ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is caring for a client who has Crohn's disease. Which of the following findings should the nurse expect?
- A. Weight gain.
- B. Bloody stools.
- C. Urinary retention.
- D. Abdominal distention.
Correct answer: B
Rationale: The correct answer is B: Bloody stools. Bloody stools are a common symptom of Crohn's disease, characterized by inflammation of the digestive tract. Weight gain (choice A) is less likely due to malabsorption issues associated with Crohn's disease. Urinary retention (choice C) is not directly related to Crohn's disease. Abdominal distention (choice D) may occur in Crohn's disease but is not as specific a finding as bloody stools.
2. 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.
3. A nurse is assessing a client who has myasthenia gravis. Which of the following findings should the nurse expect?
- A. Bradycardia.
- B. Increased muscle strength.
- C. Diarrhea.
- D. Decreased deep tendon reflexes.
Correct answer: D
Rationale: The correct answer is D: Decreased deep tendon reflexes. In myasthenia gravis, muscle weakness is a common manifestation, leading to decreased deep tendon reflexes. Bradycardia (choice A) is not typically associated with myasthenia gravis. Increased muscle strength (choice B) is unlikely as muscle weakness is a hallmark of this condition. Diarrhea (choice C) is not a typical finding in myasthenia gravis.
4. 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.
5. A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take?
- A. Monitor the client's vital signs every 4 hours.
- B. Start the transfusion with 0.9% sodium chloride.
- C. Administer the transfusion over 6 hours.
- D. Infuse the first 500 mL of blood over 1 hour.
Correct answer: B
Rationale: The correct answer is B: Start the transfusion with 0.9% sodium chloride. 0.9% sodium chloride is the only IV solution that is compatible with blood products and should be used to prime the tubing before a transfusion. Choice A is incorrect because vital signs should be monitored more frequently, typically every 15 minutes at the beginning of the transfusion. Choice C is incorrect as blood transfusions are usually administered over 2-4 hours, not 6 hours. Choice D is incorrect as the first 500 mL of blood should be infused slowly over 1-2 hours to monitor for any adverse reactions.
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