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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