ATI RN
ATI RN Exit Exam 2023
1. A nurse is assessing a client who is at 34 weeks of gestation and has gestational hypertension. Which of the following findings should the nurse report to the provider?
- A. Blood pressure of 140/90 mm Hg
- B. Fasting blood glucose of 120 mg/dL
- C. Urinary output of 40 mL/hr
- D. Weight gain of 2.3 kg (5 lb) in 1 week
Correct answer: D
Rationale: A weight gain of 2.3 kg (5 lb) in 1 week can indicate worsening gestational hypertension and should be reported to the provider. Sudden weight gain in a client with gestational hypertension can be a sign of fluid retention, which could worsen the hypertension and lead to complications like preeclampsia. The other options, blood pressure of 140/90 mm Hg, fasting blood glucose of 120 mg/dL, and urinary output of 40 mL/hr, are within normal limits for a client with gestational hypertension and do not pose an immediate concern that requires reporting to the provider.
2. The anatomy of a body part is closely related to its physiology.
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The statement is true. Anatomy and physiology are interconnected fields. Anatomy focuses on the structure of body parts, while physiology deals with the functions of those parts. Understanding the structure (anatomy) of a body part is crucial in comprehending how it functions (physiology). This interrelation is essential for healthcare professionals to diagnose and treat medical conditions effectively. Choice B is incorrect because anatomy and physiology are indeed closely related. Choice C is incorrect as well because the relationship between anatomy and physiology is a fundamental concept in the study of the human body. Choice D is incorrect as the statement is true.
3. A healthcare provider is teaching a client who has a new prescription for levothyroxine. Which of the following instructions should the healthcare provider include?
- A. Take this medication with meals.
- B. Take this medication at the same time every day.
- C. Report any chest pain to your healthcare provider immediately.
- D. Take an antacid if indigestion occurs.
Correct answer: B
Rationale: The correct instruction for a client prescribed levothyroxine is to take the medication at the same time every day. This consistency is important for maintaining stable thyroid hormone levels. Choice A is incorrect because levothyroxine should be taken on an empty stomach to ensure proper absorption. Choice C is important but not directly related to the administration of levothyroxine. Choice D is incorrect as antacids can interfere with the absorption of levothyroxine.
4. A 9-month-old infant who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
- A. Hypotonia and muscle instability
- B. Hypertonia and persistence of primitive reflexes
- C. Tremors and exaggerated posturing
- D. Hemiplegia and hypertonia
Correct answer: A
Rationale: In ataxic cerebral palsy, the characteristic features include hypotonia (low muscle tone) and muscle instability. These manifestations contribute to the infant's difficulty in achieving independent sitting. Hypertonia (increased muscle tone) and persistence of primitive reflexes, as mentioned in option B, are more commonly associated with other types of cerebral palsy like spastic CP. Tremors and exaggerated posturing (option C) are not typical features of ataxic CP. Hemiplegia (paralysis of one side of the body) and hypertonia (increased muscle tone) mentioned in option D are more commonly seen in other types of cerebral palsy, such as spastic CP.
5. A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?
- A. Vitamin A
- B. Vitamin B1
- C. Vitamin C
- D. Vitamin B12
Correct answer: Vitamin A
Rationale: In acute pancreatitis, malabsorption of fat-soluble vitamins can occur due to pancreatic enzyme insufficiency. Vitamin A is a fat-soluble vitamin that may need supplementation in this case. Vitamin B1 (thiamine), Vitamin C, and Vitamin B12 are water-soluble vitamins and are not typically affected by pancreatic enzyme insufficiency in acute pancreatitis. Therefore, the correct supplement for the client with acute pancreatitis is Vitamin A.
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