ATI PN Comprehensive Proctored Exam

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?
The client wants to talk about the diagnosis with nursing staff
The client makes funeral arrangements 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)
e. 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?
A client who has bipolar disorder and is displaying flights of ideas A client who has ADHD and has an inability to concentrate
A client who has depressive disorder and is withdrawn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?
“I’ll take him back to the nursery, so you can get some rest.”
“Babies need to cry soon after they are born to develop their lungs.”
“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?
Test the first drop of blood that forms after the puncture Wear sterile gloves
Select the central tip of the finger

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• A nurse is caring for a client who has a recent diagnosis of a terminal il ness. The nurse should
identify which of the following as an indication of hopelessness?
a. The client wants to talk about the diagnosis with nursing staff
b. The client has a decreased energy level
c. The client makes funeral arrangements The
d. client requests a second opinion
• A nurse is preparing to col ect data on a preschooler. Which of the fol owing behaviors by the child
indicates that he is ready to cooperate? (Select all that apply)
a. Allows the nurse to touch him on the arm
b. Plays with toys in the examining room c.
Answers questions asked by the nurse d. Makes eye contact with the nurse
e. 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 fol owing
clients should the nurse see first?
a. A
client who has bipolar disorder and is displaying flights of ideas
b. A client who has ADHD and has an inability to concentrate
c. A client who has schizophrenia and is having command hallucinations
d. 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?
a. “I’ll take him back to the nursery, so you can get some rest.”
b. “Babies need to cry soon after they are born to develop their lungs.”
c. “Let me show you how to swaddle and cuddle him, then you try.”
d. “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 capil ary blood glucose level, Which of the
fol owing actions should the nurse take?
a. Test the first drop of blood that forms after the puncture Wear
b. sterile gloves
c. Keep the finger in a dependent position
d. 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?
a. Docusate sodium
b. Ranitidine
c. Vitamin D3
d. Naproxen
• A nurse is col ecting 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
fol owing actions should the nurse plan to take first?
a. Administer opioid pain medication
b. Apply an ice pack to the afected extremity
c. Check for pain with passive movement of the affected extremity
d. Elevate the afected extremity with several pil ows
• A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client. Which
of the fol owing adverse efects should the nurse include in the teaching?
a. Decreased hemoglobin
b. Somnolence
c. Bradycardia
d. Decreased blood pressure
• A nurse is contributing to the development of an in-service program for mental health nursing staf.
The nurse should include that the st
af can medicate a client against his wil , without a court hearing, in which of the following situations?
a. A
client who has a serious mental il ness
b. A client who is having difficulty making decisions about his treatment
c. A client for whom the benefits of the medication outweigh the risks
d. 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
fol owing instructions should the nurse include in the teaching?
a. “Monitor for muscle weakness while taking the medication.”
b. “Rotate injection sites when administering the medication.”
c. “Withhold the medication if your pulse rate is above 100 beats per minute.”
d. “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?
a. A
nurse from another unit after a client commits suicide
b. A social worker who is assigned to an involuntary committed school-age client
c. A client’s partner after the client reports intimate partner abuse
d. 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
fol owing findings should the nurse report to the provider?
a. Hgb 13.2 g/dL
b. Urine protein 3 plus
c. Fasting blood glucose 72 mg/dL BUN 15
d. mg/dL
• A nurse is col ecting data from a client who is 4 hr postoperative fol owing a hemicolectomy. Which
of the following findings is the nurse’s priority, requiring immediate intervention?
a. Pain rating of 9 on a scale from 0 to 10 Blood
b. pressure 160/90 mm Hg
c. Oxygen saturation 89%
d. Abdominal dressing with a moderate amount of bright red drainage
• A nurse in a provider’s office is col ecting data from a client who has a history of hypertension
during his annual physical examination. Which of the fol owing findings should the nurse report to
the provider immediately? A 2 kg (4.4 lb) weight gain
a.
b. Blurred vision
c. Potassium 3.6 mEq/L
d. 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?
a. Place the client on bed rest
b. Obtain the clients ABG levels
c. Prepare the client for a ventilation-perfusion scan
d. Elevate the head of the client’s bed
• A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the fol owing
laboratory tests is the most accurate of blood glucose efective management?
a. Urine ketones
b. Glucose tolerance test
c. Glycosylated hemoglobin
d. Fasting blood glucose
• A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the
fol owing actions by the newly licensed nurse should the supervising nurse intervene?
a. Requests a client to assist with distributing lunch trays
b. Tells a client he will lose his phone privileges if he does not take his medication
c. Encourages a client to participate in a recreational therapy group
d. Places mechanical restraints on a client who is hitting another staf 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?
a. Oral suction equipment
b. Wrist restraints
c. Tongue depressor
d. 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?
a.