ATI RN
ATI Comprehensive Exit Exam 2023 With NGN
1. A client with osteoporosis is being taught about dietary management. Which of the following foods should be recommended?
- A. Almonds
- B. Spinach
- C. Yogurt
- D. Carrots
Correct answer: C
Rationale: Yogurt is a calcium-rich food that helps strengthen bones and should be recommended to clients with osteoporosis. Almonds, spinach, and carrots do not provide as much calcium as yogurt and are not as beneficial for individuals with osteoporosis.
2. A client is receiving discharge teaching about a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with milk.
- B. I should expect my stools to turn black.
- C. I should avoid eating oranges while taking this medication.
- D. I will take this medication on an empty stomach.
Correct answer: B
Rationale: The correct answer is B. When taking ferrous sulfate, clients should expect their stools to turn black, which is a normal side effect due to the iron content. Choice A is incorrect because ferrous sulfate should not be taken with milk as it can decrease its absorption. Choice C is incorrect because vitamin C-rich foods like oranges can actually enhance the absorption of iron. Choice D is incorrect because ferrous sulfate is usually recommended to be taken on an empty stomach for better absorption.
3. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia. Which of the following actions is the nurse's priority?
- A. Consult with a case manager regarding insurance coverage.
- B. Counsel caregivers on respite care options.
- C. Ensure that the client has a referral for physical therapy.
- D. Refer the client to a local stroke support group.
Correct answer: C
Rationale: The correct answer is C: 'Ensure that the client has a referral for physical therapy.' For a client with left-sided hemiplegia, physical therapy is crucial in restoring function and mobility. It is the nurse's priority to ensure the client receives the necessary rehabilitation services. Consulting with a case manager about insurance coverage (Choice A) is important but not the priority at this stage. Counseling caregivers on respite care options (Choice B) and referring the client to a local stroke support group (Choice D) are also valuable but not as essential as ensuring the client has access to physical therapy for rehabilitation.
4. A nurse is caring for a client who speaks a language different from the nurse. Which of the following actions should the nurse take?
- A. Request an interpreter of a different sex from the client
- B. Request a family member or friend to interpret information for the client
- C. Direct attention toward the interpreter when speaking to the client
- D. Review the facility policy about the use of an interpreter
Correct answer: D
Rationale: The correct action for the nurse to take when caring for a client who speaks a different language is to review the facility policy about the use of an interpreter. This ensures compliance with best practices for communication when using interpreters, maintaining accuracy and confidentiality. Requesting an interpreter of a different sex from the client (Choice A) is not relevant to effective communication. Asking a family member or friend to interpret (Choice B) can lead to misinterpretation or breach of confidentiality. Directing attention toward the interpreter (Choice C) is not as crucial as understanding the facility's policy on interpreter use.
5. A client with diabetes mellitus is receiving education from a nurse on preventing long-term complications. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will keep my blood glucose levels within the target range.
- B. I will check my feet daily for any open sores or wounds.
- C. I will monitor my blood pressure regularly.
- D. I will consume foods that are high in fiber.
Correct answer: B
Rationale: The correct answer is B: 'I will check my feet daily for any open sores or wounds.' This statement shows an understanding of the importance of foot care in preventing complications like diabetic foot ulcers. Monitoring blood glucose levels (choice A) is crucial but not directly related to foot care. Monitoring blood pressure (choice C) is important for overall health but does not specifically address preventing long-term complications of diabetes. Consuming foods high in fiber (choice D) is beneficial for managing blood sugar levels but does not directly address preventing foot complications.
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