ATI PN Learning System Comprehensive Final Quiz
A nurse at a family planning clinic is preparing to give a presentation to clients about how to
use a diaphragm. Which of the following information should the nurse plan to include in the
session? - correct answer "Use spermicidal jelly whenever you use your diaphragm."
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
statements by the AP indicates that further instruction is required? - correct answer "If the
client seems confused, i'll raise all four side rails so that he doesn't hurt himself."
A hospice nurse is visiting with the family member of a client. The family member states that
the client has insomnia almost nightly. Which of the following practices should the nurse
identify as contributing to the client's insomnia? - correct answer The client watches television
in her bed during the day.
A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the
client's peripheral IV site, which of the following actions should the nurse take? - correct
answer Apply pressure to the catheter removal site for 10 min.
A nurse is talking with a group of clients at a senior center about the risk factors for
osteoporosis. Which of the following statements should the nurse include? - correct answer
"Extended periods of immobility increase your risk for osteoporosis."
A nurse is reinforcing teaching with a client who is going to have an electroencephalogram
(EEG) in the morning. Which of the following information should the nurse provide the client? -
correct answer "Shampoo your hair before the procedure, and don't put any styling products
on it afterward."
A community health nurse is contributing to the plan of care for four high-risk newborns who
were discharged yesterday. Which of the following newborns should the nurse recommend to
care for first? - correct answer A 4 day-old newborn who has an elevated bilirubin level and
requires phototherapy.
A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to
perform intermittent urinary self-catheterization at home after discharge. Which of the
following statements indicates that the client understands the procedure? - correct answer "I
will perform intermittent self-catheterization every 2 to 3 hours."
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult
client who has dementia with periods of confusion. Which of the following statements indicates
that the AP requires further instructions? - correct answer "It's almost time for your
appointment. Let me do your hair for you and brush your teeth."
, A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling
urinary catheter and a Jackson-Pratt drain in place. Which of the following findings should
indicate that the client is developing a postoperative complication? - correct answer Pulse
oximetry of 85%
A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of
the following actions should the nurse take first when suspecting a transfusion reaction? -
correct answer Stop the infusion
A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client
asks the nurse, "Can I vote in the upcoming presidential election?" Which of the following
responses should the nurse make? - correct answer "We can work together to find out how you
can get a mail-in ballot."
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer
from the bed to a wheelchair. Which of the following actions indicates to the nurse that the AP
understands how to perform this task? - correct answer Locks the brakes on the bed and the
wheelchair before moving the client.
A nurse is reinforcing teaching with a client who has come to the family planning clinic
requesting an intrauterine device (IUD). Which of the following information should the nurse
reinforce with the client? - correct answer "Your risk for ectopic pregnancy increases with an
IUD."
A nurse is assisting with the admission of a client to the medical unit and asks him if he has
advance directives. The client states, "I have a document with me that names someone who
can make health care decisions for me if I am not able." The nurse should identify that the
client is referring to which of the following documents? - correct answer Durable power of
attorney document
A nurse is caring for a client who has dehydration. Which of the following laboratory values
should the nurse expect for this client? - correct answer Hct 55%
A nurse on a medical-surgical unit is caring for a client who develops deep, rapid respirations.
Arterial blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3- 18. Which of
the following acid-base imbalances should the nurse identify and report to the provider? -
correct answer Metabolic Acidosis
A nurse is reinforcing teaching with a client who has hypothyroidism and is taking
levothyroxine. The nurse should instruct the client to report which of the following
manifestations to the provider? - correct answer chest pain
A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficile
infection. Which of the following interventions is the nurse's priority? - correct answer
Performing hand hygiene before and after contact with the client
A nurse at a family planning clinic is preparing to give a presentation to clients about how to
use a diaphragm. Which of the following information should the nurse plan to include in the
session? - correct answer "Use spermicidal jelly whenever you use your diaphragm."
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
statements by the AP indicates that further instruction is required? - correct answer "If the
client seems confused, i'll raise all four side rails so that he doesn't hurt himself."
A hospice nurse is visiting with the family member of a client. The family member states that
the client has insomnia almost nightly. Which of the following practices should the nurse
identify as contributing to the client's insomnia? - correct answer The client watches television
in her bed during the day.
A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the
client's peripheral IV site, which of the following actions should the nurse take? - correct
answer Apply pressure to the catheter removal site for 10 min.
A nurse is talking with a group of clients at a senior center about the risk factors for
osteoporosis. Which of the following statements should the nurse include? - correct answer
"Extended periods of immobility increase your risk for osteoporosis."
A nurse is reinforcing teaching with a client who is going to have an electroencephalogram
(EEG) in the morning. Which of the following information should the nurse provide the client? -
correct answer "Shampoo your hair before the procedure, and don't put any styling products
on it afterward."
A community health nurse is contributing to the plan of care for four high-risk newborns who
were discharged yesterday. Which of the following newborns should the nurse recommend to
care for first? - correct answer A 4 day-old newborn who has an elevated bilirubin level and
requires phototherapy.
A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to
perform intermittent urinary self-catheterization at home after discharge. Which of the
following statements indicates that the client understands the procedure? - correct answer "I
will perform intermittent self-catheterization every 2 to 3 hours."
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult
client who has dementia with periods of confusion. Which of the following statements indicates
that the AP requires further instructions? - correct answer "It's almost time for your
appointment. Let me do your hair for you and brush your teeth."
, A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling
urinary catheter and a Jackson-Pratt drain in place. Which of the following findings should
indicate that the client is developing a postoperative complication? - correct answer Pulse
oximetry of 85%
A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of
the following actions should the nurse take first when suspecting a transfusion reaction? -
correct answer Stop the infusion
A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client
asks the nurse, "Can I vote in the upcoming presidential election?" Which of the following
responses should the nurse make? - correct answer "We can work together to find out how you
can get a mail-in ballot."
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer
from the bed to a wheelchair. Which of the following actions indicates to the nurse that the AP
understands how to perform this task? - correct answer Locks the brakes on the bed and the
wheelchair before moving the client.
A nurse is reinforcing teaching with a client who has come to the family planning clinic
requesting an intrauterine device (IUD). Which of the following information should the nurse
reinforce with the client? - correct answer "Your risk for ectopic pregnancy increases with an
IUD."
A nurse is assisting with the admission of a client to the medical unit and asks him if he has
advance directives. The client states, "I have a document with me that names someone who
can make health care decisions for me if I am not able." The nurse should identify that the
client is referring to which of the following documents? - correct answer Durable power of
attorney document
A nurse is caring for a client who has dehydration. Which of the following laboratory values
should the nurse expect for this client? - correct answer Hct 55%
A nurse on a medical-surgical unit is caring for a client who develops deep, rapid respirations.
Arterial blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3- 18. Which of
the following acid-base imbalances should the nurse identify and report to the provider? -
correct answer Metabolic Acidosis
A nurse is reinforcing teaching with a client who has hypothyroidism and is taking
levothyroxine. The nurse should instruct the client to report which of the following
manifestations to the provider? - correct answer chest pain
A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficile
infection. Which of the following interventions is the nurse's priority? - correct answer
Performing hand hygiene before and after contact with the client
