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2020 ATI PN Exit Exam with Answers (148 Solved Questions)

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 1VATIPNCOMPREHENSIVE PREDICTOR 2020 FORM B GREENLIGHT EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS)Whichoftheseinstructionsshouldanurseincludein theteachingplanfora clientwho hadremovalofa cataract in the left eye?•"Forcefullycoughandtakedeep breathseverytwohourstokeepyourairwayclear."•"Performtheprescribedeyeexerciseseachdaytostrengthenyoureyemuscles."•"Rinseyoureyeswithsalineeachmorningtopreventpostoperativeinfection."•"Taketheprescribedstoolsoftenertoavoidincreasingintraocularpressure."d."Taketheprescribedstoolsoftenertoavoidincreasingintraocularpressure."Aclientvomitsduringacontinuousnasogastrictubefeeding.Anurseshouldstopthefeedingandtakewhich of these actions?•Suctionthenasogastrictube.•Flushthetubewith30mLofsterilewater.•Removethenasogastrictube.•Checktheresidualvolume.d.Checktheresidualvolume.Whichoftheseactionsbestdemonstratesculturalsensitivitybyanurse?•Thenursetalksinaslow-pacedspeech.•Thenurseasksclientsabouttheirbeliefsandpracticestowardpregnancy.•Thenurseuseschartsanddiagramswhenteachingpregnantclients.•Thenursecanspeakseveraldifferentlanguages.b.Thenurseasksclientsabouttheirbeliefsandpracticestowardpregnancy.Whichofthesemanifestationsshouldanurseexpecttoobserveina3-month-oldinfantwhoisdiagnosed with dehydration?•Hyperreflexia.•Tachycardia.•Bradypnea.•Agitation.b.Tachycardia.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 2

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 3Whenassessingaclient'sriskofdevelopingnosocomialinfection,anurseplanstodeterminepotentialentry portals, which include:•theurinarymeatus.•vomitus.•contaminatedwater.•sexualintercourse.•theurinarymeatus.Aclientwhoisontheinpatientpsychiatricunithasa historyofviolence.Whichoftheseactionsshoulda nurse take if the client is agitated?•Encouragethe clienttoverbalizefeelings.•Locktheclientinasecludedroom.•Asktheotherclientstogivefeedbackregardingtheclient'sbehavior.•Ignoretheclient'sinappropriatebehavior.•Encouragethe clienttoverbalizefeelings.Whichofthesemeasuresshouldanurseincludewhen planningcareforaschool-agedchildduringasickle cell crisis episode?•Monitoringforsignsofbleeding.•Providingpainrelief.•Administeringcoolspongebathstoreducefevers.•Offeringahighcaloriediet.•Providingpainrelief.Whichoftheseinstructionsshouldanurseincludein theplanofcarefor a 32-weekgestationclientwho had an amniocentesis today?•"Drinkatleastsixglassesoffluidsduringthenextsixhoursafterthetest."•"Calltheclinicifyouexperienceanyabdominalcramps."•"Don'tbeconcernedifyouhavesomevaginalspottinginthenext12hours."•"Whenyougethome,stayonbed-rest forthenext48hours."b."Calltheclinicifyouexperienceanyabdominalcramps."

