ATI PN LEARNING SYSTEM
COMPREHENSIVE FINAL EXAM
A nurse at a family planning clinic is preparing to give a presentation to clients about how to use a
diaphragm. Which of the following information should the nurse plan to include in the session? - Answer
"Use spermicidal jelly whenever you use your diaphragm."
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
statements by the AP indicates that further instruction is required? - Answer "If the client seems
confused, i'll raise all four side rails so that he doesn't hurt himself."
A hospice nurse is visiting with the family member of a client. The family member states that the client
has insomnia almost nightly. Which of the following practices should the nurse identify as contributing
to the client's insomnia? - Answer The client watches television in her bed during the day.
A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the client's
peripheral IV site, which of the following actions should the nurse take? - Answer Apply pressure to
the catheter removal site for 10 min.
A nurse is talking with a group of clients at a senior center about the risk factors for osteoporosis. Which
of the following statements should the nurse include? - Answer "Extended periods of immobility
increase your risk for osteoporosis."
A nurse is reinforcing teaching with a client who is going to have an electroencephalogram (EEG) in the
morning. Which of the following information should the nurse provide the client? - Answer "Shampoo
your hair before the procedure, and don't put any styling products on it afterward."
A community health nurse is contributing to the plan of care for four high-risk newborns who were
discharged yesterday. Which of the following newborns should the nurse recommend to care for first? -
Answer A 4 day-old newborn who has an elevated bilirubin level and requires phototherapy.
,A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to perform
intermittent urinary self-catheterization at home after discharge. Which of the following statements
indicates that the client understands the procedure? - Answer "I will perform intermittent self-
catheterization every 2 to 3 hours."
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client
who has dementia with periods of confusion. Which of the following statements indicates that the AP
requires further instructions? - Answer "It's almost time for your appointment. Let me do your hair for
you and brush your teeth."
A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling urinary
catheter and a Jackson-Pratt drain in place. Which of the following findings should indicate that the
client is developing a postoperative complication? - Answer Pulse oximetry of 85%
A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of the
following actions should the nurse take first when suspecting a transfusion reaction? - Answer Stop the
infusion
A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client asks the
nurse, "Can I vote in the upcoming presidential election?" Which of the following responses should the
nurse make? - Answer "We can work together to find out how you can get a mail-in ballot."
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from the
bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how
to perform this task? - Answer Locks the brakes on the bed and the wheelchair before moving the
client.
A nurse is reinforcing teaching with a client who has come to the family planning clinic requesting an
intrauterine device (IUD). Which of the following information should the nurse reinforce with the client?
- Answer "Your risk for ectopic pregnancy increases with an IUD."
, A nurse is assisting with the admission of a client to the medical unit and asks him if he has advance
directives. The client states, "I have a document with me that names someone who can make health
care decisions for me if I am not able." The nurse should identify that the client is referring to which of
the following documents? - Answer Durable power of attorney document
A nurse is caring for a client who has dehydration. Which of the following laboratory values should the
nurse expect for this client? - Answer Hct 55%
A nurse on a medical-surgical unit is caring for a client who develops deep, rapid respirations. Arterial
blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following acid-
base imbalances should the nurse identify and report to the provider? - Answer Metabolic Acidosis
A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The
nurse should instruct the client to report which of the following manifestations to the provider? -
Answer chest pain
A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficile infection.
Which of the following interventions is the nurse's priority? - Answer Performing hand hygiene before
and after contact with the client
A nurse is reviewing the medical history of a client who has presbyopia. With which of the following
activities should the nurse expect the client to have difficulty? - Answer Reading the newspaper
A nurse is reinforcing teaching with the family of a child who has autism spectrum disorder. Which of
the following statements indicates that the family understands the instructions? - Answer "It will help
our child if we structure our daily routine."
A nurse is discussing fire safety with newly hired nurses. The nurse should identify which of the
following actions as the priority if a fire occurs in the healthcare facility? - Answer Evacuate clients
from the unit.
