ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which resource should the nurse provide?
- A. Personal blogs about managing diabetes medications.
- B. Food exchange lists for meal planning from the American Diabetes Association.
- C. Diabetes medication information from the Physicians' Desk Reference.
- D. Food label recommendations from the Institute of Medicine.
Correct answer: B
Rationale: The correct answer is B: Food exchange lists for meal planning from the American Diabetes Association. Food exchange lists provide structured meal planning for individuals with diabetes, helping them make healthier food choices and manage their condition effectively. Choice A is incorrect because personal blogs may not provide accurate and reliable information on managing diabetes and medications. Choice C is incorrect as diabetes medication information may not be directly related to meal planning and dietary management. Choice D is incorrect because food label recommendations from the Institute of Medicine may not specifically cater to the dietary needs and meal planning guidelines recommended for individuals with diabetes.
2. A nurse is caring for a client who has septic shock. Which of the following findings should the nurse report to the provider?
- A. Temperature of 38°C (100.4°F).
- B. Urinary output of 40 mL/hr.
- C. Heart rate of 92/min.
- D. Capillary refill time of 2 seconds.
Correct answer: B
Rationale: The correct answer is B. A urinary output of 40 mL/hr is below the expected range and should be reported to the provider as it may indicate impaired kidney function, which is crucial to monitor in a client with septic shock. Choices A, C, and D are within acceptable ranges for a client with septic shock and do not indicate immediate concerns. A temperature of 38°C (100.4°F) is slightly elevated but can be expected in septic shock. A heart rate of 92/min is within the normal range for an adult. A capillary refill time of 2 seconds is also normal, indicating adequate peripheral perfusion.
3. A nurse is preparing to insert an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
- A. Insert the catheter until urine flows, then advance 2.5 to 5 cm (1 to 2 in) further.
- B. Advance the catheter 7.5 to 10 cm (3 to 4 in) after urine begins to flow.
- C. Advance the catheter 17 to 22.5 cm (7 to 9 in) after urine begins to flow.
- D. Advance the catheter 5 to 7.5 cm (2 to 3 in) after urine begins to flow.
Correct answer: C
Rationale: When inserting an indwelling urinary catheter for a male client, it is crucial to advance the catheter 17 to 22.5 cm after urine begins to flow. This helps ensure proper placement in the male urethra, which is longer compared to females. Choice A is incorrect as advancing only 2.5 to 5 cm would not reach the correct placement in male clients. Choice B is incorrect as advancing 7.5 to 10 cm is insufficient to reach the appropriate location in male clients. Choice D is also incorrect as advancing 5 to 7.5 cm would likely not reach the desired placement in male clients.
4. A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 ml/hr. What intervention should the nurse anticipate?
- A. Clamp the catheter.
- B. Administer a fluid bolus.
- C. Obtain a urine specimen for culture and sensitivity.
- D. Initiate continuous bladder irrigation.
Correct answer: D
Rationale: In this scenario, the nurse should anticipate initiating continuous bladder irrigation. Dark yellow urine output at a rate of 25 ml/hr following abdominal surgery may indicate urinary stasis or obstruction, which could lead to complications like urinary retention. Continuous bladder irrigation helps prevent catheter obstruction and manage urinary retention by ensuring patency and promoting urine flow. Clamping the catheter (Choice A) could lead to urinary stasis and should be avoided. Administering a fluid bolus (Choice B) is not indicated solely based on the urine color and output described. Obtaining a urine specimen for culture and sensitivity (Choice C) may be necessary for assessing infection but does not directly address the issue of urinary stasis or obstruction.
5. 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.
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