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A nurse is assisting with the plan of care
for a client following a The nurse should irrigate the bladder us-
transurethral resection of the prostate. ing strict sterile technique and maintain
Which of the following interventions closed catheter drainage system to min-
should the nurse include in the plan of imize the rick of infection.
care?
A nurse is reviewing a client's electronic
medical record and finds that an assis-
tive per sonnel recorder the client's tem-
perature as 35.3 degrees Celsius (95.5 check the clients temp
degrees F) 2 hrs earlier. Which of the
following actions should the nurse take
firsT?
A nurse is receiving change-of-
shift report for four clients. Which of the A client whose urinary output was 100mL
following clients should the nurse see for the past 12 hrs
first?
A nurse in reinforcing teaching about
weight loss with a female older adult
keep fat intake to no more that 30% of
client who is overweight. Which of the
daily caloric intake.
following statements should the nurse in-
clude in teaching?
A nurse is collecting data from a client
who has iron deficiency anemia. Which
difficulty concentrating
of the following findings should the nurse
expect?
A Nurse is collecting data from an old-
er adult client who is 48 hr postoper-
ative following abdominal surgery. The
provider writes a prescription to advance The client has absent bowel sounds
the client to a re gular Diet. For which
of the following findings should the nurse
notify the provider?
A parent brings her adolescent son to an
urgent care center and states. "He is high
on something and needs help" The client
, ATI PN Comprehensive Exit Exam WITH QUESTIONS AND WELL VERIFIED
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is
exhibiting agitation and paranoia and
reports visual hallucinations. The nurse Methamphetamines
should suspect intoxication with which of
the following substances?
A nurse notices an assistive personnel
taking a nap in the break room during
he meal t ime. The AP appears drowsy Report the observations about the ap to
while performing routine tasks. Which of the unit's nurse manager.
the following a ctions should the nurse
take?
A nurse is reinforcing teaching with a
client who has a fluid volume deficit
about selec ting foods that have a high
water content. The nurse should include cherry tomatoes
that which of the following raw foods con-
tains the highest amount of water per 1
cup serving?
The nurse is position a client who is
scheduled for a lumbar puncture. The
lateral recumbent
nurse should assist the client into which
of the following positions?
A nurse is talking with a client whose son
died in a motor- vehicle crash 2 weeks
ago. The client states "I really thought I'd Grieving for your son is hard work. It will
be back to my usual routines by now, take as much time as you need to come
but I can't think of anythingelse except to terms with your loss.
my son is gone" Which of the following
responses should the nurse make?
A nurse is assisting with monitoring a
client who is at 40 weeks of gestation
and is in active labor. The nurse recog-
Place the client in the lateral position.
nizes late deceleration on the fetal moni-
tor tracing. Whichof the following actions
should the nurse take?
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A nurse manager is providing an in-
service on hand hygiene to assistive per-
Remove rings when washing hands with
sonnel. which of the following information
soap and water
should the nurse manager include in the
in-service?
A nurse is reinforcing home safety in-
structions with the parent of a newborn. Place your baby's crib away from heat
Which of the following statements should vents.
the nurse include in the instructions?
A nurse is preparing to administer a
client's morning medications.
Scan the facility identification board.
Which of the follow ing actions should the
nurse take to verify the client's identity?
A nurse is caring for a client following
a bronchoscopy procedure. Which of the
check for a gag reflex
following actions should the nurse per-
form first?
While administering a medication to a
client, a nurse notices a trayed electrical
cord connecting the client's continuous Remove the device from the client's
passive motion machine to the electri- room.
cal outlet. Which of the following actions
should the nurse take?
A nurse is caring for a client who is
4 hr postoperative following a total thy-
roidectomy. Which of the following mani-
Tingling of fingers
festations should the nurse report to the
provider as indicating possible hypocal-
cemia?
A nurse is caring for a client who has a
Penrose drain. To ensure proper place-
The safety pin is present at the distal end
ment an d functioning of the drain, which
of the drain.
of the following should the nurse expect
to observe?