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 4An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods.Selectionofwhichof theselunchesbythe clientindicatesacorrectunderstandingoffoodshighiniron content? a. Peanut butter and jam sandwich.•Chickennuggetswithrice.•Tunasaladsandwich.•Beefburgerwithcheese.d.Beefburgerwithcheese.Aclienthasbeenadmittedwithacutepancreatitis.Whichoftheselaboratory testresultssupportsthisdiagnosis?•Elevatedserumpotassiumlevel.•Elevatedserumamylaselevel.•Elevatedserumsodiumlevel.•Elevatedserumcreatininelevel.b.Elevatedserumamylaselevel.Whichofthesemanifestations,ifassessedinaclientwhoistwo-hourspostoperativeafterabdominalsurgery, should a nurse report immediately?•Vomitingandapulserateof106/minute.•Respiratoryrateof12/minuteandurinedribbling.•Bloodpressureof100/60mmHgandwounddiscomfort.•Urineoutputof100mL/hrandflushedskin.•Vomitingandapulserateof106/minute.Whichoftheseobservationsofa studentnurse'sbehaviorwhileinteractingwithaclientwhoiscryingindicates a correct understanding of therapeutic communication?•Thestudentmaintainscontinuouseyecontactwiththeclient.•Thestudentplacesonearmaroundtheclient'sshoulder?•Thestudentsitsquietlynexttotheclient.•Thestudentleavestheroomtoprovideprivacyfortheclient.c.Thestudentsitsquietlynexttotheclient.Whichoftheseactionsshouldanurse takeinitiallyifaclientwhoisdiagnosedwithdiabetesmellitusdevelops tremors and ataxia?•Measuretheclient'sbloodsugarlevel.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 5•Administeraconcentratedformglucosetotheclient.•Administeraprndoseofinsulin.•Measuretheclient'surineforketones.•Measuretheclient'sbloodsugarlevel.An elderly client is at increased risk of developing drug toxicity to prescribed medications due todeclininghepaticandrenalfunctioning.Whichofthesestrategiesshouldanurseplantodecreasethisrisk?•Increasingthetimeintervalbetweenmedicationdoses.•Limitingtheclient'soralfluidintake.•Administeringthemedicationswithmeals.•Encouragingtheclienttovoideverythreetofourhours.•Increasingthetimeintervalbetweenmedicationdoses.Aclienthaspersistentparanoiddelusionsthatthe foodonthe unitispoisoned.Whichof thesemeasures should a nurse include in the client's care plan?•Explainingthatstaffdoesnotpoisonclients.•Focusingonhowthehospitalstaffhelpsclients.•Allowingtheclienttoeatfoodfromsealedcontainers.•Tellingtheclientthatnoteatingthe food thatisservedwillresultinprivilegerestrictions.c.Allowingtheclienttoeatfoodfromsealedcontainers.Thrombophlebitisisacomplicationthatmayresultduetosurgery.Whichoftheseactionsshouldanurse take in the operating room to prevent this complication from occurring?•Gatchthe kneeofthebed.•Administeranticoagulantspreoperatively.•Applysequentialcompressiondevices.•Maintainthelegsinadependentposition.c.Applysequentialcompressiondevices.Whendiscussingweighgainduringpregnancy,anurseshouldrecommendthatthetotalweightgainfor a pregnant client who is at ideal body weight for her height is:•atleast15pounds.•15to20pounds.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 6•25to35pounds.•atleast45pounds.c.25to35pounds.Whichofthesemanifestations,ifreported byaclientwhois10-weeks-pregnant,supports thediagnosis of ruptured tubal pregnancy.•Sharpunilateralabdominalpain.•Uncontrollablevomiting.•Markedabdominaldistention.•Profusevaginalbleeding.•Sharpunilateralabdominalpain.Whichoftheseassignments,ifmadebyanurseto anursingassistant,indicatesthatthenurseneedsadditional instructions regarding the principles of delegation?•"Pleasebathetheclientinroom12,and thenbringtheclienttothediningroomforbreakfastby9A.M."•"Pleasebathetheclientinroom10,administeraback rub,and thenevaluateiftheback rubeased the client's discomfort."•"Pleasemeasuretheintakeandoutputfor the client'sinrooms8.9.and10,and recordeachonthe intake/output sheets by 2 P.M."•"Pleasetoilettheclientsinrooms11,12,and13mid-morningandafterlunch."•"Pleasebathetheclientinroom10,administerabackrub,andthen evaluateifthebackrubeasedthe client's discomfort."Aclienthasthefollowingorderforregularinsulin(HumulinR)onaslidingscale:Blood sugar 150-180 mg: Give 2 units regular insulinBlood sugar 181-200 mg: Give 4 units regular insulinBloodsugar201-220mg:Give6unitsofregularinsulinBlood sugar above 220 mg: Call MDAt 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one.Regularinsulinisavailableas100unitspermilliliter. Howmanymillilitersshouldthenurseadminister?•0.04•0.4•4

