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ATI PN Comprehensive Final Exam 2025/2026
Questions with 100% Detailed Answers
A nurse is caring for a client who spent the past several
minutes mumbling about being "doomed to die" and is
now pacing in an increasingly agitated and angry manner.
Which of the following actions should the nurse take first?
Administer PRN medication for agitation.
Attempt to reduce environmental stimuli.
Request a prescription for physical restraints.
Place the client in seclusion. - ANSWER-Attempt to
reduce environmental stimuli.
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The nurse should apply the least restrictive priority-setting
framework. This framework assigns priority to nursing
interventions that are least restrictive to the client, as long
as those interventions do not jeopardize the client's safety.
Least restrictive interventions promote the client's safety
without using restraints. The nurse should only use
physical or chemical restraints when the safety of the
client, staff, or others is at risk. Therefore, the nurse
should first attempt to calm the client by decreasing
environmental stimuli. The nurse should walk with the
client to a quiet area that places distance between him
and other clients and from objects he could use to hurt
himself or others. The nurse should ensure that the area is
visible to other staff members in case more restrictive
measures become necessary.
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A nurse on a pediatric mental health unit is caring for a
school-age child. Which of the following questions or
statements should the nurse make to foster rapport and
engage him in conversation? - ANSWER-"Tell me about
your favorite video game."
A community health nurse is planning care for four high-
risk newborns who were discharged yesterday. Which of
the following newborns should the nurse plan to care for
first?
A 1-week-old newborn who needs another
phenylketonuria screening test
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A 4-day-old newborn who has an elevated bilirubin level
and requires phototherapy
A 10-day-old newborn who is small for gestational age and
who requires daily weighing
A 2-week-old newborn who was born at 35 weeks of
gestation and weighed 2,268 g (5 lb) at discharge -
ANSWER-A 4-day-old newborn who has an elevated
bilirubin level and requires phototherapy.
An elevated bilirubin level can lead to kernicterus;
therefore, it is imperative for the nurse to initiate
phototherapy immediately to help prevent this dangerous
outcome.
ATI PN Comprehensive Final Exam 2025/2026
Questions with 100% Detailed Answers
A nurse is caring for a client who spent the past several
minutes mumbling about being "doomed to die" and is
now pacing in an increasingly agitated and angry manner.
Which of the following actions should the nurse take first?
Administer PRN medication for agitation.
Attempt to reduce environmental stimuli.
Request a prescription for physical restraints.
Place the client in seclusion. - ANSWER-Attempt to
reduce environmental stimuli.
,2|Page
The nurse should apply the least restrictive priority-setting
framework. This framework assigns priority to nursing
interventions that are least restrictive to the client, as long
as those interventions do not jeopardize the client's safety.
Least restrictive interventions promote the client's safety
without using restraints. The nurse should only use
physical or chemical restraints when the safety of the
client, staff, or others is at risk. Therefore, the nurse
should first attempt to calm the client by decreasing
environmental stimuli. The nurse should walk with the
client to a quiet area that places distance between him
and other clients and from objects he could use to hurt
himself or others. The nurse should ensure that the area is
visible to other staff members in case more restrictive
measures become necessary.
,3|Page
A nurse on a pediatric mental health unit is caring for a
school-age child. Which of the following questions or
statements should the nurse make to foster rapport and
engage him in conversation? - ANSWER-"Tell me about
your favorite video game."
A community health nurse is planning care for four high-
risk newborns who were discharged yesterday. Which of
the following newborns should the nurse plan to care for
first?
A 1-week-old newborn who needs another
phenylketonuria screening test
, 4|Page
A 4-day-old newborn who has an elevated bilirubin level
and requires phototherapy
A 10-day-old newborn who is small for gestational age and
who requires daily weighing
A 2-week-old newborn who was born at 35 weeks of
gestation and weighed 2,268 g (5 lb) at discharge -
ANSWER-A 4-day-old newborn who has an elevated
bilirubin level and requires phototherapy.
An elevated bilirubin level can lead to kernicterus;
therefore, it is imperative for the nurse to initiate
phototherapy immediately to help prevent this dangerous
outcome.
