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PN Comprehensive Exam Preparation: 150 Practice Questions, Exams of Nursing

Capella UniversityNursing

This resource provides 150 multiple-choice questions and answers designed to help students prepare for a comprehensive nursing exam. The questions cover a wide range of nursing topics, including medication administration, client care, and assessment. This resource can be valuable for students seeking to reinforce their knowledge and practice their critical thinking skills in a simulated exam environment.

Typology: Exams

2024/2025

Available from 04/13/2025

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2025-2026 ATI PN COMPREHENSIVE PREDICTOR
EXAM|ACTUAL 150Qs&As|LATEST UPDATE|100%
VERIFIED
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year- old. Which of the
following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
B
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings
should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
B
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator which of the following statements demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD"
B
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
A
5. A nurse is planning care for a client who has a prescription for a bowel- training program
following a spinal cord injury. Which of the following actions should the nurse include in the
plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day .
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Partial preview of the text

Download PN Comprehensive Exam Preparation: 150 Practice Questions and more Exams Nursing in PDF only on Docsity!

2025 - 2026 ATI PN COMPREHENSIVE PREDICTOR

EXAM|ACTUAL 150Qs&As|LATEST UPDATE|100%

VERIFIED

  1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7 - year- old. Which of the following actions should the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure. B
  2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation. B
  3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? A. "I will soak in the tub rather and showering" B. "I will wear loose clothing around my ICD" C. "I will stop using my microwave oven at home because of my ICD" D. "I can hold my cellphone on the same side of my body as the ICD" B
  4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence aboutbeing pregnant. Which of the following responses should the nurse make? A. "Describe your feelings to me about being pregnant" B. "You should discuss your feelings about being pregnant with your provider" C. "Have you discussed these feelings with your partner?" D. "When did you start having these feelings?" A
  5. A nurse is planning care for a client who has a prescription for a bowel- training program following aspinal cord injury. Which of the following actions should the nurse include in the plan of care? A. Encourage a maximum fluid intake of 1,500 ml per day.

B. Increase the amount of refined grains in the client's diet. C.Provide the client with a cold drink prior to defecation. D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. D A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine position. B

  1. a nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? A. Below-the knee amputation B. Fractured tibia C. 95% full-thickness body burn D. 10cm (4in) laceration to the forearm A
  2. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Remove the client's restraint every 4hr B. Document the client's condition every 15 min C. Attach the restrain to the bed's side rails D. Request a PRN restrain prescription for clients who are aggressive B
  3. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? A. Acts as an advocate for the nursing unit. B. (Unable to read) for the unit C. Priorities staff request over client needs. D. Provides routine client care and documentation. A
  4. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. A. Serum sodium 144 mEq/ B. (Unable to read)

A. Monitor the client's IV site for thrombophlebitis. B. Administer flumazenil to the client. C. Evaluate the client for further suicidal behavior. Initiate seizure D. precautions for the client. B

  1. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B. Memory loss C. Slurred speech D. Elevated temperature D
  2. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention B
  3. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which ofthe following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm C. Hct 40% D. WBC 14,000/mm D The normal number of WBCs in the blood is 4,500 to 11,000 WBCs per microliter
  4. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? A. "The proxy should make health care decisions for the client regardless of the client's ability to do so." B. "The proxy can make financial decisions if the need arises." C. The proxy can make treatment decisions if the client is under anesthesia." D. "The proxy should manage legal issues for the client." C
  5. A nurse in the PACU is caring for a client who reports nausea. Which of the

following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic C.Administer antiemetic D.Monitor the client's vital signs. A A nurse is caring for a client who has a history of depression and is experiencing a situational crisis.Which of the following actions should the nurse take first? A. Confirm the client's perception of the event B. Notify the client's support system C. Help the client identify personal strengths D. Teach the client relaxation techniques A

