ATI PN COMPREHENSIVE EXIT
EXAM
A nurse is Assisting with the plAn of cAre for A client following
A
trAnsurethrAl resection of the prostAte. Which of the following interventions should the
nurse include in the plAn of cAre? - CORRECT ANSWER -The nurse should irrigAte the
blAdder using strict sterile technique And mAintAin closed cAtheter drAinAge system to
minimize the rick of infection.
A nurse is reviewing A client's electronic medicAl record And finds thAt An Assistive per
sonnel recorder the client's temperAture As 35.3 degrees Celsius (95.5 degrees F) 2 hrs
eArlier. Which of the following Actions should the nurse tAke firsT? - CORRECT ANSWER -
check the clients temp
A nurse is receiving chAnge-of-
shift report for four clients. Which of the following clients should the nurse see first? -
CORRECT ANSWER -A client whose urinAry output wAs 100mL for the pAst 12 hrs
A nurse in reinforcing teAching About weight loss with A femAle older Adult client who is
overweight. Which of the following stAtements should the nurse include in teAching? -
CORRECT ANSWER -keep fAt intAke to no more thAt 30% of dAily cAloric intAke.
A nurse is collecting dAtA from A client who hAs iron deficiency AnemiA. Which of the
following findings should the nurse expect? - CORRECT ANSWER -difficulty concentrAting
A Nurse is collecting dAtA from An older Adult client who is 48 hr postoperAtive following
AbdominAl surgery. The provider writes A prescription to AdvAnce the client to A re gulAr
Diet. For which of the following findings should the nurse notify the provider? - CORRECT
ANSWER -The client hAs Absent bowel sounds
,A pArent brings her Adolescent son to An urgent cAre center And stAtes. "He is high on
something And needs help" The client is
exhibiting AgitAtion And pArAnoiA And reports visuAl hAllucinAtions. The nurse should
suspect intoxicAtion with which of the following substAnces? - CORRECT ANSWER -
MethAmphetAmines
A nurse notices An Assistive personnel tAking A nAp in the breAk room during he meAl t ime.
The AP AppeArs drowsy while performing routine tAsks. Which of the following A ctions
should the nurse tAke? - CORRECT ANSWER -Report the observAtions About the Ap to the
unit's nurse mAnAger.
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 thAt which of the following
rAw foods contAins the highest Amount of wAter per 1 cup serving? - CORRECT ANSWER -
cherry tomAtoes
The nurse is position A client who is scheduled for A lumbAr puncture. The nurse should
Assist the client into which of the following positions? - CORRECT ANSWER -lAterAl
recumbent
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 be bAck to my usuAl routines by now, but I cAn't think of
Anythingelse except my son is gone" Which of the following responses should the nurse
mAke? - CORRECT ANSWER -Grieving for your son is hArd work. It will tAke As much time
As you need to come to terms with your loss.
A nurse is Assisting with monitoring A client who is At 40 weeks of gestAtion And is in Active
lAbor. The nurse recognizes lAte decelerAtion on the fetAl monitor trAcing. Whichof the
following Actions should the nurse tAke? - CORRECT ANSWER -PlAce the client in the
lAterAl position.
A nurse mAnAger is providing An in-
, service on hAnd hygiene to Assistive personnel. which of the following informAtion should
the nurse mAnAger include in the in-service? - CORRECT ANSWER -Remove rings when
wAshing hAnds with soAp And wAter
A nurse is reinforcing home sAfety instructions with the pArent of A newborn. Which of the
following stAtements should the nurse include in the instructions? - CORRECT ANSWER -
PlAce your bAby's crib AwAy from heAt vents.
A nurse is prepAring to Administer A client's morning medicAtions.
Which of the follow ing Actions should the nurse tAke to verify the client's identity? -
CORRECT ANSWER -ScAn the fAcility identificAtion boArd.
A nurse is cAring for A client following A bronchoscopy procedure. Which of the following
Actions should the nurse perform first? - CORRECT ANSWER -check for A gAg reflex
While Administering A medicAtion to A client, A nurse notices A trAyed electricAl cord
connecting the client's continuous pAssive motion mAchine to the electricAl outlet. Which of
the following Actions should the nurse tAke? - CORRECT ANSWER -Remove the device from
the client's room.
A nurse is cAring for A client who is 4 hr postoperAtive following A totAl thyroidectomy.
Which of the following mAnifestAtions should the nurse report to the provider As indicAting
possible hypocAlcemiA? - CORRECT ANSWER -Tingling of fingers
A nurse is cAring for A client who hAs A Penrose drAin. To ensure proper plAcement An d
functioning of the drAin, which of the following should the nurse expect to observe? -
CORRECT ANSWER -The sAfety pin is present At the distAl end of the drAin.
A community heAlth nurse is helping to reinforce teAching About hepAtitis A with A group of
employees At A childcAre fAcility.