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 7•40•0.04Whichofthesenursingdiagnosisisthepriorityforaclientwhoisone-hour postoperativeafterextensive abdominal surgery?•Riskforimpairedphysicalmobility.•Riskfordeficientfluidvolume.•Riskforineffectiveairwayclearance.•Riskforinfection.•Riskforineffectiveairwayclearance.Anurseshouldrecognizethatwhichof theseoccupationsincreasesaperson'sriskofdevelopinghepatitis B?•Sanitationworker.•Nurseryschoolteacher.•Hemodialysisnurse.•Fishmarketsalesperson.c.Hemodialysisnurse.Whichoftheseassessmentsisthepriorityfora clientwhosustainedsecond-degreeburnsof thefaceand neck?•Respiratorystatus.•Renalfunction.•Levelofpain.•Signsofinfection.•Respiratorystatus.Anurseshouldplaceachildwhoistwohourspost-tonsillectomyandadenoidectomyinwhichofthesepositions?•Supine,flat.•Orthopneic.•Trendelenberg.•Side-lying.d.Side-lying.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 8Whichoftheseinstructionsshouldanurseincludein thedischargeteachingforaclientwhohasdiabetes mellitus?•"Soakyourfeetinhotwateronceaday."•"Cutyourtoenailsinanovalshapeweekly."•"Avoidusinganysoaponyourfeet."•"Applylotiontoyourfeeteachday."d."Applylotiontoyourfeeteachday."Anurseinadvertentlyadministersanincorrectmedicationtoa client.Whichoftheseactionsshouldthenurse take first?•Assesstheclient.•Notifythephysician.•Contactthenursemanager.•Completeanincidentreport.•Assesstheclient.Anelderlyclientwhoisreceivingabloodtransfusiondevelopsarapidboundingpulseandanelevatedblood pressure. Which of these actions should a nurse take?•Adda5%dextrosesolutiontotheline.•Raisetheheadofthebed.•Stopthetransfusion.•Measuretheclient'stemperature.c.Stopthetransfusion.WhencaringforaclientwhohashepatitisB,anurseshouldwear:•gloveswhenadministeringoralmedicationstotheclient.•agownwhenchangingtheclient'sposition.•gloveswhenremovingtheintravenouscannula.•agownwhenemptyingtheclient'susedbathwater.c.gloveswhenremovingtheintravenouscannula.Whichoftheseoutcomecriteriaisappropriatefora clientwhohasa nursingdiagnosisofineffectiveairway clearance?•Absenceofwheezingthroughoutthelungfields.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 9•Clearlungsoundsonauscultation.•Pulseoximetrylevelof80%.•Frequentcoughingthroughouttheday.•Clearlungsoundsonauscultation.Adoctorprescribesliquidoralironmedicationfora4-year-oldchild. Whichofthesequestionsshoulda nurse ask the child's mother to determine if the medication is being administered correctly?•"Areyouusingastrawtoadministerthemedicine?"•"Hasyourchildbeenurinatingmorefrequently?"•"Haveyouincreasedyourchild'smilkintakeeachday?"•"Isthereachangeinthe colorofyourchild'sskin?"•"Areyouusingastrawtoadministerthemedicine?"Whichoftheseassessmentfindings,ifpresentina4-month-oldinfantwhohasseverediarrhea,should a nurse recognize as suggestive that the infant is dehydrated?•Bulginganteriorfontanel.•Pulserateof120/minute.•Decreasedurineoutput.•Cyanosisofthemucusmembrane.•Decreasedurineoutput.Whichoftheseinstructionsshouldbeincludedinthe teachingplanfortheparentsof a10-month-oldinfant who is admitted to the hospital for failure to thrive?•Advisethemothertomakesuretheinfantdrinksthe entirebottleateachfeeding.•Encouragethemothertofeedtheinfantslowlyinaquietenvironment.•Teachthemothertopositiontheinfanton theabdomenfollowingfeedings.•Instructthe mothertoplayactivelywiththeinfantduringbottlefeedings.•Encouragethemothertofeedtheinfantslowlyinaquietenvironment.When a newborn is 48 hours old, a nurse notes that the child is jaundiced. The nurse shouldrecognizewhichoftheseconditionsas aprobablecauseofthenewborn's jaundice?a.Dehydration.•Liverimmaturity.•ABOincompatibility.