  1. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client's peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client's condition every 15 minutes. D
  2. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the OR unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN? A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs. B. A client who sustained a concussion and has unequal pupils. C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. D. A client who fractured his femur yesterday and is experiencing shortness of breath.C
  3. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? A. Place the client upright on a donut-shaped cushion B. Teach the client to shift his weight every 15 min while sitting C. Turn and reposition the client every 3 hr while in bed D. Assess pressure points every 24 hr A

B

What are the 10 foods that trigger gout? Food and drinks that can cause a flare-up of gout include alcohol, beef, pork, chicken liver, wild game, sardines, anchovies, yeast, and beverages with high-fructose corn syrup, such as soda

  1. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should thenurse make? A. "I can give you information about respite care if you are interested." B. "You should consider taking a sleeping pill before bed each night" C. "It must be difficult taking care of someone who is terminally ill" D. "You are doing a great job taking care of your mother"A
  2. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's glucose. The nurse should identify this finding as an adverse effect of which of the following medications A. Methylprednisolone. B. Ondansetron. (zofran) C. Guaifenesin (mucinex) D. Amoxicilli n. A
  3. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of thefollowing information should the nurse include in the teaching? A. "You should take folic acid to decrease the risk of transmitting infections to your baby" B. "You should consume a maximum of 300 micrograms of folic acid every day". C. "You can increase your dietary intake of folic acid by eating cereals and citrus fruits". D. "You can expect your urine to appear red-tingled while taking folic acid supplements". C
  4. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1 Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C (99.3F)

Exhibit 2 Medication Administration RecordClozapine 150 mg PO twice dailyBenztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse's notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the pastmonth. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous. A. Dietary intake B. Heart rate. C. Sore throat. D. Blood pressure. C The antipsychotic clozapine (Clozaril®, Clopine®) can cause potentially fatal neutropenia and agranulocytosis (number needed to harm = 59). Patients on clozapine who present with evidence of infection such as flu-like symptoms, sore throat or fever should be investigated for a blood dyscrasia.

  1. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel A. "The nurse is legally responsible for the actions of the AP". B. "An AP can perform tasks outside of his range if he has been trained". C. "An experienced AP can delegate to another AP". D. "An RN evaluates the client needs to determine tasks to delegate"D
  2. A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? A. Contractions lasting 80 seconds B. FHR baseline 170/min C. Early decelerations in the FHR D. Temperature 37.4C (99.3) B
  3. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left- sided hemiplegia the following actions is the nurse's priority? A. Consult with a case manager about insurance coverage. B. Counsel caregivers about respite care options. C. Ensure that the client has a referral for physical therapy. D. Refer the client to a local stroke support group.

B. A client vomits within 20min of taking his morning medications C. A client requests his statin to be administered at 2100 D. A client asks for pain medication 1hr early A A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make? A. "Does the doctor know you are eating that?" B. "Why are you eating seaweed soup?" C. "Of course I will heat that up for you" D. "The hospital good is more nutritious" C. a nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? A. Leaving a nasogastric tube clamped after administering oral medication B. Documenting communication with a provider in the progress notes of the client's medical records C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls C

  1. a nurse is providing teaching to family members of a client who has dementia. Which of thefollowing instructions should the nurse include in the teaching? A. Establish a toileting schedule for the client B. Use clothing with buttons and sippers C. Discourage physical activity during the day D. Engage the client in activities that increase sensory stimulation A
  2. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia . B
  3. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, "It's hard not to listen to the voices." Which of the following questions should the nurse ask the client?

