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withdrawn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
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