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Nursing Practice Questions and Answers, Exams of Nursing

The Courtauld Institute of Art, University of LondonNursing

This resource provides a comprehensive set of practice questions and answers covering a wide range of nursing topics, including medication administration, client care, and safety. The questions are designed to assess nursing knowledge and skills, making it valuable for students preparing for their licensure exam. It helps reinforce key nursing concepts and practice critical thinking skills.

Typology: Exams

2024/2025

Available from 03/14/2025

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ATI PN Comprehensive Exit Exam
1. A nurse is assisting with the plan of care for a client following a transurethral
resection of the prostate. Which of the following interventions should the nurse include
in the plan of care <Ans> The nurse should irrigate the bladder using strict sterile
technique and maintain closed catheter drainage system to minimize the rick of infection.
2. A nurse is reviewing a client's electronic medical record and finds that an assistive
per sonnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2
hrs earlier.Which of the following actions should the nurse take firsT <Ans> check the
clients temp
3. 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 100mL for the past 12 hrs
4. A nurse in reinforcing teaching about weight loss with a female older adult client who
is overweight. Which of the following statements should the nurse include in teaching
<Ans> keep fat intake to no more that 30% of daily caloric intake.
5. A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect <Ans> difficulty concentrat- ing
6. A Nurse is collecting data from an older adult client who is 48 hr post- operative
following abdominal surgery. The provider writes a prescription to advance the client to
a re gular Diet. For which of the following findings should the nurse notify the provider
<Ans> The client has absent bowel sounds
7. A parent brings her adolescent son to an urgent care center and states. "He is high on
something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should
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Download Nursing Practice Questions and Answers and more Exams Nursing in PDF only on Docsity!

ATI PN Comprehensive Exit Exam

  1. A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the rick of infection.
  2. A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier.Which of the following actions should the nurse take firsT check the clients temp
  3. A nurse is receiving change-of- shift report for four clients.Which of the following clients should the nurse see first A client whose urinary output was 100mL for the past 12 hrs
  4. A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Which of the following statements should the nurse include in teaching keep fat intake to no more that 30% of daily caloric intake.
  5. A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect difficulty concentrat- ing
  6. A Nurse is collecting data from an older adult client who is 48 hr post- operative following abdominal surgery.The provider writes a prescription to advance the client to a re gular Diet. For which of the following findings should the nurse notify the provider The client has absent bowel sounds
  7. A parent brings her adolescent son to an urgent care center and states. "He is high on something and needs help" The client is exhibiting agitation and paranoia and reports visual hallucinations. The nurse should

suspect intoxication with which of the following substances Metham- phetamines

  1. A nurse notices an assistive personnel taking a nap in the break room during he meal t ime.The AP appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take Report the observations about the ap to the unit's nurse manager.
  2. A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that have a high water content.The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving cherry tomatoes
  3. The nurse is position a client who is scheduled for a lumbar puncture.The nurse should assist the client into which of the following positions lateral recumbent

the client's room.

  1. A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy.Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia Tingling of fingers
  2. A nurse is caring for a client who has a Penrose drain.To ensure proper placement an d functioning of the drain, which of the following should the nurse expect to observe The safety pin is present at the distal end of the drain.
  3. A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should t he nurse identify as an external factor that can impede learning for the participants Poor lighting in the learning setting
  4. A nurse is observing newly licensed nurse who is providing tracheostomy care for a client.The nurse identifies proper performance of the procedure

when the newly licensed nurse selects which of the following solutions to clean the inner cannula hydrogen peroxide

