ATI RN
ATI RN Exit Exam Quizlet
1. A nurse is assessing a client who is receiving furosemide for heart failure. Which of the following findings is the priority to report to the provider?
- A. Blood pressure of 98/58 mm Hg
- B. Urine output of 50 mL/hr
- C. Serum potassium level of 3.2 mEq/L
- D. Weight loss of 0.5 kg (1.1 lb) in 24 hours
Correct answer: C
Rationale: The correct answer is C. A serum potassium level of 3.2 mEq/L indicates hypokalemia, a potential complication of furosemide therapy, and should be reported immediately. Hypokalemia can lead to serious cardiac dysrhythmias. Choices A, B, and D are important assessments but are not as critical as managing serum potassium levels in a client receiving furosemide for heart failure.
2. Which of the following is not an example of a homeostatic mechanism in the human body?
- A. Shivering when the body temperature falls below normal.
- B. Increasing heart rate and force of contraction when blood pressure falls.
- C. Retaining fluid excessively.
- D. Secreting insulin after a meal to return blood sugar concentration toward normal.
Correct answer: C: Retaining fluid excessively.
Rationale: The correct answer is C. Homeostatic mechanisms aim to maintain internal stability within the body. Choices A, B, and D all represent examples of homeostatic mechanisms. Shivering helps generate heat to raise body temperature back to normal levels. Increasing heart rate and force of contraction work to restore blood pressure. Insulin secretion after a meal helps regulate blood sugar levels. On the other hand, retaining fluid excessively can lead to fluid imbalance rather than maintaining internal stability, making it the incorrect choice.
3. What is the term for the act of performing beneficial services rather than harmful ones?
- A. Beneficence
- B. Disclosure
- C. Maleficence
- D. Justice
Correct answer: A: Beneficence
Rationale: The term for the act of performing beneficial services rather than harmful ones is 'Beneficence'. Beneficence refers to actions that enhance the well-being of others. In the healthcare context, beneficence ensures that health services are advantageous and beneficial to patients. 'Disclosure' (choice B) is the act of revealing information, not directly related to whether actions are beneficial or harmful. 'Maleficence' (choice C) is the opposite of beneficence, involving actions that can cause damage or harm. 'Justice' (choice D) denotes fairness and equality, important in various contexts but not specifically related to performing beneficial services.
4. A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse take?
- A. Place the client in a high-Fowler's position
- B. Assist the client to the left Sims' position
- C. Insert the enema tubing 2.5 cm (1 in) into the rectum
- D. Lubricate the tip of the enema tubing with petroleum jelly
Correct answer: B
Rationale: The correct answer is to assist the client to the left Sims' position when administering an enema. This position helps facilitate the flow of the enema solution into the rectum. Placing the client in a high-Fowler's position (Choice A) is not ideal for administering an enema. Inserting the enema tubing 2.5 cm (1 in) into the rectum (Choice C) is incorrect as it should be inserted 7.5-10 cm (3-4 in) for an adult. Lubricating the tip of the enema tubing with petroleum jelly (Choice D) is a correct step to ease insertion but is not the most critical action among the choices provided.
5. The nurse is providing education to a client regarding the administration of eye drops. Which of the following actions indicates the need for further client education?
- A. The client instills the prescribed number of eye drops into the conjunctival sac
- B. The client sets the cap to the eye drop container down in a manner that does not contaminate it
- C. The client touches the administration dropper her to the eye
- D. The client washes her hands before instilling the eye drops
Correct answer: The client touches the administration dropper her to the eye
Rationale:
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