Which of the following chArActeristics should t he nurse identify As An externAl fActor thAt
cAn impede leArning for the pArticipAnts? - CORRECT ANSWER -Poor lighting in the
leArning setting
EXAM
A nurse is Assisting with the plAn of cAre for A client following
A
trAnsurethrAl resection of the prostAte. Which of the following interventions should the
nurse include in the plAn of cAre? - CORRECT ANSWER -The nurse should irrigAte the
blAdder using strict sterile technique And mAintAin closed cAtheter drAinAge system to
minimize the rick of infection.
A nurse is reviewing A client's electronic medicAl record And finds thAt An Assistive per
sonnel recorder the client's temperAture As 35.3 degrees Celsius (95.5 degrees F) 2 hrs
eArlier. Which of the following Actions should the nurse tAke firsT? - CORRECT ANSWER -
check the clients temp
A nurse is receiving chAnge-of-
shift report for four clients. Which of the following clients should the nurse see first? -
CORRECT ANSWER -A client whose urinAry output wAs 100mL for the pAst 12 hrs
A nurse in reinforcing teAching About weight loss with A femAle older Adult client who is
overweight. Which of the following stAtements should the nurse include in teAching? -
CORRECT ANSWER -keep fAt intAke to no more thAt 30% of dAily cAloric intAke.
A nurse is collecting dAtA from A client who hAs iron deficiency AnemiA. Which of the
following findings should the nurse expect? - CORRECT ANSWER -difficulty concentrAting
A Nurse is collecting dAtA from An older Adult client who is 48 hr postoperAtive following
AbdominAl surgery. The provider writes A prescription to AdvAnce the client to A re gulAr
Diet. For which of the following findings should the nurse notify the provider? - CORRECT
ANSWER -The client hAs Absent bowel sounds
,A pArent brings her Adolescent son to An urgent cAre center And stAtes. "He is high on
something And needs help" The client is
exhibiting AgitAtion And pArAnoiA And reports visuAl hAllucinAtions. The nurse should
suspect intoxicAtion with which of the following substAnces? - CORRECT ANSWER -
MethAmphetAmines
A nurse notices An Assistive personnel tAking A nAp in the breAk room during he meAl t ime.
The AP AppeArs drowsy while performing routine tAsks. Which of the following A ctions
should the nurse tAke? - CORRECT ANSWER -Report the observAtions About the Ap to the
unit's nurse mAnAger.
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 thAt which of the following
rAw foods contAins the highest Amount of wAter per 1 cup serving? - CORRECT ANSWER -
cherry tomAtoes
The nurse is position A client who is scheduled for A lumbAr puncture. The nurse should
Assist the client into which of the following positions? - CORRECT ANSWER -lAterAl
recumbent
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 be bAck to my usuAl routines by now, but I cAn't think of
Anythingelse except my son is gone" Which of the following responses should the nurse
mAke? - CORRECT ANSWER -Grieving for your son is hArd work. It will tAke As much time
As you need to come to terms with your loss.
A nurse is Assisting with monitoring A client who is At 40 weeks of gestAtion And is in Active
lAbor. The nurse recognizes lAte decelerAtion on the fetAl monitor trAcing. Whichof the
following Actions should the nurse tAke? - CORRECT ANSWER -PlAce the client in the
lAterAl position.
A nurse mAnAger is providing An in-
, service on hAnd hygiene to Assistive personnel. which of the following informAtion should
the nurse mAnAger include in the in-service? - CORRECT ANSWER -Remove rings when
wAshing hAnds with soAp And wAter
A nurse is reinforcing home sAfety instructions with the pArent of A newborn. Which of the
following stAtements should the nurse include in the instructions? - CORRECT ANSWER -
PlAce your bAby's crib AwAy from heAt vents.
A nurse is prepAring to Administer A client's morning medicAtions.
Which of the follow ing Actions should the nurse tAke to verify the client's identity? -
CORRECT ANSWER -ScAn the fAcility identificAtion boArd.
A nurse is cAring for A client following A bronchoscopy procedure. Which of the following
Actions should the nurse perform first? - CORRECT ANSWER -check for A gAg reflex
While Administering A medicAtion to A client, A nurse notices A trAyed electricAl cord
connecting the client's continuous pAssive motion mAchine to the electricAl outlet. Which of
the following Actions should the nurse tAke? - CORRECT ANSWER -Remove the device from
the client's room.
A nurse is cAring for A client who is 4 hr postoperAtive following A totAl thyroidectomy.
Which of the following mAnifestAtions should the nurse report to the provider As indicAting
possible hypocAlcemiA? - CORRECT ANSWER -Tingling of fingers
A nurse is cAring for A client who hAs A Penrose drAin. To ensure proper plAcement An d
functioning of the drAin, which of the following should the nurse expect to observe? -
CORRECT ANSWER -The sAfety pin is present At the distAl end of the drAin.
A community heAlth nurse is helping to reinforce teAching About hepAtitis A with A group of
employees At A childcAre fAcility.
Which of the following chArActeristics should t he nurse identify As An externAl fActor thAt
cAn impede leArning for the pArticipAnts? - CORRECT ANSWER -Poor lighting in the
leArning setting
