2023 ATI PN Proctored Exam with Answers (4 Solved Questions)

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A nurse is caring for a client who has heart failure and reportsdifficulty with limiting sodium in their diet. Which of the followingrecommendations should the nurse provide?Replace bottled saladdressing with homemade vinegar and oil dressing.A nurse is contributing to the plan of care for anewborn who is experiencing heroin withdrawal.The nurse should anticipate a prescription forwhich of the following medications?MethadoneMeperidineHydromorphoneFentanylA nurse is reinforcing teaching with a group of expectant parentsregarding the proper use of a car seat. Which of the followingstatements by a parent indicates an understanding of the teaching?"Ican place a rolled towel on each side of my newborn's head until he canhold his head up."

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Anurseiscontributingtothedischargeplansforfourclients.Thenurseshouldidentifythatwhichofthefollowingclientsrequiresaninterdisciplinarycareconference?AclientwhohashemiparesisandlivesaloneA nurse is reinforcing discharge teaching with aclient who has type 1 diabetes mellitus. Which ofthe following client statements indicates anunderstanding of the teaching?"I will dispose of insulin needles in a puncture-proofcontainer.""I will store opened insulin vials in my refrigerator.""I will shake the insulin vial before drawing it into thesyringe.""I will expect my regular insulin to appear cloudy."A nurse is planning to reinforce teaching with a preschooler who isabout to undergo an incision and drainage for cellulitis on the leftarm. Which of the following techniques should the nurse use?Take the child on a tour of the surgery and recovery areas.

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A nurse in a pediatric clinic is reviewing the urine laboratory resultsfor an adolescent. For which of the following results should thenurse notify the provider?Ketones positiveA nurse is visiting with the family of a client who has just died. Whichof the following actions should the nurse take to promote comfort forthe family?Allow the family as much time as they want with the client.A nurse on a maternal newborn unit is assisting with thepreparation of an in-service presentation about infection control.Which of the following information should the nurse recommendto include?Visitors who have an upper respiratory infection shouldwear a mask.Anurseiscollectingdatafromaclientwhoispostoperativeandreceivedhydromorphone4mgPO15minago.Theclienttellsthenurse,"Mypainlevelisstill8ona0to10scale."Whichofthefollowingactionsshouldthenursetakefirst?Reevaluatetheclient'sresponsetothemedicationin30min.Anurseinaprovider'sofficeisreinforcingteachingwiththeparentsofaschool-agechildwhohasanactivecaseofPediculosishumanuscapitis.Whichofthefollowingshouldthenurseincludeintheteaching?Washthebedlinensinhotwater.

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A nurse from a medical-surgical unit is floating to a postpartum unit.Which of the following clients is an appropriate assignment for thenurse to accept?A client who had a cesarean delivery 24 hr agoA nurse is assisting with the care of a client who is in active labor.Which of the following data is the priority for the nurse to collectfollowing an amniotomy?Fetal heart rateA nurse is assisting in the preparation of an in-service for a groupof unit nurses about ethical principles. Which of the followingnursing actions should the nurse include as an example offidelity?A nurse keeps a promise made to a client.A nurse is contributing to the plan of care for a 12-month-oldinfant following cleft palate repair. Which of the following actionsshould the nurse include?Maintain elbow restraints on the infant.A nurse administered an IM injection to a client. Which of thefollowing actions should the nurse take to reduce the risk of aneedlestick injury?Dispose of the used needle immediately in asharps container.A nurse is collecting data from a client who has hepatitis A. Which

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of the following findings should the nurse expectAbdominal painA nurse is reinforcing teaching with a client about caring for a newcolostomy. Which of the following statements should the nurse make?"You should empty the colostomy bag when it is three-fourths full."Acharge nurse is explaining the role of a licensedpractical nurse to an assistive personnel (AP). Whichof the following responsibilities should the chargenurse include?Assessing a client's health statusA nurse is assisting with the admission of a client who hasmononucleosis. Which of the following isolation precautionsshould the nurse initiate?DropletA nurse is reinforcing teaching with a client who wasdiagnosed with diabetes mellitus and requiresinsulin injections. Which of the following clientstatements indicates an understanding of theteaching?

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"I should dispose of my used syringes in the householdtrash.""I will store my current bottle of insulin in the refrigerator.""I will hold the needle at a 15° angle to my skin.""I should use an injection site that is 1 inch from theprevious site."PAUSEA nurse is reinforcing teaching about home safetywith the parent of an 8-month-old infant. Which of thefollowing statements by the parent indicates anunderstanding of the teaching?"I will keep the door to the bathroom closed."A nurse is collecting data from a newly admittedclient. Which of the following questions should the

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nurse ask to assess the client's abstract thinkingability?"Who is the current President of the United States?""What does the phrase 'butterflies in my stomach' mean?""Can you count backward from 20 to 1?""Can you draw a clock that shows the hands at 4:30?"A nurse is collecting health history data from aclient who has hemorrhoids. Which of the followingfindings should the nurse expect?Chronic constipationExcessive flatulenceFrequent stoolsFecal incontinenceA nurse is reviewing client care assignments prior tothe beginning of a shift. Which of the following client

