ATI PN Comprehensive 2017 Proctored

1. A nurse is caring for a client who has a recent diagnosis of a

terminal illness. The nurse shouldidentify which of the

following as an indication of hopelessness?

• The client wants to talk about the diagnosis withnursing

staff

• The client has a decreased energy level

• The client makes funeral arrangements

• The client requests a second opinion

2. A nurse is preparing to collect data on a preschooler. Which of

the following behaviors by thechild indicates that he is ready to

cooperate? (Select all that apply)

• Allows the nurse to touch him on the arm

• Plays with toys in the examination room

• Answers questions asked by the nurse

• Makes eye contact with the nurse

• Sits on his parent’s lap when the nurse enters the room

3. A nurse on a mental health unit is planning care

for a group of clients. Which of the following

clients should thenurse see first?

• A client who has bipolar disorder and is displayingflights of

ideas

• A client who has ADHD and has an inability to

concentrate

• A client who has schizophrenia and is having command

hallucinations

• A client who has depressive disorder and iswithdrawn

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4. A nurse is caring for a client who recently gave birth to her first child.

The newborn is crying and the clientstates, “ I can’t seem to do

anything right. Whatshould I do?” Which of the following responses

shouldthe nurse make?

• “I’ll take him back to the nursery, so you can get some rest.”

• “Babies need to cry soon after they are born todevelop their

lungs.”

• “Let me show you how to swaddle and cuddle him, then you

try.”

• “If I turn him on his side, maybe he’ll go back tosleep.”

5. A nurse is using a glucometer to measure a client’scapillary

blood glucose level, Which of the following actions should the

nurse take?

• Test the first drop of blood that forms after thepuncture

• Wear sterile gloves

• Keep the finger in a dependent position

• Select the central tip of the finger

6. A nurse is reviewing the home medications of a client who

recently had transient ischemic attacks and is to begin taking

clopidogrel. The nurse shouldinstruct the client that which of

the following over- the-counter medications interacts adversely

with clopidogrel?

• Docusate sodium

• Ranitidine

• Vitamin D3

• Naproxen

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7. A nurse is collecting data from a client who has a long leg cast

that was applied 2 days ago. The client’s foot is pale with a weak

pedal pulse, and theclient reports foot numbness. Which of the

followingactions should the nurse plan to take first?

• Administer opioid pain medication

• Apply an ice pack to the affected extremity

• Check for pain with passive movement of the affected

extremity

• Elevate the affected extremity with several pillows

8. A nurse in a provider’s office is reinforcing teaching about

cigarette smoking with a client. Which of the following adverse

effects should the nurse include in the teaching?

• Decreased hemoglobin

• Somnolence

• Bradycardia

• Decreased blood pressure

9. A nurse is contributing to the development of aninservice program for mental health nursing staff. The

nurse should include that the staff can medicate a client

against his will, without acourt hearing, in which of the

following situations?

• A client who has a serious mental illness

• A client who is having difficulty making decisionsabout his

treatment

• A client for whom the benefits of the medicationoutweigh

the risks

• A client who is attempting to hurt himself or others

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10. A nurse is reinforcing teaching with a client who hasa new

prescription for digoxin. Which of the following instructions

should the nurse include in the teaching?

• “Monitor for muscle weakness while taking the medication.”

• “Rotate injection sites when administering the

medication.”

• “Withhold the medication if your pulserate is

above 100 beats per minute.”

• “Increase your intake of dietary fiber to increase

absorption.”

11. A charge nurse is discussing confidentiality requirements with a

newly licensed nurse when sharing a client’s medical information.

Which of the following individuals should the charge nurse

identifyas appropriate with whom to share client information?

• A nurse from another unit after a client commitssuicide

• A social worker who is assigned to an involuntary

committed school-age client

• A client’s partner after the client reports intimatepartner

abuse

• A client’s employer who is concerned about safetydue to

substance use

12. A nurse is reviewing laboratory values for a clientwho is at

34 weeks of gestation. Which of the following findings

should the nurse report to theprovider?

• Hgb 13.2 g/dL

• Urine protein 3 plu

• Fasting blood glucose 72 mg/dL

• BUN 15 mg/dL

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