ATI PN COMPREHENSIVE EXIT EXAM FORM B
{180 QUESTIONS AND ANSWERS}.
• A nurse in an emergency department completes an assessment on an adolescent
client that has conduct disorder. The client threatened suicide to teacher at
school. Which of the followingstatements should thenurse include in the
assessment?
• Tell me about your siblings
• Tell me what kind of music you like c) Tell
me how often do you drinkalcohol
d) Tell me about your school schedule
• *A nurse is observing bonding to the client her newborn. Which of following
actions by the clientrequiresthe nurse to intervene?
• Holding the newborn in an en face position
• Asking the father to change the newborn's diaper
• Requesting the nurse take the newborn nursery so shecan rest
• d) Viewing the newborn’s actions to be uncooperative
• A nurse is caring for client who is taking levothyroxin. Which of the following
findings shouldindicate thatthe medication is effective?
• Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
• Decreased blood pressure
• Absence of seizures
• Decrease inflammation
• A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which
instructions wouldyou include in the teaching?
• Contact provider if the cord still turns black (it’s going to turn black)
, • Clean the base of the cord with hydrogen peroxide daily (clean
with neutral pH cleanser)
• c) Keep the cord dry until it falls off (cord should be kept clean and
dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
• A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiacoutput?
• Shivering
• b) Oliguria
• Bradypnea
• Constricted pupils
• A nurse is assisting with mass casualty triage: explosion at a local
factory. Which of thefollowing clientshould the nurse identify as the
priority?
• A client that has massive head trauma
• A client has full thickness burns to face andtrunk
• c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity
• A nurse is a receiving report on four clients. Which of the following clients should
the nurse assess first?
• A client who has illeal conduit and mucus in the pouch
• Client pleasant arteriovenous additional vibration palpated
• A client whose chronic kidney disease with cloudy diasylate outflow
• A client was transurethral resection of the prostate with a red tinged urine in the
bag
,• A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursingintervention?
• Place’s cardiac monitoring
• Monitor the clients oxygen saturation level
• c) Provide standby assist with the client from bed
d) Encourage foods high in potassium
• A nurse is caring for a client who is in labor and his seat is receiving
electronic fetal monitoring. Thenurse is reviewing the monitor tracing and notes
early decelerations. Which thefollowing should the nurse expect?
• Feta hypoxia
• Abrupto placentae
• Post maturity
• Head Compression
• A nurse is caring for a client who has chronic kidney disease. The nurse
should identify which of thefollowing laboratory values as in an indication
for hemodialysis?
• glomerular filtration rate of 14 mL/ minute
• BUN 16 mg/DL
• serum magnesium 1.8 mg mg/dl
• Serum phosphorus 4.0 mg/dL
• A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. Thefollowing is anappropriate action for the nurse to take?
• Placed infant under radiant warmer
• Move the probe site every 3 hours
• Heat the skin one minute prior to placing the program
• Placed a sensor on the index finger
, • A nurse in a mental health facility receives a change of shift report on for
clients. Which of thefollowingclients should the nurse plan to assess first?
• Client placed in restraints to the aggressive behavior
• A new limited client pleasures history of 4.5 kg weight loss in the past two
months
• Client is receiving a PRN dose of health heard all two hours ago for increased
anxiety
• Applied he’ll be receiving his first ECT treatment today
• A nurse working at the clinic is teaching a group of clients who are pregnant on
the use of nonpharmacological pain management. Which of the following
statements by the nurse isan appropriatedescription of the use of hypnosis
during labor?
• Hypnosis focuses on the biofeedback as a relaxation technique
• Hypnosis promotes increased control of her pain perception during contractions
• Hypnosis uses therapeutic touch to reduce anxiety during labor
• Hypnosis provides instruction to minimize pain
• A nurse in a County Jail health clinic is leading group therapy session. A client
who was incarcerated for theft is addressing the group. Which of the following is
an example of reactionformation? (rxn formationis when you use opposite
feelings; ex: being super nice to someone you dislike)
• I steal things because it’s the only way I can keep my mind off my bad marriage
• I can’t believe I was accused of something I didn’t do
• I don’t want talk about my feelings right now. We will talk more next time
• I think that people just you’re just lazy and should earn money
honestly
• A nurse is obtaining the medical history of a client who has a new prescription
for isosorbidemonotitrate.Which of the following should the nurse identify as
a contraindication to medication?
