ATI PN Comprehensive Exit Review Exam Study Guide.180 Questions with Answers (100%correct)
1. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel?
2. A nurse is wo
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ATI PN Comprehensive Exit Review Exam Study Guide.180 Questions with Answers (100%correct)
1. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel?
2. A nurse is working on a unit for clients with dementia. Which of the following client situations requires the nurse to write an incident report?
c. A client is found lying on the floor next to a chair.
3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent and lives alone. Which of the following should be included in the discharge plan?
c. refer the client to a diabetic support group.
4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For which of the following findings should the nurse monirtor?
a. Clammy Skin
5. A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse. which of the following client statements indicate an understanding of an appropriate strategy?
a. "I need to recognize the signs that my husband is becoming abusive."
c. "I need to identify what triggers my husband's anger to prevent his abuse."
6. A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistive personnel (AP) has no documented the client's blood glucose level. Which of the following actions should the charge nurse take first?
d. Determine if the AP has completed the assignment.
7. A client is scheduled for an outpatient colonoscopy. which of the following actions is a nursing responsibility in the informed consent process?
a. Verify that there is a signed and witnesses consent form in the client's chart.
8. A nurse smells alcohol on the breath of an assistive peronnel (AP) during report. Which of the following actions should the nurse take?
c. Report the situation to the nurse manager.
9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept?
b. A client who had a cesarean delivery 24hr ago.
10. A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cyctic fibrosis. Which of the following supports a diagnosis of cystic fibrosis?
a. Frothy stools.
11. When caring for an assigned group of clients, the nurse should wear gloves when
a. performing oral hygiene.
12. A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take?
b. contact security personnel to place the money in the facility safe.
13. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of administration?
d. Subcutaneously.
14. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should instruct the parents to place the car seat in a
c. Rear-facing position in the back seat.
15. A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in which of the following situations?
a. A hospital risk manager includes information from a client's medical record in
16. A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the following actions should the nurse take?
c. Notify the charge nurse of the finding.
17. A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the following findings indicates that the newborn is experiencing pain?
a. Awakens every 3 hours
b. Furrowed Brow
c. Oxygen Saturation of 95%
d. Positive babinski reflex.
18. A nurse is reinforcing teaching with a client about organ donation. Which of the following client statements indicated a need for further teaching?
c. "My doctor should decide if my organs will be donated."
19. A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want to take this medication because it makes me tired all the time." Which of the following is the appropriate response?
c. "Let's talk with your doctor about other options."
20. A nurse is preparing to administer an IM injection to a client. To reduce the risk of neddlestick injury, the nurse should
b. dispose of the used needle immediately in a puncture-proof sharps container.
21. A nurse is contributing to the discharge plan for a client following surgery. Which of the following findings indicate the need for an interdisciplinary care conference?
d. The client requires assistance to pay for dressing supplies.
22. A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and cough. Which of the following actions should the nurse take first?
c. Elevate the head of the client's bed.
23. A nurse is caring for a 17-year old client who is admitted for an emergency appendectomy. Which of the followign is an appropriate action by the nurse in obtaining informed consent?
a. Obtain verbal consent from the client while waiting for the parents to arrive.
b. Witness the signature of the client's parent when he arrives.
c. Have the client's older sibling give consent if a parent is not available.
d. Delay the procedure if the provider cannot contact the parents.
24. A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten her password and needs to leave. Which of the following actions should the nurse take?
a. Tell the AP to contact the IT department for charting assistance.
25. A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent dumping syndrome, which of the following foods should the nurse instruct the client to avoid?
a. Ice Cream
26. A nurse is caring for a client admitted with shortness of breath who will be undergoing arterial blood gas testing. Which of the following client statements indicated an understanding of the purpose of drawing arterial blood gases?
d. "This will indicate how much acid is building up in my blood."
27. A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of the following client care situations should the nurse manager intervene?
a.
28. A nurse is collecting data from a client who reports recent weight loss and a Chronic cough that is now producing blood-streaked sputum. For which of the following should the nurse expect the client to have diagnostic testing?
a. Lung Cancer
d. Emphysema.
29. A nurse is caring for an older adult client with a decreassed level of consicousness. Which of the following is an appraoriate intervention related to the client's mouth care?
c. uses a sponge toothette to cleanse the inside of the mouth.
30. A nurse in a long-term care facility nots that the assistive personnel lack knowledge of blood glucose monitoring. The nurse should bring this observation to the attention of which of the following personnel?
a. Charge Nurse.
31. A nurse is reinforcing discharge teaching for a client admitted with an acute myocardial infarction. Which of the following activities is appropriat for the client to participate in during the first two weeks following discharge?
d. Walking.
32. A nurse is reinforcing teaching for a client undergoing radiation therapy to the neck. Which of the following should the nurse include?
d. Avoid exposing the neck to the cold.
33. A nurse is providing anticipatory guidance to the parent of a 6-year old child. Which of the following statements by the parent indicated an understanding of appropriate safety precautions for the child?
b."I will encourage my child to wear a bicycle helmet whenever bike riding."
34. A nurse is collecting data from a client who presents to the clinic reporting vomiting. Which of the following findings indicate that the client is experiencing a fluid volume deficit?
c. Orthostatic hypotension.
35. A nurse is caring for a client who is recieving warfarin (coumadin) for deep vein thrombosis. The nurse observed that the client's INR is 3.8.Which of the following actions should the nurse take?
d. Withhold the orderd dose of the medication.
36. A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of the following findings in the infant's room indicates a need for further teaching?
d. The infant is lying in th crib with a stuffed animal.
37. A nurse is caring for a client who has hepatitis B. When caring for the client, which of the following actions places the nurse at highest risk for acquiring hepatitis B?
a. Performing oral hygiene.
38. A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse evaluates tha the client understands the teaching when she states she will gain.
a.?
39. A nurse is reinforcing teaching with school staff about streptococcal infection of the pharynx. The nurse should instruct the staff that the period of contagion for children who have this infection is which of the following?
b. from onset of symptoms until 24hrs of antibiotic therapy.
40. A nurse is caring for a client who is 2 days postperative following a partial bowel resection. The client reports that the "felt something pop" whne he sneezed. The nurse observes an evisceration. After calling for assistance, which of the following actions should the nursetake first?
c. Cover the wound with sterile saline-soakd gauze.
41. A nurse is caing for a client who is in balanced skeletal traction for a leg fracture. Which of
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