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assignments should the nurse identify as beingoutside the scope of practice for an LPN?Aclient who has a new onset of chest painAclient who has a tracheostomyAclient who is receiving enteral feedingsAclient who has urinary retentionA nurse is checking the home environment of a client for safetyhazards. Which of the following items require intervention bythe nurse?The television set is turned to a loud volume.A nurse is reinforcing teaching about home care with the parents of achild who has a seizure disorder. Which of the following instructionsshould the nurse include?Call EMS if a seizure lasts 5 min or more.A nurse is caring for a client who is asking about the technique ofeffleurage and its use in labor and delivery. Which of the followingresponses should the nurse make regarding this technique?"It is alight stroking of the skin during a uterine contraction."A newly licensed nurse is having difficulty finishing client care tasks

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during their shift. Which of the following techniques should the nurseplan to use to assist with time management?Try to complete a taskbefore moving on to the next.A nurse is contributing to the plan of care for a client who hasbulimia nervosa. Which of the following interventions should thenurse recommend?Observe the client for 1 hr after meals.A nurse is collecting data from a child who has acuteglomerulonephritis. Which of the following findings should thenurse expect?Periorbital edemaA nurse is providing preoperative teaching for anadolescent who is scheduled for a cardiaccatheterization. Which of the following instructionsshould the nurse include?"You can resume a regular diet 3 days after yourprocedure.""You can take a shower 1 day after your procedure.""You can begin exercising 2 days after your procedure.""You can return to school 1 week after your procedure."

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A nurse is preparing to administer 5 units of regular insulin and 20units of NPH insulin to a client who has type 1 diabetes mellitus.Which of the following actions should the nurse take first?Withdraw 5units of regular insulin from the vial.A nurse working at a crisis hotline call center receives a call from aclient who states, "I cannot take it. My life is over." Which of thefollowing is the priority response by the nurse?Are you thinking ofharming yourself?"A nurse has obtained a client's oxygen saturationmeasurement of 88% on 2 liters of oxygen via nasalcannula. Which of the following actions should thenurse take?Check the client's heart rate on the oximeter.Compare the result with the baseline reading.Decrease the amount of oxygen administered.Perform another reading while the client ambulates.

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A nurse is caring for a newborn following acircumcision. Which of the followingmanifestations indicates the newborn isexperiencing pain?Lip smackingDiaphoresisHypoglycemiaTransient strabismusAnurseisreinforcingteachingwiththeparentsofapreschool-agechildwhohasanewdiagnosisofceliacdisease.Whichofthefollowingfoodsshouldthenurserecommend?corntortillaswithblackbeansAnurseispreparingtoinstillanoticsuspensionintoanadultclient'sear.Whichofthefollowingmethodsshouldthenurseplantouse?Pulltheauricleupwardandbackward.A nurse is caring for a client who is breastfeeding their 5-day-oldnewborn. Which of the following should the nurse identify as anindication that the newborn is breastfeeding effectively?Makes

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audible swallowing soundsA nurse is assisting with the admission of an older adult client.Which of the following subjective findings suggests that theclient may have cataracts?Cloudy visionA nurse is collecting data from the guardian of a toddler during awell-child visit. The guardian expresses concern to the nursebecause his child has a poor appetite, but drinks a quart of milk eachday. The nurse should identify that this practice places the toddler atrisk for which of the following conditions?Lactose intoleranceA nurse in a mental health unit asks a client who has schizophrenia,"How are you?" Which of the following responses should the nurseidentify as the speech alteration of echolalia?"How are you?"A nurse is reinforcing teaching with an adolescent who has a newprescription for cefazolin. For which of the following findings shouldthe nurse instruct the adolescent to monitor and report to theprovider?DepressionA nurse is reinforcing teaching with a client who has a newprescription for digoxin to treat heart failure. Which of the followingshould the nurse include as an expected effect of this medication?

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IncreasedheartrateA nurse is reinforcing teaching with a school-agechild who has hemophilia about participating inschool sports. Which of the following sports shouldthe nurse recommend for the child? (Select all thatapply.)SoccerBasketballGymnasticsGolfSwimmingA nurse is caring for a client who attempted suicide. Which of thefollowing actions should the nurse take?Serve meals with plasticutensils.A nurse is preparing a client's insulin regimen. Which of the followinginsulins can be mixed? (Select all that apply.)Insulin aspart ,Regularinsulin , Insulin lispro

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A nurse in a long-term care facility has received change-of-shiftreport about four clients. Which of the following clients should thenurse attend to first?A client who has COPD and dementia and wasagitated during the night shiftA nurse is caring for a client who has a newcolostomy.The client tells the nurse, "I don't want anyoneto see me with this bag." Which of the followingresponses should the nurse make"Why don't you wantpeople to see the colostomy bag?"A nurse is reinforcing teaching with a client who has a permanentpacemaker in place. Which of the following statements by the clientindicates an understanding of the teaching?"I will remove mymicrowave oven from my home."A nurse is caring for a client who is receiving prazosin. The client'sblood pressure is 100/60 mm Hg. Which of the following actionsshould the nurse take?Instruct the client to stand up slowly.

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A nurse is collecting data from a client who is takingheparin to prevent deep-vein thrombosis and hasbloody stools. Which of the following laboratoryvalues should the nurse report to the provider?Platelets 200,000/mm3RBC count 5.4 million/mm3Hgb 14 g/dLINR 5.2A nurse is collecting data from a client who has along-leg cast on his left leg and reports severe pain.Which of the following findings should the nurseidentify as an indication that the client might havecompartment syndrome? (Select all that apply.)Pallor in the exposed portion of the left footInability to move the left footIncreased warmth of the exposed portion of the left foot

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