Ultimate ATI PN Exit Exam Prep & Practice
S
A nurse is assisting with the plan of care for a client The nurse should irrigate the bladder using strict sterile technique and maintain
following a closed catheter drainage system to minimize the rick of infection.
transurethral resection of the prostate. Which of the
following interventions should the nurse include in the
plan of care?
A nurse is reviewing a client's electronic medical record check the clients temp
and finds that an assistive per sonnel recorder the client's
temperature as 35.3 degrees Celsius (95.5 degrees F) 2
hrs earlier. Which of the following actions should the
nurse take firsT?
A nurse is receiving change-of- A client whose urinary output was 100mL for the past 12 hrs
shift report for four clients. Which of the following clients
should the nurse see first?
A nurse in reinforcing teaching about weight loss with a keep fat intake to no more that 30% of daily caloric intake.
female older adult client who is overweight. Which of the
following statements should the nurse include in
teaching?
A nurse is collecting data from a client who has iron difficulty concentrating
deficiency anemia. Which of the following findings should
the nurse expect?
A Nurse is collecting data from an older adult client who The client has absent bowel sounds
is 48 hr postoperative following abdominal surgery. The
provider writes a prescription to advance the client to a
re gular Diet. For which of the following findings should
the nurse notify the provider?
,A parent brings her adolescent son to an urgent care Methamphetamines
center and states. "He is high on something and needs
help" The client is
exhibiting agitation and paranoia and reports visual
hallucinations. The nurse should suspect intoxication with
which of the following substances?
A nurse notices an assistive personnel taking a nap in the Report the observations about the ap to the unit's nurse manager.
break room during he meal t ime. The AP appears drowsy
while performing routine tasks. Which of the following a
ctions should the nurse take?
A nurse is reinforcing teaching with a client who has a cherry tomatoes
fluid volume deficit about selec ting foods that have a
high water content. The nurse should include that which
of the following raw foods contains the highest amount of
water per 1 cup serving?
The nurse is position a client who is scheduled for a lateral recumbent
lumbar puncture. The nurse should assist the client into
which of the following positions?
A nurse is talking with a client whose son died in a motor- Grieving for your son is hard work. It will take as much time as you need to come
vehicle crash 2 weeks ago. The client states "I really to terms with your loss.
thought I'd be back to my usual routines by now, but I
can't think of anythingelse except my son is gone" Which
of the following responses should the nurse make?
A nurse is assisting with monitoring a client who is at 40 Place the client in the lateral position.
weeks of gestation and is in active labor. The nurse
recognizes late deceleration on the fetal monitor tracing.
Whichof the following actions should the nurse take?
A nurse manager is providing an in- Remove rings when washing hands with soap and water
service on hand hygiene to assistive personnel. which of
the following information should the nurse manager
include in the in-service?
A nurse is reinforcing home safety instructions with the Place your baby's crib away from heat vents.
parent of a newborn. Which of the following statements
should the nurse include in the instructions?
A nurse is preparing to administer a client's morning Scan the facility identification board.
medications.
Which of the follow ing actions should the nurse take to
verify the client's identity?
A nurse is caring for a client following a bronchoscopy check for a gag reflex
procedure. Which of the following actions should the
nurse perform first?
, While administering a medication to a client, a nurse Remove the device from the client's room.
notices a trayed electrical cord connecting the client's
continuous passive motion machine to the electrical
outlet. Which of the following actions should the nurse
take?
A nurse is caring for a client who is 4 hr postoperative Tingling of fingers
following a total thyroidectomy. Which of the following
manifestations should the nurse report to the provider as
indicating possible hypocalcemia?
A nurse is caring for a client who has a Penrose drain. To The safety pin is present at the distal end of the drain.
ensure proper placement an d functioning of the drain,
which of the following should the nurse expect to
observe?
A community health nurse is helping to reinforce teaching Poor lighting in the learning setting
about hepatitis A with a group of employees at a
childcare facility.
Which of the following characteristics should t he nurse
identify as an external factor that can impede learning for
the participants?
A nurse is observing newly licensed nurse who is hydrogen peroxide
providing tracheostomy care for a client. The nurse
identifies proper performance of the procedure when
the newly licensed nurse selects which of the following
solutions to clean the inner cannula?
A nurse is caring for a client who has right sided heart "It is difficult to see someone so sick. Whathave you been told about your
failure. The client's partner exp resses concern the the partner's prognosis?"
client will die. Which of the following responses should
the nurse make?
A nurse in a long-term care facility is assisting with an in- Informing a client the nurse is going to administer an injection even though the
service for newly hired assistive personnel about legal client refuses.
issues within the facility. Which of the following should
the nurse include as an example of assault?
A nurse is collecting data from who is severe pain. Which "Where is your pain located?"
of the tollowing questions should the nurse ask first?
A nurse is reviewing the laboratory results for a client Platelet count 95,000 mm3
who is at
29 weeks gestation. For which of the following results
should the nurse notify the provider?
A nurse is performing a dressing change for a client who Cover the exposed area with sterile, saline-soaked dressings.
had abdominal surgery 5 day s ago. The nurse notes
organs protruding from the incision. Which of the
following act ions should the nurse take?