ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet
1. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the unit due to a staffing shortage. Which of the following clients should the nurse delegate to the LPN?
- A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
- B. A client who sustained a concussion and has unequal pupils.
- C. A client who is postoperative following a bowel resection with an NG tube.
- D. A client who fractured his femur yesterday and is experiencing shortness of breath.
Correct answer: C
Rationale: The correct answer is C because a client who is postoperative following a bowel resection with an NG tube can be delegated to an LPN as this involves routine postoperative care. Option A involves administering packed RBCs which requires assessment and monitoring for potential adverse reactions, not suitable for delegation to an LPN. Option B requires neurological assessment and close monitoring due to the concussion, which is beyond the scope of an LPN. Option D involves a client with a recent fracture and shortness of breath, which requires urgent assessment and intervention beyond the LPN's scope of practice.
2. A nurse is assessing a client who has a stage III pressure ulcer that is healing poorly. The nurse should identify that which of the following vitamin deficiencies increases the client’s risk for delayed wound healing?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin E
- D. Vitamin B6
Correct answer: A
Rationale: Vitamin C deficiency can impair collagen synthesis and delay wound healing, making it important for recovery from pressure ulcers.
3. A patient with non-Hodgkin lymphoma (NHL) is receiving monoclonal antibody therapy. What is the priority assessment during the infusion of this medication?
- A. Vital signs
- B. Skin reactions
- C. Respiratory status
- D. Renal function
Correct answer: A
Rationale: The correct answer is A: Vital signs. Monitoring vital signs is crucial during the infusion of monoclonal antibody therapy as there is a risk of infusion reactions such as fevers, chills, hypotension, and tachycardia. Assessing vital signs allows for early detection of any adverse reactions, enabling prompt intervention. Skin reactions (choice B), respiratory status (choice C), and renal function (choice D) are important assessments in general patient care but are not the priority during the infusion of monoclonal antibody therapy.
4. Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
- A. Restrict intake of high-carbohydrate foods.
- B. Increase fluid intake with meals.
- C. Increase fat intake.
- D. Eat three regular meals a day.
Correct answer: D
Rationale: For a patient with a hiatal hernia, it is important to eat three regular meals a day to prevent symptoms.
5. What is the condition where the arteries in the brain become blocked or narrowed, leading to reduced blood flow and a potential stroke?
- A. Cerebral atherosclerosis
- B. Coronary artery disease
- C. Pulmonary embolism
- D. Peripheral artery disease
Correct answer: A
Rationale: Cerebral atherosclerosis is the correct answer. It is a condition where the arteries in the brain become blocked or narrowed due to plaque buildup, leading to reduced blood flow and an increased risk of stroke. Choice B, Coronary artery disease, specifically affects the arteries supplying blood to the heart, not the brain. Choice C, Pulmonary embolism, involves a blockage in the pulmonary artery that affects blood flow to the lungs, not the brain. Choice D, Peripheral artery disease, refers to a condition where blockages occur in arteries outside of the heart and brain, typically affecting the limbs.
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