ATI PN EXIT EXAM 150 Q & A Rated A+ 2025

1. A nurse is making a follow-up call to a client who has a new prescription for an ACE inhibitor to treat hypertension. The client reports light-headedness upon standing. Which of the following statements should the nurse make? A. "Sit back down for a few minutes when this occurs." 2. A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider? B. Urine output 12 mi/hr 3. A nurse is collecting data from a client who uses a continuous positive airway pressure (CPAP) machine at night for sleep apnea. The nurse should identify which of the following findings is an indication of proper CPAP use? B. The therapeutic dose of albuterol is being inhaled. 4. A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the following statements by the parent indicates an understanding of the teaching? D. "I can make several office visits, so my child does not get so many immunizations at once." 5. A charge nurse in a long-term care facility is discussing ethical theories with a group of newly licensed nurses. Which of the following statements should the charge nurse identify as an indication that a newly licensed nurse understands utilitarianism? B. "I will respect the decision of a client who has a chronic illness to stop treatment. 6. A nurse is transcribing a client's prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider? C. Route Rationale: There is no indicated route which is necessary for carrying out order 7. A nurse is reviewing the medication administration record of a client who takes atenolol PO and applies a nitroglycerin transdermal patch daily. For which of the following interactions should the nurse monitor this client? B. Hypotension 8. A nurse is reviewing the laboratory values of a client who has COPD. Which of the following findings should the nurse report to the provider? A. WBC 13.000/mm2 Rationale: COPD patients are at risk of lung infection. An elevated white blood cell (WBC) count should be reported to rule out lung infection. 9. A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm? C. Hypertension 10. A nurse is planning care for four clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? D. Providing discharge teaching about home IV medication therapy 11. A nurse in a family practice office routinely reviews clients' immunization status at their annual physical examination visits. For which of the following clients should the nurse recommend a human papillomavirus immunization? A. A teenage boy 12. A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the following actions should the nurse take? A. Initiate contact precautions. 13. A nurse is giving a change-of-shift report on a group of clients. Which of the following statements should the nurse make? (Select all that apply.). A. The dient in room 204 has a new prescription for IV gentamicin C. The client in room 203 will undergo surgery at 0900 tomorrow. E. The client in room 205 is scheduled for a dressing change at 800," 14. A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first? B. Tell the staff members to stop their discussion. 15. A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statements indicates an understanding of the teaching? A. "I will need to remain upright for 1 hour after taking the medication." 16. A nurse is assisting with preparing a client who is to have a central venous catheter inserted for the administration of total parenteral nutrition (TPN). Which of the following actions should the nurse take? B. Prepare the client for a chest x-ray to verify catheter placement. 17. A nurse is reinforcing teaching about toilet training with the guardians of a toddler who has a cognitive impairment. Which of the following instructions should the nurse include? A. Give the toddler a sticker after each successful toileting attempt. 18. A nurse is preparing a vitamin K injection to give to a newborn. The newborn's mother questions the purpose of the medication. Which of the following responses should the nurse make? B. "This medication will decrease the risk of hemorrhage in your newborn." 19. A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take? B. Support the client's decision to stop the treatment. 20. 20. A nurse is caring for a client who has schizophrenia. Which of the following behaviors of the client should the nurse identify as a negative symptom of schizophrenia? D. Initiates speech rarely? Remember that positive symptoms are when symptoms are present (that are not considered typical), and that negative symptoms are a lack of normal function/thoughts/perceptions. 21. A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include? Leukorrhea 22. A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the following statements by the client indicates an understanding of the teaching? D. "I will mix the medication with a full glass of water! Mix with water or fruit juice to avoid temporary staining of the teeth, do not mix with milk. Avoid taking antacids, dairy products, tea, or coffee within 2 hours before or after this medication because they will decrease its effectiveness. 23. A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching? A. Interlace the fingers while rubbing hands together. 24. A nurse in a long-term care facility is caring for a client who has methicillin- resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? D. Wear a gown when assisting the client with personal hygiene. 25. A nurse is assisting with the care of a client who is in the latent stage of labor and has pelvic pain with contractions. Which of the following actions should the nurse take? A. Tell the client to push during contractions. 26. A nurse is reinforcing teaching about home safety precautions with the parents of a 3-month-old infant. Which of the following instructions should the nurse include in the teaching? A. Remove bibs when the infant is going to sleep. 27. A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following? C. Chadwick's sign 28. A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching? B. "I will have an identification and that matches the one my baby wears 29. A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client? B. Chicken sandwich 30. A nurse is applying antiembolic stockings for a client who is postoperative. Which of the following actions should the nurse take? B. Remove the stockings once every 24 hr. 31. A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend? A. Remind the client of the day and time often. 32. A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following actions should the nurse take? C. Cover the wound with sterile, saline-soaked gauze. 33. A nurse delegates a task to an assistive personnel (AP) and the AP refuses to complete the assigned task. Which of the following actions should the nurse take? C. Discuss the AP's concerns about performing the task. 34. A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make? B. Take the medication with crackers? 35. A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene? C. Suctions for 30 seconds 36. A nurse is collecting data from a client whose partner died 1 year ago. Which of the following findings indicates that the client is experiencing complicated grief? D. The client develops chest pain each time he talks about his partner. 37. A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion to treat preeclampsia. Which of the following findings indicates that the medication is having a therapeutic effect? D. Deep tendon reflexes 2+ 38. A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation? A. Last set of the client's vital signs 39. A nurse is caring for a client who has a chest tube that was inserted 4 days ago. Which of the following findings should the nurse report to the charge nurse? D. 400 mL of drainage in the collection chamber within 4 hr 40. A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure? A. Disorientation 41. A nurse is reinforcing teaching with a client who has a new diagnosis of COPD. Which of the following statements by the client indicates an understanding of the teaching? A. I should practice pursed-lip breathing exercises." 42. A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identify as a positive D. The client develops lanugo 43. A nurse is caring for a client who is 2 days postoperative following a total bilateral mastectomy. The client is tearful and looks away when her surgical dressings are removed. The nurse should place the priority on which of the following actions? C. Demonstrating a nonjudgmental attitude toward the client when providing care for her surgical wounds 44. A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan? A. Measure the client's abdominal girth daily. 45. A nurse is reinforcing teaching with the guardians of a 6-year-old child who has cystic fibrosis. Which of the following information should the nurse include in the teaching? D. "Have your child wear a medical identification wristband 46. A nurse is assisting with staff education about hand hygiene. Which of the following instructions should the nurse include in the teaching? A. Wash hands with soap and water for 20 seconds. 47. A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect? C. Loss of taste 48. A nurse is caring for a client who is postoperative following a total knee arthroplasty. The client reports a pain level of 6 on a scale from 0 to 10. Which of the following medications should the nurse administer? B. Oxycodone 49. A nurse is caring for a client who has depressive disorder. The client states. "Everyone would be better off if I were not around." Which of the following responses should the nurse make? A. "Are you thinking of hurting yourself? 50. A nurse is observing an assistive personnel (AP) take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure? A. The AP pulls the pinna up and back