ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about managing blood glucose levels. Which of the following client statements indicates an understanding of the teaching?
- A. "I will monitor my blood pressure regularly."
- B. "I will keep my blood glucose level between 200 and 250 mg/dL."
- C. "I will take my insulin at the same time each day."
- D. "I will eat three large meals each day."
Correct answer: C
Rationale: Taking insulin at the same time each day helps maintain stable blood glucose levels and prevent complications.
2. A nurse is caring for a client who has Raynaud's disease. What intervention should the nurse implement?
- A. Provide information about stress management.
- B. Maintain a cool temperature in the client's room.
- C. Administer epinephrine for acute episodes.
- D. Give glucocorticoid steroids twice a day.
Correct answer: A
Rationale: The correct intervention for a client with Raynaud's disease is to provide information about stress management. Stress management techniques can help reduce the frequency and severity of Raynaud's episodes. Choice B is incorrect because maintaining a cool temperature can exacerbate symptoms in individuals with Raynaud's disease. Choice C is incorrect as epinephrine is not typically used for Raynaud's disease. Choice D is incorrect as glucocorticoid steroids are not the first-line treatment for Raynaud's disease.
3. A client who is 2 hours postoperative following a kidney biopsy is being assessed by a nurse. Which of the following findings should the nurse report to the provider?
- A. Urinary output of 30 mL/hr.
- B. Hemoglobin 10 g/dL.
- C. Respiratory rate of 16/min.
- D. Blood pressure 110/70 mm Hg.
Correct answer: B
Rationale: The correct answer is B. A hemoglobin level of 10 g/dL is below the normal range and should be reported following a kidney biopsy to check for bleeding. Decreased hemoglobin levels could indicate internal bleeding, which is a significant concern postoperatively. Choices A, C, and D are within normal limits and do not require immediate reporting. Urinary output of 30 mL/hr is also within the acceptable range for a postoperative client. A respiratory rate of 16/min and blood pressure of 110/70 mm Hg are both normal findings postoperatively.
4. A client who has glaucoma and a new prescription for timolol eyedrops is receiving teaching from a nurse. Which of the following statements indicates an understanding of the teaching?
- A. I will place the eye drops in the center of my eye.
- B. I will place pressure on the corner of my eye after using the drops.
- C. I should expect my tears to turn red after using the drops.
- D. I should expect the drops to appear cloudy.
Correct answer: B
Rationale: The correct answer is B because placing pressure on the corner of the eye after using the drops helps in better absorption. Option A is incorrect because eye drops should be placed in the conjunctival sac, not the center of the eye. Option C is incorrect because tears turning red is not an expected outcome of using timolol eyedrops. Option D is incorrect because timolol eyedrops should not appear cloudy.
5. A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Serosanguineous drainage on the surgical dressing.
- B. Heart rate of 88/min.
- C. Blood pressure of 118/76 mm Hg.
- D. Temperature of 38.8°C (101.8°F).
Correct answer: D
Rationale: A temperature of 38.8°C (101.8°F) is above the normal range and may indicate infection, which should be reported. Elevated temperature postoperatively can be a sign of infection, especially in the early postoperative period. Serosanguineous drainage on the surgical dressing is expected in the early postoperative period. A heart rate of 88/min and a blood pressure of 118/76 mm Hg are within normal ranges and do not necessarily indicate a complication postoperatively.
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