ATI PN Comprehensive Exit Exam
1) A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The
... [Show More] 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 off (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
c) Bradypnea
d) Constricted pupils
6) Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool
Insert a lubricated gloved finger and advance along the rectal wall.
7) Dietary teaching for a new prescription of phenelzine
Broccoli, Yogurt, Cream Cheese
8) Nurse administers incorrect dose of medication. Which facts related to incident report should the nurse document in the client's medical record?
Time the medication was given
9) Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
Ask another nurse to witness the disposal of the new patch.
10) Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8
Withhold the heparin infusion
11) A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina
Floating dark spots
12) infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider
Irritability when being held. signifies increased ICP
13) Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first?
14) Assessing a newborn heart rate follow actions the nurse should take [Show Less]