1
ATI RN MATERNAL PROCTORED RETAKE EXAM
1. Afterabronchoscopywithbiopsy,thenurseassessestheclient.T
henurseshouldreportwhichfindingtothe health care provider?
• laryngealstridor
2. Aclienthasapluralchesttubefollowingremovalofthelowerlobe
ofthelung.Twodaysaftersurgery,thetube is accidentally pulled out of the chest
wall. What should the nurse do first?
• Applyanocclusivedressingsuchaspetroleumjellygauze.
3. Theclientasksthenurse,―Whywon’tthehealthcareprovidertellme
exactlyhowmuchofmylegheisgoingto take off? Don’t you think I should know that?‖ On
which information should the nurse base the response?
• theadequacyofthebloodsupplytothetissues
4. Anunlicensedassistivepersonnel(UAP)tellsthenurse,―Ithinkth
eclientisconfused.Hekeepstellingmehe has to void, but that’s not possible because he
has a catheter in place that is draining well.‖ What should the nurse tell the UAP?
• "Theurgetovoidisusuallycreatedbythelargecatheter,andhe
maybehavingsomebladder spasms."
5. Whenassessingaclientwithadvancedchronicobstructivepul
monarydisease(COPD)whichareexpected findings?
• increasedanteroposteriorchestdiameter
6. Thenursehasplacedtheintubatedclientwithacuterespiratorydistr
esssyndrome(ARDS)inpronepositionfor 30 minutes. Which factors would require the
nurse to discontinue prone positioning and return the client to the supine position?
Select all that apply.
• TheSpO2andPO2havedecreased.
• Theclientistachycardicwithdropinblood pressure.
• Thefacehasincreasedskinbreakdownandedema.
,2
7. Thenurseisplanningcareforaclientwhohasjustreturnedtothem edical-
surgicalunitfollowingrepairofan aortic aneurysm. What is a priority assessment for
this client?
• decreasedurinaryoutput
8. Whichisthemostimportantinitialpostprocedurenursinga
ssessmentforaclientwhohashadacardiac catheterization?
• Observethepuncturesiteforswellingandbleeding.
9. Aclienthashadacerebrovascularaccident,whichhasaffectedt
heleftsideoftheclient’sbrain.Thenurse should assess the client for which
symptom?
• aphasia
10. Thenurseisinstructinganunlicensedassistivepersonnel(UAP)toco
llectaurinespecimenfromanindwelling catheter. Which statement indicates that the UAP
understands the instructions?
• ―I’llgetasterilesyringeandremoveurinefromthecathete
rthroughthecollectionporttoplacein the specimen container.‖
11. Aclientcomestothephysician'sofficeforafollow-
upvisit4weeksaftersufferingamyocardialinfarction(MI). The nurse takes this opportunity
toevaluate theclient's knowledgeoftheorderedcardiac
rehabilitation program. Which evaluation statement
suggests that the client needs more
instruction?
• "Clientwalks4miles(6.4kilometers)in1houreveryday."
12. Aclient undergoes a craniotomy with supratentorial surgery to remove a brain tumor.
On the first postoperative
,3
day,thenursenotestheabsenceofaboneflapattheoperativesite.Hows
houldthenursepositiontheclient'she
, 4
ad?
• elevated30degrees
13. Afterdiagnosingaclientwithpulmonarytuberculosis,thephysiciantell
sfamilymembersthattheymustreceive
isoniazid(INH)asprophylaxisagainsttuberculosis.Theclient'sfamilya
sksthenursehowlongthedrugmustbe
tak
en. What is the usual duration of prophylactic isoniazid therapy?
• 6to12months
14. Thenurseisassistingaclientwithastrokewhohashomonymoushemi
anopia.Thenurseshouldunderstandthat the client will do which when eating?
• Eatfoodononlyhalfoftheplate.
15. Aclientisarousingfromacomaandkeepssaying,―Justst
opthepain.‖Thenurserespondsbasedonthe knowledge that the client’s first
response to pain will be to do what?
• Escapethesourceofpain.
16. Thenurseseesaclientwalkinginthehallwaywhobeginstohavease
izure.Whatshouldthenursedoinorderof priority from first to last? All options must be
used.
• Easetheclienttothefloor.
• Maintainapatentairway.
• Obtainvitalsigns.
• Recordtheseizureactivity observed.
17. Thenurseisteachingaclientwithmultiplesclerosisaboutprevention
ofurinarytractinfection(UTI)andrenal calculi. Which nutrition recommendations by the
nurse would be the most likely to reduce the risk of these conditions?
• Increasefluids(2500mL/day)andmaintainurineaciditybydri nkingcranberryjuice.
