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ATI PN Comprehensive Exit Exam..

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ATI PN Comprehensive Exit Exam.


A nurse is assisting with the plan of care for a client following a
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transurethral resection of the prostate. Which of the following interventions should the nurse include in
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the plan of care? - (correct answer) -
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The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter draina
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ge system to minimize the rick of infection.
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A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder t
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he client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following acti
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ons should the nurse take firsT? - (correct answer) - check the clients temp
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A nurse is receiving change-of-
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shift report for four clients. Which of the following clients should the nurse see first? - (correct answer) -
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A client whose urinary output was 100mL for the past 12 hrs
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A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Wh
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ich of the following statements should the nurse include in teaching? - (correct answer) -
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keep fat intake to no more that 30% of daily caloric intake.
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A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings s
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hould the nurse expect? - (correct answer) - difficulty concentrating
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A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal surg
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ery. The provider writes a prescription to advance the client to a re gular Diet. For which of the following
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findings should the nurse notify the provider? - (correct answer) - The client has absent bowel sounds
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A parent brings her adolescent son to an urgent care center and states. "He is high on something and ne
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eds help" The client is
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exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect intoxicatio
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n with which of the following substances? - (correct answer) - Methamphetamines
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A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP appe
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ars drowsy while performing routine tasks. Which of the following a ctions should the nurse take? -
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(correct answer) - Report the observations about the ap to the unit's nurse manager.
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,A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that ha
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ve a high water content. The nurse should include that which of the following raw foods contains the hig
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hest amount of water per 1 cup serving? - (correct answer) - cherry tomatoes
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The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client i
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nto which of the following positions? - (correct answer) - lateral recumbent
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A nurse is talking with a client whose son died in a motor-
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vehicle crash 2 weeks ago. The client states "I really thought I'd be back to my usual routines by now, b
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ut I can't think of anythingelse except my son is gone" Which of the following responses should the nurs
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e make? - (correct answer) -
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Grieving for your son is hard work. It will take as much time as you need to come to terms with your lo
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ss.

A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nu
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rse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the n
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urse take? - (correct answer) - Place the client in the lateral position.
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A nurse manager is providing an in-
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service on hand hygiene to assistive personnel. which of the following information should the nurse ma
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nager include in the in-service? - (correct answer) -
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Remove rings when washing hands with soap and water
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A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following sta
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tements should the nurse include in the instructions? - (correct answer) -
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Place your baby's crib away from heat vents.
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A nurse is preparing to administer a client's morning medications.
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Which of the follow ing actions should the nurse take to verify the client's identity? - (correct answer) -
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Scan the facility identification board.
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A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should
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the nurse perform first? - (correct answer) - check for a gag reflex
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While administering a medication to a client, a nurse notices a trayed electrical cord connecting the clie
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nt's continuous passive motion machine to the electrical outlet. Which of the following actions should th
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e nurse take? - (correct answer) - Remove the device from the client's room.
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A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the foll
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owing manifestations should the nurse report to the provider as indicating possible hypocalcemia? -
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(correct answer) - Tingling of fingers
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, A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of th
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e drain, which of the following should the nurse expect to observe? - (correct answer) -
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The safety pin is present at the distal end of the drain.
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A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees
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at a childcare facility.
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Which of the following characteristics should t he nurse identify as an external factor that can impede le
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arning for the participants? - (correct answer) - Poor lighting in the learning setting
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A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse ide
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ntifies proper performance of the procedure when the newly licensed nurse selects which of the followi
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ng solutions to clean the inner cannula? - (correct answer) - hydrogen peroxide
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A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern th
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e the client will die. Which of the following responses should the nurse make? - (correct answer) -
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"It is difficult to see someone so sick. Whathave you been told about your partner's prognosis?"
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A nurse in a long-term care facility is assisting with an in-
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service for newly hired assistive personnel about legal issues within the facility. Which of the following s
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hould the nurse include as an example of assault? - (correct answer) -
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Informing a client the nurse is going to administer an injection even though the client refuses.
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A nurse is collecting data from who is severe pain. Which of the tollowing questions should the nurse as
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k first? - (correct answer) - "Where is your pain located?"
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A nurse is reviewing the laboratory results for a client who is at
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29 weeks gestation. For which of the following results should the nurse notify the provider? -
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(correct answer) - Platelet count 95,000 mm3
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A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse n
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otes organs protruding from the incision. Which of the following act ions should the nurse take? -
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(correct answer) - Cover the exposed area with sterile, saline-soaked dressings.
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A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states
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, "I love my dad, but caring for him is wearing me out." Which of the following response should the nurs
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e make? - (correct answer) - "Let's discuss how caring for your father is affecting your health.
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A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re ports waking duri
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ng the night with tremors and anxiety. which of the following inform ation should the nurse provide to h
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elp the client manage his symptoms? - (correct answer) - Eat a bedtime snack
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a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking low-
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