ATI RN
ATI Exit Exam 2024
1. A client who has a prescription for insulin glargine is talking to a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will mix this insulin with my regular insulin before injecting it.
- B. I will store this insulin in the refrigerator after opening it.
- C. I will take this insulin twice a day.
- D. I will inject this insulin when my blood glucose is above 200 mg/dL.
Correct answer: B
Rationale: The correct answer is B because insulin glargine should be stored in the refrigerator after opening to maintain its potency. Choice A is incorrect as insulin glargine should not be mixed with other insulins. Choice C is incorrect because insulin glargine is typically taken once a day. Choice D is incorrect because insulin glargine is usually taken regardless of blood glucose levels.
2. A nurse is reviewing admission prescriptions for a group of clients. Which prescription should the nurse identify as complete?
- A. Furosemide 20 mg BID
- B. Aspirin 1 tablet daily
- C. Nitroglycerin transdermal patch
- D. Metoprolol 5 mg IV now
Correct answer: A
Rationale: The correct answer is A. A complete prescription should include the medication name (Furosemide), dosage (20 mg), and administration schedule (BID - twice daily). Choice B is missing the dosage of Aspirin, choice C lacks the dosage information for Nitroglycerin, and choice D does not specify the administration schedule for Metoprolol.
3. A nurse is teaching a newly licensed nurse about ergonomic principles. Which action by the newly licensed nurse indicates an understanding of the teaching?
- A. Stand with feet together when lifting a client.
- B. Raise the client's head of bed before pulling the client up.
- C. Use a mechanical lift to move a client.
- D. Place a gait belt around the client's chest before assisting the client.
Correct answer: C
Rationale: The correct answer is C: 'Use a mechanical lift to move a client.' Using a mechanical lift is an essential ergonomic principle to prevent injury and ensure safe client handling. Choice A is incorrect because standing with feet together when lifting a client can lead to instability and improper weight distribution. Choice B is incorrect as raising the client's head of bed before pulling the client up does not primarily relate to ergonomic principles. Choice D is incorrect because while using a gait belt is important for assisting clients with mobility, it is not specifically related to ergonomic principles for safe handling.
4. A nurse is assessing a newborn immediately following birth. Which of the following findings should the nurse report to the provider?
- A. Acrocyanosis
- B. Vernix caseosa
- C. A respiratory rate of 50/min
- D. Heart rate of 160/min
Correct answer: D
Rationale: The correct answer is D, a heart rate of 160/min. A heart rate of 160/min in a newborn exceeds the normal range and could indicate potential issues that need further evaluation by the provider. Acrocyanosis (choice A) is a common finding in newborns and is not concerning. Vernix caseosa (choice B) is a white, cheesy substance found on newborn skin and is a normal finding. While a respiratory rate of 50/min (choice C) is slightly elevated, it is not as concerning as a high heart rate in a newborn.
5. A nurse is assessing a client who is postoperative following a bowel resection. Which of the following findings should the nurse report to the provider?
- A. Heart rate 110/min.
- B. Temperature of 37.4°C (99.3°F).
- C. Respiratory rate of 18/min.
- D. Urine output of 20 mL/hr.
Correct answer: D
Rationale: A urine output of 20 mL/hr is below the expected range and indicates potential renal failure, requiring immediate intervention. In postoperative patients, a urine output less than 30 mL/hr suggests inadequate renal perfusion, a concern that needs prompt attention to prevent renal complications. The heart rate of 110/min, temperature of 37.4°C (99.3°F), and respiratory rate of 18/min are within normal ranges for a postoperative client and do not indicate immediate issues.
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