ATI PN Comprehensive Exit Exam with 180 NGN
Questions and Revised Correct Answers & Rationales
() 100% Guarantee Pass
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should
the nurse include in the plan of care? - ANSWER The nurse should irrigate the
bladder using strict sterile technique and maintain closed catheter drainage system
to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record 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? -
ANSWER check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? -
ANSWER A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who
is overweight. Which of the following statements should the nurse include in
teaching? - ANSWER keep fat intake to no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSWER difficulty concentrating
A Nurse is collecting data from an older adult client who 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? - ANSWER The client has absent bowel sounds
A parent brings her adolescent son to an urgent care 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? - ANSWER
Methamphetamines
A nurse notices an assistive personnel taking a nap in the 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? - ANSWER Report the observations
about the ap to the unit's nurse manager.
A nurse is reinforcing teaching with a client who has a 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? -
ANSWER cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse
should assist the client into which of the following positions? - ANSWER lateral
recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks
ago. The client states "I really 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? - ANSWER Grieving for your son is hard work. It will take
as much time as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 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? - ANSWER Place the client in
the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information
should the nurse manager include in the in-service? - ANSWER Remove rings
when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which
of the following statements should the nurse include in the instructions? - ANSWER
Place your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? -
ANSWER Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the
following actions should the nurse perform first? - ANSWER check for a gag reflex
While administering a medication to a client, a nurse 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? - ANSWER Remove the
device from the client's room.
A nurse is caring for a client who is 4 hr postoperative following a total
thyroidectomy. Which of the following manifestations should the nurse report to the
provider as indicating possible hypocalcemia? - ANSWER Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement
an d functioning of the drain, which of the following should the nurse expect to
observe? - ANSWER The safety pin is present at the distal end of the drain.
A community health nurse is helping to reinforce teaching about hepatitis A with a
group of employees at a childcare facility.
Questions and Revised Correct Answers & Rationales
() 100% Guarantee Pass
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should
the nurse include in the plan of care? - ANSWER The nurse should irrigate the
bladder using strict sterile technique and maintain closed catheter drainage system
to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record 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? -
ANSWER check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? -
ANSWER A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who
is overweight. Which of the following statements should the nurse include in
teaching? - ANSWER keep fat intake to no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSWER difficulty concentrating
A Nurse is collecting data from an older adult client who 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? - ANSWER The client has absent bowel sounds
A parent brings her adolescent son to an urgent care 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? - ANSWER
Methamphetamines
A nurse notices an assistive personnel taking a nap in the 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? - ANSWER Report the observations
about the ap to the unit's nurse manager.
A nurse is reinforcing teaching with a client who has a 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? -
ANSWER cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse
should assist the client into which of the following positions? - ANSWER lateral
recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks
ago. The client states "I really 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? - ANSWER Grieving for your son is hard work. It will take
as much time as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 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? - ANSWER Place the client in
the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information
should the nurse manager include in the in-service? - ANSWER Remove rings
when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which
of the following statements should the nurse include in the instructions? - ANSWER
Place your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? -
ANSWER Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the
following actions should the nurse perform first? - ANSWER check for a gag reflex
While administering a medication to a client, a nurse 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? - ANSWER Remove the
device from the client's room.
A nurse is caring for a client who is 4 hr postoperative following a total
thyroidectomy. Which of the following manifestations should the nurse report to the
provider as indicating possible hypocalcemia? - ANSWER Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement
an d functioning of the drain, which of the following should the nurse expect to
observe? - ANSWER The safety pin is present at the distal end of the drain.
A community health nurse is helping to reinforce teaching about hepatitis A with a
group of employees at a childcare facility.
