ATI PN Comprehensive Exam 2017

Proctored

• 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 with

nursing staff

• The client has a decreased energy level

• The client makes funeral arrangements

• The client requests a second opinion

• 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 theroom

• 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

commandhallucinations

• A client who has depressive disorder and is

withdrawn

• 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. What should 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 youtry.”

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

sleep.”

• A nurse is using a glucometer to measure a client’s

capillary blood glucose level, Which of the following

actions should the nurse take?

• Test the first drop of blood that forms after the

puncture

• Wear sterile gloves

• Keep the finger in a dependent position

• Select the central tip of the finger

• 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

• 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

affectedextremity

• Elevate the affected extremity with several pillows

•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

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

nurse should include that the st

• aff 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 medication

outweigh the risks

• A client who is attempting to hurt himself or others

•A nurse is reinforcing teaching with a client who hasa new

prescription for digoxin. Which of thefollowing 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.”

•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 commits

suicide

• A social worker who is assigned to an

involuntarycommitted school-age client

• A client’s partner after the client reports intimate

partner abuse

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

substance use

•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 plus

• Fasting blood glucose 72 mg/dL

• BUN 15 mg/dL

•A nurse is collecting data from a client who is 4 hr

postoperative following a hemicolectomy. Whichof the

following findings is the nurse’s priority, requiring

immediate intervention?

• Pain rating of 9 on a scale from 0 to 10

• Blood pressure 160/90 mm Hg

• Oxygen saturation 89%

• Abdominal dressing with a moderate amount ofbright

red drainage

•A nurse in a provider’s office is collecting data froma client

who has a history of hypertension during his annual

physical examination. Which of the following findings

should the nurse report to the provider immediately?

• A 2 kg (4.4 lb) weight gain

• Blurred vision

• Potassium 3.6 mEq/L

• Resumption of cigarette smoking

•A nurse is caring for a client who suddenly developschest

pain and dyspnea. Which of the following actions should

the nurse take first?

• Place the client on bed rest

• Obtain the clients ABG levels

• Prepare the client for a ventilation-perfusion scan

• Elevate the head of the client’s bed

•A nurse is reinforcing teaching on a client who has

diabetes mellitus. Which of the following laboratory

tests is the most accurate of bloodglucose effective

management?

• Urine ketones

• Glucose tolerance test

• Glycosylated hemoglobin

• Fasting blood glucose

•A charge nurse on a mental health unit is supervisinga newly

licensed nurse. For which of the following actions by the

newly licensed nurse should the supervising nurse

intervene?

• Requests a client to assist with distributing lunchtrays

• Tells a client he will lose his phone

privileges ifhe does not take his

medication

• Encourages a client to participate in a recreational