ATI PN COMPREHENSIVE EXIT EXAM 2024 / PN
COMPREHENSIVE EXIT EXAM ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition.
Which of the following action should the nurse take ?
a- piggyback 0.9 sodium chloride with TPN solutions
b- check for allergy to eggs
c- Discuss the TPS solution for 12 hours
d- monitor for hypoglycemia - answer-check for allergey to eggs
A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse.
Which of the following should the nurse identify as a benefit (A/)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - answer-Decreased capillary permeability
Nurse is developing discharge care plans for client who has osteoporosis. To prevent injury the nurse
should instruct the client to?
a) Perform weight bearing exercises 5 of 28
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area - answer-To perform weight bearing exercises
A nurse on acute med-surgical unite is performing assessments on a group of clients. Which is the
highest priority?
a) The client has surgical hypoparathyroidism and positive Trousseau's sign
b) A client who was Clostridium difficile with acute diarrhea
,c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums - answer-The client has surgical
hypoparathyroidism and positive trousseaus sign
Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the
provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min - answer-Give the client enapril 2.5 mg PO
twice daily
A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the
following statements by the client indicates an understanding of the medication treatment plan?
a) I will be able starting this medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
d) I should decrease my sodium intake while on this medication - answer-I understand i may experience
difficulty sleeping on this medication
A nurse has been caring for a female client who has bruises on her arms that she explains are a result of
physical abuse by her husband. The client states " i don't know how much longer i can take this but i am
afraid he will hurt me if i leave." Which of the following is an appropriate nursing intervention ?
a) Offer to speak to the client's husband regarding his abuse behavior.
b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive behavior
d) Assist the client to Reports abusive behavior to the proper authority - answer-Help the client to
recognize the signs of escalation of abuse behavior.
A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not
end my misery?" Which of the following responses for the nurses is appropriate?
a) Why do you think your life is not worth it anymore?
,b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you're thinking - answer-Do you have a plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should
the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances - answer-Poor problem solving skills
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the
following action should the nurse take? There are 3 tabs that contain separate categories of data?
a) Position the client with the affected extremity lower than the heart b) Administration of
acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion - answer-Withold heparin IV infusion
Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the
following is an appropriate action by the nurse?
a) Expel air bubble at the top of the pre filled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort - answer-Inject the medication the lateral
abdominal wall
Nurses caring for 4 clients. Which of the following client data should the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24
hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
, d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 -
answer-The client has a prescription for chemotherapy and an absolute neitrophil count of 75/mm3
Nurses caring for client in end stage osteoporosis and is reporting severe pain. Clients respiratory rate is
14 per minute. which of the following medications should the nurse expect to be the highest priority to
administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline - answer-Hydromophone
A nurse is caring for a client who has DVT. Which of the following instructions should the nurse include
in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed - answer-Elevate the clients affected extermity
when in the bed
A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The clients
contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to
180 minutes. Which of the following actions should the nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - answer-Discontinue oxytocin infuion
A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit.
The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate
for the nurse to ask the client?
a) Have your membranes ruptured? 7 of 28
b) How far apart are your contractions?
COMPREHENSIVE EXIT EXAM ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition.
Which of the following action should the nurse take ?
a- piggyback 0.9 sodium chloride with TPN solutions
b- check for allergy to eggs
c- Discuss the TPS solution for 12 hours
d- monitor for hypoglycemia - answer-check for allergey to eggs
A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse.
Which of the following should the nurse identify as a benefit (A/)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - answer-Decreased capillary permeability
Nurse is developing discharge care plans for client who has osteoporosis. To prevent injury the nurse
should instruct the client to?
a) Perform weight bearing exercises 5 of 28
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area - answer-To perform weight bearing exercises
A nurse on acute med-surgical unite is performing assessments on a group of clients. Which is the
highest priority?
a) The client has surgical hypoparathyroidism and positive Trousseau's sign
b) A client who was Clostridium difficile with acute diarrhea
,c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums - answer-The client has surgical
hypoparathyroidism and positive trousseaus sign
Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the
provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min - answer-Give the client enapril 2.5 mg PO
twice daily
A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the
following statements by the client indicates an understanding of the medication treatment plan?
a) I will be able starting this medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
d) I should decrease my sodium intake while on this medication - answer-I understand i may experience
difficulty sleeping on this medication
A nurse has been caring for a female client who has bruises on her arms that she explains are a result of
physical abuse by her husband. The client states " i don't know how much longer i can take this but i am
afraid he will hurt me if i leave." Which of the following is an appropriate nursing intervention ?
a) Offer to speak to the client's husband regarding his abuse behavior.
b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive behavior
d) Assist the client to Reports abusive behavior to the proper authority - answer-Help the client to
recognize the signs of escalation of abuse behavior.
A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not
end my misery?" Which of the following responses for the nurses is appropriate?
a) Why do you think your life is not worth it anymore?
,b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you're thinking - answer-Do you have a plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should
the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances - answer-Poor problem solving skills
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the
following action should the nurse take? There are 3 tabs that contain separate categories of data?
a) Position the client with the affected extremity lower than the heart b) Administration of
acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion - answer-Withold heparin IV infusion
Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the
following is an appropriate action by the nurse?
a) Expel air bubble at the top of the pre filled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort - answer-Inject the medication the lateral
abdominal wall
Nurses caring for 4 clients. Which of the following client data should the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24
hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
, d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 -
answer-The client has a prescription for chemotherapy and an absolute neitrophil count of 75/mm3
Nurses caring for client in end stage osteoporosis and is reporting severe pain. Clients respiratory rate is
14 per minute. which of the following medications should the nurse expect to be the highest priority to
administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline - answer-Hydromophone
A nurse is caring for a client who has DVT. Which of the following instructions should the nurse include
in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed - answer-Elevate the clients affected extermity
when in the bed
A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The clients
contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to
180 minutes. Which of the following actions should the nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - answer-Discontinue oxytocin infuion
A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit.
The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate
for the nurse to ask the client?
a) Have your membranes ruptured? 7 of 28
b) How far apart are your contractions?
