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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Document preview page 1

2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 1

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2023 ATI PN Proctored Exam with Answers (136 Solved Questions)

2023 ATI PN Proctored Exam with Answers boosts your confidence by providing real exam experience.

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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 1 preview imageNGN 2023 ATI PN FUNDAMENTALS PROCTOREDDIFFERENT VERSIONSEXAMS/ATI PN FUNDAMENTALSSTUDYGUIDE/PN FUNDAMENTALSPRACTICE QUESTIONSGRADED AVERSION11.A confused client with carbon monoxide poisoning experiences dizziness whenambulating to the bathroom. The nurse should:A.Put all four side rails up on the bedB.Ask the unlicensed assistive personnel to place restraints on theclient’supperextremitiesC.Request that theclient’sroommate put the call light on when the client isattempting to get out of bedD.Checkontheclientatregularintervalstoascertaintheneedtousethebathrooms2.The nurse should use which type of precautions for a client being admitted to the hospital withsuspected tuberculosis?A.Hand hygieneB.Contact precautionsC.Droplet precautionsD.Airborneprecautions3.The nurse is teaching a client with stomatitis about mouth care. Which instruction is mostappropriate?A.Drink hot tea at frequent intervalsB.Gargle with antiseptic mouthwashC.Use an electric toothbrushD.Eatasoft,blanddiet4.A client with cancer of the stomach had a total gastrectomy 2 days earlier. Whichindicates the client is ready to try a liquid diet? The client:A.Is hungryB.Has not requested pain medication for 8 hoursC.HasfrequentbowelsoundsD.Has had a bowel movement5.A client has returned from surgery during which the jaws were wired as treatment for afractured mandible. The client is in stable condition. The nurse in instructing the unlicensedassistive personnel (UAP) on how to properly position the client. Which instructions aboutpositioning would be appropriate for the nurse to give to the UAP?A.Keeptheclientinaside-lyingpositionwiththeheadslightlyelevatedB.Do not reposition the client without the assistance of a registered nurseC.The client can assume any position that is comfortableD.Keep theclient’shead elevated on two pillows at all times
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 2 preview image
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 3 preview image6.Thenurse’sbest explanation for why the severely neutropenic client is placed in reverseisolation is that reverse isolation helps prevent the spread of organisms:A.Totheclientfromsourcesoutsidetheclient’senvironmentB.From the client to healthcare personnel, visitors and other clientsC.By using special techniques to handle theclient’slinens and personal itemsD.By using special techniques to dispose of contaminated materials7.Which statement indicated to the nurse that a client has understood the dischargeinstructions provided after nasal surgery?A.“Ishould not shower until my packing isremoved.”B.“Iwilltakestoolsoftenersandmodifymydiettopreventconstipation.”C.“Coughingevery 2 hours is important to prevent respiratorycomplications.”D.“Itis important to blow my nose each day to remove the driedsecretions.”8.The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of timethe nurse should suction the client?A.10secondsB.20 secondsC.25 secondsD.30 seconds9.A client with a history of asthma is admitted to the emergency department. The nurse notesthat the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring, and use ofaccessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds.What should the nurse do first?A.Initiate oxygen therapy as prescribed, and reassess the client in 10 mintuesB.Draw blood for arterial blood gasC.Encourage the client to relax and breath slowly through the mouthD.Administerbronchodilatorsasprescribed10.A confused client with carbon monoxide poisoning experiences dizziness whenambulating to the bathroom. The nurse should:A.Put all four side rails up on the bedB.Ask the unlicensed assistive personnel to place restraints on theclient’supperextremitiesC.Request that theclient’sroommate put the call light on when the client isattempting to get out of bedD.Checkontheclientatregularintervalstoascertaintheneedtousethebathrooms11.The nurse should use which type of precautions for a client being admitted to the hospital withsuspected tuberculosis?A.Hand hygieneB.Contact precautions
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 4 preview imageC.Droplet precautionsD.Airborneprecautions12.The nurse is teaching a client with stomatitis about mouth care. Which instruction is mostappropriate?A.Drink hot tea at frequent intervalsB.Gargle with antiseptic mouthwashC.Use an electric toothbrushD.Eatasoft,blanddiet13.A client with cancer of the stomach had a total gastrectomy 2 days earlier. Whichindicates the client is ready to try a liquid diet? The client:A.Is hungryB.Has not requested pain medication for 8 hoursC.HasfrequentbowelsoundsD.Has had a bowel movement14.A client has returned from surgery during which the jaws were wired as treatment for afractured mandible. The client is in stable condition. The nurse in instructing the unlicensedassistive personnel (UAP) on how to properly position the client. Which instructions aboutpositioning would be appropriate for the nurse to give to the UAP?A.Keeptheclientinaside-lyingpositionwiththeheadslightlyelevatedB.Do not reposition the client without the assistance of a registered nurseC.The client can assume any position that is comfortableD.Keep theclient’shead elevated on two pillows at all times15.The nurse is caring for an older adult with mild dementia with heart failure. What nursing carewill be helpful for this client in reducing potential confusion related to hospitalization andchange in routine? Select all that apply.A.Reorientfrequentlytotime,placeandsituation.B.Put the client in a quiet room furthest from the nursing station.C.Perform the necessary procedures quickly.D.Arrangeforfamiliarpicturesorspecialitemsatbedside.E.Limit theclient’svisitors.F.Spendtimewiththeclient,establishingatrustingrelationship.16.Which would be most helpful when coaching a client to stop smoking?A.Review the negative effects of smoking on the body.B.Discuss the effects of passive smoking on environmental pollution.C.Establishtheclient’sdailysmokingpattern.D.Explain how smoking worsens high blood pressure.
