ATI PN COMPREHENSIVE EXIT
EXAM
,1. A nurse in a long-term care facility is assisting with an in-
service for newly hired assistive personnel about legal issues
within the facility. Which of the following should the nurse
include as an example ofIassault?
ANS: Informing a client the nurse is going to administer an
injection even though the client refuses.
2. A nurse is collecting data from who is severe pain. Which ofIthe
following questions should the nurse ask first?
ANS: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the
nurse notify the provider?
ANS: Platelet count 95,000 mm3
4. A nurse is performing a dressing change for a client who had
abdominal surgery 5 day s ago. The nurse notes organs protruding
from the incision. Which of the following act ions should the nurse
take?
ANS: Cover the exposed area with sterile, saline-soaked dressings.
5. A nurse is speaking with the adult daughter of a client who has
Alzheimer's disease. The daughter states, "I love my dad,
but caring for him is wearing me out." Which of the
following response should the nurse make?
ANS: "Let's discuss how caring for your father is affecting
your health.
,6. A nurse is contributing to the plan of care for a care for a client who
has chest tube co nnected to a closed drainage system. Which ofIthe
following actions should the nurse i nclude in the plan of care?
ANS: Maintain the drainage system below the level ofIthe client's
chest.
7. A nurse in an acute mental health facility is caring for a client
who has borderline personality disorder and reports. "I am going
to kill my girlfriend when I get out ofIhere." Which ofIthe
following actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
8. A nurse is admitting a client who is at high risk for suicide.
Which ofIthe following actions is the nurse's priority? ANS:
Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is
unable to ambulate. W hich ofIthe following actions should the
nurse take to promote the client's venous return?
ANS: Maintain the sequential compression device.
10. A nurse on an acute care unity is collecting data from a school-
age Child who has cystic fibrosis. Which ofIthe following
findings is the priority for the nurse?
ANS: Reports lack of appetite
, 11. A nurse working in a provider's ofollowingice receives a phone
call from the parent ofIa school-
age child who has varicella. The parent asked the nurse when the
child can return to school. Which of the following responses
should the nurse make?
ANS: "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school-
age child whose injuries are inconsistent with the parent's stated
cause. Which ofIthe following actions should the nurse take?
ANS: Report the suspected abuse to an appropriate agency.
13. A nurse is collecting data from a middle adult female client
who is taking melatonin.Which ofIthe following responses to
the med should the nurse expect?
ANS: Improved sleep
14. A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which ofIthe following clients should the nurse
identify as being at risk for urinary retention? ANS: A school-
age child who has allergic rhinitis and is taking
diphenhydramine.
15. A nurse is preparing to administer purified protein derivative (PPD)
to a client who ha s suspected TB. Which ofIthe following actions
should the nurse plan to take?
ANS: Ensure the injection produces a wheal on the skin
EXAM
,1. A nurse in a long-term care facility is assisting with an in-
service for newly hired assistive personnel about legal issues
within the facility. Which of the following should the nurse
include as an example ofIassault?
ANS: Informing a client the nurse is going to administer an
injection even though the client refuses.
2. A nurse is collecting data from who is severe pain. Which ofIthe
following questions should the nurse ask first?
ANS: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the
nurse notify the provider?
ANS: Platelet count 95,000 mm3
4. A nurse is performing a dressing change for a client who had
abdominal surgery 5 day s ago. The nurse notes organs protruding
from the incision. Which of the following act ions should the nurse
take?
ANS: Cover the exposed area with sterile, saline-soaked dressings.
5. A nurse is speaking with the adult daughter of a client who has
Alzheimer's disease. The daughter states, "I love my dad,
but caring for him is wearing me out." Which of the
following response should the nurse make?
ANS: "Let's discuss how caring for your father is affecting
your health.
,6. A nurse is contributing to the plan of care for a care for a client who
has chest tube co nnected to a closed drainage system. Which ofIthe
following actions should the nurse i nclude in the plan of care?
ANS: Maintain the drainage system below the level ofIthe client's
chest.
7. A nurse in an acute mental health facility is caring for a client
who has borderline personality disorder and reports. "I am going
to kill my girlfriend when I get out ofIhere." Which ofIthe
following actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
8. A nurse is admitting a client who is at high risk for suicide.
Which ofIthe following actions is the nurse's priority? ANS:
Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is
unable to ambulate. W hich ofIthe following actions should the
nurse take to promote the client's venous return?
ANS: Maintain the sequential compression device.
10. A nurse on an acute care unity is collecting data from a school-
age Child who has cystic fibrosis. Which ofIthe following
findings is the priority for the nurse?
ANS: Reports lack of appetite
, 11. A nurse working in a provider's ofollowingice receives a phone
call from the parent ofIa school-
age child who has varicella. The parent asked the nurse when the
child can return to school. Which of the following responses
should the nurse make?
ANS: "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school-
age child whose injuries are inconsistent with the parent's stated
cause. Which ofIthe following actions should the nurse take?
ANS: Report the suspected abuse to an appropriate agency.
13. A nurse is collecting data from a middle adult female client
who is taking melatonin.Which ofIthe following responses to
the med should the nurse expect?
ANS: Improved sleep
14. A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which ofIthe following clients should the nurse
identify as being at risk for urinary retention? ANS: A school-
age child who has allergic rhinitis and is taking
diphenhydramine.
15. A nurse is preparing to administer purified protein derivative (PPD)
to a client who ha s suspected TB. Which ofIthe following actions
should the nurse plan to take?
ANS: Ensure the injection produces a wheal on the skin
