ATI RN
ATI Exit Exam RN
1. A nurse is assessing a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
- A. Increased appetite
- B. Dry mucous membranes
- C. Hypotension
- D. Hyperreflexia
Correct answer: C
Rationale: A sodium level of 125 mEq/L indicates hyponatremia, which can lead to hypotension. Hyponatremia is associated with signs such as confusion and weakness, rather than increased appetite, dry mucous membranes, or hyperreflexia. Therefore, the nurse should expect hypotension as a finding in a client with a sodium level of 125 mEq/L.
2. Which of the following are therapeutic communication techniques that a healthcare provider can use when interacting with clients? Select one that does not apply.
- A. Using Noise
- B. Offering self
- C. Giving advice
- D. Providing reassurance
Correct answer: C
Rationale: Therapeutic communication techniques aim to promote a therapeutic relationship and client well-being. Using noise is a non-therapeutic technique that can hinder effective communication. Offering self, providing reassurance, and using silence are considered therapeutic. However, giving advice is often seen as non-therapeutic as it can diminish client autonomy and hinder problem-solving skills.
3. Knowing that for a comatose patient hearing is the last sense to be lost, as Judy’s nurse, what should you do?
- A. Tell her family that probably she can’t hear them
- B. Talk loudly so that Wendy can hear you
- C. Tell her family who are in the room not to talk
- D. Speak softly then hold her hands gently
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. A nurse is planning care for a client who is receiving hemodialysis. What action should the nurse include in the plan?
- A. Withhold all medications until after dialysis.
- B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
- C. Check the vascular access site for bleeding after dialysis.
- D. Give an antibiotic 30 minutes before dialysis.
Correct answer: C
Rationale: The correct action that the nurse should include in the plan for a client receiving hemodialysis is to check the vascular access site for bleeding after dialysis. This is important to prevent complications such as infection or excessive bleeding. Withholding all medications until after dialysis (Choice A) is not necessary unless specific medications need to be avoided due to the dialysis process. Rehydrating with dextrose 5% in water for orthostatic hypotension (Choice B) is not directly related to post-dialysis care. Giving an antibiotic 30 minutes before dialysis (Choice D) is not a standard practice unless there is a specific clinical indication.
5. A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
- A. Administer dilaudid
- B. Notify the physician
- C. Call and ask the operating room team to perform the surgery as soon as possible
- D. Reposition the client and apply a heating pad on a warm setting to the client’s abdomen.
Correct answer: B
Rationale: The symptoms suggest possible perforation or peritonitis, which are serious complications requiring immediate medical attention. The nurse should promptly notify the physician.
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