  1. A nurse is caring for a client who has right sided heart failure.The client's partner exp resses concern the the client will die. Which of the following re- sponses should the nurse make "It is difficult to see someone so sick.Whathave you been told about your partner's prognosis?"
  2. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault Informing a client the nurse is going to administer an injection even though the client refuses.
  3. A nurse is collecting data from who is severe pain. Which of the tollowing questions should the nurse ask first "Where is your pain located?"
  4. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider Platelet count 95,000 mm
  5. A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago.The nurse notes organs protruding from the incision. Which of the following act ions should the nurse take Cover the exposed area with sterile, saline-soaked dressings.
  6. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the following response should the nurse make "Let's discuss how caring for your father is affecting your health.
  7. A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and
  1. A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take Report the suspected abuse to a appropriate agency.
  2. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect Improved sleep
  3. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention A school-age child who has allergic rhinitis and is taking diphenhydramine.
  4. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB.Which of the following actions should the nurse plan to take Ensure the injection produces a wheal on the skin
  5. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which of the following responses should the nurs e take Perform active ROM with your arms and legs two times a day.
  6. A Nurse is collecting data from a client who has multiple fractures follow- ing a motor-vehicle crash. For which of the following client statements: "I am so frustrated. I cannot even open my milk carton for breakfast."
  7. (^) A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral resection of the prostate. Which of the following instructions should the n urse include in the teaching?- : perform Kegel exercises daily.
  1. A nurse is reinforcing teaching about ways to reduce solid fat consumption with a clie nt who has an elevate cholesterol level. which of the following strategies should the nurse include in the teaching purchase beef that is a loin cut.
  2. A nurse is reinforcing teaching with a client who has a new prescription for prednisonefor the treatment of Addison's disease. which of the following instructions should the nurse include in the teaching You will need to sched- ule a bone density test.
  3. A nurse is collecting data from a client who has type 2 diabetes mellitus and is concer ned about weight gain during pregnancy. Which of the following responses should the nurse make your weight gain should be the same as for someone without diabetes
  4. A nurse is reinforcing teaching with the parent of a preschooler who has lactose intoler ance.Which of the following statements by the parent indicates

prescriptio n for levothyroxine. Which of the following instructions should the nurse include in th e teaching you will need to take the medication for the rest of your life

  1. 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 Client reports during with urination.
  2. A nurse is reinforcing reaching with a client about a planned thoracentesis. Which of the following information should the nurse include in the teaching?- : You will need to be monitored for 1 hour after the procedure."
  3. A nurse is contributing to the plan of care for an older adult client who has difficulty in sleeping. Which of the following interventions should the nurse include in the plan Establish a regular exercise routine 2 hr or more before bedtime.
  4. A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir.Which of the following statements

by the client should indicate to the nurse an understanding of the teaching "I will rinse my mouth after taking this medication"

  1. A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive personnel. Which of the following assignments should the LPN expect to receive Administering an NG tube feeding to a client who had a stroke
  2. A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations.Which of the following actions should the nurse take?- : Offer the client headphones to listen to music.
  3. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching If I forget to take a dose, I can take it later on the same day."
  4. A nurse is working with an interpreter to explain a diagnostic procedure to a client wh o doesn't speak the same language as the nurse. Which of the following actions should the nurse take Ensure the interpreter is culturally compatible with the client.
  5. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the dischargeteaching Demonstrate assertiveness.
  6. A nurse is contributing to the discharge plan for a client who had a knee arthroplasty. Which of the following actions should the nurse identify as the priority Check the client's mobility
  7. A nurse in a long- term care facility is assisting with the admission of a client who requires oropharyngeal suctioning. Which of the following supplies does the nurse need to
  1. A nurse in a long term care facility is using validation therapy with a client wh o has dementia.The client becomes agitated and asks why his wife who died several years ago has not visited him. Which of the following responses should the nurse make You must miss your wife. Let's take a walk and you can tell me about her.
  2. A nurse is reinforcing teaching with a client who has a prescription for nitrogly cerin sublingual tablets Which of the following instructions should the nurse include in the teaching take up to three tablets during a single angina episode
  3. A Nurse is caring for a client who is post op following an open reduction with internal fixation of the ankle. The client report pain and the nurse notes that the afollow ingected extremity is cool, pale, and has a weak pulse. The nurse calls the surgical assistant who responds "it has always been like that" Which of the following actions shoul d the nurse take first notify the nursing supervisor
  4. A nurse is collecting data from a client who has Tourette syndrome.The client reports taking haloperidol 0.5 mL orally 3 times a day at home. Which of the following components of the prescription should the nurse question?- : dosage
  5. A nurse is caring for a female client who has an indwelling urinary catheter. which of the following actions should the nurse take Wipe the drainage port with an antiseptic wipe after emptying urine from bag.
  6. (^) A nurse is reinforcing teaching with a newborn's parentsabout umbilical cord c ard. Which of the following statements by aparent indicates an under- standing of the in struction "I will give our baby sponge baths until the cord falls off
  7. A nurse who is facilitating a support group notices that one client in the group is

extremely talkative, to the point where others in the group have difficulty sharing their own ideas.Which of the following strategies should the nurse use to facilitate the group process with this client Speak privately to the client about this behavior.

