ATI PN Comprehensive Exit Exam
1. 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?: The nurse should irrigate the bladder using
strict sterile technique and maintain closed catheter drainage system to minimize the rick
of infection.
2. 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?:
check the clients temp
3. A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first?: A
client whose urinary output was 100mL for the past 12 hrs
4. 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?: keep fat intake to no more that 30% of daily caloric intake.
5. A nurse is collecting data from a client who has iron deficiency anemia. Which of
the following findings should the nurse expect?: difficulty concentrating
6. 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?: The client has absent bowel sounds
7. 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?: Methamphetamines
,8. 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?: Report the observations about the ap to the
unit's nurse manager.
9. 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?: cherry
tomatoes
10. 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?: lateral recumbent
11. 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?: Grieving for your son is hard work. It will
take as much time as you need to come to terms with your loss.
12. 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?: Place the client in the lateral
position.
13. 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?: Remove rings when washing hands with
soap and water
, 14. 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?: Place your
baby's crib away from heat vents.
15. 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?: Scan
the facility identification board.
16. A nurse is caring for a client following a bronchoscopy procedure. Which of the
following actions should the nurse perform first?: check for a gag reflex
17. 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?: Remove the device from the
client's room.
18. 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?: Tingling of fingers
19 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?: The safety pin is present at the distal end of the drain.
20. A community health nurse is helping to reinforce teaching about hepatitis A with a
group of employees at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that
can impede learning for the participants?: Poor lighting in the learning setting
21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly
1. 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?: The nurse should irrigate the bladder using
strict sterile technique and maintain closed catheter drainage system to minimize the rick
of infection.
2. 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?:
check the clients temp
3. A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first?: A
client whose urinary output was 100mL for the past 12 hrs
4. 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?: keep fat intake to no more that 30% of daily caloric intake.
5. A nurse is collecting data from a client who has iron deficiency anemia. Which of
the following findings should the nurse expect?: difficulty concentrating
6. 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?: The client has absent bowel sounds
7. 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?: Methamphetamines
,8. 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?: Report the observations about the ap to the
unit's nurse manager.
9. 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?: cherry
tomatoes
10. 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?: lateral recumbent
11. 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?: Grieving for your son is hard work. It will
take as much time as you need to come to terms with your loss.
12. 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?: Place the client in the lateral
position.
13. 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?: Remove rings when washing hands with
soap and water
, 14. 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?: Place your
baby's crib away from heat vents.
15. 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?: Scan
the facility identification board.
16. A nurse is caring for a client following a bronchoscopy procedure. Which of the
following actions should the nurse perform first?: check for a gag reflex
17. 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?: Remove the device from the
client's room.
18. 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?: Tingling of fingers
19 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?: The safety pin is present at the distal end of the drain.
20. A community health nurse is helping to reinforce teaching about hepatitis A with a
group of employees at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that
can impede learning for the participants?: Poor lighting in the learning setting
21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly
