ATI RN PROCTORED COMPREHENSIVE ASSESMENT
2019 B TESTBANK/ACTUAL EXAM WITH CORRECT
VERIFIED ANSWERS/NGN RN COMPREHENSIVE
PROCTORED ASSESSMENT/NEWEST 2024-
2025/ALREADY GRADED A+
. If a patient develops cor pulmonale (right-sided heart failure), the
nurse would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. ANSWER>>>3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a patient with Alzheimer's requiring assistance with feeding.
2. a patient with osteoporosis complaining of burning on
urination. 3. a patient with scleroderma receiving a tube feeding.
4. a patient with cancer who has Cheyne-Stokes respirations. ANSWER>>>1
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. ANSWER>>>4
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the nurse, would
,indicate a possible complication?
1. The patient's urine test is positive for glucose and acetone.
2. The patient has 1+ pedal edema in both feet at the end of the
day. 3. The patient complains of an increase in vaginal discharge.
4. The patient says she feels pressure against her diaphragm when the baby moves. ANSWER>>>1
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the nurse at the patient's bedside, is nonessential?
1. Potassium chloride for IV
administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. ANSWER>>>1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." ANSWER>>>3
A 69-year-old patient is undergoing his second exchange of
intermittent peritoneal dialysis (IPD). Which of the following would
require an
intervention by the nurse?
,1. The patient complains of pain during the inflow of the
dialysate. 2. The patient complains of constipation.
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter. ANSWER>>>3
A charge nurse is discussing the responsibility of nurses carig for patients who have C. difficile. Which of
the following information should the nurse include in the teaching?
a) Assign the patient to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the patients room
c) clean contaminated surfaces in the patients room with a phenol
solutiond) have family members wear a gown and gloves when
visiting ANSWER>>>D
A patient diagnosed with dementia wanders the halls of the locked nursing unit during the day. To
ensurethe patient's safety while walking in the halls, the nurse should do which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
2. Assess the patient's gait for steadiness.
3. Restrain the patient in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. ANSWER>>>2
A patient has a history of oliguria, hypertension, and peripheral edema.
Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be
restricted in the patient's diet?
1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. ANSWER>>>1
, a patient has a new prescription for spironilactone ( aldactone ) which of the following laboratory value
should the nurse recognized as a reason to withhold the morning dose of the medication and notify the
provider
ANSWER>>>serum potassium 5.2
a patient has prescription for valproic ( Depakote) which of the following laboratory value should the
nurseanticipate monitor for the patient taking this medication
ANSWER>>>thrombocytes, amylase count and liver function test
A patient is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse
would expect to find rebound tenderness at which location?
a) Left lower quadrant
b) Left upper quadrant
c) Right upper quadrant
d) Right lower quadrant
ANSWER>>>D
A patient is being discharged with sublingual nitroglycerin
(Nitrostat).The patient should be cautioned by the nurse to
1. take the medication five minutes after the pain has started.
2. stop taking the medication if a stinging sensation is absent.
3. take the medication on an empty stomach.
4. avoid abrupt changes in posture.
ANSWER>>>4
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