ATI RN
ATI Exit Exam 2024
1. A nurse is caring for a client who is 1 day postoperative following a below-the-knee amputation. Which of the following actions should the nurse take?
- A. Keep the residual limb flat on the bed
- B. Elevate the residual limb on a pillow
- C. Place the client in a prone position for 30 minutes 4 times a day
- D. Keep the residual limb dependent
Correct answer: C
Rationale: The correct action the nurse should take is to place the client in a prone position for 30 minutes four times a day. This position helps prevent contractures after an amputation by stretching the hip flexors and preventing shortening of the residual limb. Keeping the residual limb flat on the bed (Choice A) may lead to contractures. Elevating the residual limb on a pillow (Choice B) can also cause contractures and hinder proper healing. Keeping the residual limb dependent (Choice D) is not recommended as it does not promote proper positioning and circulation.
2. A healthcare professional is preparing to administer an IV fluid bolus of 500 mL over 4 hours to a client who is dehydrated. The healthcare professional should set the IV pump to deliver how many mL/hr?
- A. 75 mL/hr.
- B. 100 mL/hr.
- C. 125 mL/hr.
- D. 150 mL/hr.
Correct answer: C
Rationale: Setting the IV pump to 125 mL/hr ensures the correct infusion rate for delivering 500 mL over 4 hours. To calculate the mL/hr rate, divide the total volume to be infused (500 mL) by the total time for infusion (4 hours): 500 mL / 4 hours = 125 mL/hr. Choice A (75 mL/hr) is too low and would result in an insufficient infusion rate, potentially delaying fluid resuscitation. Choice B (100 mL/hr) would also be too low and not deliver the fluid within the specified time frame. Choice D (150 mL/hr) is too high and would infuse the fluid too quickly, potentially causing fluid overload and complications.
3. A nurse is planning discharge teaching about cord care for the parents of a newborn. Which of the following instructions should the nurse include?
- A. The cord stump will fall off in 5 days.
- B. Contact the provider if the cord stump turns black.
- C. Clean the base of the cord with hydrogen peroxide daily.
- D. Keep the cord stump dry until it falls off.
Correct answer: D
Rationale: The correct instruction for cord care is to keep the cord stump dry until it falls off. This helps prevent infection and promotes healing. Choice A is incorrect because the timing of when the cord stump falls off can vary, usually between 1-3 weeks. Choice B is incorrect as a black cord stump can be a normal part of the healing process, so it is unnecessary to contact the provider for this reason. Choice C is incorrect because cleaning the cord with hydrogen peroxide daily is not recommended as it can delay healing and cause irritation.
4. A client has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
- A. Take a tablet every 5 minutes for pain relief, up to three doses.
- B. Take this medication with a glass of water.
- C. Chew the tablet for faster absorption.
- D. Store the tablets in a refrigerator.
Correct answer: A
Rationale: The correct answer is A: 'Take a tablet every 5 minutes for pain relief, up to three doses.' Nitroglycerin sublingual tablets are used to relieve chest pain or to prevent chest pain before activities known to cause angina. The tablets should be taken every 5 minutes for pain relief, up to three doses, as prescribed. Choice B is incorrect because nitroglycerin sublingual tablets should be placed under the tongue until they dissolve, not taken with water. Choice C is incorrect because nitroglycerin sublingual tablets should not be chewed but placed under the tongue for absorption. Choice D is incorrect because nitroglycerin tablets should be stored in their original container at room temperature away from light and moisture.
5. 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.
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