ATI PN COMPREHENSIVE PROCTORED
• A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which
... [Show More] of the following as an indication of hopelessness?
o The client wants to talk about the diagnosis with nursing staff
o The client has a decreased energy level
o The client makes funeral arrangements
o The client requests a second opinion
• 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)
o Allows the nurse to touch him on the arm
o Plays with toys in the examining room
o c. Answers questions asked by the nurse
o d. Makes eye contact with the nurse
• Sits on his parent’s lap when the nurse enters the room
• 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?
o A client who has bipolar disorder and is displaying flights of ideas
o A client who has ADHD and has an inability to concentrate
o A client who has schizophrenia and is having command hallucinations
o A client who has depressive disorder and is withdrawn
• 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?
o “I’ll take him back to the nursery, so you can get some rest.”
o “Babies need to cry soon after they are born to develop their lungs.”
o “Let me show you how to swaddle and cuddle him, then you try.”
o “If I turn him on his side, maybe he’ll go back to sleep.”
• A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following actions should the nurse take?
o Test the first drop of blood that forms after the puncture
o Wear sterile gloves
o Keep the finger in a dependent position
o Select the central tip of the finger
• 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?
o Docusate sodium
o Ranitidine
o Vitamin D3
o Naproxen
• 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?
o Administer opioid pain medication
o Apply an ice pack to the affected extremity
o Check for pain with passive movement of the affected extremity
o Elevate the affected extremity with several pillows
• 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?
o Decreased hemoglobin
o Somnolence
o Bradycardia
o Decreased blood pressure
• A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the st
• aff can medicate a client against his will, without a court hearing, in which of the following situations?
o A client who has a serious mental illness
o A client who is having difficulty making decisions about his treatment
o A client for whom the benefits of the medication outweigh the risks
o A client who is attempting to hurt himself or others
• 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?
o “Monitor for muscle weakness while taking the medication.”
o “Rotate injection sites when administering the medication.”
o “Withhold the medication if your pulse rate is above 100 beats per minute.”
o “Increase your intake of dietary fiber to increase absorption.”
• 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?
o A nurse from another unit after a client commits suicide
o A social worker who is assigned to an involuntary committed school-age client
o A client’s partner after the client reports intimate partner abuse
o A client’s employer who is concerned about safety due to substance use
• 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?
o Hgb 13.2 g/dL
o Urine protein 3 plus
o Fasting blood glucose 72 mg/dL
o BUN 15 mg/dL
• 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?
o Pain rating of 9 on a scale from 0 to 10
o Blood pressure 160/90 mm Hg
o Oxygen saturation 89%
o Abdominal dressing with a moderate amount of bright red drainage
• 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?
o A 2 kg (4.4 lb) weight gain
o Blurred vision
o Potassium 3.6 mEq/L
o Resumption of cigarette smoking
• A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first?
o Place the client on bed rest
o Obtain the clients ABG levels
o Prepare the client for a ventilation-perfusion scan
o Elevate the head of the client’s bed
• 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?
o Urine ketones
o Glucose tolerance test
o Glycosylated hemoglobin
o Fasting blood glucose
• 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?
o Requests a client to assist with distributing lunch trays
o Tells a client he will lose his phone privileges if he does not take his medication
o Encourages a client to participate in a recreational therapy group
o Places mechanical restraints on a client who is hitting another staff member
• 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?
o Oral suction equipment
o Wrist restraints
o Tongue depressor
o Tracheostomy tray
• 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?
o Maintain a verbal no-harm contract with the client
o Assume responsibility for making the client’s decisions
o Encourage the client to be assertive
o Limit the client’s social interactions
• 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?
o “You should avoid crossing your legs for 3 months.”
o “You should avoid putting a pillow between your legs when in bed.”
o “You should avoid exercising for the next 6 weeks.”
o “You should avoid lying on your right side.”
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• A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum. Which of the following instructions should the nurse include in the teaching?
o Drink 240 mL ( 8 oz) of water with each meal
o Eat a small meal every 2 to 3 hr
o Avoid eating dairy products
o Choose foods that are high in fat
• A nurse is reinforcing teaching with a client who has GERD and a prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
o “I have to remain upright for 1 hour after taking the medication.”
o “I should take this medication in the morning and at night.”
o “I should expect my tongue to turn black after I take this medication.”
o “I have to take this medication on an empty stomach.”
• A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of the following types of isolation precautions should the nurse include?
o Airborne
o Droplet
o Protective
o Contact
• A nurse is reinforcing discharge teaching with a client who has COPD and reports problems with maintaining adequate nutrition. Which of the following instructions should the nurse include?
o “Self administer oxygen through your nasal cannula at 6 milliliters per minute during meals.”
o “Perform pulmonary hygiene 1 hour before meals.”
o “Drink at least 240 milliliters of water during each meal.”
o “Lie down for 30 minutes after eating.”
• A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
o Decreased sodium excretion
o Improved absorption of vitamins B and C
o Improved respiratory function
o Reduced fat in the stool [Show Less]