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ATI PN Comprehensive Exit EXAM ALL
VERSIONS 2025 | LATEST AND ACCURATE REAL
EXAM QUESTIONS WITH DETAILED ANSWERS |
VERIFIED FOR GUARANTEED PASS | LATEST
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1. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? A. Determine the nurse's personal values B. Prioritize administrative policies C. Determine the facts related to the dilemma, identify possible solutions, and consider the client's wishes D. Contact legal counsel immediately ✅ Correct Answer: C Rationale: Resolving ethical dilemmas involves gathering facts, identifying possible solutions, and respecting the client’s autonomy and preferences. 2. A charge nurse in a long-term care facility notices an assistant’s repeated failure to provide oral care for clients. Which of the following actions should the nurse take? A. Document the assistant’s behavior and ignore the issue B. Assign the assistant to a different task C. Discuss the unacceptable behavior with the AP while reinforcing expectations D. Report the assistant to the board of nursing ✅ Correct Answer: C Rationale: Addressing the issue directly with clear expectations promotes accountability and performance improvement. 3. After washing his hands, what is the correct sequence of actions a male client should take to obtain a clean-catch midstream urine specimen? A. Begin to urinate → Pass container into stream → Retract foreskin B. Cleanse penis → Begin to urinate → Collect specimen C. Retract foreskin → Cleanse penis → Begin to urinate → Pass container into stream → Collect specimen → Move container out of stream → Replace foreskin D. Replace foreskin → Cleanse penis → Collect urine → Begin to urinate ✅ Correct Answer: C Rationale: Proper technique ensures accurate collection and minimizes contamination.
4. A nurse is reinforcing teaching with a newly diagnosed type 2 diabetic client about oral antidiabetic agents. Where should the nurse refer the client for more information? A. Family physician only B. A pharmacist, package inserts, and the American Diabetes Association C. Internet forums D. Television health shows ✅ Correct Answer: B Rationale: Reliable sources like pharmacists, official literature, and recognized health organizations provide accurate, evidence-based information. 5. Which of the following parent statements indicates understanding of rotavirus care for an infant? A. “I will give my baby apple juice to keep him hydrated.” B. “I will apply diaper cream to my baby’s skin during each diaper change.” C. “I will stop breastfeeding during diarrhea.” D. “I will give antibiotics for the diarrhea.” ✅ Correct Answer: B Rationale: Frequent diarrhea can irritate the skin, so barrier creams help prevent diaper rash. 6. A nurse learns that a client scheduled for surgery has decided not to proceed, despite signing the consent form. What action should the nurse take? A. Ask the client to reconsider B. Report the situation to the provider who obtained the informed consent C. Cancel the surgery herself D. Document the client’s refusal and discharge the patient ✅ Correct Answer: B Rationale: The provider who obtained consent must address the client’s decision to withdraw consent. 7. For which situation should a nurse complete an incident report? A. The nurse administered insulin lispro to a client who is NPO B. A client refused medication C. A client missed a physical therapy session D. A client removed an IV dressing ✅ Correct Answer: A Rationale: Administering insulin to a client who is NPO poses a risk for hypoglycemia and must be reported.
C. 1.
D. 0.
✅ Correct Answer: B Rationale: 0.3 mg = 300 mcg; 300 ÷ 150 = 2 tablets.
13. Which client statement might indicate abuse in an older adult? A. “My daughter helps me pay bills.” B. “My son took my wallet so he can keep track of what I’m spending.” C. “I forget where I leave things.” D. “My grandson reminds me to take my medications.” ✅ Correct Answer: B Rationale: Controlling finances without consent can be a sign of financial abuse. 14. What should the nurse recommend for preparing a home disaster supply kit? A. Store cash only B. Have a supply of prescribed medications C. Keep canned soda D. Ensure all items are refrigerated ✅ Correct Answer: B Rationale: Having necessary medications ensures continuity of care during disasters. 15. Which food should a nurse recommend to a burn patient for high vitamin C? A. Milk B. Chicken C. Tomatoes D. White rice ✅ Correct Answer: C Rationale: Vitamin C promotes wound healing and tomatoes are a good source. 16. Which task should the nurse delegate to an assistant? A. Teaching post-discharge care B. Obtaining a client's vital signs prior to discharge C. Performing a dressing change D. Administering oral medication ✅ Correct Answer: B Rationale: Vital signs are within the assistant’s scope under RN supervision. 17. A client in Buck's traction is on bed rest. What should the nurse do? A. Elevate the leg with a pillow
B. Allow the weights to hang freely C. Remove the weights hourly D. Place weights on the bed ✅ Correct Answer: B Rationale: Weights must hang freely to maintain proper traction alignment.
