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ATI PN COMPREHENSIVE EXIT EXAM 2024 / PN COMPREHENSIVE EXIT EXAM ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+|[BRAND NEW!! A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take ? a- piggyback 0.9 sodium chloride with TPN solutions b- check for allergy to eggs c- Discuss the TPS solution for 12 hours d- monitor for hypoglycemia - answer-check for allergey to eggs A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit (A/) a) Systemic analgesic effect b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - answer-Decreased capillary permeability Nurse is developing discharge care plans for client who has osteoporosis. To prevent injury the nurse should instruct the client to? a) Perform weight bearing exercises 5 of 28 b) Avoid crossing the legs beyond the midline c) Avoid sitting in one position for prolonged periods d) Split affected area - answer-To perform weight bearing exercises Anurse on acute med-surgical unite is performing assessments on a group of clients. Which is the highest priority? a) The client has surgical hypoparathyroidism and positive Trousseau's sign b) A client who was Clostridium difficile with acute diarrhea c) A client who is acute kidney injury and urine with a low specific gravity d) The client who has oral cancer and reports a sore on his gums - answer-The client has surgical hypoparathyroidism and positive trousseaus sign Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate? a) Call the provider to clients respiratory rate is less 18/min b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr c) Give the client enalapril 2.5 mg PO twice daily d) Call the provider if the clients pulse rate is less than 80/min - answer-Give the client enapril 2.5 mg PO twice daily A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan? a) | will be able starting this medication with feel better b) | can expect to urinate frequently while on this medication c) | understand | may experience difficulty sleeping on this medication d) | should decrease my sodium intake while on this medication - answer-| understand i may experience difficulty sleeping on this medication A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states " i don't know how much longer i can take this but iam afraid he will hurt me if i leave." Which of the following is an appropriate nursing intervention ? a) Offer to speak to the client's husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior c) Assist the client to identify personal behaviors that trigger abusive behavior d) Assist the client to Reports abusive behavior to the proper authority - answer-Help the client to recognize the signs of escalation of abuse behavior. A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not end my misery?" Which of the following responses for the nurses is appropriate? a) Why do you think your life is not worth it anymore? d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3 - answer-The client has a prescription for chemotherapy and an absolute neitrophil count of 75/mm3 Nurses caring for client in end stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. which of the following medications should the nurse expect to be the highest priority to administer to the client? a) Promethazine b) Hydromorphone c) Ketorolac d) Amitriptyline - answer-Hydromophone Anurse is caring for a client who has DVT. Which of the following instructions should the nurse include in the plan of care? a) Live with the clients fluid intake to 1500 mL per day b) Massage place affected extremity to relieve pain c) Apply cold packs of clients affected extremity d) Elevate the client's affected extremity when in bed - answer-Elevate the clients affected extermity when in the bed A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The clients contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180 minutes. Which of the following actions should the nurse take? a) Discontinue oxytocin infusion b) Increased oxytocin infusion c) Decreased oxytocin infusion d) Maintain oxytocin infusion - answer-Discontinue oxytocin infuion Anurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? a) Have your membranes ruptured? 7 of 28 b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - answer-Do you have any active lesions? Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - answer-Take with a glass of orange juice Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6 year old client whose left shoulder is dislocated b) A 26 year old client for sickle cell disease and a severe joint pain c) A 76 year old client was confused, febrile and has foul smelling urine - uti d) A 50- year old client who has slurred speech, is disoriented, and reports a headache - stroke - answer- A 50 year old client who has slurred speech is dioriented and reportsa headache- stroke Anurse is completing a dietary assessment for a client who is jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? a) Leavened bread maybe eaten during Passover. b) Shellfish is commonly consumed in the diet. c) Meat and dairy products are eaten separately. d) Fasting from meat occurs during Hanukkah. - answer-Meat and dairy products are eaten seperately n/a - answer-n/a Anurse in an ER caring for a client of multiple wounds due to motor vehicle crash. Which of the following interventions are appropriate? (select all that apply) a) Apply direct pressure to bleeding wounds A nurse is caring for a group of clients. Which of the following client should the nurse asses first? a) A client whose benign prostatic hyperplasia and is unable to urinate b) The client was heart failure and report shortness of breath while ambulating c) Aclient who is open cholecystectomy and has green drainage from the T-tube d) Aclient whose abdominal pain and is vomiting coffee ground emesis - answer-A client who has abdominal pain and is vomiting coffee ground emesis A nurse is taking medication history from client who is type 2 diabetes mellitus and is scheduled for an arteriogram. Which