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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Document preview page 1

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ATI PN Exit Exam Exam with Answers (180 Solved Questions)

ATI PN Exit Exam Exam with Answers is the key to mastering past exam topics effectively.

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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 1 preview imageATI COMPREHENSIVE EXIT FINAL1)A nurse in an emergency department completes an assessment on anadolescentclient that hasconductdisorder.The clientthreatened suicideto teacher at school. Which of the following statements should thenurse include in the assessment?a)Tell me about your siblingsb)Tell me what kind of music you likec)Tell me how often do you drink alcohold)Tell me about your school schedule2)*A nurse is observing bonding to the client her newborn. Which of following actions by theclient requiresthe nurse to intervene?a)Holding the newborn in an en face positionb)Asking the father to change the newborn's diaperc)Requesting the nurse take the newborn nursery so she can restd)Viewing the newborn’s actions to be uncooperative3)A nurse is caring for client who is takinglevothyroxin. Which of the following findings should indicate thatthe medication is effective?a)Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism)b)Decreased blood pressurec)Absence of seizuresd)Decrease inflammation4)A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions wouldyou include in the teaching?a)Contact provider if the cord still turns black(it’s going to turn black)b)Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser)c)Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection)d)The cord stump will fall off in five days(cord falls off in 10-14 days)5)A nurse is assessing a client in the PACU. Which of the followingfindingsindicatesdecreased cardiacoutput?a)Shiveringb)Oliguriac)Bradypnead)Constricted pupils6)A nurse is assisting withmass casualty triage: explosion at a local factory. Which of the following clientshould the nurse identify as thepriority?a)A client that has massive head traumab)A client has full thickness burns to face and trunkc)A client with indications of hypovolemic shockd)A client with open fracture of the lower extremity7)A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?a)A client who has illeal conduit and mucus in the pouchb)Client pleasant arteriovenous additional vibration palpatedlOMoARcPSD|13778330
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 2 preview image
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 3 preview imagec)A client whose chronic kidney disease with cloudy diasylate outflowd)A client was transurethral resection of the prostate with a red tinged urine in the bag8)A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursingintervention?a)Place’s cardiac monitoringb)Monitor the clients oxygen saturation levelc)Provide standby assist with the client from bedd)Encourage foods high in potassium9)A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. Thenurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurseexpect?a)Feta hypoxiab)Abrupto placentaec)Post maturityd)Head Compression10) A nurse is caring for a client who haschronic kidney disease. The nurse should identify which of thefollowing laboratory values as in anindicationforhemodialysis?a)glomerular filtration rate of 14 mL/ minuteb)BUN 16 mg/DLc)serum magnesium 1.8 mg mg/dld)Serum phosphorus 4.0 mg/dL11) A nurse is caring for an infant who has a prescription forcontinuous pulse oximetry.The following is anappropriate action for the nurse to take?a)Placed infant under radiant warmerb)Move the probe site every 3 hoursc)Heat the skin one minute prior to placing the programd)Placed a sensor on the index finger12) A nurse in a mental health facility receives a change of shift report on for clients. Which of the followingclients should the nurse plan to assess first?a)Client placed in restraints to the aggressive behaviorb)A new limited client pleasures history of 4.5 kg weight loss in the past two monthsc)Client is receiving a PRN dose of health heard all two hours ago for increased anxietyd)Applied he’ll be receiving his first ECT treatment today13) A nurse working at the clinic is teaching a group of clients who arepregnanton the use ofnonpharmacological pain management. Which of the following statements by the nurse is an appropriatedescription of the use of hypnosis during labor?a)Hypnosis focuses on the biofeedback as a relaxation techniqueb)Hypnosis promotes increased control of her pain perception during contractionsc)Hypnosis uses therapeutic touch to reduce anxiety during labord)Hypnosis provides instruction to minimize painlOMoARcPSD|13778330
