ATI PN COMPREHENSIVE EXIT RETAKE EXAM
180 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
WELL GRADED, BEST ATI COMPREHENSIVE
1. A nurse is assisting with the care of a client who was admitted to the
emergency department (ED)
Ans>> Schizophrenia
- Pressured speech
- Social impairment
- Grandiose delusions
Bipolar 1 Disorder
- Pressured speech
- Social impairment
- Grandiose delusions
,2. 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.
3. A nurse is evaluating the safe use of electrical equipment by a newly hired assistive
personnel (AP). Which of the following actions by the AP demon- strates an
understanding of the proper use of electrical equipment
Ans>> Grasps the plug of a device in the client's room to pull it straight out from the wall
4. A nurse is assisting with the care of an adolescent in the emergency
department (ED)
Ans>> - skin findings
- temperature
- WBC count
- casual blood glucose
- potassium
- pain
5. A nurse is assisting with the care of a client admitted with profuse vomiting and
,abdominal pain
Ans>> - peritonitis
- bowel obstruction
6. A nurse on the medical-surgical unit is assisting with the care of a client who was
admitted from the emergency department (ED)
Ans>> - confusion
- sodium level
7. A nurse is assisting with care of a client who is on 24-hr observation
Ans>> - hemorrhage
- Thrombocytopenia
8. A nurse is caring for a client who is postoperative following a perineal
prostatectomy. For each potential postoperative complication below, click to specify
the nursing intervention that the nurse should implement
Ans>> - offer the client a sitz bath to relieve pain and promote healing
- encourage the client to drink prune juice to relieve constipation
,- instruct the client to perform calf pump and foot circle exercises to promote venous return
and reduce the risk of a deep vein thrombosis.
9. A nurse is collecting data on a newborn who is 3 days old
Ans>> - temperature of 36.4° C (97.5° F)
- Weight 2,545 g (5 lb 9 oz) 12% weight loss
- Breastfeeding every 3 to 5 hr for 5 to 10 min.
- Birth parent reports nipple discomfort throughout the feeding
- Mild tremors noted when awake
10. A nurse on a mental health unit is caring for a client. For each nursing action,
click to specify if the nursing action is anticipated or contraindicated for the client
Ans>> ANTICIPATED:
- Offer high calorie snacks frequently.
- Initiate suicide precautions.
- Encourage the client to attend group therapy.
CONTRAINDICATED:
,- Allow the client to sleep with their hands beneath the blanket.
11. A nurse is assisting in the care of a client who is postoperative following
administration of general anesthesia
Ans>> ACTIONS:
- administer dantrolene
- administer oxygen
CONDITION:
-malignant hyperthermia
PARAMETERS:
- monitor for hypercapnia
- monitor for muscle tension
12. A nurse is assisting with the care of a client who has a new diagnosis of
anorexia nervosa. Complete the following sentence by using the lists of options
Ans>> - electrolyte imbalance
- fear of weight gain
,13. A nurse is assisting with the care of a client who has bulimia nervosa. Drag words
from the choices below to fill in each blank in the following sentence
Ans>> - cardiovascular abnormalities
- electrolyte imbalance
14. A nurse is assisting with the development of an in-service for newly licensed
nurses about seclusion. In which of the following situations should
,the nurse identify the need to request a prescription for seclusion
Ans>> A client
attempts to hit another client during group therapy.
15. A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take
Ans>> Wipe the drainage port with an antiseptic wipe after emptying urine from the bag.
16. 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."
17. A nurse is reinforcing teaching with a client about the client's recent diagnosis of
multiple sclerosis. The client states, "I am very upset and I want to be alone for a little
while." Which of the following responses should the nurse make
Ans>> "I see that you are feeling overwhelmed. I will come back when you are ready."
18. A nurse in an outpatient surgery center is reinforcing discharge teaching with a
client following a lithotripsy for uric acid stones. Which of the following instructions
should the nurse plan to include in the teaching
,Ans>> Strain the urine to collect stone fragments.
19. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and will
undergo routine abdominal ultrasonography the following day. Which of the following
statements should the nurse include in the teaching
Ans>> "You will need to have a full bladder for the procedure."
20. A nurse assisting with a childbirth class is discussing nonpharmaco- logical
strategies used during labor. Which of the following statements by
a client indicates an understanding of cutaneous stimulation
Ans>> "I should use counterpressure for back pain during labor."
21. A nurse is caring for a client who is 2 days postoperative following abdom- inal
surgery and has a new prescription for a regular diet. For which of the following
findings should the nurse notify the provider
Ans>> The client has absent bowel sounds.
22. A nurse is reviewing the medical record of a client who is receiving warfarin and has
atrial fibrillation. Which of the following laboratory values should the nurse report to
the provider
Ans>> INR 5
23. 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.
24. A nurse is collecting data from a client who has a newly applied cast to the right
lower extremity. Which of the following findings should the nurse expect
Ans>> Capillary refill of 5 seconds to the client's toes
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