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2023 ATI PN Comp Exit Exam With Answers (164 Solved Questions)
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ATIPNCOMPREHENSIVEEXITEXAM2023QUESTIONSANDANSWERS(OriginalExamfile)1)Anurseinanemergencydepartmentcompletesanassessmentonanadolescentclient thathasconductdisorder.Theclientthreatenedsuicidetoteacherat school.Whichofthefollowingstatements shouldthe nurseincludeinthe assessment?a)Tellmeaboutyoursiblingsb)Tell mewhat kindofmusicyoulikec)Tellmehowoftendoyoudrinkalcohold)Tellmeaboutyourschool schedule2)*Anurseisobservingbondingtotheclienthernewborn.Whichoffollowingactionsbytheclientrequires thenursetointervene?a)HoldingthenewborninanenfacepositionPage 2

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b)Askingthefathertochangethenewborn'sdiaperc)Requestingthenursetake thenewbornnurserysoshecanrestd)Viewingthenewborn’sactionstobeuncooperativePage 4
3)Anurseiscaringforclientwhoistakinglevothyroxin.Whichofthefollowingfindingsshouldindicatethatthemedication iseffective?a)Weightloss (thisdrugactsasT4andwillnormalizetheeffectsofhypothyroidism)b)Decreasedbloodpressurec)Absenceofseizuresd)Decreaseinflammation4)Anurseisplanningdischargeteachingforcordcarefortheparentofanewborn.Whichinstructionswouldyouincludeinthe teaching?a)Contactproviderifthecordstillturnsblack(it’sgoingtoturnblack)b)Cleanthebaseofthecordwithhydrogenperoxidedaily(cleanwithneutralpHcleanser)c)Keepthecorddryuntilitfallsof f(cord shouldbekeptclean anddrytopreventinfection)d)Thecordstumpwillfalloffinfivedays(cordfallsoffin10-14days)Page 5
5)AnurseisassessingaclientinthePACU.Whichof thefollowingfindingsindicatesdecreasedcardiacoutput?a)Shiveringb)Oliguriac)Bradypnead)Constrictedpupils6)Caringfor aclientwhohasafecalimpactionactions tobetakenwhendigitallyevacuatingthestoolInsertalubricatedglovedfingerandadvancealongtherectalwall.7)DietaryteachingforanewprescriptionofphenelzineBroccoli,Yogurt,CreamCheesePage 6
8)Nurseadministersincorrectdoseofmedication. Whichfactsrelatedtoincidentreportshouldthe nursedocumentinthe client'smedicalrecord?Timethemedicationwasgiven9)Patient refusedanewlyopenfentanylpatch.Whichofthefollowingactionsshouldthenursetake?Page 7
1.AssessinganewbornheartratefollowactionsthenurseshouldtakeAuscultatetheapicalpulseandcountbeatsforatleast 1min.2.Caringfor aclientwhohasafecalimpactionactions tobetakenwhendigitallyevacuatingthestoolInsertalubricatedglovedfingerandadvancealongtherectalwall.3.DietaryteachingforanewprescriptionofphenelzineBroccoli,Yogurt,CreamCheese4.Nurseadministersincorrectdoseofmedication. Whichfactsrelatedtoincidentreportshouldthe nurse documentinthe client'smedical record?Timethemedicationwasgiven5.Patient refusedanewlyopenfentanylpatch.Whichofthefollowingactionsshouldthenursetake?Askanothernursetowitnessthedisposalofthenew patch.Page 8
6.ClientreceivingheparincontinuousIVinfusionandwarfarin5mgPOdaily. LabvaluesareaPTT98 seconds andINR1.8WithholdtheheparininfusionPage 9
7.Anurseatanurgentcareclinicisassessingaclientwhoreportsimpaired vision inoneeye .WhichindicatestheclienthasadetachedretinaFloatingdarkspots8.infantwithhydrocephalus6hrpostopfollowingventriculoperitonealshuntplacement.findingtoreporttoproviderIrritabilitywhenbeingheld.signifiesincreasedICP9.Nurseonpediatric unitreceivedshiftreporton4children. Whichshouldthenurseassessfirst?A10-year oldchildwhois awaitingsurgeryforanappendectomyandexperiencedsuddenreliefofpain.Canindicateperitonitis fromaruptured appendix.10.CommunityhealthnurseprovidingteachingonhomesafetyforolderadultsHavegrabbarsinstalledaroundyourbathtubandtoilet.10)Anurseinanemergencydepartmentcompletesanassessmentonanadolescentclient thathasconductdisorder.TheclientthreatenedsuicidePage 10
