ATI PN COMPREHENSIVE EXIT EXAM QUESTIONS AND ANSWERS

ATI PN COMPREHENSIVE EXIT
EXAM QUESTIONS AND ANSWERS
A4nurse4is4assisting4with4the4plan4of4care4for4a4client4following4a
transurethral4resection4of4the4prostate.4Which4of4the4following4interventions4should4th
e4nurse4include4in4the4plan4of4care?4-4ANSWERS--
The4nurse4should4irrigate4the4bladder4using4strict4sterile4technique4and4maintain4close
d4catheter4drainage4system4to4minimize4the4rick4of4infection.

A4nurse4is4reviewing4a4client's4electronic4medical4record4and4finds4that4an4assistive4p
er4sonnel4recorder4the4client's4temperature4as435.34degrees4Celsius4(95.54degrees4F)
424hrs4earlier.4Which4of4the4following4actions4should4the4nurse4take4firsT?4-

4ANSWERS--check4the4clients4temp



A4nurse4is4receiving4change-of-
shift4report4for4four4clients.4Which4of4the4following4clients4should4the4nurse4see4first?4-
4ANSWERS--A4client4whose4urinary4output4was4100mL4for4the4past4124hrs



A4nurse4in4reinforcing4teaching4about4weight4loss4with4a4female4older4adult4client4who
4is4overweight.4Which4of4the4following4statements4should4the4nurse4include4in4teachin

g?4-4ANSWERS--keep4fat4intake4to4no4more4that430%4of4daily4caloric4intake.

A4nurse4is4collecting4data4from4a4client4who4has4iron4deficiency4anemia.4Which4of4the4
following4findings4should4the4nurse4expect?4-4ANSWERS--difficulty4concentrating

A4Nurse4is4collecting4data4from4an4older4adult4client4who4is4484hr4postoperative4followi
ng4abdominal4surgery.4The4provider4writes4a4prescription4to4advance4the4client4to4a4re
4gular4Diet.4For4which4of4the4following4findings4should4the4nurse4notify4the4provider?4-

4ANSWERS--The4client4has4absent4bowel4sounds



A4parent4brings4her4adolescent4son4to4an4urgent4care4center4and4states.4"He4is4high4o
n4something4and4needs4help"4The4client4is
exhibiting4agitation4and4paranoia4and4reports4visual4hallucinations.4The4nurse4should4
suspect4intoxication4with4which4of4the4following4substances?4-4ANSWERS--
Methamphetamines

A4nurse4notices4an4assistive4personnel4taking4a4nap4in4the4break4room4during4he4mea
l4t4ime.4The4AP4appears4drowsy4while4performing4routine4tasks.4Which4of4the4followin
g4a4ctions4should4the4nurse4take?4-4ANSWERS--
Report4the4observations4about4the4ap4to4the4unit's4nurse4manager.

A4nurse4is4reinforcing4teaching4with4a4client4who4has4a4fluid4volume4deficit4about4sele
c4ting4foods4that4have4a4high4water4content.4The4nurse4should4include4that4which4of4th
e4following4raw4foods4contains4the4highest4amount4of4water4per414cup4serving?4-
4ANSWERS--cherry4tomatoes

, The4nurse4is4position4a4client4who4is4scheduled4for4a4lumbar4puncture.4The4nurse4sho
uld4assist4the4client4into4which4of4the4following4positions?4-4ANSWERS--
lateral4recumbent

A4nurse4is4talking4with4a4client4whose4son4died4in4a4motor-
4vehicle4crash424weeks4ago.4The4client4states4"I4really4thought4I'd4be4back4to4my4usual

4routines4by4now,4but4I4can't4think4of4anythingelse4except4my4son4is4gone"4Which4of4th

e4following4responses4should4the4nurse4make?4-4ANSWERS--
Grieving4for4your4son4is4hard4work.4It4will4take4as4much4time4as4you4need4to4come4to4t
erms4with4your4loss.

A4nurse4is4assisting4with4monitoring4a4client4who4is4at4404weeks4of4gestation4and4is4in4
active4labor.4The4nurse4recognizes4late4deceleration4on4the4fetal4monitor4tracing.4Whi
chof4the4following4actions4should4the4nurse4take?4-4ANSWERS--
Place4the4client4in4the4lateral4position.

A4nurse4manager4is4providing4an4in-
service4on4hand4hygiene4to4assistive4personnel.4which4of4the4following4information4sh
ould4the4nurse4manager4include4in4the4in-service?4-4ANSWERS--
Remove4rings4when4washing4hands4with4soap4and4water

A4nurse4is4reinforcing4home4safety4instructions4with4the4parent4of4a4newborn.4Which4o
f4the4following4statements4should4the4nurse4include4in4the4instructions?4-
4ANSWERS--Place4your4baby's4crib4away4from4heat4vents.



A4nurse4is4preparing4to4administer4a4client's4morning4medications.
Which4of4the4follow4ing4actions4should4the4nurse4take4to4verify4the4client's4identity?4-
4ANSWERS--Scan4the4facility4identification4board.



A4nurse4is4caring4for4a4client4following4a4bronchoscopy4procedure.4Which4of4the4follow
ing4actions4should4the4nurse4perform4first?4-4ANSWERS--check4for4a4gag4reflex

While4administering4a4medication4to4a4client,4a4nurse4notices4a4trayed4electrical4cord4
connecting4the4client's4continuous4passive4motion4machine4to4the4electrical4outlet.4W
hich4of4the4following4actions4should4the4nurse4take?4-4ANSWERS--
Remove4the4device4from4the4client's4room.

A4nurse4is4caring4for4a4client4who4is444hr4postoperative4following4a4total4thyroidectomy
.4Which4of4the4following4manifestations4should4the4nurse4report4to4the4provider4as4indi
cating4possible4hypocalcemia?4-4ANSWERS--Tingling4of4fingers

A4nurse4is4caring4for4a4client4who4has4a4Penrose4drain.4To4ensure4proper4placement4
an4d4functioning4of4the4drain,4which4of4the4following4should4the4nurse4expect4to4obser
ve?4-4ANSWERS--The4safety4pin4is4present4at4the4distal4end4of4the4drain.

A4community4health4nurse4is4helping4to4reinforce4teaching4about4hepatitis4A4with4a4gr
oup4of4employees4at4a4childcare4facility.
Which4of4the4following4characteristics4should4t4he4nurse4identify4as4an4external4factor4
that4can4impede4learning4for4the4participants?4-4ANSWERS--
Poor4lighting4in4the4learning4setting