ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is teaching a client who is at 10 weeks gestation about the amniocentesis procedure. Which of the following statements should the nurse make?
- A. This test will confirm whether your baby has a genetic disorder.
- B. Amniocentesis is used to assess your baby's lung maturity.
- C. You should not feel any pain during this procedure.
- D. This test will assess the amount of amniotic fluid around your baby.
Correct answer: A
Rationale: The correct answer is A because amniocentesis is a procedure that confirms genetic disorders by analyzing the amniotic fluid surrounding the baby. Choice B is incorrect because amniocentesis is not used to assess lung maturity. Choice C is incorrect because some discomfort or pain may be felt during the procedure. Choice D is incorrect because amniocentesis does not primarily assess the amount of amniotic fluid around the baby.
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 client has a new prescription for digoxin. Which of the following statements should the nurse include?
- A. You should take this medication on an empty stomach.
- B. You should avoid taking this medication with antacids.
- C. Take your pulse before taking this medication.
- D. You should contact your provider if you experience visual changes.
Correct answer: C
Rationale: The correct statement for the nurse to include when teaching a client about digoxin is to 'Take your pulse before taking this medication.' This is essential because clients taking digoxin need to monitor their pulse to detect signs of bradycardia, a common adverse effect of the medication. Option A is incorrect because digoxin is usually recommended to be taken with food to avoid gastrointestinal upset. Option B is incorrect because antacids can interfere with the absorption of digoxin. Option D is incorrect because contacting the provider for visual changes is important, but monitoring the pulse is crucial for digoxin administration.
4. A nurse is caring for a client who is at 38 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
- A. Fetal heart rate of 110/min
- B. 1+ pitting edema
- C. Blood pressure 138/80 mm Hg
- D. Urine output of 20 mL/hr
Correct answer: D
Rationale: The correct answer is D. Urine output less than 30 mL/hr indicates decreased kidney perfusion, which is a serious complication of preeclampsia. Reporting this finding is crucial for prompt intervention. Choices A, B, and C are not the priority as fetal heart rate of 110/min, 1+ pitting edema, and blood pressure of 138/80 mm Hg are within normal limits for a client with preeclampsia at 38 weeks of gestation.
5. A client with thrombocytopenia is receiving care from a nurse. Which of the following actions should the nurse include?
- 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 the client raw vegetables.
Correct answer: C
Rationale: In a client with thrombocytopenia, the platelet count is low, leading to a risk of bleeding. Providing a stool softener is essential to prevent constipation and straining during bowel movements, which can reduce the risk of bleeding episodes. Encouraging the client to floss daily (Choice A) is a good oral hygiene practice but is not directly related to thrombocytopenia. Removing fresh flowers from the client's room (Choice B) is related to infection control but does not address the specific risk of bleeding in thrombocytopenia. Avoiding serving the client raw vegetables (Choice D) is important in clients with neutropenia to prevent infections, not in thrombocytopenia.
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