ATI RN
ATI RN Exit Exam Quizlet
1. A nurse is caring for a client who is receiving radiation therapy for breast cancer. Which of the following skin care instructions should the nurse provide?
- A. Wear loose clothing over the radiation site.
- B. Use scented lotions to moisturize the skin.
- C. Apply ice packs to the radiation site for pain relief.
- D. Expose the radiation site to sunlight for 20 minutes daily.
Correct answer: A
Rationale: The correct answer is A: Wear loose clothing over the radiation site. Clients receiving radiation therapy should wear loose clothing over the treatment area to prevent irritation and promote healing. Choice B is incorrect as scented lotions can irritate the skin during radiation therapy. Choice C is incorrect because ice packs should not be applied to the radiation site as they can exacerbate skin reactions. Choice D is incorrect as exposing the radiation site to sunlight can increase skin damage and should be avoided.
2. A client has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
- A. Take the medication with a full glass of water.
- B. Take the medication with food to prevent stomach upset.
- C. Take one tablet every 5 minutes, up to three doses, for chest pain.
- D. Swallow the tablet whole for the best effect.
Correct answer: C
Rationale: The correct instruction for a client with a new prescription for nitroglycerin sublingual tablets is to take one tablet every 5 minutes, up to three doses, for chest pain. This dosing regimen helps relieve chest pain associated with angina by promoting vasodilation. Option A is incorrect as nitroglycerin sublingual tablets should be placed under the tongue, not swallowed with water. Option B is incorrect because taking nitroglycerin with food may decrease its effectiveness. Option D is incorrect because nitroglycerin sublingual tablets are meant to be dissolved under the tongue, not swallowed whole.
3. What is the best intervention for a patient experiencing severe hypoglycemia?
- A. Administer IV dextrose
- B. Administer oral glucose
- C. Monitor blood sugar levels
- D. Recheck blood sugar in 15 minutes
Correct answer: A
Rationale: The best intervention for a patient experiencing severe hypoglycemia is to administer IV dextrose. This intervention is necessary to rapidly raise blood sugar levels in critical situations. Administering oral glucose may not be effective in severe cases as the patient may be unable to consume it. Monitoring blood sugar levels and rechecking blood sugar in 15 minutes are important steps but not the initial best intervention for severe hypoglycemia.
4. A patient is being cared for by a nurse who has a history of angina and is experiencing chest pain. Which of the following actions should the nurse take first?
- A. Administer oxygen at 2 L/min via nasal cannula.
- B. Administer nitroglycerin sublingually.
- C. Obtain a 12-lead ECG.
- D. Notify the healthcare provider.
Correct answer: C
Rationale: In a patient with a history of angina experiencing chest pain, the priority action for the nurse is to obtain a 12-lead ECG. This helps in assessing for myocardial infarction, a serious condition that requires immediate attention. Administering oxygen, nitroglycerin, or notifying the healthcare provider can be important interventions but obtaining the ECG comes first to determine the presence of myocardial infarction and guide further management.
5. A client has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
- A. Massage the injection site after administering the medication.
- B. Pinch the skin while administering the injection.
- C. Administer the medication at bedtime.
- D. Aspirate before injecting the medication.
Correct answer: B
Rationale: When administering enoxaparin, it is important to pinch the skin to ensure proper subcutaneous injection. Massaging the injection site after administering the medication is not recommended. Administering the medication at bedtime is not a specific requirement for enoxaparin. Aspirating before injecting the medication is not necessary for subcutaneous injections like enoxaparin.
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