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 4 preview image14) A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated fortheft is addressing the group. Which of the following is an example ofreaction formation?(rxn formationis when you use opposite feelings; ex: being super nice to someone you dislike)a)I steal things because it’s the only way I can keep my mind off my bad marriageb)I can’t believe I was accused of something I didn’t doc)I don’t want talk about my feelings right now. We will talk more next timed)I think that people just you’re just lazy and should earn money honestly15) A nurse is obtaining themedical historyof a client who has a new prescription forisosorbide monotitrate.Which of the following should the nurse identify as acontraindicationto medication?a)Glaucomab)Hypertensionc)Polycythemiad)Migraine headaches16) ?17) The nurses is caring for a clientrecoveringfrom anacute myocardial infarction. Which followingintervention should the nurse include in the point of care?a)Draw a troponin level every four hoursb)Performance EKG every 12 hoursc)Plant oxygen tent fell over minutes via rebreather maskd)Obtain a cardiac rehabilitation consult18) A Nurses caring for client who has breast cancer and has been covering receivingchemotherapy. Which ofthe following laboratory values should nurse report to provider?a)WBC 3,000/mm3b)Hemoglobin 14 g/dlc)Platelet 250,000/mm3d)aPTT 30 seconds19) Home health nurse is carefully planned forAlzheimer’sdisease. To the following action should the nurseinclude in the plan of carea)Place a daily calendar in the kitchenb)Replace button clothing with zippered itemsc)Replace the carpet with hardwood floorsd)Create variation in daily routine20) Nurse is performing change of shift assessments on 4 clients. Which of the following findings should thenurse report to provider first?a)The client was cystic fibrosis and has a thick productive clock and reports thirstb)Client who has gastroenteritis and is lethargic and confusedc)The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deald)The client was sick of signing it reports pain 15 minutes after receiving oral analgesic21) A nurse is caring for a client was in thesecond trimester of pregnancyand asks how to treatconstipation.Which of the following statements by the nurse is appropriate?a)Decrease taking vitamins and supplements to every other day
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 5 preview imageb)Eat 15 g of fiber per dayc)Consume 48 ounces of water each day(need at least 64 oz)d)Drink hot water with lemon juice each morning when you wake up22) ?23) A nurse is caring for a client who is preparing his advance directives. Which is the following statements bythe client indicates an understanding of advanced directives?select all that applya)I can’t change my instructions once a minuteb)My doctor will need to approve my advance directivesc)I need an attorney to witness my signature on the advance directivesd)I have the right to refuse treatmente)My health care proxy can make medical decisions for me24) A nurse is caring for a client who is at32 weeks gestationand has a history ofcardiacdisease. Which ofthe following positions should the nurse place the client to bestpromoteoptimalcardiacoutput?a)The chestb)Standingc)Supined)Left lateral25) A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP?a)Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometryb)Client who has awoken following a bronchoscopy and requests a drinkc)Client who had a myocardial infarction 3 days ago reports chest discomfortd)Client who had a cerebrovascular accident two days ago and needs help toileting26)Nurse providing discharge teaching to the client who hasschizophreniaand is starting therapy withclozapine. Which of the following is thehighestpriorityfor the clienttoreportto the provider?a)Constipationb)blurred visionc)Feverd)Dry Mouth27) A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following actionrequires intervention?a)Providing a high protein snackb)Assisting the child to repositionc)Placing weights as a child’s bedd)Massaging pressure points-causes skin breakdown28) A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetesmellitus. Which of the following action should the nurse take?a)Determine if the AP is qualified to perform the test.b)Help the AP performed the blood glucose testc)Assign the AP to ask the client is taking his diabetic medication todayd)Have AP check the medical record for prior blood glucose test resultslOMoARcPSD|13778330