of the following medications to the nurses instructs the client to discontinue 48 hrs prior to the procedure? a) Atorvastatin b) Digoxin c) Nifedipine d) Metformin - answer-Metformin The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? a) Dependence on family and friends b) Loss of interest in usual activities c) Ritualistic behavior d) Passive aggressive behavior - answer-Loss of interest is usual activities A nurse working in long term care facility is caring for an older adult client who has dementia. The clients often agitated and frequently wanders the halls. Which of the following interventions should the nurse include in the plan of care? A) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day - answer-Maintain nutritional requirements by offering finger foods A nurse on a mental health unit receives report on four clients. Which of the following clients should the nurse attend to first? a) A client who has begun to demonstrate catatonic behavior b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated d) Aclient was making sexual comments to clients of the opposite sex - answer-Client was having auditory hallucinations is becoming agitated A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? a)Tell me about your siblings? B)Tell me what kind of music you like? c) Tell me how often do you drink alcohol? d) Tell me about your school schedule? - answer-Tell me how often do you drink alcohol A nurse is observing bonding to the client her newborn. Which of the following actions by the client requires the nurse to intervene? A- Holding the new born in an en face position b- asking the father to change the newborns diaper c- requesting the nurse to take the newborn nursery so she can rest d- Viewing the newborns actions to be uncooperative - answer-Viewing the newborns actions to be uncooperative Anurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate that the medication is effective? A- Weight loss b- Asking the father to change the newborns diaper c- absence of seizures D- A client was transurethral resection of the prostate with red tinged urine in the bag - answer-A client whose chronic kidney disease with cloudy diasylate outflow A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention? a- place's cardiac monitoring b- monitor the clients oxygen saturation level c- provide standby assist with the client from bed d- encourage foods high in potassium - answer-Provide standby assist with the client from bed Anurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? a-Feta hypoxia b- abrupto placentae c- post maturity d- head compressions - answer-head compressions A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis? a- Glomerular filtration rate of 14 ml/minute b- BUN 16 ml/dl c- serum magnesium 1.8 mg mg/dl d- serum phosphorus 4.0 m mg/dl - answer-glomerular filtraion rate of 14 ml/minute A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? a- placed infant under radiant warmer b- move the probe site every 3 hrs c- heat the skin one minute prior to placing the program d- placed a sensor on the index finger - answer-Heat the skin one minute prior to placing the program. Anurse in a mental health facility receives a change to shift report on for clients. Which of the following clients should the nurse plan to asses first? a- A client placed in restraints to the aggressive behavior b- a new limited client pleasures history 4.5 kg weight loss in the past two months c- client is receiving prn dose of health heard all two hours ago for increased anxiety d- Applied he'll be receiving his first ect treatment today - answer-Cliet placed in restraints to the aggressive behavior Anurse is working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor? a- Hypnosis focuses on biofeedback as a relaxation technique b- hypnosis promoted increased control of her pain perception during contractions c- hypnosis uses therpeutic touch to reduce anxiety during labor d- hynosis provides instructions to minimize pain - answer-Hypnosis promotes increased control of her pain perception during contractions. A nurse is a county jail health clinic is leading group therapy sessions. A client who has incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? (reaction formation is when using opposite feelings, being super nice to someone you dislike) a- | steal things because it is the only way i can keep my mind off my bad marriage b-i can't believe i was accused of something i didn't do c-i don't want to talk about my feelings right now, we will talk more next time d-j think that people are just lazy and should earn extra money - answer-| think that your people are just lazy and should earn money honestly a- Place a daily calendar in the kitchen b- replace the button clothing with zippered items c- replace the carpet with hardwood floors d- create variation in daily routine - answer-Place a daily calendar in the kitchen Nurse is performing change of shift assessment on 4 clients. Which of the following findings should the nurse report to the providers first? a- The client was cystic fibrosis and has a thick productive clock and report thirst b- client who has gastroenteritis and is lethargic and confused c- the client has diabetes mellitus has morning fasting legal cost of 185 over deal d- the client was sick of signing and reports pain 15 minutes after receiving oral analgesic - answer-Client who has gastroenteritis and is lethargic and confused A nurse is caring for a client who was in second trimester of preganancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a- Decrease taking vitamins and supplements to every other day b- Eat 15 g of fiber per day c- consume 48 ounces of water each day d- drink hot water with lemon juice each marning when you wake up - answer-Drink hot water with leon juice every morning when you wake up. n/a - answer-n/a Anurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? (select all that apply) a- | can't change my instructions once a minute b- my doctor will need to approve my advance directives