toteacherat school.Whichofthefollowingstatements shouldthe nurseincludeinthe assessment?a)Tellmeaboutyoursiblingsb)Tell mewhat kindofmusicyoulikec)Tellmehowoftendoyoudrinkalcohold)Tellmeaboutyourschool schedule11)*A nurse is observing bonding to the client her newborn. Which of followingactions by theclientrequires thenursetointervene?a)Holdingthenewborninanenfacepositionb)Askingthefathertochangethenewborn'sdiaperc)Requesting the nurse takethe newborn nursery soshe canrestd) Viewing the newborn’sactions to beuncooperative12)Anurseiscaringforclientwhoistakinglevothyroxin.Whichofthefollowingfindingsshouldindicatethatthemedication iseffective?a)Weightloss (thisdrugacts asT4andwillnormalizetheeffectsof hypothyroidism)b)Decreasedbloodpressurec)Absenceofseizuresd)DecreaseinflammationPage 11
13)Anurseisplanningdischargeteachingforcordcarefortheparentofanewborn.Whichinstructionswouldyouincludeintheteaching?a)Contactproviderifthecordstillturnsblack(it’sgoingtoturnblack)b)Cleanthebase ofthe cordwithhydrogenperoxidedaily(cleanwithneutralpHcleanser)c)Keepthecorddryuntilitfallsoff(cordshouldbekept clean anddrytopreventinfection)d)Thecordstumpwillfalloffinfivedays(cordfallsoffin10-14 days)14)AnurseisassessingaclientinthePACU.Whichofthefollowingfindingsindicatesdecreasedcardiacoutput?a)ShiveringbPage 12
)ac)Bradypnead)Constrictedpupils15)Anurseisassistingwithmasscasualtytriage:explosionatalocalfactory.Whichofthefollowingclientshouldthe nurseidentifyasthepriority?a)Aclientthathas massiveheadtraumab)Aclienthasfullthicknessburnstofaceandtrunkc)Aclientwithindicationsofhypovolemicshockd)Aclient with openfractureofthe lowerextremity16)Anurseisareceivingreportonfourclients.Whichof thefollowingclients shouldthenurseassess first?a)Aclientwhohasillealconduitandmucusinthepouchb)Clientpleasantarteriovenousadditionalvibrationpalpatedc)Aclient whosechronickidneydiseasewithcloudydiasylateoutflowd)Aclientwastransurethralresectionof theprostatewitharedtingedurine inthebagOliguriPage 13
17)A nurseiscaringfora clientjustreceivedthefirstdoseoflisinopril.Thefollowingisanappropriate nursingintervention?a)Place’scardiac monitoringb)Monitortheclientsoxygensaturationlevelc)Providestandbyassist withtheclientfrombedd)Encouragefoodshighinpotassium18)Anurseiscaringforaclientwhoisinlaborandhisseatisreceivingelectronic fetalmonitoring.Thenurseis reviewingthemonitortracingandnotesearlydecelerations.Which thefollowingshouldthe nurseexpect?a)Fetahypoxiab)Abruptoplacentaec)Post maturityd)HeadCompression19)Anurseinanemergencydepartment completesanassessmentonanadolescentclientthathasconductdisorder.Theclientthreatenedsuicidetoteacheratschool.Whichofthefollowingstatements shouldthe nurseincludeinthe assessment?a)TellmeaboutyoursiblingsPage 14
b)Tell mewhat kindofmusicyoulikec)Tellmehowoftendoyoudrinkalcohold)Tellmeaboutyourschool scheduleA nurse is assessing a client with heart failure. Which of the following symptoms is mostindicative of left-sided heart failure?•A. Peripheral edema•B. Jugular vein distention•C. Crackles in the lungs•D. Hepatomegaly•Correct Answer: C. Crackles in the lungsA client is prescribed warfarin (Coumadin). Which lab value should the nurse monitor todetermine the effectiveness of the medication?•A. PT/INR•B. aPTT•C. Platelet count•D. Hemoglobin•Correct Answer: A. PT/INRThe nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Whichof the following interventions is most appropriate to help alleviate dyspnea?Page 15
•A. High-flow oxygen therapy•B. Pursed-lip breathing•C. Abdominal breathing•D. Incentive spirometry•Correct Answer: B. Pursed-lip breathingA client is admitted with diabetic ketoacidosis (DKA). Which of the following laboratoryvalues would the nurse expect to find?•A. Blood glucose 90 mg/dL•B. pH 7.48•C. Bicarbonate 22 mEq/L•D. Ketones in the urine•Correct Answer: D. Ketones in the urineThe nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of thefollowing statements indicates the client understands the teaching?•A. "I will shake the inhaler well before each use."•B. "I should breathe in quickly when using the inhaler."•C. "I can use my inhaler as often as needed."•D. "I should store the inhaler in the refrigerator."•Correct Answer: A. "I will shake the inhaler well before each use."A nurse is providing postoperative care for a client who had a total hip arthroplasty.Which of the following actions should the nurse take to prevent dislocation of theprosthesis?•A. Maintain abduction of the affected leg.
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