ATI RN
ATI Exit Exam 2024
1. A nurse is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
- A. Weight gain.
- B. Bradycardia.
- C. Tachycardia.
- D. Heat intolerance.
Correct answer: B
Rationale: The correct answer is B: Bradycardia. Bradycardia, or a slow heart rate, is a common finding in clients with hypothyroidism because of the decreased metabolic rate associated with this condition. Weight gain is also a common symptom of hypothyroidism due to the metabolic changes, making choice A incorrect. Tachycardia, or a rapid heart rate, is typically seen in hyperthyroidism, not hypothyroidism, so choice C is incorrect. Heat intolerance is more commonly associated with hyperthyroidism rather than hypothyroidism, making choice D incorrect.
2. A client has a new prescription for levothyroxine. Which of the following statements should the nurse include?
- A. Take this medication with food to prevent nausea.
- B. Take this medication in the morning to prevent insomnia.
- C. You should store this medication in the refrigerator.
- D. Take this medication with a full glass of water before breakfast.
Correct answer: D
Rationale: The correct statement the nurse should include is to take levothyroxine with a full glass of water before breakfast. This helps improve absorption and prevents gastrointestinal side effects. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect as insomnia is not a common side effect of levothyroxine. Choice C is also incorrect as levothyroxine does not need to be refrigerated.
3. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about managing blood glucose levels. Which of the following client statements indicates an understanding of the teaching?
- A. "I will monitor my blood pressure regularly."
- B. "I will keep my blood glucose level between 200 and 250 mg/dL."
- C. "I will take my insulin at the same time each day."
- D. "I will eat three large meals each day."
Correct answer: C
Rationale: Taking insulin at the same time each day helps maintain stable blood glucose levels and prevent complications.
4. A nurse is assessing a client who is postoperative following a gastric bypass. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 78/min
- B. Oxygen saturation of 95%
- C. Urine output of 30 mL/hr
- D. Serosanguineous wound drainage
Correct answer: C
Rationale: In a postoperative client, a urine output of 30 mL/hr is a concerning finding as it indicates oliguria, which may suggest dehydration or kidney impairment. Adequate urine output is essential for monitoring renal function and overall fluid status. A heart rate of 78/min is within the normal range for an adult. An oxygen saturation of 95% is acceptable and indicates adequate oxygenation. Serosanguineous wound drainage is expected in the early postoperative period and is not a cause for immediate concern unless it becomes excessive or changes character.
5. A nurse is caring for a client who has Raynaud's disease. What intervention should the nurse implement?
- A. Provide information about stress management.
- B. Maintain a cool temperature in the client's room.
- C. Administer epinephrine for acute episodes.
- D. Give glucocorticoid steroids twice a day.
Correct answer: A
Rationale: The correct intervention for a client with Raynaud's disease is to provide information about stress management. Stress management techniques can help reduce the frequency and severity of Raynaud's episodes. Choice B is incorrect because maintaining a cool temperature can exacerbate symptoms in individuals with Raynaud's disease. Choice C is incorrect as epinephrine is not typically used for Raynaud's disease. Choice D is incorrect as glucocorticoid steroids are not the first-line treatment for Raynaud's disease.
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