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 5 preview image17.A nurse is helping a suspected choking victim. The nurse should perform the Heimlichmaneuver when the victim:A.Starts to become cyanoticB.CannotspeakduetoairwayobstructionC.Can make only minimal vocal noisesD.Is coughing vigorously18.While the nurse is providing preoperative teaching for a client with peripheral vascular diseasewho is to have a below-the-knee amputation, the client says. “I hate the idea of being aninvalidafter they cut off myleg.”Thenurse’smost therapeutic response should be:A.“Focusingon using your one good leg will make your recoveryeasier.”B.“Tellmemoreabouthowyouarefeeling.”C.“Wewill talk more about this after yoursurgery.”D.“Youare fortunate to have a wife who can take care ofyou.”19.Which indicates that a client has achieved the goal of correctly demonstrating deepbreathing for an upcoming splenectomy? The client:A.Breathes in through the nose and out through the mouthB.Breathes in through the mouth and out through the noseC.Uses diaphraphragmatic breathing in the lying, sitting, and standing positions.D.Takesadeepbreathinthroughthenose, holdsitfor seconds, andblowsit outthrough pursed lips20.Which nursing action is most important in preventing cross-contamination?A.ChangingglovesimmediatelyafteruseB.Standing 2 feet (61cm) from the clientC.Speaking minimally when in the roomD.Wearing protective coverings21.Thenurse’sbest explanation for why the severely neutropenic client is placed in reverseisolation is that reverse isolation helps prevent the spread of organisms:A.Totheclientfromsourcesoutsidetheclient’senvironmentB.From the client to healthcare personnel, visitors and other clientsC.By using special techniques to handle theclient’slinens and personal itemsD.By using special techniques to dispose of contaminated materials22.Which statement indicated to the nurse that a client has understood the dischargeinstructions provided after nasal surgery?A.“Ishould not shower until my packing isremoved.”B.“Iwilltakestoolsoftenersandmodifymydiettopreventconstipation.”C.“Coughingevery 2 hours is important to prevent respiratorycomplications.”D.“Itis important to blow my nose each day to remove the driedsecretions.”23.The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of timethe nurse should suction the client?A.10secondsB.20 seconds
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 6 preview imageC.25 secondsD.30 seconds24.A client with a history of asthma is admitted to the emergency department. The nurse notesthat the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring, and use ofaccessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds.What should the nurse do first?A.Initiate oxygen therapy as prescribed, and reassess the client in 10 mintuesB.Draw blood for arterial blood gasC.Encourage the client to relax and breath slowly through the mouthD.Administerbronchodilatorsasprescribed25.A confused client with carbon monoxide poisoning experiences dizziness whenambulating to the bathroom. The nurse should:A.Put all four side rails up on the bedB.Ask the unlicensed assistive personnel to place restraints on theclient’supperextremitiesC.Request that theclient’sroommate put the call light on when the client isattempting to get out of bedD.Checkontheclientatregularintervalstoascertaintheneedtousethebathrooms26.The nurse should use which type of precautions for a client being admitted to the hospital withsuspected tuberculosis?A.Hand hygieneB.Contact precautionsC.Droplet precautionsD.Airborneprecautions27.The nurse is teaching a client with stomatitis about mouth care. Which instruction is mostappropriate?A.Drink hot tea at frequent intervalsB.Gargle with antiseptic mouthwashC.Use an electric toothbrushD.Eatasoft,blanddiet28.A client with cancer of the stomach had a total gastrectomy 2 days earlier. Whichindicates the client is ready to try a liquid diet? The client:A.Is hungryB.Has not requested pain medication for 8 hoursC.HasfrequentbowelsoundsD.Has had a bowel movement29.A client has returned from surgery during which the jaws were wired as treatment for afractured mandible. The client is in stable condition. The nurse in instructing the unlicensedassistive personnel (UAP) on how to properly position the client. Which instructions aboutpositioning would be appropriate for the nurse to give to the UAP?A.Keeptheclientinaside-lyingpositionwiththeheadslightlyelevatedB.Do not reposition the client without the assistance of a registered nurse
