes: Position *LOW* or
*semi - fowlers*, support the head, neck and shoulders.
Infant with Spina Bifida -ANSWER position prone (on abdomen) so that sac
does not rupture
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to
a teacher at school. Which of the following statements should the nurse
include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - ANSWER Tell me how often do
you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the
following actions by the client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - ANSWER Viewing
the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the
following findings should indicate that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
, d- Decrease inflammation - ANSWER Weightloss this drug acts as T4 and
will normalize the effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a
newborn. Which instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - ANSWER Keep the cord dry
until it falls off (cord should be kept clean and dry to prevent infection, it will
turn black, clean with neutral ph cleanser, cord falls off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings
indicates decreased cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - ANSWER Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory.
Which of the following client should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - ANSWER A client
with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients
should the nurse asses first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine
in the bag - ANSWER A client whose chronic kidney disease with cloudy
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
