ATI PN COMPREHENSIVE EXIT EXAM
FORM B (400 Q&A LATEST)
A nurse in an emergency department completes an assessment on an adolescent patient that has
conduct disorder. The patient 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 Correct Answer: c) Tell me how often do you drink alcohol
A nurse is observing bonding to the patient her newborn. Which of following actions by the patient
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 Correct Answer: d) Viewing the newborn's
actions to be uncooperative
A nurse is caring for patient 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 Correct Answer: a) Weight loss (this drug acts as T4 and will normalize the
effects of
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) Correct Answer: c) Keep the cord
dry until it falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a patient in the PACU. Which of the following findings indicates decreased cardiac
output?
a) Shivering
,b) Oliguria
c) Bradypnea
d) Constricted pupils Correct Answer: b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following patient
should the nurse identify as the priority?
a) A patient that has massive head trauma b) A patient has full thickness burns to face and trunk
c) A patient with indications of hypovolemic shock
d) A patient with open fracture of the lower extremity Correct Answer: c) A patient with indications of
hypovolemic shock
A nurse is a receiving report on four patients. Which of the following patients should the nurse assess
first?
a) A patient who has illeal conduit and mucus in the pouch
b) patient pleasant arteriovenous additional vibration palpated
c) A patient whose chronic kidney disease with cloudy diasylate outflow
d) A patient was transurethral resection of the prostate with a red tinged urine in the bag Correct
Answer: c) A patient whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a patient just received the first dose of lisinopril. The following is an appropriate
nursing intervention?
a) Place's cardiac monitoring
b) Monitor the patients oxygen saturation level
c) Provide standby assist with the patient from bed
d) Encourage foods high in potassium Correct Answer: c) Provide standby assist with the patient from
bed
A nurse is caring for a patient who is in labor and his seat is receiving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the
nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression Correct Answer: d) Head Compression
A nurse is caring for a patient who has chronic kidney disease. The nurse should identify which of the
following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL Correct Answer: a) glomerular filtration rate of 14 mL/ minute
,A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger Correct Answer: c) Heat the skin one minute prior to placing the
program
A nurse in a mental health facility receives a change of shift report on for patients. Which of the
following patients should the nurse plan to assess first?
a) patient placed in restraints to the aggressive behavior
b) A new limited patient pleasures history of 4.5 kg weight loss in the past two months
c) patient is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today Correct Answer: a) patient placed in restraints
to the aggressive behavior
A nurse working at the clinic is teaching a group of patients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain Correct Answer: b) Hypnosis promotes increased
control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A patient who was incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? (rxn
formation is when you use opposite feelings; ex: being super nice to someone you dislike)
a) I steal things because it's the only way I can keep my mind off my bad marriage b) I can't believe I was
accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I think that people just you're just lazy and should earn money honestly Correct Answer: d) I think
that people just you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a patient who has a new prescription for isosorbide
monotitrate. Which of the following should the nurse identify as a contraindication to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches Correct Answer: a) Glaucoma
The nurses is caring for a patient recovering from an acute myocardial infarction. Which following
intervention should the nurse include in the point of care?
, a) Draw a troponin level every four hours b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask
d) Obtain a cardiac rehabilitation consult Correct Answer: d) Obtain a cardiac rehabilitation consult
A Nurses caring for patient who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds Correct Answer: a) WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse
include in the plan of care
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered items
c) Replace the carpet with hardwood floors
d) Create variation in daily routine Correct Answer: a) Place a daily calendar in the kitchen
Nurse is performing change of shift assessments on 4 patients. Which of the following findings should
the nurse report to provider first?
a) The patient was cystic fibrosis and has a thick productive clock and reports thirst b) patient who has
gastroenteritis and is lethargic and confused
c) The patient has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d) The patient was sick of signing it reports pain 15 minutes after receiving oral analgesic Correct
Answer: b) patient who has gastroenteritis and is lethargic and confused
A nurse is caring for a patient was in the second trimester of pregnancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day (need at least 64 oz)
d) Drink hot water with lemon juice each morning when you wake up Correct Answer: d) Drink hot
water with lemon juice each morning when you wake up
A nurse is caring for a patient who is preparing his advance directives. Which is the following statements
by the patient indicates an understanding of advanced directives? select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance directives
d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me Correct Answer: d) I have the right to refuse
treatment
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