ATI RN
ATI RN Exit Exam Test Bank
1. A client is preparing advance directives. Which of the following statements by the client indicates an understanding of advance directives?
- A. I cannot change my instructions once I have signed them.
- B. My doctor will need to approve my advance directives.
- C. I need a witness to sign my advance directives.
- D. I have the right to refuse treatment.
Correct answer: D
Rationale: The correct answer is D: 'I have the right to refuse treatment.' This statement shows an understanding of advance directives because they allow individuals to specify their treatment preferences in advance, including the right to refuse treatment. Choices A, B, and C are incorrect. Choice A is inaccurate as individuals can update or change their advance directives at any time. Choice B is incorrect because while a doctor may discuss advance directives with the client, approval is not required for the directives to be valid. Choice C is also incorrect as a witness is typically required to verify the client's signature, not the other way around.
2. A nurse is providing teaching to a client who has osteoporosis. Which of the following instructions should the nurse include?
- A. Take a calcium supplement once daily.
- B. Walk for 30 minutes three times per week.
- C. Avoid weight-bearing exercises.
- D. Increase intake of vitamin D.
Correct answer: B
Rationale: The correct answer is B. Walking regularly is beneficial for clients with osteoporosis as it helps maintain bone density and prevent fractures. Choice A is not the most appropriate because clients with osteoporosis often require more than just calcium supplements. Choice C is incorrect as weight-bearing exercises actually help strengthen bones. Choice D is important, but walking regularly has a more direct impact on bone health in clients with osteoporosis.
3. How should a healthcare professional educate a patient on the use of an incentive spirometer?
- A. Instruct the patient to take deep breaths
- B. Instruct the patient to cough forcefully
- C. Instruct the patient to blow into the spirometer
- D. Instruct the patient to use the spirometer every hour
Correct answer: D
Rationale: Instructing the patient to use the spirometer every hour is crucial for optimal lung expansion and to prevent postoperative pulmonary complications. This regular use helps to keep the lungs clear and maintain their capacity. Choices A, B, and C are incorrect because deep breathing, forceful coughing, and blowing into the spirometer do not specifically address the proper use of the incentive spirometer, which is essential for postoperative respiratory recovery.
4. A nurse is caring for a client who is in labor and is receiving electronic fetal monitoring. The nurse notes early decelerations. Which of the following should the nurse expect?
- A. Fetal hypoxia
- B. Head compression
- C. Placenta previa
- D. Umbilical cord prolapse
Correct answer: B
Rationale: In the scenario of early decelerations noted during labor with electronic fetal monitoring, the nurse should expect head compression. Early decelerations are a normal response to fetal head compression during contractions and are not indicative of fetal distress. Choice A, fetal hypoxia, is incorrect as early decelerations are not associated with fetal oxygen deprivation. Choices C and D, placenta previa and umbilical cord prolapse, are unrelated to the scenario described and do not cause early decelerations.
5. While caring for a client receiving an opioid analgesic for pain management, which assessment should the nurse prioritize?
- A. Monitor the client's urinary output.
- B. Check the client's blood pressure.
- C. Assess the client for constipation.
- D. Monitor the client's respiratory rate.
Correct answer: D
Rationale: The correct answer is to monitor the client's respiratory rate. When a client is receiving opioids, the priority assessment is the respiratory rate since opioids can lead to respiratory depression. Monitoring urinary output, blood pressure, and constipation are also important but not the priority in this scenario.
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