ATI RN
ATI Comprehensive Exit Exam 2023
1. A healthcare provider is reviewing the laboratory report of a client with a prescription for digoxin. Which result requires withholding the medication?
- A. Digoxin 0.8 ng/mL
- B. Sodium 145 mEq/L
- C. BUN 20 mg/dL
- D. Potassium 3.1 mEq/L
Correct answer: D
Rationale: The correct answer is D. A low potassium level (3.1 mEq/L) can increase the risk of digoxin toxicity. Hypokalemia can potentiate the effects of digoxin on the heart, leading to serious dysrhythmias. Choices A, B, and C are within normal ranges and do not indicate a need to withhold digoxin.
2. A nurse overhears two assistive personnel (AP) discussing care for a client in the elevator. What action should the nurse take?
- A. Contact the client's family about the incident.
- B. Notify the client's provider about the incident.
- C. File a complaint with the ethics committee.
- D. Report the incident to the AP's charge nurse.
Correct answer: D
Rationale: The correct action for the nurse to take in this situation is to report the incident to the AP's charge nurse. This ensures that the issue is addressed internally and allows for proper handling of the situation. Contacting the client's family about the incident (Choice A) may not be appropriate as it could breach confidentiality and escalate the situation unnecessarily. Notifying the client's provider (Choice B) is not the most immediate and effective step to address the issue. Filing a complaint with the ethics committee (Choice C) should be reserved for serious ethical violations, and in this case, reporting to the charge nurse is the more practical and immediate course of action.
3. A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will avoid aspirin while taking this medication.
- B. I will increase my intake of green leafy vegetables.
- C. I will take this medication with an antacid.
- D. I should expect mild bruising around my elbows.
Correct answer: A
Rationale: The correct answer is A: "I will avoid aspirin while taking this medication." Clients taking warfarin should avoid aspirin due to the increased risk of bleeding. Choice B is incorrect because increasing the intake of green leafy vegetables high in Vitamin K can interfere with the effects of warfarin. Choice C is incorrect because warfarin should not be taken with antacids as they can decrease its absorption. Choice D is incorrect because mild bruising is a common side effect of warfarin due to its anticoagulant properties.
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 nurse is providing teaching to a client who has a new prescription for albuterol. Which of the following client statements indicates an understanding of the teaching?
- A. I will use this medication to prevent an asthma attack.
- B. I will use this medication for shortness of breath during an asthma attack.
- C. I will take this medication with my daily vitamins.
- D. I will take this medication at bedtime to prevent an asthma attack.
Correct answer: B
Rationale: The correct answer is B because albuterol is used to treat shortness of breath during an asthma attack. Choice A is incorrect as albuterol is a rescue medication used during an asthma attack, not for prevention. Choice C is incorrect as albuterol should not be taken with daily vitamins. Choice D is incorrect as albuterol is not typically taken at bedtime for asthma prevention.
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