18. What is appropriate care for a client with a new ostomy? A. Change the appliance once a week B. Change the appliance two times each week C. Remove the pouch daily D. Irrigate the ostomy with every meal ✅ Correct Answer: B Rationale: Twice-weekly appliance changes help prevent skin breakdown and leakage. 19. Which client should a nurse see first during morning rounds? A. A client with controlled diabetes B. A client with pneumonia and new confusion C. A client awaiting discharge D. A client who missed breakfast ✅ Correct Answer: B Rationale: New confusion in a pneumonia patient may indicate hypoxia or sepsis. 20. What should be included in discharge teaching for a client with a T-tube after a cholecystectomy? A. Keep the drainage bag above the waist B. Empty the drainage bag each day at the same time C. Clamp the tube every 4 hours D. Flush the tube with 10 mL NS ✅ Correct Answer: B Rationale: Regular drainage measurement helps monitor bile output and detect complications. 21. A laboring client has spontaneous rupture of membranes with a cervix dilated to 1 cm and unengaged presenting part. What should the nurse do? A. Perform a vaginal exam B. Apply the external fetal heart rate monitor C. Encourage the client to bear down D. Prepare for emergency cesarean ✅ Correct Answer: B Rationale: Monitoring fetal heart rate is crucial to detect signs of cord prolapse.
✅ Correct Answer: B Rationale: Balanced diet with controlled fat intake promotes safe and effective weight loss.
27. Which finding is expected with iron deficiency anemia? A. Bradycardia B. Difficulty concentrating C. Weight gain D. Elevated hemoglobin ✅ Correct Answer: B Rationale: Iron deficiency reduces oxygen delivery to the brain, impairing concentration. 28. Which finding should the nurse report before advancing a postoperative client to a regular diet? A. The client has absent bowel sounds B. The client has passed flatus C. The client requests solid food D. The client has nausea ✅ Correct Answer: A Rationale: Bowel sounds must be present before advancing the diet to prevent complications. 29. What is a safety concern for a client 3 days post–bone marrow transplant? A. The client has a low-grade fever B. A visitor brought a bouquet of flowers C. The client walks in the hallway D. The client requests ice chips ✅ Correct Answer: B Rationale: Fresh flowers can carry pathogens dangerous to immunocompromised clients. 30. What indicates a positive response to IV therapy in an infant with dehydration? A. Increased crying B. Moist mucous membranes C. Decreased appetite D. Reduced activity ✅ Correct Answer: B Rationale: Rehydration is reflected by improved moisture in oral tissues. 31. A client says, “I’m sure this surgery won’t help me get better.” How should the nurse respond? A. “You’ll feel better soon.”
B. “You're saying that you are doubtful that this procedure will benefit you.” C. “That’s not true.” D. “Why do you feel that way?” ✅ Correct Answer: B Rationale: Reflective communication encourages the client to explore and clarify concerns.
32. Which of the following prescriptions is accurately transcribed by the nurse? A. Potassium 2 tabs PO B. KCL 20 daily C. Potassium chloride 20 mEq PO every morning D. K 20 mL by mouth ✅ Correct Answer: C Rationale: The prescription includes correct drug name, dosage, route, and timing. A charge nurse in a long term care facility notices an assistants repeated failure to provide oral care for clients. Which of the following actions should the nurse take?
- ANSWER Discuss the unacceptable behavior with the AP while reinforcing expectations. A nurse I caring for a client who has expressive aphasia following a stroke. Which of the following communication methods should the nurse use?