c-i need an attorney to witness my signature on the advance directives d-| have the right to refuse treatment e- my health care proxy can make medical decisions for me - answer-I have the right to refuse treatment My healthcare proxy can make medical decisions for me A nurse is caring for a client who has 32 weeks gestation and has history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a- the chest b- standing c- supine d- left lateral - answer-Left lateral Anurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a- client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry b- client who has awoken following a bronchoscopy and requests a drink c- client who had a myocardial infarction 3 days ago and reports chest comfort d- client who had a cerebrovascular accident two days ago and needs help toileting - answer-Client who had a cerebrovascular accident two days ago and needs help toileting Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? a- constipation b- blurred vision c- fever d- dry mouth - answer-Fever c- malaise d- vertigo e- sore throat - answer-Splenomegaly malaise sore throat Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first? a- apply skin preparation to wound edges b- normal saline c- don sterile gloves d- determine pain level - answer-Determine pain level A nurse is caring for a client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which of the following assessment findings should indicate to the nurse that the NG tube may be functioning properly? a- drainage fluid is greenish-yellow b- aspirate ph of 3 c- abdominal rigidity d- air bubbles noted in the ng tube - answer-abdominal rigidity A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first? a) Instill erythromycin ophthalmic ointment and the newborn's eyes. b) Place identification bracelets on the newborn. c) Weigh the newborn. 9 of 28 d) Dry the newborn - answer-Dry the newborn A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? a) A client who was admitted with asthma and has an SaO2 of 92% long receiving oxygen at 1 L per minute via nasal cannula b) A client was admitted with angina and reports left arm pain of 4 ona scale of 0 to 10 c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL d) Aclient who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green fluid - answer-A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10 Aclient at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor? a) The client reports the urge to push b) The cervix is dilated 2 cm c) Contractions are 2 to 3 minutes apart d) The client reports nausea and vomiting - answer-The cervix is dilated 2 cm The charge nurse for medical surgical units discovers client care assignments that should be reassigned. Which of the following delegated tasks should be reassigned? a) An AP is to calculate intake and output every two hours for client in acute renal failure. b) An AP is to collect vital signs every 30 minutes for client who had a cholecystectomy c) A licensed practical nurse is to check nasogastric tube placement for client list had a bowel resection. d) A licensed practical nurses to provide initial feeding for client who had a cerebrovascular accident. - answer-A lvn to provide initial feeding for a client who had cerebrovascular accident Anurse caring for a client who has a cast due to compound fracture too the right ankle. Which of the following findings requires immediate intervention? Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions? a) Scarlet fever b) Herpes simplex c) Varicella d) Streptococcal pharyngitis - answer-Herpes simplex A nurse assesses an older adult client with the decrease caloric intake and weight-loss. Which of the following findings should the nurse report to the provider immediately? a) The clinic experiences coughing and wheezing after eating. b) The client reports abdominal pain at a five on a scale of 0 to 10. c) The client experience is a drop in oxygen saturation to 91% while eating. d) The client reports a burning sensation in epigastric area. - answer-The client experiences coughing and wheezing after eating Anurse and an assistive personnel are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to an AP? a) Applying condom catheter for client for spinal cord injury b) Administrative oral fluids to client was dysphasia c) Documenting the report of pain from client who is postoperative d) Reviewing active range of motion exercises with a client who is had a strake - answer-Apply condom catheter for a client with spinal injury Anurse from the health state department is instructing a group of nurses regarding reportable infections. which of the following infections should the nurse report to the CDC? a) Candida albicans b) Herpes simplex virus 2 c) staphylococcus aureus d) Lyme disease - answer-Lyme disease The nurse is assessing an adolescent client for sickle cell anemia. which of the following is a priority finding by the nurse? a) A pain score 7 ona scale of Oto 10 b) Shortness of breath c) New onset of a new enuresis d) Priapism - answer-Shortness of breathe Nurses caring for a client whose 1 day postop following a hypophyysectomy for the removal of the pituitary tumor. Which of the findings requires further assessment by the nurse? a) Glascow scale score a 15 b) Blood drainage on initial dressing measuring 3 cm c) Report of dry mouth d) Urinary output greater than fluid intake - answer-Urinary output greater than fluid intake A client with left leg cast is using crutches for ambulation. The nurse recognizes client needs further instructions if the client? a) Flexes elbows at 30 degrees when using the handgrips b) Maintains 3 to 4 finger width between the crutch pad and axilla c) Places the crutches 6 inches in front and side of each foot when standing. d) Pushes up from a chair with crutches on the unaffected side - answer-Maintains 3 to 4 finger width between the crutch pad and axilla Anurse is caring for a toddler who has respiratory syncytial virus. which of the following actions should the nurse plan to take? 
