ATI RN
ATI Exit Exam
1. A nurse is caring for a client who has heart failure and is receiving a continuous IV infusion of furosemide. Which of the following findings indicates the nurse should increase the client's infusion rate?
- A. Urine output of 20 mL/hr
- B. Heart rate of 90/min
- C. Sodium level of 138 mEq/L
- D. Weight gain of 1 kg in 24 hr
Correct answer: D
Rationale: A weight gain of 1 kg in 24 hours can indicate fluid retention and worsening heart failure, requiring an increase in diuresis. This finding suggests that the current diuretic therapy is not effective enough to manage the fluid overload, necessitating an increase in the infusion rate of furosemide. Choices A, B, and C are not directly related to the need for an increase in diuretic therapy in heart failure patients. Urine output of 20 mL/hr, a heart rate of 90/min, and a sodium level of 138 mEq/L are important parameters to monitor but do not specifically indicate the need to increase the infusion rate of furosemide.
2. A client with deep vein thrombosis (DVT) is receiving heparin therapy. What is the priority assessment for the nurse?
- A. Monitoring blood pressure
- B. Checking the activated partial thromboplastin time (aPTT)
- C. Assessing for signs of bleeding
- D. Measuring calf circumference
Correct answer: C
Rationale: Assessing for signs of bleeding is the priority when caring for a client with deep vein thrombosis (DVT) receiving heparin therapy. Heparin therapy increases the risk of bleeding complications, so monitoring for signs of bleeding is crucial to ensure patient safety and timely intervention if needed.
3. 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.
4. What is the next food texture after 'soft and bite-sized pieces of meltable and soft-solid foods'?
- A. Regular
- B. Liquidized
- C. Pur�ed
- D. Minced and Moist
Correct answer: A
Rationale: After mastering soft and bite-sized pieces, children typically progress to regular table foods.
5. What is the primary role of a nurse manager in a healthcare setting?
- A. To enforce hospital policies
- B. To oversee patient care
- C. To manage the financial aspects of the unit
- D. To ensure efficient operation of the unit
Correct answer: D
Rationale: The primary role of a nurse manager in a healthcare setting is to ensure the efficient operation of the unit. While enforcing hospital policies and overseeing patient care are important aspects of their role, the main responsibility lies in ensuring the smooth and effective functioning of the unit. Managing the financial aspects of the unit is also crucial, but it is not the primary role of a nurse manager, as their focus is more on operational efficiency and quality of care.
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