ATI PN Comprehensive Exit Review Exam Study Guide.180 Questions with Answers

ATI PN Comprehensive Exit Review Exam Study Guide.180 Questions with Answers (100%correct)

1. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel?

2. A nurse is working on a unit for clients with dementia. Which of the following client situations requires the nurse to write an incident report?

            c. A client is found lying on the floor next to a chair.

3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent and lives alone. Which of the following should be included in the discharge plan?

            c. refer the client to a diabetic support group.

4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For which of the following findings should the nurse monirtor?

            a. Clammy Skin

5. A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse. which of the following client statements indicate an understanding of an appropriate strategy?

            a. "I need to recognize the signs that my husband is becoming abusive."

            c. "I need to identify what triggers my husband's anger to prevent his abuse."

6. A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistive personnel (AP) has no documented the client's blood glucose level. Which of the following actions should the charge nurse take first?

            d. Determine if the AP has completed the assignment.

7. A client is scheduled for an outpatient colonoscopy. which of the following actions is a nursing responsibility in the informed consent process?

            a. Verify that there is a signed and witnesses consent form in the client's chart.

8. A nurse smells alcohol on the breath of an assistive peronnel (AP) during report. Which of the following actions should the nurse take?

            c. Report the situation to the nurse manager.

9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept?

            b. A client who had a cesarean delivery 24hr ago.

10. A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cyctic fibrosis. Which of the following supports a diagnosis of cystic fibrosis?

            a. Frothy stools.

11. When caring for an assigned group of clients, the nurse should wear gloves when

            a. performing oral hygiene.

12. A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take?

            b. contact security personnel to place the money in the facility safe.

13. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of administration?

            d. Subcutaneously.

14. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should instruct the parents to place the car seat in a

            c. Rear-facing position in the back seat.

15. A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in which of the following situations?

            a. A hospital risk manager includes information from a client's medical record in

16. A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the following actions should the nurse take?

            c. Notify the charge nurse of the finding.

17. A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the following findings indicates that the newborn is experiencing pain?

            a. Awakens every 3 hours

            b. Furrowed Brow

            c. Oxygen Saturation of 95%

            d. Positive babinski reflex.

18. A nurse is reinforcing teaching with a client about organ donation. Which of the following client statements indicated a need for further teaching?

            c. "My doctor should decide if my organs will be donated."

19. A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want to take this medication because it makes me tired all the time." Which of the following is the appropriate response?

            c. "Let's talk with your doctor about other options."

20. A nurse is preparing to administer an IM injection to a client. To reduce the risk of neddlestick injury, the nurse should