ATI PN Comprehensive Exit Exam Form B-180 Questions and Answers UPDATED 2020
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ATI PN Comprehensive Exit Exam Form B -180 Questions and Answers LATEST 2020)
ATI COMP 2013 FORM B
1) A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule
2) *A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest d) Viewing the newborn’s actions to be uncooperative
3) A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective? a) Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation
4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?
a) Contact provider if the cord still turns black (it’s going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser) c) Keep the cord dry until it falls of f (cord should be kept clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
5) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
a) Shivering b) Oliguria
d) Constricted pupils
6) A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity
7) A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag
8) A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
a) Place’s cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium
9) A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression
10) A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an
indication for hemodialysis?
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a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL
11) A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger
12) A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he’ll be receiving his first ECT treatment today
13) A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain
14) A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is addressing the group. Which of the following is an example of reaction formation? (rxn formation is when you use opposite feelings; ex: being super nice to someone you dislike)
a) I steal things because it’s the only way I can keep my mind off my bad marriage
b) I can’t believe I was accused of something I didn’t do
c) I don’t want talk about my feelings right now. We will talk more next time
d) I think that people just you’re just lazy and should earn money honestly
15) A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of the following should the nurse identify as a contraindication to medication?
d) Migraine headaches
17) The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask d) Obtain a cardiac rehabilitation consult
18) A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
19) Home health nurse is carefully planned for Alzheimer’s disease. To the following action should the nurse include in the plan of care a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered items
c) Replace the carpet with hardwood floors
d) Create variation in daily routine
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20) Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
21) A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day (need at least 64 oz)
d) Drink hot water with lemon juice each morning when you wake up
23) A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply
a) I can’t change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance directives d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
24) A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output?
a) The chest
d) Left lateral
25) A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP?
a) Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest discomfort
d) Client who had a cerebrovascular accident two days ago and needs help toileting
26) Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
b) blurred vision
d) Dry Mouth
27) A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention?
a) Providing a high protein snack
b) Assisting the child to reposition
c) Placing weights as a child’s bed
d) Massaging pressure points-causes skin breakdown
28) A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following action should the nurse take?
a) Determine if the AP is qualified to perform the test.
b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic medication today
d) Have AP check the medical record for prior blood glucose test results
29) A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following?
a) Alzheimer’s disease
c) Substance intoxication
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30) A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply
b) Koplik spots (this is associated with measles)
e) Sore throat
31) Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level
32) A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
d) air bubbles noted in the NG tube
33) A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take?
a) Piggyback 0.9 sodium chloride with TPN solution b) Check for an allergy to eggs
c) Discuss the TPS solution for 12 hours
d) Monitor for hypoglycemia
34) A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
35) Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to
a) Perform weight bearing exercises
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area
36) A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highest priority? a) The client has surgical hypoparathyroidism and positive Trousseau’s sign
b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums
37) Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min
38) A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan?
a) I will be able starting this medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
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d) I should decrease my sodium intake while on this medication
39) A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, “I don’t know how much longer I can take this, but I’m afraid he’ll really hurt me if I leave. “Which of the following is an appropriate nursing intervention?”
a) Offer to speak to the client’s husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive behavior
d) Assist the client to Reports abusive behavior to the proper authority
40) A client was having suicidal thoughts tells the nurse “It just does not seem worth it anymore. Why not end my misery?” Which of the following responses for the nurses appropriate?
a) Why do you think your life is not worth it anymore? b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you’re thinking
41) A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects c) Poor problem solving ability
d) Preoccupation was somatic disturbances
42) A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take?
There are 3 tabs that contain separate categories of data.
a) Position the client with the affected extremity lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion
43) Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort
44) Nurses caring for four clients. Which of the following client data should the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3
45) Nurses caring for client was in end-stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. Which of the following medications should the nurse expect to be the highest priority to administer to the client?
46) A nurse is caring for a client who has DVT. Which of the following instructions the nurse include in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client’s affected extremity when in bed
47) A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client’s contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
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d) Maintain oxytocin infusion
48) A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions? c) Do you have any active lesions?
d) Are you positive for beta strap?
49) Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice
50) Four clients present to the emergency department. The nurse should plan to see which of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine - uti
d) A 50- year old client who has slurred speech, is disoriented, and reports a headache - stroke
51) A nurse is completing a dietary assessment for client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find?
a) Leavened bread maybe eaten during Passover.
b) Shellfish is commonly consumed in the diet.
c) Meat and dairy products are eaten separately.
d) Fasting from meat occurs during Hanukkah.
53) A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of the following interventions are appropriate?
Select all that apply
a) Apply direct pressure to bleeding wounds
b) Clean rest last rations and abrasions with hydrogen peroxide c) Cover wounds with a sterile dressing
d) Administer 650 mg aspirin PO as needed for pain e) Determine date of last tetanus toxoid vaccination.