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 7 preview imageC.The client can assume any position that is comfortableD.Keep theclient’shead elevated on two pillows at all times30.Thenurse’sbest explanation for why the severely neutropenic client is placed in reverseisolation is that reverse isolation helps prevent the spread of organisms:A.Totheclientfromsourcesoutsidetheclient’senvironmentB.From the client to healthcare personnel, visitors and other clientsC.By using special techniques to handle theclient’slinens and personal itemsD.By using special techniques to dispose of contaminated materials31.Which statement indicated to the nurse that a client has understood the dischargeinstructions provided after nasal surgery?A.“Ishould not shower until my packing isremoved.”B.“Iwilltakestoolsoftenersandmodifymydiettopreventconstipation.”C.“Coughingevery 2 hours is important to prevent respiratorycomplications.”D.“Itis important to blow my nose each day to remove the driedsecretions.”32.The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of timethe nurse should suction the client?A.10secondsB.20 secondsC.25 secondsD.30 seconds33.A client with a history of asthma is admitted to the emergency department. The nurse notesthat the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring, and use ofaccessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds.What should the nurse do first?A.Initiate oxygen therapy as prescribed, and reassess the client in 10 mintuesB.Draw blood for arterial blood gasC.Encourage the client to relax and breath slowly through the mouthD.Administerbronchodilatorsasprescribed34.A confused client with carbon monoxide poisoning experiences dizziness whenambulating to the bathroom. The nurse should:A.Put all four side rails up on the bedB.Ask the unlicensed assistive personnel to place restraints on theclient’supperextremitiesC.Request that theclient’sroommate put the call light on when the client isattempting to get out of bed
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 8 preview imageD.Checkontheclientatregularintervalstoascertaintheneedtousethebathrooms35.The nurse should use which type of precautions for a client being admitted to the hospital withsuspected tuberculosis?A.Hand hygieneB.Contact precautionsC.Droplet precautionsD.Airborneprecautions36.The nurse is teaching a client with stomatitis about mouth care. Which instruction is mostappropriate?A.Drink hot tea at frequent intervalsB.Gargle with antiseptic mouthwashC.Use an electric toothbrushD.Eatasoft,blanddiet37.A client with cancer of the stomach had a total gastrectomy 2 days earlier. Whichindicates the client is ready to try a liquid diet? The client:A.Is hungryB.Has not requested pain medication for 8 hoursC.HasfrequentbowelsoundsD.Has had a bowel movement38.A client has returned from surgery during which the jaws were wired as treatment for afractured mandible. The client is in stable condition. The nurse in instructing the unlicensedassistive personnel (UAP) on how to properly position the client. Which instructions aboutpositioning would be appropriate for the nurse to give to the UAP?A.Keeptheclientinaside-lyingpositionwiththeheadslightlyelevatedB.Do not reposition the client without the assistance of a registered nurseC.The client can assume any position that is comfortableD.Keep theclient’shead elevated on two pillows at all timesCan an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes.A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Whichof the following client's needs may the nurse assign to a assistive personnel (AP)?A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumoniaB. Reinforcing teaching w/a client who is learning to walk using a quad cane
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 9 preview imageC. Reapplying a condom catheter for a client who has urinary incontinenceD. Applying a sterile dressing to a pressure ulcerC.ReapplyingacondomcatheterforaclientwhohasurinaryincontinenceRationale: The application of a condom catheter is a noninvasive, routine procedure that thenurse may delegate to the APA nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP.Which of the following information should the nurse share with the AP? Select All.A.The roommate is up independently.B.Theclientambulatesw/hisslippersonoverhisantiembolicstockingsC.Theclientusesafront-wheeledwalkerwhenambulatingD.Theclienthadpainmedication30minagoE.The client is allergic to codeineF.The client ate 50% of his breakfast this morningB,C,DlOMoAR cPSD| 6457222An RN is making assignments for client care to a LPN at the beginning of the shift. Which of thefollowing assignments should the LPN question?A.Assisting a client who is 24hr postop to use an incentive spirometerB.Collecting a clean-catch urine specimen from a client who was admitted on the previous shiftC.Providing nasopharyngeal suctioning for a client who has pneumoniaD.Replacing the cartridge and tubing on a PCA pumpD.ReplacingthecartridgeandtubingonaPCApumpRationale: The RN is responsible for the PCA pumpA nurse is preparing an in-service program about delegation. Which of the following elementsshould she identify when presenting the 5 rights of delegation? Select all.A.Right clientB.Right supervision/evaluationC.Right direction/communicationD.Right timeE.Right circumstances
