ATI PN COMPREHENSIVE EXIT EXAM
180 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
WELL GRADED, BEST ATI COMPREHENSIVE
1. NGN: A nurse is assisting with the care of a client who was admitted to the
emergency department (ED).
For each potential assessment finding, click to specify if the finding is consis- tent with
schizophrenia or bipolar 1 disorder. Each finding may support more than 1 disease
process
Ans>> Schizophrenia:
-grandidose delusions
-social impairment
-pressured speech Bipolar 1
Disorder:
-grandidose delusions
,-social impairment
-pressured speech
2. NGN: A nurse is caring for a client in an inpatient mental health facility. Select the
2 findings from the client's medical record that are manifestations of borderline
personality disorder.
Ans>>skin assessment
-behavior toward roommate
3. NGN: A nurse is assisting with the care of a client who is 1 day postoperative following
a total thyroidectomy.
The client is at highest risk for developing as evidenced by the .-
Ans>>hypocalcemia
-client's report of muscle spasms, numbness around lips, and decreased calcium level
4. A nurse is assisting with the care of a client who has schizophrenia in an
inpatient facility. Click to highlight the findings that require immediate
follow-up. To deselect a finding, click on the finding again.
,Ans>>Client reports an increase in urination and had one episode of incontinence.
-Family noted increased agitation and delusions.
5. NGN: A nurse is assisting with the care of a client who has a new diagnosis of
anorexia nervosa. The nurse should first address the client's , fol-
lowed by the client's .
Ans>>electrolyte imbalance
-fear of weight gain
6. NGN: A nurse is reinforcing teaching with a client who is pregnant.
The client is at risk for experiencing due to the client's .
Ans>>meta- bolic acidosis
-excessive weight loss
7. NGN: A nurse is assisting with the care of a newborn.The nurse should plan to first
collect data about the newborn's , followed by the newborn's
.
Ans>>respiratory rate
-heart rate
,8. NGN: A nurse on the medical-surgical unit is assisting with the care of a
client who was admitted from the emergency department (ED). The client is at risk for
developing due to .
Ans>>confusion
-sodium level
9. A nurse notices an assistive personnel (AP) taking a nap in the break room during
meal time.The nurse also notes that the AP is drowsy while performing routine tasks.
Which of the following actions should the nurse take
Ans>> Report the observations about the AP to the unit's nurse manager.
10. A nurse in a long-term care facility is contributing to the plan of care for a client
who has a new ostomy. Which of the following interventions should the nurse include
Ans>> Change the appliance two times each week
11. A nurse is caring for a client who is 12 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take
Ans>> Place an abduction wedge between the client's legs when in bed.
,12. A nurse is reinforcing teaching with a client who has a prescription for
nitroglycerin sublingual tablets. Which of the following instructions should the nurse
include in the teaching
Ans>> Take up to three tablets during a single angina episode
13. A nurse is contributing to an in-service for newly licensed nurses about child
maltreatment. The nurse should include that which of the following characteristics
increases a child's risk of physical maltreatment
Ans>> The child was born at 34 weeks of gestation
14. A nurse on a medical-surgical unit is delegating tasks to an assistive personnel
(AP). Which of the following tasks should the nurse delegate to the AP
Ans>> Obtaining a client's vital signs prior to discharge
15. A nurse is collecting data from a client who reports recent methampheta- mine
use. Which of the following manifestations should the nurse expect
Ans>> - Dilated pupils
,16. A nurse is reinforcing teaching about confidentiality with a client who has a new
diagnosis of HIV. Which of the following information should the nurse include in the
teaching
Ans>> Your HIV status will be shared with members of your health care team
17. A nurse in a pediatric clinic is collecting data from a toddler. Which of the
following findings should the nurse identify as a possible indication of physical
neglect
Ans>> The toddler is inadequately dressed for the weather
18. A nurse is collecting data from a client who has hypokalemia. Which of the
following findings should the nurse expect
Ans>> Muscle weakness
,19. A nurse is assisting with the care of a client who is receiving peritoneal
dialysis. Which of the following actions should the nurse plan to take
Ans>> Monitor the client's intake and output
20. A nurse is assisting a client who is postoperative to sit on the side of the bed.
Which of the following actions should the nurse take
Ans>> Elevate the head of the client's bed
21. A nurse is collecting data from a client who has a hip fracture. Which of the
following findings should the nurse expect
Ans>> External rotation
22. A nurse is reviewing the procedure for endotracheal suctioning with a newly
licensed nurse. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching
Ans>> I should apply sterile saline to lubricate the suction catheter
23. A nurse is receiving change-of-shift report for four clients. The nurse should plan
to collect data from which of the following clients first
Ans>> A client who has asthma and had frequent exacerbations on the previous shift
24. A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse see first
Ans>> A client whose urinary output was 100 mL for the past 12 hr
,25. A nurse is observing an assistive personnel (AP) apply antiembolic stock- ings for a
client. Which of the following actions by the AP demonstrates an understanding of
how to perform this skill
Ans>> Applying the stockings before the client gets out of bed
26. A nurse is receiving change-of-shift report for a group of clients. The nurse
should plan to implement which of the following time-management strategies
Ans>> Prepare a priority list of client needs for the shift
27. A nurse is reinforcing teaching with a client who has a new prescription for
prednisone for the treatment of Addison's disease. Which of the following instructions
should the nurse include in the teaching
Ans>> You will need to sched- ule a bone density test
28. A nurse is supervising an assistive personnel (AP) who is preparing to remove
personal protective equipment (PPE) after providing direct care to a client who
requires airborne and contact precautions. The nurse should
recognize that the AP understands the procedure when which of the following PPE is
removed first
Ans>> Gloves
29. A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of
the following statements by the client indicates an understanding of the instructions
,Ans>> I will receive the nutrients I need through my IV fluid.
, 30. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take
Ans>> Open the outer package flap of the catheterization kit away from their body
31. A nurse is caring for a client who is actively dying from cancer. Which of the
following actions should the nurse take
Ans>> Moisten the client's conjunctiva with sterile normal saline
32. A nurse is caring for a client who has asthma and has been taking mon- telukast
for 1 month. Which of the following findings should indicate to the nurse that the
client is complying with this medication regimen
Ans>> The client takes the medication once daily at bedtime
33. A nurse is collecting data from a postpartum client who had a vaginal birth 2 days
ago. Which of the following findings is the nurse's priority to report to the provider
Ans>> Client reports burning with urination
34. A nurse is caring for a client who has a prescription for famotidine 160 mg PO every
6 hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL should the
nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.): 20 mL
35. A nurse is caring for a client who has a phobia of elevators. Which of the
following should the nurse recognize as an indication that systematic
10 /
16
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectWoody. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
