ATI PN Comprehensive Exit 2020 Actual Exam With Complete Solutions
. A nurse is reinforcing teaching about advance directives with a client
who has end-stage heartfailure. Which of the following statements by the
client indicates an understanding of the teaching? - ANSWER-"I know I can
change my advance directives if I need to in the future."
. A nurse is caring for a client who speaks a different language than the
nurse. Which of the following actions should the nurse take? - ANSWER-
Supplement spoken language with pictures. Or review the facility policy
about the use of an interpreter
. A nurse is caring for a client who speaks a different language than the
nurse. The clients partner tells the nurse that the client would like to go
home against medical advice (AMA). Which of the ff actions should the
nurse take?
a. Discharge the client and notify the health care provider
b. Request the services of an interpreter to determine the clients wishes
c. Have the client's partner sign an AMA form
d. Ask the partner to reiterate the consequences of leaving AMA to the
client - ANSWER-b. Request the services of an interpreter to determine
the clients wishes
,. A nurse at long term care facility is reviewing the plan of care who has a
prescription for mitten restraints. Which of the following tasks should the
nurse assign to assistive personnel?
a. Evaluate the need client
b. Assist the client with range of motion exercises of the hands
c. Determine the circulation status
d. Instruct the client's family about purpose mitten restraint - ANSWER-b.
Assist the client with range of motion exercises of the hands
1. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates
an understanding of the information?
a. Federal legislation dictates the legal guidelines for advance directives
b. Advance directives include instruction for resolving financial matters
c. Advance directives include a living well
d. My medical record should not include - ANSWER-c. Advance directives
include a living well
,2. A nurse on a medical surgical unit is assisting with the admission of a
client who has advanced lung cancer. Which of the following actions
regarding advance directives should the nurse take?
a. Ensure that an attorney has received the client's advance directives
b. Document the client's decision about end-of-life care in the medical
record
c. Tell the client that a family member should serve as a health care
surrogate
d. Contact the facility's risk manager to verify if the client has a living will
- ANSWER-b. Document the client's decision about end-of-life care in the
medical record
#3. A nurse is reinforcing teaching with a client about advance directives
and a healthcare proxy which of the following client statements and the
kids and understanding of the teaching - ANSWER-I do not need to name a
relative as my designee in my health care proxy
8.A nurse in an acute mental health facility is caring for an adolescent
who is exhibiting destructive behavior. Which of the following actions
should the nurse take after applying physical restraints to the client?a.
Monitor the client's range of motion every 60 min.
b. Plan to remove the restraints as soon as the clients is calm
, c. Offer the clients nutritious snack every 4 hr.
d. Ensure that the procedure has signed a prescription for restrain within
48 hr. - ANSWER-b. Plan to remove the restraints as soon as the clients is
calm
9. A nurse in a mental health facility receives a change of shift report on
4 clients. Which of the following clients should the nurse plan to assess
first?
1. A client placed in restraints for aggressive behavior
2. A new limited client presents history of 4.5kg weight loss in the past
two
months
3. Client is receiving a PRN dose of haloperidol two hours ago for
increased anxiety
4. Client will receive his first ECT treatment today - ANSWER-1. A client
placed in restraints for aggressive behavior
10. A nurse on a mental health unit is caring for a client who is in
restraints. Which of the following actions should the nurse take?
-Check the client's status every hour.
-Document the client's behavior leading to the initiation of restraints.
. A nurse is reinforcing teaching about advance directives with a client
who has end-stage heartfailure. Which of the following statements by the
client indicates an understanding of the teaching? - ANSWER-"I know I can
change my advance directives if I need to in the future."
. A nurse is caring for a client who speaks a different language than the
nurse. Which of the following actions should the nurse take? - ANSWER-
Supplement spoken language with pictures. Or review the facility policy
about the use of an interpreter
. A nurse is caring for a client who speaks a different language than the
nurse. The clients partner tells the nurse that the client would like to go
home against medical advice (AMA). Which of the ff actions should the
nurse take?
a. Discharge the client and notify the health care provider
b. Request the services of an interpreter to determine the clients wishes
c. Have the client's partner sign an AMA form
d. Ask the partner to reiterate the consequences of leaving AMA to the
client - ANSWER-b. Request the services of an interpreter to determine
the clients wishes
,. A nurse at long term care facility is reviewing the plan of care who has a
prescription for mitten restraints. Which of the following tasks should the
nurse assign to assistive personnel?
a. Evaluate the need client
b. Assist the client with range of motion exercises of the hands
c. Determine the circulation status
d. Instruct the client's family about purpose mitten restraint - ANSWER-b.
Assist the client with range of motion exercises of the hands
1. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates
an understanding of the information?
a. Federal legislation dictates the legal guidelines for advance directives
b. Advance directives include instruction for resolving financial matters
c. Advance directives include a living well
d. My medical record should not include - ANSWER-c. Advance directives
include a living well
,2. A nurse on a medical surgical unit is assisting with the admission of a
client who has advanced lung cancer. Which of the following actions
regarding advance directives should the nurse take?
a. Ensure that an attorney has received the client's advance directives
b. Document the client's decision about end-of-life care in the medical
record
c. Tell the client that a family member should serve as a health care
surrogate
d. Contact the facility's risk manager to verify if the client has a living will
- ANSWER-b. Document the client's decision about end-of-life care in the
medical record
#3. A nurse is reinforcing teaching with a client about advance directives
and a healthcare proxy which of the following client statements and the
kids and understanding of the teaching - ANSWER-I do not need to name a
relative as my designee in my health care proxy
8.A nurse in an acute mental health facility is caring for an adolescent
who is exhibiting destructive behavior. Which of the following actions
should the nurse take after applying physical restraints to the client?a.
Monitor the client's range of motion every 60 min.
b. Plan to remove the restraints as soon as the clients is calm
, c. Offer the clients nutritious snack every 4 hr.
d. Ensure that the procedure has signed a prescription for restrain within
48 hr. - ANSWER-b. Plan to remove the restraints as soon as the clients is
calm
9. A nurse in a mental health facility receives a change of shift report on
4 clients. Which of the following clients should the nurse plan to assess
first?
1. A client placed in restraints for aggressive behavior
2. A new limited client presents history of 4.5kg weight loss in the past
two
months
3. Client is receiving a PRN dose of haloperidol two hours ago for
increased anxiety
4. Client will receive his first ECT treatment today - ANSWER-1. A client
placed in restraints for aggressive behavior
10. A nurse on a mental health unit is caring for a client who is in
restraints. Which of the following actions should the nurse take?
-Check the client's status every hour.
-Document the client's behavior leading to the initiation of restraints.
