ATI PN COMPREHENSIVE EXIT TEST BANK / PN EXIT
EXAM COMPREHENSIVE EXAM TEST BANK
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is supervising the staff providing care for an 18-month-old
hospitalized with hepatitis A. The nurse determines that the staff's care is
appropriate if which of the following is observed?
1. The child is placed in a private room.
2. The staff removes a toy from the child's bed and takes it to the nurse's station.
3. The staff offers the child french fries and a vanilla milkshake for a midafternoon
snack.
4. The staff uses standard precautions. - ANSWER-1
When using restraints for an agitated/aggressive patient, which of the
following statements should NOT influence the nurse's actions during this
intervention?
1. The restraints/seclusion policies set forth by the institution.
2. The patient's competence.
3. The patient's voluntary/involuntary status.
4. The patient's nursing care plan. - ANSWER-3
The nurse is caring for an 80-year-old client with Parkinson's disease.
Which of the following nursing goals is MOST realistic and appropriate in
planning care for this client?
1. Return the client to usual activities of daily living.
2. Maintain optimal function within the client's limitations.
3. Prepare the client for a peaceful and dignified death.
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4. Arrest progression of the disease process in the client. - ANSWER-2
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ANSWER-4
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of
the following is the BEST indication that the patient's nutritional status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - ANSWER-3
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves. - ANSWER-1
After abdominal surgery, a client has a nasogastric tube attached to low
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suctioning. The client becomes nauseated, and the nurse observes a
decrease in the flow of gastric secretions. Which of the following nursing
interventions would be MOST appropriate?
1. Irrigate the nasogastric tube with distilled water.
2. Aspirate the gastric contents with a syringe.
3. Administer an antiemetic medicine.
4. Insert a new nasogastric tube. - ANSWER-2
After sustaining a closed head injury and numerous lacerations and
abrasions to the face and neck, a five-year-old child is admitted to the
emergency room. The client is unconscious and has minimal response to
noxious stimuli. Which of the following assessments, if observed by the
nurse three hours after admission, should be reported to the physician?
1. The client has slight edema of the eyelids.
2. There is clear fluid draining from the client's right ear.
3. There is some bleeding from the child's lacerations.
4. The client withdraws in response to painful stimuli. - ANSWER-2
The nurse is caring for a manic client in the seclusion room, and it is
time for lunch. It is MOST appropriate for the nurse to take which of the
following actions?
1. Take the client to the dining room with 1:1 supervision.
2. Inform the client he may go to the dining room when he controls his behavior.
3. Hold the meal until the client is able to come out of seclusion.
4. Serve the meal to the client in the seclusion room. - ANSWER-4
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the following:
pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the
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following nursing actions is MOST appropriate?
1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANSWER-3
What type of infectious diseases are required to be reported to the health department? - ANSWER--
severe cases of Staphylococcus aureus infections including methicillin-resistant Staphylococcus aureus
(MRSA)
What is the process of taking a telephone order from a provider? - ANSWER-Patient name, drug, dose,
route, frequency
read back for accuracy
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
SATA
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
c) limit each visitor to 2 hr increments
d) wear a surgical mask when providing care
e) Use antimicrobial sanitizer for hand hygiene - ANSWER-A
B
E
A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of
the following information should the nurse include in the teaching?
a) Assign the client to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting - ANSWER-D
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