- ANSWER Provide a picture board. A nurse is caring for a client who is NPO and has an NGtube attached to sucti on for gastric decompression. Which of the following actions should the nurse take if t he client experiences abdominal distention? - ANSWER Irrigate the tube with normal saline. A nurse is assisting with admitting a client who has colorectal cancer. When Collecting data from the client, which of the following manifestations should the nurse expect? - ANSWER Abdominal cramps A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following findings should indicate to the nurse that the medication is efollow ingective? - ANSWER Cardiac workload decreases
A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take? - ANSWER Report the observations about the ap to the unit's nurse manager. A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that have a high water content. The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving? - ANSWER cherry tomatoes The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions? - ANSWER lateral recumbent A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I really thought I'd be back to my usual routines by now, but I can't think of anythingelse except my son is gone" Which of the following responses should the nurse make? - ANSWER Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss. A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the nurse take? - ANSWER Place the client in the lateral position. A nurse manager is providing an in- service on hand hygiene to assistive personnel. which of the following information should the nurse manager include in the in-service? - ANSWER Remove rings when washing hands with soap and water A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following statements should the nurse include in the instructions? - ANSWER Place your baby's crib away from heat vents. A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? - ANSWER Scan the facility identification board. A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should the nurse perform first? - ANSWER check for a gag reflex While administering a medication to a client, a nurse notices a trayed electrical cord connecting the client's continuous passive motion machine to the electrical outlet. Which of the following actions should the nurse take? - ANSWER Remove the device from the client's room. A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia? - ANSWER Tingling of fingers A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of the drain, which of the following should the nurse expect to observe? - ANSWER The safety pin is present at the distal end of the drain. A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should t he nurse identify as an external factor that can impede learning for the participants? - ANSWER Poor lighting in the learning setting A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? - ANSWER hydrogen peroxide A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the the client will die. Which of the following responses should the nurse make? - ANSWER "It is difficult to see someone so sick. Whathave you been told about your partner's prognosis?"
A nurse is reinforcing preoperative teaching with a clientscheduled for a bowel retenti on with ileostomy. which of the following descriptions should the nurse give of the ex pected output from a mature ileostomy? - ANSWER liquid with little odor 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 of the following actions should the nurse take? - ANSWER Report the suspected abuse to a appropriate agency. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect? - ANSWER Improved sleep A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? - ANSWER A school-age child who has allergic rhinitis and is taking diphenhydramine. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB. Which of the following actions should the nurse plan to take? - ANSWER Ensure the injection produces a wheal on the skin A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which of the following responses should the nurs e take? - ANSWER Perform active ROM with your arms and legs two times a day. A Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements - ANSWER "I am so frustrated. I cannot even open my milk carton for breakfast." A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral resection of the prostate.
Which of the following instructions should the n urse include in the teaching? - ANSWER perform Kegel exercises daily. A nurse is reinforcing teaching about ways to reduce solid fat consumption with a clie nt who has an elevate cholesterol level. which of the following strategies should the nurse include in the teaching? - ANSWER purchase beef that is a loin cut. A nurse is reinforcing teaching with a client who has a new prescription for prednisonefor the treatment of Addison's disease. which of the following instructions should the nurse include in the teaching? - ANSWER You will need to schedule a bone density test. A nurse is collecting data from a client who has type 2 diabetes mellitus and is concer ned about weight gain during pregnancy. Which of the following responses should the nurse make? - ANSWER your weight gain should be the same as for someone without diabetes A nurse is reinforcing teaching with the parent of a preschooler who has lactose intoler ance. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER I should offer my child yogurt that has a probiotic as a snack. A nurse is caring for a client who is 16 hr postoperative following a total hip arthropla sty. the client reports numbness, pain, and tingling in the followingected leg. Which of the following actions should the nurse take first? - ANSWER compare capillary refill in toes bilaterally A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the teaching about the acute phase of diverticulitis? - ANSWER "I will receive the nutrient I need through my IV Fluid" A nurse in reinforcing teaching with a client about cancer prevention. The nurse shoul d include that frequent consumption of which of the following foods increases the risk of cancer? - ANSWER lamb
A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive personnel. Which of the following assignments should the LPN expect to receive? - ANSWER Administering an NG tube feeding to a client who had a stroke A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take? - ANSWER Offer the client headphones to listen to music. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER If I forget to take a dose, I can take it later on the same day." A nurse is working with an interpreter to explain a diagnostic procedure to a client wh o doesn't speak the same language as the nurse. Which of the following actions should the nurse take? - ANSWER Ensure the interpreter is culturally compatible with the client. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the dischargeteaching? - ANSWER Demonstrate assertiveness. A nurse is contributing to the discharge plan for a client who had a knee arthroplasty. Which of the following actions should the nurse identify as the priority? - ANSWER Check the client's mobility A nurse in a long- term care facility is assisting with the admission of a client who requires oropharyngeal suctioning. Which of the following supplies does the nurse need to perform this task? - ANSWER Yankauer catheter| A nurse is collecting data from a client who is 24 hr post op from an open colon resection, has a clamped NG tube, and is resuming a clean liquid diet. Which of the following findings should the nurse report to the provider? - ANSWER Client reports vomiting green-tinged fluid.
A nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the client? - ANSWER acetylcysteine A nurse delegates the collection of a sputum specimen from a client who has tu berculosis to an assistive personnel. At which of the following times should the nurse instruct the AP to collect the specimen? - ANSWER As soon as the client wakes up. A nurse in a long term care facility is using validation therapy with a client wh o has dementia. The client becomes agitated and asks why his wife who died several years ago has not visited him. Which of the following responses should the nurse make? - ANSWER You must miss your wife. Let's take a walk and you can tell me about her. A nurse is reinforcing teaching with a client who has a prescription for nitrogly cerin sublingual tablets Which of the following instructions should the nurse include in the teaching? - ANSWER take up to three tablets during a single angina episode A Nurse is caring for a client who is post op following an open reduction with internal fixation of the ankle. The client report pain and the nurse notes that the afollow ingected extremity is cool, pale, and has a weak pulse. The nurse calls the surgical assistant who responds "it has always been like that" Which of the following actions shoul d the nurse take first? - ANSWER notify the nursing supervisor A nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally 3 times a day at home. Which of the following components of the prescription should the nurse question? - ANSWER dosage A nurse is caring for a female client who has an indwelling urinary catheter. which of the following actions should the nurse take? - ANSWER Wipe the drainage port with an antiseptic wipe after emptying urine from bag.
thenurse take? - ANSWER Inform the client of the possible consequences of the medication refusal. a nurse is contributing to the plan of care for a client who is on suicide precautions. Which of the following interventions should the recommend? - ANSWER Encourage the client to sign a no-harm contract A nurse is reinforcing reaching for a preoperative client on how to use an incentive spi rometer. Which of the following actions by the client indicates an understanding of the teaching? - ANSWER The client attempts to elevate the cylinder by inhaling deeply. A nurse at a long term care facility is part of a team preparing a report on the quality of care at the facility. Which of the following information should the nurse recommendincluding in the report to demonstrate improvement in care quality? - ANSWER The facility had 12% fewer urinary tract infections over the past 6 months. A nurse is reviewing laboratory reports for a client who has an Escherichia Coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? - ANSWER Creatinine 2.5 mg/dL A nurse working in a community clinic is caring for an adolescent who has infectious mononucleosis. The client asks thenurse to explain how the disease was acquired. The nurse should explain that an individual acquires this disease by which of the following - ANSWER Sharing eating utensils with an infected person A nurse is caring for a client who requests information bout advance directives. Which of the following responses should the nurse make? - ANSWER "Advance directives are written instructions regarding end-of-life care." A nurse is contributing to the plan of care for a client who is at risk of developing pressure ulcers. Which of the following actions should the nurse include in the plan of care? - ANSWER Place the client in a 30° lateral position.
A nurse is assisting with performing a non stress test for a client who is at 39 weeks of gestation which of the followinginstructions should the nurse reinforce with the client? - ANSWER "You should depress the button on the handheld when you feel your baby move." A nurse is reinforcing discharge teaching with a client following cataract surgery. Which of the following instructions should the nurse include in the teaching marker? - ANSWER Sleep on the non-operative side for 2 weeks. A nurse manager is preparing to complete a performance analysis for a group of assistive personnel. The manager asks a stafollowing nurse for feedback on each assistants a bilities. Which of the following actions should the stafollowing nurse take? - ANSWER Discuss how each AP's actions measure against the job description. A nurse working in a provider's office receives a phone call from the parent of a 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? - ANSWER "When the lesions have scabbed over." 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 of the following actions should the nurse take? - ANSWER Report the suspected abuse to a appropriate agency. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect? - ANSWER improved sleep A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? - ANSWER A school-age child who has allergic rhinitis and is taking diphenhydramine.