54) The nurses reviewing clients admission laboratory results. Which of the findings required further evaluation?
a) Sodium 138 b) Creatinine 1.8
c) Hemoglobin 15
d) Potassium 4.2
55) A nurse is providing teaching for a client has a new prescription for methadone. Which of the phone following client statements indicates need for further teaching?
a) I understand the methadone tends to slow my breathing
b) I understand the methadone may cause me to have difficulty sleeping
c) I will avoid alcohol while I’m taking this medication
d) I’ll change positions gradually especially from lying down to standing
56) Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation?
a) Premature infant with a poor suck reflex and failure to thrive
b) An older adults who has difficulty taking in fluids
c) Adolescent who anorexia who is cachectic
d) A middle aged adults was gastroesophageal reflux disease
57) A nurse is caring for a group of clients. Which of the following client should nurse assess first?
a) A client whose benign prostatic hyperplasia and is unable to urinate
b) The client was heart failure and report shortness of breath while ambulating
c) A client who is open cholecystectomy and has green drainage from the T-tube
d) A client whose abdominal pain and is vomiting coffee ground emesis
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58) A nurse is taking a medication history from client was type II diabetes mellitus is scheduled for an arteriogram. Which of the following medications to the nurses instruct the client to discontinue 48 hrs prior to the procedure?
c) Nifedipine d) Metformin
59) The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find?
a) Dependence on family and friends
b) Loss of interest in usual activities
c) Ritualistic behavior
d) Passive aggressive behavior
60) A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care?
a) Give the client several choices when scheduling activities.
b) Confront the client regarding unacceptable behavior
c) Maintain Nutritional requirements by offering finger foods
d) Stimulate the client by leaving the television on throughout the day
61) A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first?
a) A client who has begun to demonstrate catatonic behavior
b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated
d) A client was making sexual comments to clients of the opposite sex
62) A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first?
a) Instill erythromycin ophthalmic ointment and the newborn’s eyes.
b) Place identification bracelets on the newborn.
c) Weigh the newborn.
d) Dry the newborn
63) A nurse receives report on a group of clients. Which of the following client should the nurse attend to first?
a) A client who was admitted with asthma and has an SaO2 of 92% long receiving oxygen at 1 L per minute via nasal cannula
b) A client was admitted with angina and reports lef t arm pain of 4 on a scale of 0 to 10
c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL
d) A client who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green fluid
64) A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor?
a) The client reports the urge to push b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
d) The client reports nausea and vomiting
65) The charge nurse for medical surgical units discovers client care assignments that should be reassigned. Which of the following delegated tasks should be reassigned?
a) An AP is to calculate intake and output every two hours for client in acute renal failure.
b) An AP is to collect vital signs every 30 minutes for client who had a cholecystectomy
c) A licensed practical nurse is to check nasogastric tube placement for client list had a bowel resection. d) A licensed practical nurses to provide initial feeding for client who had a cerebrovascular accident.
66) A nurse caring for the client who has a cast due to a compound fracture to the right ankle. Which of the following findings requires immediate intervention?
a) pruiritus under the cast
b) Localized stabbing pain upon movement c) paresthesia of the distal extremity
d) Edema present when leg is in the dependent position
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67) The nurses providing care for preschoolers with acute gastroenteritis. Basing information below which of the following is an appropriate nursing action? Click on the links of this below for additional client information
a) Offer the child a cup of chicken broth.
b) Encourage the child’s intake of gelatin. c) Administer oral rehydration solutions.
d) Institute a banana, Rice, applesauce, and toast diet.
68) The nurses caring for a client whose taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication?
a) Serum chloride b) Uric acid level
c) Serum albumin
d) Magnesium level
69) A nurse is caring for a client on the cardiac care unit who is hemodynamically unstable. Which of the following dysrhythmias should the nurse plan for cardioversion?
a) Ventricular asystole
b) Third-degree AV block c) Atrial fibrillation
d) Ventricular fibrillation
70) Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions?
a) Scarlet fever
b) Herpes simplex
d) Streptococcal pharyngitis
71) A nurse assesses an older adult client with the decrease caloric intake and weight loss. Which of the following findings should the nurse report to the provider immediately?
a) The clinic experiences coughing and wheezing after eating.
b) The client reports abdominal pain at a five on a scale of 0 to 10.
c) The client experience is a drop in oxygen saturation to 91% while eating.
d) The client reports a burning sensation in epigastric area.
72) A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate an AP?
a) Applying condom catheter for client for spinal cord injury
b) Administrative oral fluids to client was dysphasia
c) Documenting the report of pain from client who is postoperative
d) Reviewing active range of motion exercises with a client who is had a stroke
73) A nurse from the state health department this is instructing a group nurses regarding reportable infections. Which of the following infections should the nurse report to the CDC?
a) Candida albicans
b) Herpes simplex virus 2
c) staphylococcus aureus d) Lyme disease
74) The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is a priority
[Solved] ATI PN Comprehensive Exit Exam Form B-180 Questions and Answers UPDATED 2020
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