ATI PN Comprehensive Exit Exam
The nurse should irrigate the bladder using strict sterile technique and maintain closed
catheter drainage system to minimize the rick of infection. - answers✔✔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?
check the clients temp - answers✔✔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?
A client whose urinary output was 100mL for the past 12 hrs - answers✔✔A nurse is
receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first?
keep fat intake to no more that 30% of daily caloric intake. - answers✔✔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?
difficulty concentrating - answers✔✔A nurse is collecting data from a client who has iron
deficiency anemia. Which of the following findings should the nurse expect?
The client has absent bowel sounds - answers✔✔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?
Methamphetamines - answers✔✔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?
,Report the observations about the ap to the unit's nurse manager. - answers✔✔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?
cherry tomatoes - answers✔✔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?
lateral recumbent - answers✔✔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?
Grieving for your son is hard work. It will take as much time as you need to come to
terms with your loss. - answers✔✔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?
Place the client in the lateral position. - answers✔✔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?
Remove rings when washing hands with soap and water - answers✔✔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?
Place your baby's crib away from heat vents. - answers✔✔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?
, Scan the facility identification board. - answers✔✔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?
check for a gag reflex - answers✔✔A nurse is caring for a client following a
bronchoscopy procedure. Which of the following actions should the nurse perform first?
Remove the device from the client's room. - answers✔✔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?
Tingling of fingers - answers✔✔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?
The safety pin is present at the distal end of the drain. - answers✔✔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?
Poor lighting in the learning setting - answers✔✔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?
hydrogen peroxide - answers✔✔A nurse is observing newly licensed nurse who is
providing tracheostomy care for a client. The nurse identifies proper performance of the
procedure when the newly licensed nurse selects which of the following solutions to
clean the inner cannula?
"It is difficult to see someone so sick. Whathave you been told about your partner's
prognosis?" - answers✔✔A nurse is caring for a client who has right sided heart failure.
The nurse should irrigate the bladder using strict sterile technique and maintain closed
catheter drainage system to minimize the rick of infection. - answers✔✔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?
check the clients temp - answers✔✔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?
A client whose urinary output was 100mL for the past 12 hrs - answers✔✔A nurse is
receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first?
keep fat intake to no more that 30% of daily caloric intake. - answers✔✔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?
difficulty concentrating - answers✔✔A nurse is collecting data from a client who has iron
deficiency anemia. Which of the following findings should the nurse expect?
The client has absent bowel sounds - answers✔✔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?
Methamphetamines - answers✔✔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?
,Report the observations about the ap to the unit's nurse manager. - answers✔✔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?
cherry tomatoes - answers✔✔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?
lateral recumbent - answers✔✔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?
Grieving for your son is hard work. It will take as much time as you need to come to
terms with your loss. - answers✔✔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?
Place the client in the lateral position. - answers✔✔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?
Remove rings when washing hands with soap and water - answers✔✔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?
Place your baby's crib away from heat vents. - answers✔✔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?
, Scan the facility identification board. - answers✔✔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?
check for a gag reflex - answers✔✔A nurse is caring for a client following a
bronchoscopy procedure. Which of the following actions should the nurse perform first?
Remove the device from the client's room. - answers✔✔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?
Tingling of fingers - answers✔✔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?
The safety pin is present at the distal end of the drain. - answers✔✔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?
Poor lighting in the learning setting - answers✔✔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?
hydrogen peroxide - answers✔✔A nurse is observing newly licensed nurse who is
providing tracheostomy care for a client. The nurse identifies proper performance of the
procedure when the newly licensed nurse selects which of the following solutions to
clean the inner cannula?
"It is difficult to see someone so sick. Whathave you been told about your partner's
prognosis?" - answers✔✔A nurse is caring for a client who has right sided heart failure.
