ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet
1. A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to assess first?
- A. A client who has a fractured femur and reports feeling short of breath.
- B. A client who is postoperative and has abdominal distention.
- C. A client who is receiving IV fluids and has a temperature of 38.5°C (101.3°F).
- D. A client who has cancer and has been receiving radiation therapy.
Correct answer: A
Rationale: The correct answer is A. A client with a fractured femur and reports feeling short of breath is at risk for a fat embolism, which is a medical emergency. The nurse should assess this client first to rule out this serious complication. Choice B may indicate paralytic ileus, which is important but not immediately life-threatening compared to a fat embolism. Choice C has a fever, which indicates infection but is not as urgent as a potential fat embolism. Choice D, a client receiving radiation therapy, is not experiencing an acute, life-threatening complication that requires immediate assessment compared to a fat embolism.
2. A client who is at 10 weeks of gestation is being taught about nutrition during pregnancy. Which statement by the client indicates an understanding of the teaching?
- A. I should consume 1,200 calories per day.
- B. I should increase my daily intake of folic acid.
- C. I should drink 2 liters of water each day.
- D. I should limit my intake of iron-rich foods.
Correct answer: B
Rationale: The correct answer is B. Increasing folic acid intake is crucial during pregnancy to prevent neural tube defects. Option A is incorrect because calorie requirements during pregnancy vary and are generally higher than 1,200 calories per day. Option C is not specific to pregnancy nutrition teaching, although hydration is important. Option D is incorrect as iron-rich foods are typically recommended during pregnancy to prevent anemia.
3. A client is prescribed albuterol. Which of the following instructions should the nurse include?
- A. Take this medication before meals.
- B. You might experience tremors while taking this medication.
- C. Limit your caffeine intake while taking this medication.
- D. Take this medication at bedtime.
Correct answer: B
Rationale: The correct answer is B. Albuterol can cause tremors as a common side effect. Instructing the client about this potential side effect is crucial for their awareness and preparedness. Choices A, C, and D are incorrect because taking albuterol before meals, limiting caffeine intake, or taking it at bedtime are not specific instructions related to managing the side effects of albuterol like tremors.
4. A nurse is caring for a client who is receiving continuous enteral feedings through a nasogastric tube. Which of the following actions should the nurse take?
- A. Keep the head of the bed elevated to 15 degrees.
- B. Change the feeding bag every 48 hours.
- C. Administer the feeding through a large-bore syringe.
- D. Flush the tube with 0.9% sodium chloride every 4 hours.
Correct answer: D
Rationale: The correct action the nurse should take is to flush the tube with 0.9% sodium chloride every 4 hours. This helps maintain patency and prevents clogs during enteral feedings. Keeping the head of the bed elevated to 15 degrees (Choice A) is important for preventing aspiration but is not directly related to tube care. Changing the feeding bag every 48 hours (Choice B) is not a standard practice as the bag should be changed every 24 hours to prevent bacterial growth. Administering the feeding through a large-bore syringe (Choice C) is incorrect as enteral feedings should be given through an appropriate feeding pump for accuracy and safety.
5. A client has a new prescription for levothyroxine. Which of the following statements should the nurse include?
- A. Take this medication with food to prevent nausea.
- B. Take this medication in the morning to prevent insomnia.
- C. You should store this medication in the refrigerator.
- D. Take this medication with a full glass of water before breakfast.
Correct answer: D
Rationale: The correct statement the nurse should include is to take levothyroxine with a full glass of water before breakfast. This helps improve absorption and prevents gastrointestinal side effects. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect as insomnia is not a common side effect of levothyroxine. Choice C is also incorrect as levothyroxine does not need to be refrigerated.
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