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 6 preview image29) A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcementofficer. The client hasdisorganized,incoherentspeechwithlooseassociationsandreligiouscontent.You should recognize the signs and symptoms as being consistent with which of the following?a)Alzheimer’s diseaseb)Schizophreniac)Substance intoxicationd)Depression30) A nurse is caring for a child who hasinfectious mononucleosis.. Which of the following findings areassociated with this diagnosis? Select all that applya)splenomegalyb)Koplik spots(this is associated with measles)c)Malaised)Vertigoe)Sore throat31) Nurse is performing dressing change for client was asacralwoundusingnegative pressure woundtherapy. Which The following actions should the nurse take first?a)Apply skin preparation to wound edges.b)Normal salinec)Don sterile glovesd)Determine pain level32)A nurses caring for client recovery from thebowelsurgerywho hasnasogastrictubeconnected tolow intermittent suction. Which the following assessment findings should indicate to the nurse that the NGtube may not be functioning properly?a)Drainage fluid is greenish-yellowb)aspirate pH of 3c)Abdominal rigidityd)air bubbles noted in the NG tube33) A nurse is preparing to administerTPNwithaddedfat supplementsto a client who hasmalnutrition.Which of the following action should the nurse take?a)Piggyback 0.9 sodium chloride with TPN solutionb)Check for an allergy to eggsc)Discuss the TPS solution for 12 hoursd)Monitor for hypoglycemia34) A charge nurse is discussing the use of applyingiceto a client’sinjuredkneewith a newly licensed nurse.Which of the following should the nurse identify as a benefit?(A/C?)a)Systemic analgesic effectb)increase in your metabolismc)Decreased capillary permeabilityd)Vasodilation35) Nurse is developingdischargecare plans for client hasosteoporosis. To prevent injury the nurse shouldinstruct the client toa)Perform weight bearing exerciseslOMoARcPSD|13778330
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 7 preview imageb)Avoid crossing the legs beyond the midlinec)Avoid sitting in one position for prolonged periodsd)Split affected area36) A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highestpriority?a)The client has surgical hypoparathyroidism and positive Trousseau’s signb)A client who was Clostridium difficile with acute diarrheac)A client who is acute kidney injury and urine with a low specific gravityd)The client who has oral cancer and reports a sore on his gums37) Nurses caring for a client wascongestive heart failure. Which of the followingprescriptionsfor theprovider should the nurseanticipate?a)Call the provider to clients respiratory rate is less 18/minb)Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hrc)Give the client enalapril 2.5 mg PO twice dailyd)Call the provider if the clients pulse rate is less than 80/min38) A nurse is caring for a client who has a prescription forsertralineto treatdepression. Which of thefollowing statements by the client indicates an understanding of the medication treatment plan?a)I will be able starting this medication with feel betterb)I can expect to urinate frequently while on this medicationc)I understand I may experience difficulty sleeping on this medicationd)I should decrease my sodium intake while on this medication39) A nurse has been caring for a female client who has bruises on her arms that she explains are a result ofphysical abuse by her husband. The client states, <I don’t know how much longer I can take this, but I’mafraid he’ll really hurt me if I leave. <Which of the following is an appropriate nursing intervention?=a)Offer to speak to the client’s husband regarding his abuse behavior.b)Help the client to recognize the signs of escalation of abuse behaviorc)Assist the client to identify personal behaviors that trigger abusive behaviord)Assist the client to Reports abusive behavior to the proper authority40) A client was havingsuicidalthoughtstells the nurse <It just does not seem worth it anymore. Why not endmy misery?= Which of the following responses for the nurses appropriate?a)Why do you think your life is not worth it anymore?b)Do you have a plan to end your life?c)I need to know what you mean my miseryd)You can trust me and tell me what you’re thinking41) A nurse is caring for a client who hasschizophrenia. Which of the following assessment findings shouldthe nurse expect?a)Decreased level consciousnessb)Unable to identify common objectsc)Poor problem solving abilityd)Preoccupation was somatic disturbanceslOMoARcPSD|13778330