  1. A nurse at a clinic is performing vision testing for a client following a head injury. Which of the following findings should the nurse identify as a problem with pupil accommodation Lack of change in pupil size when the client looks from a far to a near object.
  2. A nurse is reinforcing teaching with a client who has cancer and a new pre- scrip tion for fentanyl transdermal patches. Which of the following statements by the client indicates an understanding of the teaching "I will fold the patch with the adhesive sides inward before discarding it."
  1. A nurse is reviewing laboratory reports for a client who has an Escherichia Coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose?- : Creatinine 2.5 mg/dL
  2. A nurse working in a community clinic is caring for an adolescent who has infectious mononucleosis.The client asks thenurse to explain how the disease was acquired.The nurse should explain that an individual acquires this disease by which of the following: Sharing eating utensils with an infected person
  3. A nurse is caring for a client who requests information bout advance di- rectives. Which of the following responses should the nurse make "Advance directives are written instructions regarding end-of-life care."
  1. A nurse is contributing to the plan of care for a client who is at risk of developing pressure ulcers. Which of the following actions should the nurse include in the plan of care Place the client in a 30 ° lateral position.
  2. A nurse is assisting with performing a non stress test for a client who is at 39 weeks of gestation which of the followinginstructions should the nurse reinforce with the client "You should depress the button on the handheld when you feel your baby move."
  3. A nurse is reinforcing discharge teaching with a client following cataract surgery. Which of the following instructions should the nurse include in the teaching marker Sleep on the non-operative side for 2 weeks.
  4. A nurse manager is preparing to complete a performance analysis for a group of assistive personnel.The manager asks a stafollowing nurse for feedback on each assistants a bilities. Which of the following actions should the stafollowing nurse take Discuss how each AP's actions measure against the job description.
  5. A nurse working in a provider's office receives a phone call from the parent of a school- age child who has varicella.The parent asked the nurse when the child can return to school.Which of the following responses should the nurse make - "When the lesions have scabbed over."
  6. (^) A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect improved sleep
  7. A nurse is contributing to the plan of care for a care for a client who has chest tube
  1. A nurse on an acute care unity is collecting data from a school-age Child who has cystic fibrosis. Which of the following findings is the priority for the nurse Reports lack of appetite
  2. A nurse assisting with a childbirth class is discussing non pharmaco- logical strategies used during labor. Which of the following statements by a client indicates an understanding of cutaneous stimulation "I should use counterpressure for back pain during labor."
  3. A nurse is assisting with the admission of a client who has major depres- sive dis order. Which of the following communication technique should the nurse use to establish a trusting relationship with the client Offering general leads
  4. A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescription should the nurse clarify with the provider?- : Metoprolol ER 50mg per NG tube BID
  5. A nurse is contributing to the plan of care for a client who is newly diagnosed with iron deficiency anemia.Which of the following foods should the nurse include in the plan as having the highest amount of iron Boiled spinach
  6. A nurse is administering lorazepam to a client who is scheduled for surgery within 1 yr.Which of the following actions should the nurse take after administering the medication Instruct the client not to get out of bed.
  7. (^) A nurse is observing an AP caring for a client. For which of the following actions should the nurse intervene An AP reports client information to the oncoming AP in the hallway
  8. A nurse is instructing an assistive personnel on the use of proper body mechanics

when moving a client. which of the following statements by the assistive personnel should the nurse identify as an understanding of the teaching I will use a pull sheet to help slide the client toward me.

  1. a Nurse in maintaining droplet precautions for a client who has menin- gitis. Which of t he following actions should the nurse take Wear a surgical mask within 3 feet of the client.
  2. A nurse is collecting data from a female client who has a new diagnosis of genital her pes. Which of the following findings should the nurse expect?- : Painful erythematous vesicles.
  3. a school nurse is having a conversation with the parents of an adolescent. The nurse should identify which of the following situations as an ethical dilemma for the parents "We can't decide whether to try to homeschool our child or move her to a private school."