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,ATI PN EXIT EXAM RETAKE GUIDE Q&A
1. A nurse in a long-term care facility is assisting with an in-
service for newly hired assistive personnel about legal issues within the facility. Which
of the following should the nurse include as an example of assault?
ANS: Informing a client the nurse is going to administer an injection even
though the client refuses
.
2. A nurse is collecting data from who is severe pain. Which of the following questions s
should the nurse ask first?
ANS: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. F
or which of the following results should the nurse notify the provider?
ANS: Platelet count 95,000 mm3
4. A nurse is performing a dressing change for a client who 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?
ANS: Cover the exposed area with sterile, saline-soaked dressings.
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. T
he daughter states, "I love my dad, but caring for him is wearing me out." Which of th
e following response should the nurse make?
ANS: "Let's discuss how caring for your father is affecting your health.
6. A nurse is contributing to the plan of care for a care for a client who has chest tube
connected to a closed drainage system. Which of the following actions should the nurse
include in the plan of care?
ANS: Maintain the drainage system below the level of the client's chest.
7. A nurse in an acute mental health facility is caring for a client who has borderline
personality disorder and reports. "I am going to kill my girlfriend when I get out of
here." Which of the following actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
, 8. A nurse is admitting a client who is at high risk for suicide. Which of the following
actions is the nurse's priority?
ANS: Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate.
Which of the following actions should the nurse take to promote the client's venous
return?
ANS: Maintain the sequential compression device.
10. A nurse on an acute care unity is collecting data from a school-
age Child who has cystic fibrosis. Which of the following findings is the priority for th
e nurse?
ANS: Reports lack of appetite
11. a nurse working in a provider's office receives a phone call from the parent ofI a
school-age child who has varicella. The parent asked the nurse when the child can return to
sc hool. Which of the following responses should the nurse make?
ANS: "When the lesions have scabbed over."