ATI RN MATERNAL PROCTORED RETAKE EXAM
1. Afterabronchoscopywithbiopsy,thenurseassessestheclient.T
henurseshouldreportwhichfindingtothe health care provider?
• laryngealstridor
2. Aclienthasapluralchesttubefollowingremovalofthelowerlobe
ofthelung.Twodaysaftersurgery,thetube is accidentally pulled out of the chest
wall. What should the nurse do first?
• Applyanocclusivedressingsuchaspetroleumjellygauze.
3. Theclientasksthenurse,―Whywon’tthehealthcareprovidertellme
exactlyhowmuchofmylegheisgoingto take off? Don’t you think I should know that?‖ On
which information should the nurse base the response?
• theadequacyofthebloodsupplytothetissues
4. Anunlicensedassistivepersonnel(UAP)tellsthenurse,―Ithinkth
eclientisconfused.Hekeepstellingmehe has to void, but that’s not possible because he
has a catheter in place that is draining well.‖ What should the nurse tell the UAP?
• "Theurgetovoidisusuallycreatedbythelargecatheter,andhe
maybehavingsomebladder spasms."
5. Whenassessingaclientwithadvancedchronicobstructivepul
monarydisease(COPD)whichareexpected findings?
• increasedanteroposteriorchestdiameter
6. Thenursehasplacedtheintubatedclientwithacuterespiratorydistr
esssyndrome(ARDS)inpronepositionfor 30 minutes. Which factors would require the
nurse to discontinue prone positioning and return the client to the supine position?
Select all that apply.
• TheSpO2andPO2havedecreased.
• Theclientistachycardicwithdropinblood pressure.
• Thefacehasincreasedskinbreakdownandedema.
,2
7. Thenurseisplanningcareforaclientwhohasjustreturnedtothem edical-
surgicalunitfollowingrepairofan aortic aneurysm. What is a priority assessment for
this client?
• decreasedurinaryoutput
8. Whichisthemostimportantinitialpostprocedurenursinga
ssessmentforaclientwhohashadacardiac catheterization?
• Observethepuncturesiteforswellingandbleeding.
9. Aclienthashadacerebrovascularaccident,whichhasaffectedt
heleftsideoftheclient’sbrain.Thenurse should assess the client for which
symptom?
• aphasia
10. Thenurseisinstructinganunlicensedassistivepersonnel(UAP)toco
llectaurinespecimenfromanindwelling catheter. Which statement indicates that the UAP
understands the instructions?
• ―I’llgetasterilesyringeandremoveurinefromthecathete
rthroughthecollectionporttoplacein the specimen container.‖
11. Aclientcomestothephysician'sofficeforafollow-
upvisit4weeksaftersufferingamyocardialinfarction(MI). The nurse takes this opportunity
toevaluate theclient's knowledgeoftheorderedcardiac
rehabilitation program. Which evaluation statement
suggests that the client needs more
instruction?
• "Clientwalks4miles(6.4kilometers)in1houreveryday."
12. Aclient undergoes a craniotomy with supratentorial surgery to remove a brain tumor.
On the first postoperative
,3
day,thenursenotestheabsenceofaboneflapattheoperativesite.Hows
houldthenursepositiontheclient'she
, 4
ad?
• elevated30degrees
13. Afterdiagnosingaclientwithpulmonarytuberculosis,thephysiciantell
sfamilymembersthattheymustreceive
isoniazid(INH)asprophylaxisagainsttuberculosis.Theclient'sfamilya
sksthenursehowlongthedrugmustbe
tak
en. What is the usual duration of prophylactic isoniazid therapy?
• 6to12months
14. Thenurseisassistingaclientwithastrokewhohashomonymoushemi
anopia.Thenurseshouldunderstandthat the client will do which when eating?
• Eatfoodononlyhalfoftheplate.
15. Aclientisarousingfromacomaandkeepssaying,―Justst
opthepain.‖Thenurserespondsbasedonthe knowledge that the client’s first
response to pain will be to do what?
• Escapethesourceofpain.
16. Thenurseseesaclientwalkinginthehallwaywhobeginstohavease
izure.Whatshouldthenursedoinorderof priority from first to last? All options must be
used.
• Easetheclienttothefloor.
• Maintainapatentairway.
• Obtainvitalsigns.
• Recordtheseizureactivity observed.
17. Thenurseisteachingaclientwithmultiplesclerosisaboutprevention
ofurinarytractinfection(UTI)andrenal calculi. Which nutrition recommendations by the
nurse would be the most likely to reduce the risk of these conditions?
• Increasefluids(2500mL/day)andmaintainurineaciditybydri nkingcranberryjuice.
