ATI PN
COMPREHENSIVE
PROCTORED EXAM 2023
• 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?
o The client wants to talk about the
diagnosis with nursing staff o
o The clien...
ATI PN COMPREHENSIVE PROCTORED EXAM 2023 • 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? o The client wants to talk about the diagnosis with nursing staff o o The client makes funeral arrangements o The client requests a seco nd 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 o Plays with toys in the examining room o 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 fli ghts of ideas o A client who has ADHD and has an inability to concentrate o o A client who has depressive disorder and is withdrawn • A nurse is caring for a client who recently gave birth to her first child.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 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 Select the central tip of the finger o A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The The client has a decreased energy level Allows the nurse to touch him on the arm c. Answers questions asked A client who has schizophrenia and is having command hallucinations “Let me show you how to swaddle and cuddle him, then you try.” Keep the finger in a dependent position • nurse should instruct the client that which of the following over -thecounter medi cations 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 Admin ister opioid pain medication o Apply an ice pack to the affected extremity o 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 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 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 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 o Fasting blood glucose 72 mg/dL o BUN 15 mg/dL Check for pain with passive movement of the affected extremity A client who is attempting to hurt himself or others “Monitor for muscle weakness while taking the medication.” A social worker who is assigned to an involunta ry committed school -age client Urine protein 3 plus • • 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 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 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 • 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 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 assis t with distributing lunch trays o 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 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 Oxygen saturation 89% Blurred vision Elevate the head of the client’s bed Glycosylated hemoglobin Tells a client he will lose his phone privileges if he does not take his medication Oral suction equipment Encourage the client to be assertive
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