COMPREHENSIVE FINAL EXAM
A nurse at a family planning clinic is preparing to give a presentation to clients about how to use a
diaphragm. Which of the following information should the nurse plan to include in the session? - Answer
"Use spermicidal jelly whenever you use your diaphragm."
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
statements by the AP indicates that further instruction is required? - Answer "If the client seems
confused, i'll raise all four side rails so that he doesn't hurt himself."
A hospice nurse is visiting with the family member of a client. The family member states that the client
has insomnia almost nightly. Which of the following practices should the nurse identify as contributing
to the client's insomnia? - Answer The client watches television in her bed during the day.
A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the client's
peripheral IV site, which of the following actions should the nurse take? - Answer Apply pressure to
the catheter removal site for 10 min.
A nurse is talking with a group of clients at a senior center about the risk factors for osteoporosis. Which
of the following statements should the nurse include? - Answer "Extended periods of immobility
increase your risk for osteoporosis."
A nurse is reinforcing teaching with a client who is going to have an electroencephalogram (EEG) in the
morning. Which of the following information should the nurse provide the client? - Answer "Shampoo
your hair before the procedure, and don't put any styling products on it afterward."
A community health nurse is contributing to the plan of care for four high-risk newborns who were
discharged yesterday. Which of the following newborns should the nurse recommend to care for first? -
Answer A 4 day-old newborn who has an elevated bilirubin level and requires phototherapy.
,A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to perform
intermittent urinary self-catheterization at home after discharge. Which of the following statements
indicates that the client understands the procedure? - Answer "I will perform intermittent self-
catheterization every 2 to 3 hours."
A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client
who has dementia with periods of confusion. Which of the following statements indicates that the AP
requires further instructions? - Answer "It's almost time for your appointment. Let me do your hair for
you and brush your teeth."
A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling urinary
catheter and a Jackson-Pratt drain in place. Which of the following findings should indicate that the
client is developing a postoperative complication? - Answer Pulse oximetry of 85%
A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of the
following actions should the nurse take first when suspecting a transfusion reaction? - Answer Stop the
infusion
A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client asks the
nurse, "Can I vote in the upcoming presidential election?" Which of the following responses should the
nurse make? - Answer "We can work together to find out how you can get a mail-in ballot."
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from the
bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how
to perform this task? - Answer Locks the brakes on the bed and the wheelchair before moving the
client.
A nurse is reinforcing teaching with a client who has come to the family planning clinic requesting an
intrauterine device (IUD). Which of the following information should the nurse reinforce with the client?
- Answer "Your risk for ectopic pregnancy increases with an IUD."
, A nurse is assisting with the admission of a client to the medical unit and asks him if he has advance
directives. The client states, "I have a document with me that names someone who can make health
care decisions for me if I am not able." The nurse should identify that the client is referring to which of
the following documents? - Answer Durable power of attorney document
A nurse is caring for a client who has dehydration. Which of the following laboratory values should the
nurse expect for this client? - Answer Hct 55%
A nurse on a medical-surgical unit is caring for a client who develops deep, rapid respirations. Arterial
blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3- 18. Which of the following acid-
base imbalances should the nurse identify and report to the provider? - Answer Metabolic Acidosis
A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The
nurse should instruct the client to report which of the following manifestations to the provider? -
Answer chest pain
A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficile infection.
Which of the following interventions is the nurse's priority? - Answer Performing hand hygiene before
and after contact with the client
A nurse is reviewing the medical history of a client who has presbyopia. With which of the following
activities should the nurse expect the client to have difficulty? - Answer Reading the newspaper
A nurse is reinforcing teaching with the family of a child who has autism spectrum disorder. Which of
the following statements indicates that the family understands the instructions? - Answer "It will help
our child if we structure our daily routine."
A nurse is discussing fire safety with newly hired nurses. The nurse should identify which of the
following actions as the priority if a fire occurs in the healthcare facility? - Answer Evacuate clients
from the unit.