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 10 preview imageB,C,ERational: A and D are rights of medication administrationA nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. Aclient is awaiting transfer back to the unit from the PACU following thoracic surgery. To whichstaff member should the nurse assign to this client?A.Charge nurseB.RNC.LPND.APB.RNRational: A client returning from surgery requires assessment and establishment of a plan ofcare. RNs are responsible for this, especially if the client is potentially unstable.lOMoAR cPSD| 6457222A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells himshe will put a diaper on him if he does not use the urinal more carefully next time. Which of thefollowing torts is the AP committing?A. AssaultB. BatteryC. False imprisonmentD. Invasion of privacyA.AssaultRational: By threatening the client, the AP is committing assault.An adult client who is competent tells the nurse that he is thinking about leaving the hospitalagainst medical advice. The nurse believes that this is not in the client's best interest, so sheadministers a PRN sedative med that the client has not requested along w/his usual meds.Which of the following tort has the nurse committed?A. AssaultB. False imprisonmentC. NegligenceD. Breach of confidentiality
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 11 preview imageB.FalseimprisonmentRational: The nurse gave the med as a chemical restraint to keep the client from leaving thefacility against medical advice. The client did not consent.A client who will undergo neurosurgery the following week tells the nurse in the surgeon'soffice that he will prepare his advance directives before he goes to the hospital. Which of thefollowing statements by the client indicates to the nurse that he understands advancedirectives?A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."B. "I know they won't go ahead w/the surgery unless I prepare these forms."C. "I plan to write that I don't want them to keep me on a breathing machine."D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."C."IplantowritethatIdon'twantthemtokeepmeonabreathingmachine."lOMoAR cPSD| 6457222Rational: The client has the right to decide and specify which medical procedures he wantswhen a life-threatening situation arrivesA client is about to undergo an elective surgical procedure. Which of the following actions areappropriate for the nurse who is providing pre-op care regarding informed consent? Select all.A. Make sure the surgeon obtained the client's consentB. Witness the client's signature on the consent formC. Explain the risks and benefits of the procedureD. Describe the consequences of choosing not to have the surgery E. Tell the client aboutalternatives to having the surgeryA,BRational: The rest of the choices are the surgeon's responsibility, not the nurseA nurse has noticed several occasions in the past week when another nurse on the unit seemeddrowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair inthe break room when she was not on break. Which of the following actions should the nursetake?A. Remind the nurse that safe client care is a priority on the unitB. Ask others on the team whether they have observed the same behavior
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2023 ATI PN Proctored Exam with Answers (136 Solved Questions) - Page 12 preview imageC. Report observations to the nurse manager on the unitD. Conclude that her coworker's fatigue is not her problem to solveC.ReportobservationstothenursemanagerontheunitRational: Any nurse who notices behavior that could possibly jeopardize client care orindicate a substance abuse problem has a duty to report the situation immediately to thenurse managerA nurse is preparing info for a change-of-shift report. Which of the following info should thenurse include in the report?A. The client's input & output for the shiftB. The client's BP from the previous dayC. A bone scan that is scheduled for todayD. The med routine from the med administration recordC.AbonescanthatisscheduledfortodaylOMoAR cPSD| 6457222Rational: This is important because the nurse might have to modify the client's care toaccommodate them leaving the unitA nurse enters a client's room & finds him sitting in his chair. He states, "I fell in the shower, butI got myself back up & into my chair." How should the nurse document this in the client's chart?A. The client fell in the shower.B. The client states he fell in the shower & was able to get himself back into his chairC. The nurse should not document this info because she did not witness the fallD. The client fell in the shower & is now resting comfortablyB.ThenurseshouldnotdocumentthisinfobecauseshedidnotwitnessthefallRational: By writing what the client states, the info is subjective dataA nursing instructor is reviewing documentation w/a group of nursing students. Which of thefollowing legal guidelines should they follow when documenting a client's record? Select all thatapplyA.Cover errors w/correction fluid, & write in the correct info
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