ATI PN Comprehensive 2017 Proctored

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ATI PN Comprehensive 2017 Proctored 1. A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopele ... ssness? • The client wants to talk about the diagnosis with nursing staff • The client has a decreased energy level • The client makes funeral arrangements • The client requests a second opinion 2. A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (Select all that apply) • Allows the nurse to touch him on the arm • Plays with toys in the examination room • Answers questions asked by the nurse • Makes eye contact with the nurse • Sits on his parent’s lap when the nurse enters the room 3. A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first? • A client who has bipolar disorder and is displaying flights of ideas • A client who has ADHD and has an inability to concentrate • A client who has schizophrenia and is having command hallucinations • A client who has depressive disorder and is withdrawn 4. A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, “ I can’t seem to do anything right. What should I do?” Which of the following responses should the nurse make? • “I’ll take him back to the nursery, so you can get some rest.” • “Babies need to cry soon after they are born to develop their lungs.” • “Let me show you how to swaddle and cuddle him, then you try.” • “If I turn him on his side, maybe he’ll go back to sleep.” 5. A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following actions should the nurse take? • Test the first drop of blood that forms after the puncture • Wear sterile gloves • Keep the finger in a dependent position • Select the central tip of the finger 6. A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over- the-counter medications interacts adversely with clopidogrel? • Docusate sodium • Ranitidine • Vitamin D3 • Naproxen 7. A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of the following actions should the nurse plan to take first? • Administer opioid pain medication • Apply an ice pack to the affected extremity • Check for pain with passive movement of the affected extremity • Elevate the affected extremity with several pillows 8. A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching? • Decreased hemoglobin • Somnolence • Bradycardia • Decreased blood pressure 9. A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the staff can medicate a client against his will, without a court hearing, in which of the following situations? • A client who has a serious mental illness • A client who is having difficulty making decisions about his treatment • A client for whom the benefits of the medication outweigh the risks • A client who is attempting to hurt himself or others 10. A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching? • “Monitor for muscle weakness while taking the medication.” • “Rotate injection sites when administering the medication.” • “Withhold the medication if your pulse rate is above 100 beats per minute.” • “Increase your intake of dietary fiber to increase absorption.” 11. A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client’s medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? • A nurse from another unit after a client commits suicide • A social worker who is assigned to an involuntary committed school-age client • A client’s partner after the client reports intimate partner abuse • A client’s employer who is concerned about safety due to substance use 12. A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the following findings should the nurse report to the provider? • Hgb 13.2 g/dL • Urine protein 3 plu • Fasting blood glucose 72 mg/dL • BUN 15 mg/dL 13. A nurse is collecting data from a client who is 4 hr postoperative following a hemicolectomy. Which of the following findings is the nurse’s priority, requiring immediate intervention? • Pain rating of 9 on a scale from 0 to 10 • Blood pressure 160/90 mm Hg • Oxygen saturation 89% • Abdominal dressing with a moderate amount of bright red drainage 14. A nurse in a provider’s office is collecting data from a client who has a history of hypertension during his annual physical examination. Which of the following findings should the nurse report to the provider immediately? • A 2 kg (4.4 lb) weight gain • Blurred vision • Potassium 3.6 mEq/L • Resumption of cigarette smoking 15. A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first? • Place the client on bed rest • Obtain the clients ABG levels • Prepare the client for a ventilation-perfusion scan • Elevate the head of the client’s bed 16. A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the following laboratory tests is the most accurate of blood glucose effective management? • Urine ketones • Glucose tolerance test • Glycosylated hemoglobin • Fasting blood glucose 17. A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene? • Requests a client to assist with distributing lunch trays • Tells a client he will lose his phone privileges if he does not take his medication • Encourages a client to participate in a recreational therapy group • Places mechanical restraints on a client who is hitting another staff member 18. A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client’s room? • Oral suction equipment • Wrist restraints • Tongue depressor • Tracheostomy tray 19. A nurse is reinforcing discharge teaching with the faculty of a client who has dependent personality disorder. Which of the following instructions should the nurse indicate in the teaching? • Maintain a verbal no-harm contract with the client • Assume responsibility for making the client’s decisions • Encourage the client to be assertive • Limit the client’s social interactions 20. A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse indicate? • “You should avoid crossing your legs for 3 months.” • “You should avoid putting a pillow between your legs when in bed.” • “You should avoid exercising for the next 6 weeks.” • “You should avoid lying on your right side.” [Show More]

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