ATI PN Comprehensive Questions With Solutions

ATI PN Comprehensive Questions With Solutions  A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness? o The client wants to talk about the diagnosis with nursing staff o The client has a decreased energy level o The client makes funeral arrangements o The client requests a second opinion  A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (Select all that apply) o Allows the nurse to touch him on the arm o Plays with toys in the examining room o c. Answers questions asked by the nurse o d. Makes eye contact with the nurse  Sits on his parent’s lap when the nurse enters the room  A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first? o A client who has bipolar disorder and is displaying flights of ideas o A client who has ADHD and has an inability to concentrate o A client who has schizophrenia and is having command hallucinations o A client who has depressive disorder and is withdrawn  A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, “ I can’t seem to do anything right. What should I do?” Which of the following responses should the nurse make? o “I’ll take him back to the nursery, so you can get some rest.” o “Babies need to cry soon after they are born to develop their lungs.” o “Let me show you how to swaddle and cuddle him, then you try.” o “If I turn him on his side, maybe he’ll go back to sleep.”  A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following actions should the nurse take? o Test the first drop of blood that forms after the puncture o Wear sterile gloves o Keep the finger in a dependent position o Select the central tip of the finger  A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the-counter medications interacts adversely with clopidogrel? o Docusate sodium o Ranitidine o Vitamin D3 o Naproxen  A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of the following actions should the nurse plan to take first? o Administer opioid pain medication o Apply an ice pack to the affected extremity o Check for pain with passive movement of the affected extremity o Elevate the affected extremity with several pillows A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching? o Decreased hemoglobin o Somnolence o Bradycardia o Decreased blood pressure A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the st  aff can medicate a client against his will, without a court hearing, in which of the following situations? o A client who has a serious mental illness o A client who is having difficulty making decisions about his treatment o A client for whom the benefits of the medication outweigh the risks o A client who is attempting to hurt himself or others A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching? o “Monitor for muscle weakness while taking the medication.” o “Rotate injection sites when administering the medication.” o “Withhold the medication if your pulse rate is above 100 beats per minute.” o “Increase your intake of dietary fiber to increase absorption.” A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client’s medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? o A nurse from another unit after a client commits suicide o A social worker who is assigned to an involuntary committed school-age client o A client’s partner after the client reports intimate partner abuse o A client’s employer who is concerned about safety due to substance use A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the following findings should the nurse report to the provider? o Hgb 13.2 g/dL o Urine protein 3 plus o Fasting blood glucose 72 mg/dL o BUN 15 mg/dL A nurse is collecting data from a client who is 4 hr postoperative following a hemicolectomy. Which of the following findings is the nurse’s priority, requiring immediate intervention? o Pain rating of 9 on a scale from 0 to 10 o Blood pressure 160/90 mm Hg o Oxygen saturation 89% o Abdominal dressing with a moderate amount of bright red drainage A nurse in a provider’s office is collecting data from a client who has a history of hypertension during his annual physical examination. Which of the following findings should the nurse report to the provider immediately? o A 2 kg (4.4 lb) weight gain o Blurred vision o Potassium 3.6 mEq/L o Resumption of cigarette smoking A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first? o Place the client on bed rest o Obtain the clients ABG levels o Prepare the client for a ventilation-perfusion scan o Elevate the head of the client’s bed A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the following laboratory tests is the most accurate of blood glucose effective management? o Urine ketones o Glucose tolerance test o Glycosylated hemoglobin o Fasting blood glucose A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene? o Requests a client to assist with distributing lunch trays o Tells a client he will lose his phone privileges if he does not take his medication o Encourages a client to participate in a recreational therapy group o Places mechanical restraints on a client who is hitting another staff member A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client’s room? o Oral suction equipment o Wrist restraints o Tongue depressor o Tracheostomy tray A nurse is reinforcing discharge teaching with the faculty of a client who has dependent personality disorder. Which of the following instructions should the nurse indicate in the teaching? o Maintain a verbal no-harm contract with the client o Assume responsibility for making the client’s decisions o Encourage the client to be assertive o Limit the client’s social interactions A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse indicate? o “You should avoid crossing your legs for 3 months.” o “You should avoid putting a pillow between your legs when in bed.” o “You should avoid exercising for the next 6 weeks.” o “You should avoid lying on your right side.”