A. "Do you understand that the voices are not real?" B. "Why do you think the voices are talking to you?" C. "Have you tried going to a private place when this occurs?" D. "What helps you ignore what you are hearing?"D

  1. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? A. Placing a belt restraint on a school-age child who has seizures. B. Securing wrist restraints to the bed rails for an adolescent. C. Applying elbow immobilizers of an infant receiving cleft lip injury D. Keeping the side rails of a toddler's crib elevated. C
  2. A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following A. Inject air into the NPH insulin vial. B. (Unable to read) C. Withdraw the prescribed dose of regular insulin D. Withdraw the prescribed dose of NPH insulin A
  3. a Nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? A. "Let's talk about how you can change your response to stress." B. "We should establish our roles in the initial session." C. "Let me show you simple relaxation exercises to manage stress." D. "We should discuss resources to implement in your daily life."B
  4. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include? A. Children who have varicella are contagious until vesicles are crusted. B. Children who have varicella should receive the herpes zoster vaccination. C. Children who have varicella should be placed in droplet precaution. D. Children who have varicella are contagious 4 days before the first vesicle eruption. A
  5. A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of thefollowing requires intervention by the staff nurse? A. Waits 2 minutes between suctions. B. Encourages the client to cough during suctioning. C. Apply suctioning for 15 seconds. D. Inserts the catheter without applying suction.A
  1. A nurse is caring for a client wo has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? A. Keep client's calcium gluconate at the client's bedside B. Monitor blood pressure every 2 hr. C. (Limit or remove?) IV bag from exposure to light. D. Attach tan inline filter to the IV tubing. C
  2. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? A. Feelings of dread B. Heightened perceptual field C. Rapid speech D. Purposeless activity B
  3. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication. D. Administer the medication. D
  4. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? A. Stay in bed at least 1hr if unable to fall asleep B. Take 1 hr nap during the day C. Perform exercise prior to bed D. Eat a light snack before bedtime D
  5. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? A. Pregabalin B. Lorazepam C. Colchicine D. Codeine. A Pregabalin is used to treat epilepsy and anxiety. It's also taken to treat nerve pain. Nerve pain can becaused by different conditions including diabetes and shingles, or an injury. 63.A nurse is caring for a client following insertion of a chest tube 12 hr. ago. The (Unable to read) following actions should the nurse take? A. Assess the amount of drainage in the collection chamber. B. Clamp the chest tube during ambulation. C. Report continuous bubbling in the water seal chamber. D. Strip the chest tube every 4 hr. to maintain

patency. C

  1. A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr. PRN. The nurse should monitor for which of the following adverse effects? A. Productive cough. B. Urinary retention. C. Rhinitis D. Fever.B
  2. A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states "I don't know what to do. Everything has been happening so quickly." Which of the following by the nurse is therapeutic? A. "Can you talk about what happens with your partner at home?" B. "Why do you think your partner's symptoms are progressing so quickly?" C. "You should make sure your partner takes the prescribed medication." D. "You did the right thing by bringing your partner in for treatment." A
  3. A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis of celiac disease. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will put my child on a gluten-free diet". B. "I will administer digestive enzymes with meals and snacks". C. "Provide my child with some high fiber foods." D. "I will give my child whole wheat toast and milk for breakfast". A
  4. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A. Prime IV tubing with 0.9% sodium chloride. B. Use a 24 - gauge IV catheter C. Obtain filter less IV tubing. D. Place blood in the warmer for 1 hr.A A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate? A. 0.9% normal saline. B. NPH insulin. C. Glargine insulin. D. 0.45% saline.A
  5. A nurse is teaching who has chronic pain about avoiding constipation from opioid medications. Which of the following should the nurse include in the teaching? A. Drink 1.5L fluids each day. B. Take mineral oil at bedtime.

repositioning. D A nurse is caring for an infant who has coaction of the aorta. Which of the following should the nurse identify as an expected finding? A. Weak femoral pulses B. Frequent nosebleeds C. Upper extremity hypotension D. Increased intracranial pressureA A nurse is assisting with the development of an informed document for participation in a research study.Which of the following information should the nurse include? A. A statement that participants can leave the study at will. B. An assignment of the participant to either the experimental or control group. C. A list of the clients participating in the study. D. A description of the framework the researchers will use to evaluate the data. A

