ATI RN
ATI Exit Exam 2023
1. A nurse is teaching a prenatal class about infection. Which statement by the client indicates further teaching is required?
- A. I can visit someone with chickenpox 5 days after the sores crust.
- B. I should avoid eating foods that contain high folic acid.
- C. I can clean my cat's litter box during pregnancy.
- D. I should wash my hands with hot water for 10 seconds after gardening.
Correct answer: C
Rationale: The correct answer is C because cleaning a cat's litter box during pregnancy can increase the risk of toxoplasmosis, which can be harmful to the developing fetus. Choice A is correct as the statement indicates understanding of the chickenpox transmission timeline. Choice B is also correct as high folic acid foods are beneficial during pregnancy. Choice D is correct as washing hands with hot water after gardening helps prevent infections.
2. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel. Which of the following statements should the nurse make?
- A. The nurse is legally responsible for the actions of the AP.
- B. An AP can perform tasks outside of their scope if they have been trained.
- C. An experienced AP can delegate tasks to another AP.
- D. An RN evaluates the client's needs to determine tasks to delegate.
Correct answer: D
Rationale: The correct statement is D: 'An RN evaluates the client's needs to determine which tasks are appropriate to delegate to assistive personnel.' This is an essential step in the delegation process to ensure that tasks are assigned appropriately based on the client's condition and the competencies of the assistive personnel. Option A is incorrect because while the nurse retains accountability for delegation decisions, the AP is responsible for their actions. Option B is incorrect as tasks should be within the AP's scope of practice regardless of training. Option C is incorrect as delegation typically involves assigning tasks from the RN to the AP, not between APs.
3. A client with schizophrenia is experiencing delusions. Which of the following actions should the nurse take?
- A. Encourage the client to discuss the delusions.
- B. Tell the client that the delusions are not real.
- C. Avoid discussing the delusions with the client.
- D. Challenge the client's delusions directly.
Correct answer: B
Rationale: Telling the client that their delusions are not real is the most appropriate action as it helps ground them in reality without reinforcing the delusion. Encouraging the client to discuss the delusions (choice A) may further validate or intensify the delusions. Avoiding discussing the delusions (choice C) may lead to the client feeling isolated and unheard. Challenging the client's delusions directly (choice D) can escalate the situation and cause distress to the client.
4. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider?
- A. Potassium level 4.2 mEq/L
- B. Apical pulse 58/min
- C. Digoxin level 1 ng/ml
- D. Constipation for 2 days
Correct answer: B
Rationale: The correct answer is B. An apical pulse below 60/min indicates bradycardia, a potential sign of digoxin toxicity. The nurse should report this finding to the provider for further evaluation and possible adjustment of the digoxin dose. Choice A, a potassium level of 4.2 mEq/L, is within the normal range (3.5-5.0 mEq/L) and does not indicate toxicity. Choice C, a digoxin level of 1 ng/ml, is within the therapeutic range (0.5-2 ng/ml) and is not suggestive of toxicity. Choice D, constipation for 2 days, is not directly related to digoxin administration and would not require an immediate report to the provider.
5. While caring for a client with an arterial line, which of the following actions should the nurse take?
- A. Level the transducer with the client's phlebotomy site
- B. Flush the arterial line every 8 hours
- C. Obtain a blood sample for arterial blood gases
- D. Keep the client's hand elevated above the heart level
Correct answer: C
Rationale: Obtaining arterial blood gases is a crucial nursing action when caring for a client with an arterial line. This procedure helps assess the client's oxygenation status and acid-base balance accurately. Leveling the transducer with the client's phlebotomy site (A) is important for accurate pressure measurements, but it is not the primary action in this scenario. Flushing the arterial line every 8 hours (B) is a routine maintenance procedure and not the immediate priority. Keeping the client's hand elevated above the heart level (D) is a good practice to prevent swelling, but it is not directly related to the arterial line care in this case.
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