ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A client who has a new prescription for alendronate is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a full glass of water before breakfast.
- B. I should take this medication with food to prevent gastrointestinal upset.
- C. I should remain upright for at least 30 minutes after taking this medication.
- D. I should avoid taking this medication with antacids.
Correct answer: C
Rationale: The correct answer is C: "I should remain upright for at least 30 minutes after taking this medication." This statement indicates understanding because clients taking alendronate should remain upright for at least 30 minutes after taking the medication to prevent esophageal irritation. Choice A is incorrect because alendronate should be taken with a full glass of water after waking up, not before breakfast. Choice B is incorrect because alendronate should be taken on an empty stomach, not with food. Choice D is incorrect because alendronate should be taken separately from antacids.
2. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take?
- A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice
- B. Tell staff to explain procedures to clients before obtaining informed consent
- C. Instruct unit staff to share personal experiences to help clients make decisions
- D. Develop a system for staff members to report safety concerns in the client care environment
Correct answer: D
Rationale: The correct answer is D. Developing a system for staff members to report safety concerns in the client care environment is crucial to promoting client advocacy and ensuring client safety. This action empowers staff to identify and address potential safety issues, ultimately enhancing the quality of care provided. Choices A, B, and C are incorrect. Choice A suggests implementing paternalism, which involves making decisions for clients without their input, contradicting the principles of client advocacy. Choice B focuses on informed consent procedures, which are important but do not directly relate to promoting client advocacy among staff. Choice C, sharing personal experiences, may not always align with professional boundaries and can potentially bias clients' decision-making processes.
3. A healthcare provider is assessing a client who is receiving chemotherapy and reports mouth sores. Which of the following findings should the healthcare provider expect?
- A. Dry, cracked lips.
- B. Red, swollen gums.
- C. White patches on the tongue.
- D. Pale, dry mouth.
Correct answer: C
Rationale: White patches on the tongue are a sign of oral candidiasis, a common side effect of chemotherapy. This fungal infection can result in the development of white patches on the tongue. Dry, cracked lips (choice A) are more indicative of dehydration or lack of moisture. Red, swollen gums (choice B) may be a sign of gingivitis or periodontal disease. Pale, dry mouth (choice D) is not typically associated with mouth sores from chemotherapy.
4. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
- A. Raise the side rails on both sides of the client's bed during repositioning.
- B. Reposition the client without assistive devices.
- C. Discuss the client's preferences to determine a repositioning schedule.
- D. Evaluate the client's ability to help with repositioning.
Correct answer: D
Rationale: The correct answer is to evaluate the client's ability to help with repositioning. When caring for a client who had a stroke, assessing their ability to participate in repositioning is crucial for promoting safety and encouraging their involvement in their care. This evaluation helps determine the level of assistance needed and supports the client's autonomy. Option A is incorrect because raising the side rails alone does not address the client's active involvement in repositioning. Option B is incorrect as using assistive devices may be necessary for safe repositioning. Option C is incorrect as discussing preferences is important but does not directly address the client's ability to assist in repositioning.
5. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will limit my intake of protein to prevent kidney damage.
- B. I will avoid taking ibuprofen for my headaches.
- C. I will monitor my blood glucose level before meals and at bedtime.
- D. I will reduce my intake of carbohydrates to manage my blood sugar.
Correct answer: C
Rationale: The correct answer is C. Monitoring blood glucose levels before meals and at bedtime is crucial for managing type 2 diabetes mellitus. Option A is incorrect because limiting protein intake is not a primary focus for diabetes management. Option B is unrelated to diabetes management and focuses on pain relief. Option D mentions reducing carbohydrate intake, which is a common dietary recommendation for managing blood sugar levels, but it is not as specific as monitoring blood glucose levels at key times.
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