ATI PN Comprehensive Final Exam 2025
Topics Including Medical-Surgical
Nursing, Pharmacology, Maternal-
Newborn Care, And Pediatrics
A nurse at a long-term care facility hears an assistive personnel
(AP) talking with an older adult client who has dementia with
periods of confusion. Which of the following statements should
indicate that the AP requires further teaching?
"We will be serving breakfast in 10 minutes. I will stay here while
you get ready."
"It's Monday morning. I know that your favorite television shows
are on this evening."
"I see that you have a new photo on the wall. Can you tell me who
that girl is?"
"YIt's almost time for your appointment. Let me do your hair for
you and brush your teeth." ......answer....."YIt's almost time for
your appointment. Let me do your hair for you and brush your
teeth."
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A nurse in the emergency department is caring for a client who
reports pain in her left leg following a motor-vehicle crash. The
nurse notes that her left leg has bruising, swelling, and
displacement of the bones. Which of the following actions should
the nurse take first?
Obtain an x-ray of the injured leg.
Apply ice packs to the affected area.
Check neurovascular status distal to the injury.
Elevate the affected leg on two pillows. ......answer.....Check
neurovascular status distal to the injury.
The nurse should apply the safety and risk reduction
prioritysetting framework. This framework assigns priority to
the factor or situation posing the greatest safety risk to the
client. When there are several risks to client safety, the one
posing the greatest threat is the highest priority. The nurse
should use Maslow's Hierarchy of Needs, the ABC
prioritysetting framework, or nursing knowledge to identify
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which risk poses the greatest threat to the client. The greatest
risk to this client is impaired circulation to the limb from
trauma and the resulting edema; therefore, the first action is
to check the circulation, sensation, and movement distal to
the level of the injury. If the nurse notes a weak or absent
pulse distal to the injury, the limb's circulation is
compromised, and immediate action is critical.
A nurse is providing preoperative teaching for a client who will
undergo laser-assisted in situ keratomileusis (LASIK) surgery.
Which of the following information should the nurse include?
"You might need glasses after the surgery."
"You may drive home after the procedure."
"Continue to wear your contact lenses until the day of the surgery."
"Expect complete healing and clear vision in about a week."
......answer....."You might need glasses after the surgery."
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LASIK is a type of refractive laser eye surgery
ophthalmologists perform to correct myopia, hyperopia, and
astigmatism, which are common causes of nearsightedness.
However, overcorrection or undercorrection of refractive
errors is possible, so some clients will need prescription
eyeglasses despite having had LASIK surgery.
A nurse is caring for a group of clients in a long-term facility. One
of the clients is walking in the hallway and bumping into walls and
does not respond to his name. which of the following actions
should the nurse take first?
Offer the client a nutritious snack.
Accompany the client back to his room.
Reorient the client to his surroundings.
Administer a PRN antianxiety medication.
......answer.....Accompany the client back to his room.