ATI RN
ATI RN Exit Exam
1. A nurse is assessing a client who has deep vein thrombosis (DVT) in the left lower extremity. Which of the following findings should the nurse expect?
- A. Pain in the right lower extremity
- B. Cold skin in the affected extremity
- C. Redness and warmth in the affected extremity
- D. Shiny skin on the affected extremity
Correct answer: C
Rationale: Corrected Rationale: Redness and warmth are classic signs of inflammation, which are commonly seen in clients with deep vein thrombosis (DVT). These findings indicate increased blood flow and temperature in the affected area. Pain in the right lower extremity (Choice A) is not expected in a client with DVT affecting the left lower extremity. Cold skin (Choice B) is not a typical finding in DVT; instead, warmth is more indicative of inflammation. Shiny skin (Choice D) is not a common characteristic of DVT; rather, the skin may appear red, swollen, and warm due to the inflammatory process.
2. Which laboratory test is essential for monitoring renal function in a patient with chronic kidney disease?
- A. Monitor BUN and creatinine levels
- B. Check blood glucose levels
- C. Monitor hemoglobin and hematocrit levels
- D. Monitor liver enzymes
Correct answer: A
Rationale: The correct answer is to monitor BUN (Blood Urea Nitrogen) and creatinine levels in a patient with chronic kidney disease. These tests provide crucial information about renal function. Checking blood glucose levels (Choice B) is important for monitoring diabetes, not renal function. Monitoring hemoglobin and hematocrit levels (Choice C) helps assess anemia, not specifically renal function. Monitoring liver enzymes (Choice D) is relevant for assessing liver function, not renal function.
3. A client is experiencing a seizure. Which of the following interventions should the nurse implement?
- A. Place a tongue depressor in the client's mouth
- B. Loosen tight clothing around the client
- C. Restrain the client's arms and legs
- D. Administer 100% oxygen via non-rebreather mask
Correct answer: B
Rationale: During a seizure, it is essential to loosen tight clothing around the client to prevent injury and promote adequate ventilation. Placing any objects, like a tongue depressor, in the client's mouth can lead to airway obstruction or injury. Restraining the client's arms and legs can exacerbate the situation by increasing muscle rigidity and potentially causing injury. Administering oxygen via a non-rebreather mask is not typically indicated during a seizure unless respiratory distress is present.
4. A healthcare provider is assessing a client who has acute pancreatitis. Which of the following laboratory results should the healthcare provider expect to be elevated?
- A. Serum sodium.
- B. Serum calcium.
- C. Serum glucose.
- D. Serum amylase.
Correct answer: D
Rationale: Serum amylase levels are typically elevated in clients with acute pancreatitis as it is an enzyme released by the pancreas. Elevated serum sodium, calcium, or glucose levels are not typically associated with acute pancreatitis. Therefore, choices A, B, and C are incorrect.
5. A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old. Which of the following actions should the nurse take?
- A. Allow the child to handle the IV supplies to become familiar with them.
- B. Tell the child they will feel discomfort during the catheter insertion.
- C. Use a mummy restraint to hold the child during the catheter insertion.
- D. Require the parents to leave the room during the procedure.
Correct answer: B
Rationale: The correct answer is B because informing the child that they will feel discomfort during catheter insertion is crucial to prepare them for the procedure. Choice A is incorrect as children should not handle medical supplies. Choice C is inappropriate as using a restraint can cause anxiety and fear in the child. Choice D is not necessary as having parents present can provide comfort and support to the child during the procedure.
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