ATI RN
ATI RN Comprehensive Exit Exam
1. A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump. Which of the following findings should the nurse report to the provider?
- A. Respiratory rate of 20/min
- B. Oxygen saturation of 93%
- C. Pain level of 2 on a scale of 0 to 10
- D. Blood pressure of 110/70 mm Hg
Correct answer: D
Rationale: The correct answer is D because a blood pressure drop or other signs of morphine overdose should be reported, especially when using a PCA pump. Choices A, B, and C are within normal limits and do not indicate an immediate concern related to morphine administration.
2. A nurse is teaching about diet modification to a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should drink an 8 ounce glass of water each time my baby nurses.
- B. I should take a 1500 milligram iron supplement daily.
- C. I can eat a 2500 calorie daily diet lose 1 lb per week.
- D. I can eat ounces of swordfish daily.
Correct answer: A
Rationale: Drinking an 8 ounce glass of water each time the baby nurses helps maintain hydration and support milk production.
3. Which of the following scenarios would be an example of shared governance on a nursing unit?
- A. Staff nurses delegate activities to CNAs.
- B. Procedure manuals are written by a committee of nurse managers.
- C. Staff nurses and CNAs make their own schedules.
- D. A unit manager seeks advice from her supervisor.
Correct answer: C
Rationale: The correct answer is C. Shared governance in a nursing unit involves staff nurses and CNAs having autonomy and decision-making power in aspects like scheduling, which is reflected in them making their own schedules. This scenario aligns with the philosophy of shared governance where nursing practice is best determined by nurses. Choices A, B, and D do not exemplify shared governance as they involve hierarchical delegation, managerial decision-making, and seeking advice from superiors rather than autonomous decision-making by frontline staff.
4. A client is prescribed a 1500-calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 21
- B. 49
- C. 60
- D. 50
Correct answer: D
Rationale: To calculate the grams of fat, first, determine the calories from fat by multiplying the total calorie intake (1500 calories) by the percentage of calories from fat (30%), which equals 450 calories from fat. Since 1 gram of fat is equivalent to 9 calories, divide the total calories from fat (450) by the calories in 1 gram of fat (9) to get the answer in grams, which is 50. Therefore, the client should consume 50 grams of fat per day. Choice A (21), Choice B (49), and Choice C (60) are incorrect as they do not reflect the accurate calculation based on the given information.
5. Mang David, A 27 year old psychiatric client was admitted with a diagnosis of schizophrenia. During the morning assessment, Mang David shouted “Did you know that I am the top salesman in the world? Different companies want me!†As a nurse, you know that this is an example of:
- A. Hallucination
- B. Delusion
- C. Confabulation
- D. Flight of Ideas
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.
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