ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is providing dietary teaching to a client who has a new diagnosis of celiac disease. Which of the following foods should the nurse instruct the client to avoid?
- A. Rice
- B. Barley soup
- C. Cornbread
- D. Potatoes
Correct answer: B
Rationale: The correct answer is B: Barley soup. Barley contains gluten, which is harmful to individuals with celiac disease. Therefore, the nurse should instruct the client to avoid barley-containing foods like barley soup. Choices A, C, and D are safe options for individuals with celiac disease as they do not contain gluten. Rice, cornbread, and potatoes are gluten-free and can be included in the client's diet.
2. A nurse is caring for a client who is postpartum and reports perineal pain. Which intervention should the nurse implement?
- A. Administer analgesics as prescribed.
- B. Apply a warm compress to the perineum.
- C. Encourage the client to ambulate frequently.
- D. Position the client with the head elevated.
Correct answer: A
Rationale: Administering analgesics as prescribed is the appropriate intervention for managing perineal pain in a postpartum client. Analgesics help to alleviate discomfort and promote the client's recovery. Applying a warm compress (choice B) may provide some relief, but it does not address the pain as effectively as analgesics. Encouraging ambulation (choice C) and positioning the client with the head elevated (choice D) are not directly related to addressing perineal pain.
3. A nurse is caring for a client who has a new diagnosis of deep-vein thrombosis (DVT). Which of the following actions should the nurse take?
- A. Massage the affected leg to relieve discomfort
- B. Place a heating pad on the affected leg
- C. Encourage the client to walk around frequently
- D. Monitor the client's oxygen saturation level
Correct answer: D
Rationale: The correct answer is to monitor the client's oxygen saturation level. Deep-vein thrombosis (DVT) increases the risk of pulmonary embolism, a life-threatening complication. Monitoring oxygen saturation helps in early detection of any signs of compromised respiratory function. Massaging the affected leg can dislodge a blood clot, leading to severe consequences. Applying heat through a heating pad can promote vasodilation and increase the risk of clot dislodgment. While mobility is essential in preventing DVT complications, encouraging excessive walking without proper assessment can potentially dislodge a clot and worsen the condition.
4. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella roster. Which of the following information should the nurse include?
- A. Children who have varicella are contagious until vesicles are crusted
- B. Children who have varicella should receive the herpes zoster vaccination
- C. Children who have varicella should be placed in droplet precautions
- D. Children who have varicella are contagious 4 days before the first vesicle eruption
Correct answer: A
Rationale: The correct answer is A. Children with varicella are contagious until the vesicles crust over, which is important for preventing transmission. Choice B is incorrect as varicella and herpes zoster are caused by different viruses, so the varicella vaccine is given to prevent varicella, not herpes zoster. Choice C is incorrect because varicella is primarily spread through respiratory secretions, so airborne precautions are recommended, not droplet precautions. Choice D is incorrect as children with varicella are contagious even before the first vesicle eruption, not just 4 days before.
5. A nurse is providing dietary teaching to a client who is at risk for osteoporosis. Which of the following foods should the nurse recommend?
- A. Broccoli
- B. Bananas
- C. Cheddar cheese
- D. Whole wheat bread
Correct answer: C
Rationale: Cheddar cheese is an excellent source of calcium, which is essential for bone health. Calcium helps strengthen bones and reduces the risk of osteoporosis. Broccoli (choice A) is also a good source of calcium but not as high as cheddar cheese. Bananas (choice B) and whole wheat bread (choice D) do not provide significant amounts of calcium and are not as effective in preventing osteoporosis as cheddar cheese.
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