• Glaucoma
• Hypertension
{180 QUESTIONS AND ANSWERS}.
• A nurse in an emergency department completes an assessment on an adolescent
client that has conduct disorder. The client threatened suicide to teacher at
school. Which of the followingstatements should thenurse include in the
assessment?
• Tell me about your siblings
• Tell me what kind of music you like c) Tell
me how often do you drinkalcohol
d) Tell me about your school schedule
• *A nurse is observing bonding to the client her newborn. Which of following
actions by the clientrequiresthe nurse to intervene?
• Holding the newborn in an en face position
• Asking the father to change the newborn's diaper
• Requesting the nurse take the newborn nursery so shecan rest
• d) Viewing the newborn’s actions to be uncooperative
• A nurse is caring for client who is taking levothyroxin. Which of the following
findings shouldindicate thatthe medication is effective?
• Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
• Decreased blood pressure
• Absence of seizures
• Decrease inflammation
• A nurse is planning discharge teaching for cord care for the parent of a newborn.
Which
instructions wouldyou include in the teaching?
• Contact provider if the cord still turns black (it’s going to turn black)
, • Clean the base of the cord with hydrogen peroxide daily (clean
with neutral pH cleanser)
• c) Keep the cord dry until it falls off (cord should be kept clean and
dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
• A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiacoutput?
• Shivering
• b) Oliguria
• Bradypnea
• Constricted pupils
• A nurse is assisting with mass casualty triage: explosion at a local
factory. Which of thefollowing clientshould the nurse identify as the
priority?
• A client that has massive head trauma
• A client has full thickness burns to face andtrunk
• c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity
• A nurse is a receiving report on four clients. Which of the following clients should
the nurse assess first?
• A client who has illeal conduit and mucus in the pouch
• Client pleasant arteriovenous additional vibration palpated
• A client whose chronic kidney disease with cloudy diasylate outflow
• A client was transurethral resection of the prostate with a red tinged urine in the
bag
,• A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursingintervention?
• Place’s cardiac monitoring
• Monitor the clients oxygen saturation level
• c) Provide standby assist with the client from bed
d) Encourage foods high in potassium
• A nurse is caring for a client who is in labor and his seat is receiving
electronic fetal monitoring. Thenurse is reviewing the monitor tracing and notes
early decelerations. Which thefollowing should the nurse expect?
• Feta hypoxia
• Abrupto placentae
• Post maturity
• Head Compression
• A nurse is caring for a client who has chronic kidney disease. The nurse
should identify which of thefollowing laboratory values as in an indication
for hemodialysis?
• glomerular filtration rate of 14 mL/ minute
• BUN 16 mg/DL
• serum magnesium 1.8 mg mg/dl
• Serum phosphorus 4.0 mg/dL
• A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. Thefollowing is anappropriate action for the nurse to take?
• Placed infant under radiant warmer
• Move the probe site every 3 hours
• Heat the skin one minute prior to placing the program
• Placed a sensor on the index finger
, • A nurse in a mental health facility receives a change of shift report on for
clients. Which of thefollowingclients should the nurse plan to assess first?
• Client placed in restraints to the aggressive behavior
• A new limited client pleasures history of 4.5 kg weight loss in the past two
months
• Client is receiving a PRN dose of health heard all two hours ago for increased
anxiety
• Applied he’ll be receiving his first ECT treatment today
• A nurse working at the clinic is teaching a group of clients who are pregnant on
the use of nonpharmacological pain management. Which of the following
statements by the nurse isan appropriatedescription of the use of hypnosis
during labor?
• Hypnosis focuses on the biofeedback as a relaxation technique
• Hypnosis promotes increased control of her pain perception during contractions
• Hypnosis uses therapeutic touch to reduce anxiety during labor
• Hypnosis provides instruction to minimize pain
• A nurse in a County Jail health clinic is leading group therapy session. A client
who was incarcerated for theft is addressing the group. Which of the following is
an example of reactionformation? (rxn formationis when you use opposite
feelings; ex: being super nice to someone you dislike)
• I steal things because it’s the only way I can keep my mind off my bad marriage
• I can’t believe I was accused of something I didn’t do
• I don’t want talk about my feelings right now. We will talk more next time
• I think that people just you’re just lazy and should earn money
honestly
• A nurse is obtaining the medical history of a client who has a new prescription
for isosorbidemonotitrate.Which of the following should the nurse identify as
a contraindication to medication?
• Glaucoma
• Hypertension
