ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is reviewing the medical record of a client who is scheduled for surgery. Which of the following findings should the nurse report to the provider?
- A. Client reports taking warfarin
- B. Client has a history of hypertension
- C. Client ate a light breakfast 2 hours prior
- D. Client reports a history of smoking 10 cigarettes a day
Correct answer: A
Rationale: The correct answer is A. Warfarin is an anticoagulant that increases the risk of bleeding during surgery. It is crucial for the provider to be informed about the client taking warfarin to adjust the treatment plan accordingly. Choices B, C, and D are not as critical to report for surgical planning. A history of hypertension (B) is important but may not require immediate intervention for surgery. Eating a light breakfast 2 hours prior (C) is a normal preoperative instruction. Smoking history (D) is relevant for overall health assessment but is not as urgent as the use of warfarin before surgery.
2. A nurse is assessing a client who is receiving morphine for pain management. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 62/min
- B. Blood pressure of 118/78 mm Hg
- C. Respiratory rate of 10/min
- D. Pain rating of 4 on a scale of 0 to 10
Correct answer: C
Rationale: The correct answer is C. A respiratory rate of 10/min indicates respiratory depression, a serious adverse effect of morphine that should be reported immediately. Options A, B, and D are within normal limits and are not indicative of a potentially life-threatening complication associated with morphine therapy.
3. A nurse is preparing to administer an IV medication to a client who has an allergy to latex. Which of the following actions should the nurse take?
- A. Use latex gloves when administering the medication.
- B. Use latex-free syringes when administering the medication.
- C. Administer the medication through a latex-free IV port.
- D. Administer the medication with a latex-free syringe.
Correct answer: C
Rationale: The correct action for the nurse to take when preparing to administer IV medication to a client with a latex allergy is to administer the medication through a latex-free IV port. This is crucial as it prevents direct contact of the medication with latex, reducing the risk of an allergic reaction. Choice A is incorrect as using latex gloves can still expose the client to latex. Choice B is not the best option since the administration route is not specified, and using a latex-free syringe alone may not be sufficient to prevent exposure. Choice D is not the most appropriate because the IV tubing and ports should also be latex-free to ensure complete avoidance of latex contact.
4. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment by observing which of the following?
- A. A chest x-ray reveals increased density in all fields
- B. The client reports feeling less anxious
- C. Diminished breath sounds are auscultated bilaterally
- D. ABG results include pH 7.48, PaO2 77 mm Hg, and PaCO2 47 mm Hg
Correct answer: B
Rationale: The correct answer is B because when a client reports feeling less anxious, it suggests that the treatment for a pulmonary embolism is effective. This is a good indicator of the client's overall well-being and response to treatment. Choices A, C, and D are incorrect because a chest x-ray revealing increased density in all fields, diminished breath sounds auscultated bilaterally, and ABG results showing specific values do not directly correlate with the effectiveness of treatment for a pulmonary embolism. While these assessments are important for monitoring the client's condition, the client's subjective report of feeling less anxious provides a more direct insight into the impact of the treatment.
5. A group of newly licensed nurses is being taught about client advocacy by a nurse. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
- A. I will intervene if there is a conflict between a client and their provider.
- B. I should not advocate for a client unless they are able to ask me themselves.
- C. I will inform a client that their family should help make their health care decisions.
- D. I believe the best health care decision is for the provider to decide.
Correct answer: B
Rationale: The correct answer is B because advocating for a client should not be dependent on the client's ability to ask for it personally. Advocacy is crucial to ensure clients' rights are upheld, especially when they are unable to express their wishes. Choice A is incorrect as intervening in a conflict may not always be advocating for the client's best interests. Choice C is incorrect because the family should not make health care decisions for the client without their input. Choice D is incorrect as it disregards the importance of client autonomy and involvement in decision-making.
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