ATI PN Exit Exam A 2017

A nurse is assisting with a community education program for parents of preschoolers about recommended activities to promote physical development. Which of the ff statements should the nurse make? - You should provide unorganized play activities for your child each day 2. The nurse is assisting with the care of a client who has a terminal illness. The client practices Orthodox Judaism.Which of the ff actions should the nurse take? - Assure the client that a family member will remain with his body until burial 3. A nurse is reinforcing discharge teaching with the parents of a school-age child who has severe hemophilia A. Which of the following statements by the parents indicates an understanding of the teaching? - I will soak my son's toothbrush in warm water to soften it for him before he uses it." 4. A nurse is caring for a client who has a gastrostomy tube. Which of the following actions should the nurse plan to take? - Flush the tube with 60ml of water if the tube becomes clogged 5. A nurse working at an inpatient mental health facility is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the ff actions should the nurse include in the plan of care? - Record the amount of food the client consumes 6. A nurse is assisting with the transfer of a client to a long-term care facility. The nurse should review which of the ff sections of the electronic medical record to locate information about the client's personal health insurance? - Admission sheet 7. A nurse is assisting with the care of a client who is postpartum and has deep vein thrombosis. The client has been receiving heparin via IV infusion. Which of the ff medications should the nurse ensure is readily available? - Protamine sulfate 8. A nurse is collecting a urine specimen from a female client who has diabetes insipidus. The nurse should expect which of the ff findings? - Urine specific gravity of 1.002 9. A nurse is collecting data from an older adult client who has a hip fracture. Which of the ff findings should the nurse expect? - External rotation 10. A home health nurse is collecting data from a older adult client who has generalized anxiety disorder. The client lives at home with her partner and a sibling. Which of the ff response by the client/s partner is the priority for the nurse to address? - Her prescription isn't generic, so we can't afford it anymore. 11. A nurse enters the room of an adolescent client and finds him on the floor experiencing a tonic-clonic seizure. Which of the ff actions should the nurse take when the seizure subsides? - Keep the client in a side-lying position 12. A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which of the ff statements by the newly licensed nurse indicates an understanding of this method of pain control? - I should report leaking at the insertion site to the anesthesiologist 13. A nurse is caring for a client who is receiving telemetry. Which of the ff ECG findings should the nurse report to the charge nurse? - PR interval 0.24 sec 14. A nurse is collecting data from an older adult client who has a gastric ulcer. Which of the ff findings should the nurse identify as a complication to report to the provider? - Hematemesis 15. A nurse is reinforcing teaching about a therapeutic diet with a client who has iron-deficiency anemia. Which of the ff food items shock the nurse recommend that the client consume? - Red meats 16. A nurse is caring for a newborn who is 1 hr old. The mother received fentanyl 30 min before delivery. For which of the ff adverse effects should the nurse monitor the newborn? - Respiratory distress 17. A nurse is preparing to perform a bladder scan for a client. Which of the ff actions should the nurse take? - Tell the client she should not experience any discomfort. 18. A nurse is assisting with an educational program about car restrain safety for a group of parents. Which of the ff statement indicates understanding of the instructions? - My 12 year old should place the shoulder lap seatbelt low across his hips. 19. A nurse is caring for an older adult client who is experiencing difficulty sleeping. Which of the ff actions should the nurse take? - Offer the client a snack of whole grain crackers before bedtime. 20. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational diabetes. The nurse should report to the provider which of the ff findings as an indication of hyperglycemia? - Polyuria 21. A nurse is working in an acute care facility when a natural disaster occurs. The facility must discharge clients to provide room for new admissions. Which of the ff clients should the nurse recommend to the charge nurse for discharge? - A client who has pneumonia and is currently receiving oral antibiotics 22. A nurse is assisting with the development of an in-service for newly licensed nurses about seclusion. The nurse should identify the need to request a prescription for seclusion for which of the ff situations? - A client hits another client because she thought