ATI PN COMPREHENSIVE EXIT B 2025.
GRADED A+
A nurse is assisting with monitoring a client who is in labor and has spontaneous
rupture of membranes following a vaginal examination. The provider reports the
client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the
following actions should the nurse take?
(ANS- Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is
experiencing acute mania. Which of the following findings is the nurse's priority?
(ANS- lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and
reports waking during the night with tremors and anxiety. which of the following
information should the nurse provide to help the client manage his symptoms?
(ANS- Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-dose aspirin daily. The nurse should include that this medication has
which of the following therapeutic effects for CAD?
(ANS- Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture and
rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a
visitor. Which of the following of the prescribed medication should the nurse
administer?
,(ANS- Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a bowel
retention with ileostomy. Which of the following descriptions should the nurse
give of the expected output from a mature ileostomy?
(ANS- liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected leg.
Which of the following actions should the nurse take first?
(ANS- compare capillary refill in toes bilaterally
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of
the following statements by the client indicates an understanding of the teaching
about the acute phase of diverticulitis?
(ANS- "I will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The nurse
should include that frequent consumption of which of the following foods
increases the risk of cancer?
(ANS- Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of
the following modes should the nurse include as a method of transmitting hepatitis
A?
(ANS- Consumption of contaminated food.
, A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse
include in the teaching?
(ANS-
Although it is unnecessary to be rigid about feeding times, six to eight feedings
every 24 hrs should support a full-term newborn's nutrition adequately. Fewer
feedings in the initial weeks could delay the establishment of an adequate
weightgain pattern.
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?
(ANS- The nurse should irrigate the bladder using strict sterile technique and
maintain closed catheter drainage system to minimize the risk of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel 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?
(ANS- Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse see first?
(ANS- 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?
GRADED A+
A nurse is assisting with monitoring a client who is in labor and has spontaneous
rupture of membranes following a vaginal examination. The provider reports the
client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the
following actions should the nurse take?
(ANS- Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is
experiencing acute mania. Which of the following findings is the nurse's priority?
(ANS- lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and
reports waking during the night with tremors and anxiety. which of the following
information should the nurse provide to help the client manage his symptoms?
(ANS- Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-dose aspirin daily. The nurse should include that this medication has
which of the following therapeutic effects for CAD?
(ANS- Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture and
rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a
visitor. Which of the following of the prescribed medication should the nurse
administer?
,(ANS- Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a bowel
retention with ileostomy. Which of the following descriptions should the nurse
give of the expected output from a mature ileostomy?
(ANS- liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected leg.
Which of the following actions should the nurse take first?
(ANS- compare capillary refill in toes bilaterally
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of
the following statements by the client indicates an understanding of the teaching
about the acute phase of diverticulitis?
(ANS- "I will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The nurse
should include that frequent consumption of which of the following foods
increases the risk of cancer?
(ANS- Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of
the following modes should the nurse include as a method of transmitting hepatitis
A?
(ANS- Consumption of contaminated food.
, A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse
include in the teaching?
(ANS-
Although it is unnecessary to be rigid about feeding times, six to eight feedings
every 24 hrs should support a full-term newborn's nutrition adequately. Fewer
feedings in the initial weeks could delay the establishment of an adequate
weightgain pattern.
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?
(ANS- The nurse should irrigate the bladder using strict sterile technique and
maintain closed catheter drainage system to minimize the risk of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel 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?
(ANS- Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse see first?
(ANS- 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?
