ATI PN Exit 2023 Proctored Exam

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• Raise the entire bed while bathing the client to reduce back strain
• Report any drainage observed around the GT insertion site
• Keep the head of the bed raised while the tube feeding is infusing
• Use plenty of pillows to position the client on the side after bathing.
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(Select All that Apply.)

• Height and weight of client prior to admission
• Client's pain rating on a scale of 1 to 10
• Time of last administration of pain medication
• Effectiveness of last pain medication administered
• History of pain medication use during the past year

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• "You should place the diaper over the strap of the harness.”
• "The harness can be removed for sleeping each night.”
• "You can apply lotion under the straps of the harness.”
• "The harness can promote hip joint development.”

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• Elevated amylase.
• Decreased bilirubin.
• Elevated lipase.
• Elevated ammonia.

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• Oxygen mask.
• Reservoir bag.
• Petroleum jelly.
• Nasal cannula.

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• Remove the client's dentures to close their mouth.
• Place medical equipment to the side of the client's bed.
• Lie on the head of the client's bed flat.
• Ask the family if they want to participate in postmortem care.

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• The client has developed difficulty ambulating.
• The client's next dressing change is scheduled in 4 hr.
• The client has state-sponsored health insurance.
• The client's vital signs are checked every 8 hr.

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• "I will need to give you Rh(D) immune globulin because you are Rh positive.”
• "You will need to have an empty bladder for the test.”
• "You will have to lie on your left side during the test.”
• "You will have to drink 50 grams of oral glucose before the test.”

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• Placement of a central venous catheter.
• Insertion of a nasogastric tube.
• Irrigation of a wound with antibiotic solution.
• Administration of an iron injection using Z-track technique.

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• "I will cleanse my skin using an antibacterial soap.”
• "I will dry my skin by patting it with a towel.”
• "I will use an astringent on my face.”
• "I will limit my time in the tanning bed to 15 minutes.”

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• Soiled linens are placed on the floor
• Waste containers are lined with single bags
• Dampened cloths are used for dusting the area
• Uncapped sharps are put in a puncture-resistant container

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• "What would your family do without you?”
• "When you get better you will not feel this way.”
• "Why would you think a thing like that?”
• "Are you thinking of hurting yourself?”

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• The client’s date of birth
• Client's full medical diagnosis.
• Client's telephone number.
• Room number of the client.

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• Place a pulse oximeter on the client's finger.
• Establish a patent airway for the client.
• Check the client's pulse rate.
• Administer oxygen to the client.

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• Nutritionist.
• Primary care provider.
• Pediatric nurse practitioner.
• Case manager.

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• "What makes you think the staff is following you?”
• "The psychiatric staff is not FBI. They are here to help you.”
• "Why do you feel the staff is the FBI?”
• "This must be very frightening for you. Let's talk more about it.”

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• Tingling of the scalp.
• Temporary memory loss.
• Voice alteration.
• Neck pain.

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• Triiodothyronine.
• Prothrombin time.
• Blood urea nitrogen.
• Serum potassium.

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• Replace the IV pump's tubing.
• Clear the settings and reset the IV pump.
• Plug the IV pump's cord into a different outlet.
• Discontinue use and tag the IV pump.

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• Children who have erythema infectiosum (fifth disease) require short-term antibiotic therapy.
• Administration of childhood immunizations will prevent exanthem subitum (roseola infantum)
• Restrict fluids for children who have pertussis.
• Isolate children who have varicella until the vesicles have formed crusts.

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• Rigid abdomen.
• Persistent uterine contractions.
• Bright red vaginal bleeding.
• Increased fetal movement.

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• Writing a client's diagnosis on the message board in the client's room.
• Discarding worksheets containing client information in a wastebasket.
• Giving change-of-shift report to a nurse outside the client's room.
• Discussing a client's prognosis with an assistive personnel who is caring for the client.
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• Call the supervisor to ask for another nurse.
• Document objective findings about the situation.
• Remove the nurse from the client care area.
• Assign clients to the remaining staff.

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• Assist in discharging stable clients to home.
• Determine the acuity and number of casualties arriving at the facility.
• Delegate tasks to emergency health care specialists.
• Provide informational updates to members of the media.
• None
• None

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• Decreased platelets.
• Increased erythrocyte sedimentation rate.
• Decreased hemoglobin.
• Increased iron level.

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• Boggy fundus 3 fingerbreadths above the umbilicus.
• Client report of uterine cramping.
• Saturation of perineal pad in 15 min.
• Client report of burning with urination.

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• Massage the affected extremity every 4 hr.
• Administer aspirin for pain.
• Initiate bed rest.
• Apply an ice pack to the affected extremity for 20 min every 2 hr.

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• Use written signs to assist the client with locating the bathroom.
• Provide a stimulating environment for the client.
• Use confrontation to manage the client's behavior.
• Limit the number of choices for the client.

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• Limit the use of familiar objects.
• Make a schedule of daily tasks.
• Have several family members visit daily.
• Ask questions that require more than one answer.

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• Avoid quoting client comments when documenting.
• Document giving a dose of pain medication just prior to administration.
• Document information telephoned in by a nurse who left the unit for the day.
• Limit documentation to subjective information.
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• "You will no longer be infectious once you have completed a course of antibiotics.”
• "You should increase fluid intake to relieve dysuria.”
• "You should have the lesions drained as they appear.”
• "You should wear nylon underwear until the lesions have healed.”

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• Hyperreflexia.
• Tinnitus with ear pain.
• Diplopia.
• Skin rash with fever.

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• Replace the ear molds once per year.
• Disinfect the hearing aid with isopropyl alcohol.
• Clean the hearing aid with a soft cloth.
• Change the battery once per month.

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• Facial erythema.
• Beefy, red tongue.
• Fever.
• Koplik spots.

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• Hypertension.
• Constipation.
• Muscle cramps.
• Blurred vision.

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• "My partner and I will use petroleum jelly with latex condoms.”
• "My partner and I will both use a condom during intercourse.”
• "I will be able to remove my contraceptive sponge immediately after intercourse.”
• "My partner will use condoms with spermicides.”