ATI RN
ATI Exit Exam 2024
1. A nurse is caring for a client who has cirrhosis. Which of the following laboratory values should the nurse expect to be decreased?
- A. Bilirubin.
- B. Albumin.
- C. Ammonia.
- D. Prothrombin time.
Correct answer: B
Rationale: In clients with cirrhosis, albumin levels are typically decreased due to impaired liver function. Bilirubin levels are often increased in cirrhosis due to the liver's inability to process bilirubin efficiently. Ammonia levels may be elevated in cirrhosis due to impaired ammonia metabolism by the liver. Prothrombin time is usually prolonged in cirrhosis because the liver's ability to synthesize clotting factors is impaired.
2. A client with heart failure is receiving furosemide. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 80/min.
- B. Weight loss of 1.1 kg (2.5 lb) in 24 hours.
- C. Potassium level of 3.8 mEq/L.
- D. Urine output of 60 mL/hr.
Correct answer: B
Rationale: A weight loss of 1.1 kg (2.5 lb) in 24 hours may indicate dehydration or fluid imbalance, which should be reported. This rapid weight loss could be a sign of excessive diuresis, potentially leading to hypovolemia or electrolyte imbalances. Monitoring weight changes is crucial in clients with heart failure receiving diuretics. The other findings are within normal ranges and expected in a client receiving furosemide for heart failure. A heart rate of 80/min, a potassium level of 3.8 mEq/L, and a urine output of 60 mL/hr are generally acceptable in this scenario.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator. Which of the following statements demonstrates understanding of the teaching?
- A. I will soak in the tub rather than showering.
- B. I will wear loose clothing around my ICD.
- C. I will stop using my microwave oven at home because of my ICD.
- D. I can hold my cellphone on the same side of my body as the ICD.
Correct answer: B
Rationale: The correct answer is B. Wearing loose clothing around the ICD is essential to avoid putting pressure on the device, which can interfere with its function. Choices A, C, and D are incorrect. Soaking in a tub rather than showering is not relevant to ICD care. Stopping the use of a microwave oven is not necessary with an ICD. Holding a cellphone on the same side as the ICD is not recommended as it can potentially interfere with the device.
4. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
- A. A client who has sinus arrhythmia and is receiving monitoring.
- B. A client who has a hip fracture and a new onset of tachypnea.
- C. A client who has epidural analgesia and weakness in the lower extremities.
- D. A client who has diabetes and a hemoglobin A1C of 6.8%.
Correct answer: B
Rationale: The correct answer is B because a new onset of tachypnea can indicate a respiratory complication, which requires immediate assessment. Sinus arrhythmia, epidural analgesia with weakness, and a hemoglobin A1C level of 6.8% in a client with diabetes do not pose immediate life-threatening concerns that require urgent assessment compared to the potential respiratory issues associated with tachypnea.
5. A client is receiving discharge teaching for a new prescription of digoxin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will stop taking this medication if my heart rate is below 80/min.
- B. I should take my pulse before taking this medication.
- C. I should stop taking this medication if my pulse is above 100/min.
- D. I will take this medication with an antacid.
Correct answer: B
Rationale: The correct answer is B. Clients taking digoxin should check their pulse before each dose to ensure it is within the appropriate range. Option A is incorrect because stopping the medication based solely on a heart rate below 80/min is not recommended. Option C is incorrect as having a pulse above 100/min doesn't necessarily indicate a need to stop digoxin. Option D is incorrect because digoxin should not be taken with an antacid as it can interfere with its absorption.
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