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 8 preview image42) A nurse is caring for a client who hasdeep vein thrombosisof the left lower extremity. Which of thefollowing action should nurse take?There are 3 tabs that contain separate categories of data.a)Position the client with the affected extremity lower than the heartb)Administration of acetaminophenc)Massage the affected extremity every 4 hrs.d)Withhold heparin IV infusion43) Is caring for clients was a new prescription forenoxaparinfor thepreventionofDVT. Which of thefollowing is an appropriate action by the nurse?a)Expel air bubble at the top of the prefilled syringeb)Massage the injection site to evenly distribute the medicationc)Inject the medication the lateral abdominal walld)Administer an NSAID for injection site discomfort44) Nurses caring for four clients. Which of the following client data should the nurse report to the provider?a)A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughingb)Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24hour following surgeryc)Client who is 4 hrs postoperative and has a heart rate of 98 per minuted)The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm345) Nurses caring for client was inend-stage osteoporosisand is reportingsevere pain. Clientsrespiratoryrate is 14 per minute.Which of the following medications should the nurse expect to be the highestpriority to administer to the client?a)Promethazineb)Hydromorphonec)Ketorolacd)Amitriptyline46) A nurse is caring for a client who hasDVT. Which of the following instructions the nurse include in theplan of care?a)Live with the clients fluid intake to 1500 mL per dayb)Massage place affected extremity to relieve painc)Apply cold packs of clients affected extremityd)Elevate the client’s affected extremity when in bed47) A nurse is caring for a client who is receivingoxytocin IV for augmentation of labor.The client’scontractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to180/minute. Which of the following actions should nurse take?a)Discontinue oxytocin infusionb)Increased oxytocin infusionc)Decreased oxytocin infusiond)Maintain oxytocin infusion48)A nurse is admitting a client who is inlaborand at38 wks of gestation to the maternal newbornunit. The client has a history ofherpes simplex virus 2. Which of the following questions is mostappropriate for the nurse to ask the client?a)Have your membranes ruptured?
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ATI PN Exit Exam Exam with Answers (180 Solved Questions) - Page 9 preview imageb)How far apart are your contractions?c)Do you have any active lesions?d)Are you positive for beta strap?49) Nurse is providing teaching for child prescribedferroussulfate. Which of the following instructions shouldthe nurse include?a)Take with mealsb)Take at bedtimec)Take with a glass of milkd)Take with a glass of orange juice50) Four clients present to the emergency department. The nurse should plan to see which of the followingclients first?a)A 6 year old client whose left shoulder is dislocatedb)A 26 year old client for sickle cell disease and a severe joint painc)A 76 year old client was confused, febrile and has foul smelling urine -utid)A 50- year old client who has slurred speech, is disoriented, and reports a headache- stroke51) A nurse is completing a dietary assessment for client who is Jewish and observes kosher dietary practices.Which of the following behaviors should the nurse expect to find?a)Leavened bread maybe eaten during Passover.b)Shellfish is commonly consumed in the diet.c)Meat and dairy products are eaten separately.d)Fasting from meat occurs during Hanukkah.52) ?53) A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of thefollowing interventions are appropriate? Select all that applya)Apply direct pressure to bleeding woundsb)Clean rest last rations and abrasions with hydrogen peroxidec)Cover wounds with a sterile dressingd)Administer 650 mg aspirin PO as needed for paine)Determine date of last tetanus toxoid vaccination.54) The nurses reviewing clients admission laboratory results. Which of the findings required furtherevaluation?a)Sodium 138b)Creatinine 1.8c)Hemoglobin 15d)Potassium 4.255) A nurse is providing teaching for a client has a new prescription formethadone. Which of the phonefollowing client statements indicates need for further teaching?a)I understand the methadone tends to slow my breathingb)I understand the methadone may cause me to have difficulty sleepingc)I will avoid alcohol while I’m taking this medicationd)I’ll change positions gradually especially from lying down to standing
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