  1. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of thefollowing adverse effects should the nurse include? A. Excessive sweating B. Increased urinary frequency C. Dry cough D. Metallic taste in mouthA
  2. A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the following should the nurse report to the provider? A. The client's pulse oximetry level is 96%. B. (Unable to read) C. The client develops hiccups. D. The ECG shows pacing spikes after the QRS complex. C
  3. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following resources should the nurse provide to the client? A. Personal blogs about managing the adverse effects of diabetes medications B. Food label recommendations from the Institute of Medicine C. Diabetes medication information from the Physicians' Desk Reference D. Food exchange list for meal planning from the American Diabetes Association. D
  4. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching? A. "The PCA will deliver a double dose of medication when you push the button twice." B. "You can adjust the amount of pain medication you receive by pushing on the keypad." C. "Continuous PCA infusion is designed to allow fluctuating plasma medication levels." D.

You should push the button before physical activity to allow maximum pain control." D

  1. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin? A. Glargine insulin. B. Regular insulin. C. NPH insulin. D. Insulin aspart.A Insulin glargine Insulin glargine, a long-acting insulin, does not have a peak effect time, but is fairly stable in effect aftermetabolized NPH NPH insulin has a peak effect around 6 to 14 hr following administration. Regular insulin Regular insulin has a peak effect around 1 to 5 hr following administration Insulin lispro Insulin lispro has a peak effect around 30 min to 2.5 hr following administration
  2. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. Playing with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom. B
  3. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a feeding pump and is experiencing dumping syndrome. Which of the following actions should the nurse take? A. Administer a refrigerated feeding. B. Increased the amount of water use to flush the tubing. C. decrease rate of the client's feedings. D. Instruct the client to move onto their right side. C
  4. A nurse in an emergency department is caring for a client who received a dose of penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing. Which of the following actions is thenurse's priority? A. Monitor the client's ECG B. Take the client's vital signs.

injuries.D

  1. A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetalbradycardia? A. Maternal fever B. Fetal anemia C. Maternal hypoglycemia D. Chorioamnioni tisC
  2. A nurse is assessing a school-age child who has a urinary tract infection. Which of thefollowing findings should the nurse expect? A. Periorbital edema. B. Decreased frequency of urination. C. Enuresis. D. Diarrhe a. C
  3. A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? A. A client who has COPD and a respiratory rate of 44/min B. A client who has cancer with a sealed implant for radiation therapy C. A client who is receiving heparin for deep-vein thrombosis D. A client who is 1 day postoperative following a vertebroplasty D
  4. A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min via continuous infusion.

Available is dopamine hydrochloride in a solution of 800 mg in a 250 ml bag. The client weighs 80 kg.The nurses should set the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number) 6 formula= Desired dose (mcg) x qty (ml) x time (min) x body wt (kg) Available dose x 1000 4mcg x 250 x 60 x 80 / 800 x 100 = 6

  1. A nurse is providing teaching to the parents of a newborn genetic screening. Which of the following statement should the nurse include in the teaching? A. "This test should be performed after your baby is 24 hours old." B. "A nurse will draw blood from your baby's inner elbow." C. "Your baby will be given 2 ounces of water to drink prior to the test." D. "This test will be repeated when your baby is 2 months old." A
  2. A nurse is providing discharge teaching to a client who is postoperative following a colon resection and has a new ascending colostomy. Which of the following statements by the client indicates an understanding of the teaching? A. "My stool will become fully formed within 3 weeks" B. "My skin will need to be cleaned with alcohol before I apply a new pouch" C. "I should avoid eating popcorn and fresh pineapple" D. "I should expect bruising around the stoma" C
  3. A nurse is admitting a client who had a stroke and exhibits facial drooping, drooling and hoarseness.Which of the following is the nurse's priority? A. Refer the client to a speech language pathologist. B. Monitor the client's prealbumin levels C. Measure the client's weight. D. Place the client on NPO status. D
  4. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? A. "Taking furosemide can cause your potassium levels to be high" B. "Eat foods that are high in sodium" C. "Rise slowly when getting out of bed"