ATI RN
ATI Exit Exam 2024
1. A client with a pulmonary embolism is being cared for by a nurse. Which of the following interventions should the nurse include in the plan of care?
- A. Encourage the client to ambulate frequently.
- B. Place the client in a prone position.
- C. Administer anticoagulants as prescribed.
- D. Initiate seizure precautions.
Correct answer: C
Rationale: Administering anticoagulants as prescribed is a crucial intervention for clients with pulmonary embolism to prevent further clot formation. Encouraging the client to ambulate frequently may dislodge the clot and lead to worsening symptoms. Placing the client in a prone position can compromise respiratory function. Initiating seizure precautions is not directly related to the management of pulmonary embolism.
2. When classmates are asked to rate each other's likability, __________ children get many positive votes, whereas __________ children are seldom mentioned.
- A. popular; neglected
- B. neglected; rejected
- C. popular; rejected
- D. controversial; neglected
Correct answer: A
Rationale: The correct answer is A: 'popular; neglected.' Popular children are well-liked by their peers, hence they receive many positive votes. Neglected children, on the other hand, are often overlooked or ignored, resulting in them being seldom mentioned. Choice B is incorrect because neglected and rejected have different meanings. Choice C is incorrect as popular and rejected do not align with the likability context provided in the question. Choice D is incorrect as controversial does not directly relate to likability in the context of the question.
3. A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should the nurse take?
- A. Check for residual feeding contents.
- B. Administer the feeding through a large-bore syringe.
- C. Flush the tube with 10 mL of water after feeding.
- D. Administer the feeding at room temperature.
Correct answer: C
Rationale: The correct action for the nurse to take when preparing to administer an intermittent enteral feeding through a nasogastric tube is to flush the tube with 10 mL of water after feeding. This helps maintain tube patency and prevent clogging. Choice A, checking for residual feeding contents, is not the immediate action to take before administering the feeding. Choice B, administering the feeding through a large-bore syringe, is not the recommended method for administering enteral feedings. Choice D, administering the feeding at room temperature, is important but not the immediate action related to tube maintenance.
4. A client with neutropenia is admitted to the hospital. What precaution is most important for the nurse to implement?
- A. Strict hand hygiene.
- B. Limit visitor contact with the client.
- C. Administer prophylactic antibiotics as ordered.
- D. Administer blood products as ordered.
Correct answer: A
Rationale: The correct answer is A: Strict hand hygiene. Neutropenic clients have a low level of neutrophils, which are important in fighting infections. Therefore, maintaining strict hand hygiene is crucial in preventing the introduction of pathogens that could lead to infections. Limiting visitor contact (choice B) is important but not as critical as preventing the introduction of pathogens through proper hand hygiene. Administering prophylactic antibiotics (choice C) and blood products (choice D) are treatment measures and do not address the preventive aspect that hand hygiene provides.
5. When starting amitriptyline, a client should be instructed to monitor for which of the following adverse effects?
- A. Diarrhea
- B. Urinary retention
- C. Bradycardia
- D. Dry cough
Correct answer: B
Rationale: When a client starts taking amitriptyline, an important adverse effect to monitor for is urinary retention. Amitriptyline is a tricyclic antidepressant that can cause anticholinergic effects, including urinary retention. It is crucial to educate the client on recognizing and reporting this adverse effect to their healthcare provider. Diarrhea is not a common adverse effect of amitriptyline and is more associated with other medications. Bradycardia is a possible adverse effect of amitriptyline, but urinary retention is a more common and significant concern. Dry cough is not a typical adverse effect of amitriptyline.
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