ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A client scheduled for a thoracentesis requires assistance from a nurse. Which of the following actions should the nurse take?
- A. Assist the client to a prone position.
- B. Assist the client to a sitting position.
- C. Assist the client to a supine position.
- D. Assist the client to a lateral position.
Correct answer: B
Rationale: The correct answer is to assist the client to a sitting position. Placing the client in a sitting position helps facilitate easier access during the thoracentesis procedure by allowing gravity to assist in the removal of pleural fluid. Placing the client in a prone, supine, or lateral position would not provide the optimal positioning needed for a thoracentesis and could make the procedure more challenging or uncomfortable for the client.
2. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect?
- A. Increased creatinine
- B. Increased hemoglobin
- C. Increased bicarbonate
- D. Increased calcium
Correct answer: A
Rationale: The correct answer is A: Increased creatinine. In chronic kidney disease, the kidneys are unable to filter waste effectively, leading to a buildup of creatinine in the blood. This results in increased creatinine levels in laboratory tests. Choice B, increased hemoglobin, is not typically associated with chronic kidney disease. Choice C, increased bicarbonate, is also not a common finding in chronic kidney disease; in fact, metabolic acidosis with decreased bicarbonate levels is more common. Choice D, increased calcium, is not expected in chronic kidney disease; instead, calcium levels may be low due to impaired kidney function.
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 client who wears glasses is under the care of a nurse. Which of the following actions should the nurse take?
- A. Store the glasses in a labeled case
- B. Clean the glasses with hot water
- C. Clean the glasses with a paper towel
- D. Store the glasses on the bedside table
Correct answer: A
Rationale: The correct action for the nurse to take is to store the glasses in a labeled case. This ensures the safety of the glasses and helps in their proper identification when needed. Cleaning the glasses with hot water (Choice B) can damage them, and using a paper towel (Choice C) can scratch the lenses. Storing the glasses on the bedside table (Choice D) can lead to misplacement or damage. Therefore, the most appropriate action is to store the glasses in a labeled case.
5. A nurse is providing discharge instructions to a client with chronic obstructive pulmonary disease (COPD) who is prescribed home oxygen. Which of the following statements should the nurse make?
- A. Check your oxygen equipment daily for proper function.
- B. Increase the oxygen flow rate if you feel short of breath.
- C. Store your oxygen tanks lying flat on the floor.
- D. It is safe to smoke as long as you are more than 10 feet from the oxygen source.
Correct answer: A
Rationale: The correct statement for the nurse to make is to advise the client to check the oxygen equipment daily for proper function. This is crucial to ensure the client's home oxygen therapy is working effectively and safely. Choice B is incorrect because adjusting the oxygen flow rate without healthcare provider guidance can be dangerous. Choice C is incorrect as oxygen tanks should be stored upright, not lying flat. Choice D is incorrect and unsafe advice, as smoking near an oxygen source can lead to a fire hazard.
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