PN Comprehensive exit review

1. A nurse is caring for a group of clients, which of the following can be assigned to an

assistive personnel?

a. collecting a stool speciment ot test for occult blood.

2. A nurse is working on a unit for clients with dementia. Which of the following client

situations requires the nurse to write an incident report?

c. A client is found lying on the floor next to a chair.

3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The

client is independent and lives alone. Which of the following should be included in the discharge

plan?

c. refer the client to a diabetic support group.

4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60

mg/dL. For which of the following findings should the nurse monirtor?

a. Clammy Skin

5. A female client who is an abusive marriage has discusses with the nurse strategies to prevent this

abuse. which of the following client statements indicate an understanding of an appropriate

strategy?

a. "I need to recognize the signs that my husband is becoming abusive."

c. "I need to identify what triggers my husband's anger to prevent his abuse."

6. A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The

nurse observes that the assistive personnel (AP) has no documented the client's blood glucose

level. Which of the following actions should the charge nurse take first?

d. Determine if the AP has completed the assignment.

7. A client is scheduled for an outpatient colonoscopy. which of the following actions is a

nursing responsibility in the informed consent process?

a. Verify that there is a signed and witnesses consent form in the client's chart.

8. A nurse smells alcohol on the breath of an assistive peronnel (AP) during report. Which of

the following actions should the nurse take?

c. Report the situation to the nursemanager.

9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients

is an appropriate assignment for the nurse to accept?

b. A client who had a cesarean delivery 24hr ago.

PN ATI exit review

10. A nurse in a provider's office is collecting data from a parent of an infant who is being screened

for cyctic fibrosis. Which of the following supports a diagnosis of cystic fibrosis?

a. Frothy stools.

11. When caring for an assigned group of clients, the nurse should wear gloves when

a. performing oral hygiene.

12. A nurse is preparing a client forsurgery. The client tellsthe nurse that he is concerned about the

safety of a large sum of money in his wallet. Which of the following actions is appropriate for the

nurse to take?

b. contact security personnel to place the money in the facility safe.

13. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate

route of administration?

d. Subcutaneously.

14. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse

should instruct the parents to place the car seat in a

c. Rear-facing position in the back seat.

15. A nurse is caring for a client and recognizes the client's rights to confidentiality have been

breached in which of the following situations?

a. A hospital risk manager includes information from a client's medical record in

16. A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When

monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the

following actions should the nurse take?

c. Notify the charge nurse of the finding.

17. A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the

following findings indicates that the newborn is experiencing pain?

a. Awakens every 3 hours

b. Furrowed Brow

c. Oxygen Saturation of 95%

d. Positive babinski reflex.

PN ATI exit review

18. A nurse is reinforcing teaching with a client about organ donation. Which of the following

client statements indicated a need for further teaching?

c. "My doctor should decide if my organs will be donated."

19. A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want

to take this medication because it makes me tired all the time." Which of the following is the

appropriate response?

c. "Let's talk with your doctor about other options."

20. A nurse is preparing to administer an IM injection to a client. To reduce the risk of neddlestick

injury, the nurse should