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 10•Gallbladderimmaturity.b.Liverimmaturity.Whichoftheseitemsshouldanurseremovedfromthefoodtrayof aclientwhoisonasodiumrestricted diet?•Packetofasaltsubstitute.•Grapefruitjuice.•Containerofjelly.•Ketchup.d.Ketchup.Whichofthesestatements,ifmadebyaclientwho hadatotalhip replacement,wouldindicateacorrect understanding of the postoperative instructions?•"Iwillstoopcarefullytopickupitemsfromthefloor."•"Iwillusearaisedtoiletseatinthebathroom."•"Iwillbendforwardwhentyingmyshoes."•"Iwillputmylegthroughthefullrangeofmotioneachday."b."Iwillusearaisedtoiletseatinthebathroom."Whichofthesemeasuresshouldanurseincludewhen planningcareforan88-year-oldclientwhoisadmitted to the hospital with pneumonia?•Restrictingvisitorstotheclient'simmediatefamilymembers.•Limitingtheclientcareactivitiestonomorethanfiveminuteseach.•Allowingtheclienttoperformself-careastolerated.•Providingtheclientwithanon-stimulatingenvironment.c.Allowingtheclienttoperformself-careastolerated.Aclient,whoisnewlydiagnosedwithcancersaystoanurse,"IsupposeIneed to completeallunfinished business as soon as possible." Which of these responses is appropriate?•"Yes,youshoulddothisimmediately.•"Don'tyouthinkyoushouldstayfocusedonyourtreatmentfornow?•"Exactlywhatthingsareyoutalkingabout?"•"Itsoundslikeyouareconcernedwithyourdiagnosis."d."Itsoundslikeyouareconcernedwithyourdiagnosis."

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    2020 ATI PN Exit Exam with Answers (148 Solved Questions), page 11Whichoftheseinterventionsshouldplanfora childwhoisreceivingchelationtherapyforleadpoisoning?•Keepinganaccuraterecordofintakeandoutput.•Institutingmeasurestopreventskeletalfractures.•Maintainingisolationprecautions.•Maintainingstrictbedrest.•Keepinganaccuraterecordofintakeandoutput.Anurseobtainsthesevitalsignsonanadultclient.Whichfindingshouldthenursefollow-upfirst?•Heartrate,60/minuteandregular.•Respiration,30/minuteanddeep.•Temperature,97.1°F(36.2°C)•Bloodpressure,136/86mmHg•Respiration,30/minuteanddeep.Whendeterminingthedurationofa uterinecontraction,anurseshouldmeasurethecontractionfromthe:•beginningofonecontractiontotheendofthatcontraction.•endofone contractiontothebeginning ofthenextcontraction.•beginningofonecontractiontothebeginningofthenextcontraction.•strongestpointof onecontractiontothestrongestpointofthenextcontraction.•beginningofonecontractiontotheendofthatcontraction.Anurseshouldrecognizewhichofthesesignsisaprobablysignofpregnancy?•Frequencyofurination.•Positivepregnancytest.•Nauseainthemorning.•Abdominaldistention.•Positivepregnancytest.Alloftheseclientsareonbedrest.Whichoneisthemostatrisktodevelopskinbreakdown?•An82-year-oldclientwhobathesonceaweek.•An83-year-oldclientwhoappliespowderafterdryingtheskin.

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