ATI PN Management Exam
A nurse is assisting with the selection of clientsto discharge to make beds available following a
tornado in the community. Which ... [Show More] of the following clients should the nurse recommend for
• A client who is recovering from a laparoscopic appendectomy that was performed 24 hr
A client who had an appendectomy without complications is often discharged the day of
or the day after surgery. The nurse should recommend this client for discharge because
this client has a low risk for an adverse event.
A nurse is assisting with triage following a mass casualty event. The nurse should
recommend that which of the following clients be attended to first?
• A client who has a crush injury to the pelvis and whose pedal pulse in the right foot is
A client who has a pelvic crush injury and an absent pulse to the lower extremity has an
immediate threat to life and limb and requires emergent care for survival. When using
the survival approach to client care, the nurse should give priority to this client.
A nurse is contributing to the plan of care for a client who states he is a devout Hindu.
To adhere to the client’s religious dietary practices, which of the following food options
should the nurse offer to the client?
The nurse should offer yogurt as a food option for the client who is a devout Hindu
because dairy products are believed to enhance spiritual purity.
A nurse assisting with disaster triage is examining a client who has a large open would
to the lower extremity. Which of the following actions should the nurse take?
• Tell the client she should receive treatment within 2 hr.
When performing disaster triage, the nurse should assign clients who have a large,
open wound to the yellow, or urgent category. This is the second-priority client category,
and clients who are in this category should receive treatment after the emergent group,
but within 30 min to 2 hr.
A nurse is verifying informed consent with a client who is scheduled to have a total open
abdominal hysterectomy with bilateral salpingo oophorectomy for the treatment of
uterine cancer. The nurse should notify the provider for which of the following client
• "I wish I knew if there was another way to treat this other than surgery."
The nurse should contact the provider to clarify the procedure and other options with the
client. It is the provider's responsibility to inform the client of any other treatment
A nurse is planning to delegate care for a group of clients following change-of-shift
report. Which of the following tasks should the nurse plan to assign to an assistive
• Applying bilateral sequential compression devices to a client's legs
The nurse should delegate applying sequential compression devices to an AP because
this skill is used routinely in client care, creates minimal safety risk for the client, and is
within the range of function for an AP.
A nurse is discussing the meaning of utilitarianism with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of this
• "Utilitarianism provides the greatest good for the greatest number of people."
The nurse indicates an understanding of the ethical theory of utilitarianism by stating
that the basis for this theory provides the greatest good for the greatest number of
A nurse is assisting with a presentation about preparing a home disaster supply kit at a
community health fair. Which of the following statements by a participant should the
nurse identify as understanding of the information?
• "I will purchase canned fruit for the kit."
A home disaster kit should include nonperishable food items, which require no cooking or preparation and little
water. Therefore, the nurse should identify the inclusion of canned fruit as an understanding of the information.
A nurse is delegating collection of a random stool specimen to an assistive personnel (AP).
Which of the following information should the nurse provide?
• Wrap tongue blades used to retrieve the specimen in a paper towel prior to disposal.
The nurses should instruct the AP to use one to two tongue blades to move the stool specimen to the collection
container. After transferring the stool, the AP should wrap the tongue blades in a paper towel before discarding
them in the trash to prevent others from accidentally touching the contaminated surfaces.
A nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area.
The nurse should expect to assist in treating which of the following clients?
• A client who has burns to the trunk and legs
The nurse should expect this client to have a yellow tag because this client's injuries require treatment that can
A nurse is contributing to the plan of care for a group of clients. Which of the following scenarios demonstrates
effective use of time management techniques?
• The nurse groups activities for a surgical client based on the client's pain medication
The nurse should anticipate when the client will need pain medication and schedule care activities at a time
when the client is most comfortable and able to move, which will assist the client to meet goals and allow the
nurse to plan care more effectively.
A charge nurse in a skilled care facility identifies an increased rate of client falls. Which of the
following statements to the nursing staff indicates the charge nurse is addressing the problem
with an autocratic leadership style?
• "I've made it mandatory for all nursing staff to attend an educational session on reducing
This statement indicates an autocratic style of leadership. An autocratic leader makes independent decisions
about how to address a problem without seeking input from nursing staff.
A nurse in a long-term care facility is caring for a client who is refusing his prescribed
medications. Which of the following actions should the nurse take first?
• Identify the client's concerns about taking the medications.
The first action the nurse should take when using the nursing process is to collect data from the client. By
identifying the client's concerns and reasons for refusing the medications, the nurse can determine which
actions to take next to prevent worsening of the client's condition.
A nurse is observing an assistive personnel (AP) provide care for a group of clients. The nurse
should intervene when the AP dons gloves prior to performing which of the following tasks?
• Making a surgical bed for a client returning from surgery
Health care workers wear gloves to protect themselves from exposure to potentially infectious matter, such as
blood or wound drainage. It is not necessary to use gloves when making an unoccupied surgical bed.
Therefore, this is a waste of supplies and requires intervention by the nurse.
A nurse is assisting with the discharge of a client who was in a motor-vehicle crash 24 hr ago.
The client tells the nurse, “My vision seems blurry, and I am having difficulty speaking clearly.”
Which of the following actions should the nurse take first?
• Check the client for indications of increased intracranial pressure.
The first action the nurse should take using the nursing process is to collect data from the client. By checking [Show Less]