ATI RN
ATI RN Comprehensive Exit Exam 2023
1. A nurse is assessing a client who has pneumonia. Which of the following findings should the nurse expect?
- A. Bradycardia
- B. Crackles in the lung bases
- C. Dependent edema
- D. Productive cough
Correct answer: C
Rationale: Dependent edema is a common finding in clients with pneumonia due to fluid retention and decreased mobility. Bradycardia (Choice A) is not typically associated with pneumonia. Crackles in the lung bases (Choice B) are more commonly heard in conditions like heart failure or pulmonary edema. A productive cough (Choice D) can be seen in pneumonia but is not as specific as dependent edema.
2. A client has a new prescription for digoxin. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime to prevent nausea.
- B. Take this medication with a full glass of milk.
- C. Notify your provider if you experience visual disturbances.
- D. Report any muscle pain to your provider.
Correct answer: C
Rationale: The correct answer is C: 'Notify your provider if you experience visual disturbances.' Visual disturbances can indicate digoxin toxicity, so it is essential for clients taking digoxin to report any changes in vision to their healthcare provider. Option A is incorrect because the timing of digoxin administration is crucial, usually in the morning. Option B is inaccurate because digoxin should not be taken with milk as it can affect its absorption. Option D is not directly associated with digoxin use and should not be the priority instruction for a client on this medication.
3. A nurse is planning care for a client who has pneumonia. Which of the following actions should the nurse take to promote airway clearance?
- A. Perform chest physiotherapy every 4 hours.
- B. Suction the client every 2 hours.
- C. Encourage the client to increase fluid intake.
- D. Administer oxygen via nasal cannula.
Correct answer: C
Rationale: Encouraging the client to increase fluid intake is essential in promoting airway clearance for a client with pneumonia. Increased fluid intake helps thin secretions, making it easier for the client to clear their airways. Chest physiotherapy (Choice A) is more focused on mobilizing secretions and may not be suitable for all clients with pneumonia. Suctioning (Choice B) is indicated for clients who have excessive secretions that they cannot manage effectively themselves. Administering oxygen via nasal cannula (Choice D) is important for clients with pneumonia to maintain adequate oxygenation, but it does not directly promote airway clearance.
4. When teaching a client about nutritional intake, what should be included?
- A. Carbohydrates should be at least 45% of your caloric intake.
- B. Protein should be at least 55% of your caloric intake.
- C. Carbohydrates should be at least 30% of your caloric intake.
- D. Protein should be at least 60% of your caloric intake.
Correct answer: A
Rationale: When educating a client about nutritional intake, it is important to mention that carbohydrates should constitute at least 45% of their daily caloric intake for a balanced diet. This macronutrient provides energy and is essential for proper bodily functions. Choice B is incorrect because protein should typically account for around 10-35% of total caloric intake, not 55%. Choice C is too low for the recommended carbohydrate intake, as it should be higher at 45%. Choice D is incorrect as protein intake should generally be around 10-35% of total caloric intake, not 60%.
5. A client with rheumatoid arthritis is experiencing morning stiffness. Which of the following actions should the nurse take?
- A. Encourage the client to avoid physical activity in the morning.
- B. Encourage the client to take NSAIDs before bedtime.
- C. Apply cold packs to the affected joints in the morning.
- D. Perform passive range-of-motion exercises before getting out of bed.
Correct answer: C
Rationale: The correct action the nurse should take is to apply cold packs to the affected joints in the morning. Rheumatoid arthritis is characterized by inflammation, and applying cold packs can help reduce inflammation and stiffness in the joints. Encouraging the client to avoid physical activity in the morning (Choice A) may worsen stiffness, as movement is beneficial for joint mobility. While NSAIDs (Choice B) can help with pain and inflammation, applying cold packs directly to the affected joints is more targeted and effective. Performing passive range-of-motion exercises (Choice D) can be helpful, but applying cold packs is the priority for reducing inflammation and stiffness.
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