ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet
1. A nurse is caring for a client who is 2 hours postoperative following a thoracotomy. Which of the following findings should the nurse report to the provider?
- A. Chest tube drainage of 60 mL/hr
- B. Oxygen saturation of 95%
- C. Chest tube drainage of 120 mL/hr
- D. Heart rate of 88/min
Correct answer: C
Rationale: The correct answer is C. Chest tube drainage of more than 100 mL/hr may indicate active bleeding, which is a serious complication post-thoracotomy surgery. This finding should be reported to the healthcare provider immediately for further evaluation and intervention. Choices A, B, and D are within normal limits for a client 2 hours post-thoracotomy and do not require immediate reporting. Oxygen saturation of 95% is acceptable, and a heart rate of 88/min is within the normal range for an adult.
2. A client with a new diagnosis of diabetes mellitus is being taught about foot care by a nurse. Which of the following instructions should the nurse include?
- A. Soak your feet in warm water every day to prevent dryness.
- B. Trim your toenails straight across to prevent injury.
- C. Apply lotion between your toes after bathing.
- D. Wear cotton socks to keep your feet dry.
Correct answer: B
Rationale: The correct answer is B: 'Trim your toenails straight across to prevent injury.' In clients with diabetes, trimming toenails straight across is essential to prevent ingrown toenails and injury. Choice A is incorrect because soaking feet in warm water can lead to dryness, which is not recommended for diabetic foot care. Choice C is incorrect as applying lotion between the toes can create excess moisture, increasing the risk of fungal infections. Choice D is incorrect because although cotton socks are recommended, the primary purpose is to prevent moisture buildup, not specifically to keep the feet dry.
3. A nurse is planning care for a client with thrombocytopenia. Which action should the nurse include in the care plan?
- A. Encourage the client to floss daily.
- B. Remove fresh flowers from the client's room.
- C. Provide the client with a stool softener.
- D. Avoid serving raw vegetables.
Correct answer: C
Rationale: The correct action the nurse should include in the care plan for a client with thrombocytopenia is to provide the client with a stool softener. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to increased bleeding tendencies. Providing a stool softener helps prevent constipation and straining during bowel movements, reducing the risk of bleeding. Encouraging the client to floss daily (Choice A) is important for oral hygiene but is not directly related to managing thrombocytopenia. Removing fresh flowers from the client's room (Choice B) is more related to preventing infections in immunocompromised clients. Avoiding serving raw vegetables (Choice D) is important for clients with compromised immune systems but is not specifically targeted at managing thrombocytopenia.
4. A client is experiencing mild anxiety. Which of the following findings should the nurse expect?
- A. Feelings of dread
- B. Heightened perceptual field
- C. Rapid speech
- D. Purposeless activity
Correct answer: B
Rationale: In clients experiencing mild anxiety, a heightened perceptual field is a common finding. This means that the individual may be more alert and observant of their surroundings, sometimes to the point of being hyper-aware. Choices A, C, and D are less likely to be associated with mild anxiety. Feelings of dread (Choice A) are more commonly seen in moderate to severe anxiety. Rapid speech (Choice C) may be observed in some cases of anxiety, but it is not a specific hallmark of mild anxiety. Purposeless activity (Choice D) is more indicative of severe anxiety or other mental health conditions.
5. A nurse is providing dietary teaching to a client who has chronic pancreatitis. Which of the following foods should the nurse instruct the client to avoid?
- A. Baked chicken
- B. Grilled salmon
- C. Steamed broccoli
- D. Fried foods
Correct answer: D
Rationale: Clients with chronic pancreatitis should avoid fried foods because they are high in fat, which can exacerbate symptoms and lead to further complications. Baked chicken (choice A), grilled salmon (choice B), and steamed broccoli (choice C) are generally healthier options and can be included in a low-fat diet suitable for individuals with chronic pancreatitis.
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