he was talking about her. 23. A nurse is assisting with the admission of an older adult client. Which of the ff actions should the nurse take first? - Complete a fall risk assessment on the client 24. A nurse is monitoring a school-age child who has anemia and is receiving a transfusion of packed RBCs. Which of the ff statements by the child indicates a possible hemolytic transfusion reaction that the nurse should report to the charge nurse and the provider? - I am really cold. May I have another warm blanket 25. A nurse in a long-term care facility notices a client who has Alzheimer's disease standing at the exit doors at the end of the hallway. The client appears to be appears to be anxious and agitated. Which of the ff actions should the nurse take? - Escort the client to a quiet area on the nursing unit 26. A nurse is reinforcing teaching regarding puberty with a group of prepubescent female clients. Which of the ff information should the nurse include in the teaching - You will likely gain weight before you start to get taller 27. A nurse is reinforcing teaching with a client who has a new prescription for metronidazole. The nurse should instruct the client to expect which of the ff adverse effects while taking this medication? - Reddish brown urine 28. A nurse is reviewing laboratory results for a client who is receiving mechanical ventilation. Which of the ff findings should the nurse recognize as a potential complication of mechanical ventilation? - pH 7.5 29. A nurse is contributing to the plan of care for a client who has a prescription for range of motion exercises of the shoulder. Which of the ff exercise should the nurse recommend to promote shoulder hyperextension - Move her arm behind her body with her elbow straight 30. A nurse in the a long-term care facility is reviewing standard precaution guidelines with an assistive personnel (AP). The nurse should instruct the AP that which of the ff should be used to clean up a blood spill? - Chlorine bleach solution 31. A nurse is caring for a client who is scheduled for a mastectomy the ff day. The client is tearful and tells the nurse that she is not ready to have this procedure done at this time. Which of the ff responses should the nurse make? - Would you like for me to talk to the surgeon with you? 32. A nurse is receiving change of shift report for four clients. The nurse should plan to collect data from which of the ff clients first? - A client who has asthma and had frequent exacerbation on the previous shift 33. A nurse is performing a dressing change for a client who is 3 days postoperative Which of the ff findings should the nurse report to the provider? - Yellow green drainage at the incision line 34. A home health nurse is reinforcing teaching with the client about the use of elastic stocking to decrease peripheral edema. Which of the ff instructions should the nurse include? - Apply stockings in the morning. 35. A nurse is reinforcing teaching with an older adult client who has severe left sided heart failure. Which of the ff statements should the nurse make? - Rest 15 min between activities 36. A nurse is checking the reflexes of a newborn. Which of the ff techniques should the nurse use to elicit the Babinski reflex? - Stroke the sole of the infant's foot upward and toward the great toe. 37. The nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the ff statements should the nurse make? - You should increase your fluid intake after this procedure 38. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which of the ff statements made by the client indicates understanding of the teaching? - I will wear a soft scarf around my neck when I am outside 39. A nurse is caring for a newborn who is 12 hr old. Which of the ff stools should the nurse instruct the parents to expect during the first 24 hr after birth? - Dark green and viscous 40. A nurse is preparing to perform venipuncture to obtain a blood sample for a client. Which of the ff actions should the nurse take? - Select the site in the antecubital fossa 41. The nurse is caring fora client who is recovering from a stroke and is experiencing difficulty using eating utensils. The nurse should identify the need for a referral to which of the ff inter professional team members? - Occupational therapy 42. A nurse in a provider's office is reinforcing teaching with client who is to follow a 2000 mg sodium-restricted diet. Which of the ff client food selections indicates an understanding of the teaching? - Canned peaches 43. A nurse is an inpatient mental health clinic is caring for a newly admitted client who has alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the ff responses should the nurse make? - "What is your current understanding about the purpose of AA?" 44. A nurse is caring for a client who practices Orthodox Judaism and adheres to a Kosher diet. Which of the ff food selections should the nurse expect to see on the client's meal tray? - Spagetti noodles with red meat sauce