ATI RN
ATI RN Exit Exam 2023
1. A client with osteoporosis should be encouraged to perform which of the following interventions as part of the plan of care?
- A. Encourage the client to increase calcium intake.
- B. Apply heat to the affected joints to reduce stiffness.
- C. Encourage weight-bearing exercises to prevent bone loss.
- D. Limit fluid intake to prevent swelling.
Correct answer: C
Rationale: The correct answer is to encourage weight-bearing exercises to prevent bone loss in clients with osteoporosis. Weight-bearing exercises help to strengthen bones and reduce the risk of fractures. Increasing calcium intake (Choice A) is important for bone health but is not the priority intervention for preventing bone loss in osteoporosis. Applying heat to affected joints (Choice B) may help with stiffness but does not address the underlying bone loss in osteoporosis. Limiting fluid intake (Choice D) is not relevant to managing osteoporosis and preventing bone loss.
2. A client receiving warfarin is being taught by a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I will avoid eating leafy green vegetables while taking this medication.
- B. I will need to have my INR checked regularly while taking this medication.
- C. I will take this medication at the same time each day.
- D. I will avoid taking aspirin while taking this medication.
Correct answer: D
Rationale: The correct answer is D because clients taking warfarin should avoid aspirin to reduce the risk of bleeding, as both medications can thin the blood. Choice A is incorrect because it is essential to eat a consistent amount of leafy green vegetables to maintain a steady intake of Vitamin K, which can impact warfarin's effectiveness. Choice B is incorrect although important because INR checks are necessary but do not specifically show an understanding of the teaching. Choice C is incorrect because while taking warfarin at the same time each day is beneficial for consistency, it does not directly address the interaction with aspirin.
3. A nurse is providing discharge teaching to a client who has a new prescription for digoxin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will take my pulse before taking this medication.
- B. I should take this medication with food to prevent nausea.
- C. I will take this medication if my heart rate is less than 60/min.
- D. I should take this medication with food if I am not feeling well.
Correct answer: A
Rationale: The correct answer is A. Taking the pulse before taking digoxin is crucial as it helps monitor the heart rate, as digoxin can cause bradycardia as a side effect. Option B is incorrect because digoxin should be taken on an empty stomach to enhance absorption. Option C is incorrect because digoxin should be held and the healthcare provider should be contacted if the heart rate is less than 60/min. Option D is incorrect because digoxin should not be taken with food due to decreased absorption.
4. A nurse is caring for a client who has Raynaud's disease. Which action should the nurse take?
- A. Provide information about stress management.
- B. Maintain a warm 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 action for the nurse to take when caring for a client with Raynaud's disease is to provide information about stress management. Raynaud's disease is a condition where the blood vessels narrow in response to cold or stress, leading to reduced blood flow to certain areas of the body, usually the fingers and toes. Stress management helps reduce triggers for Raynaud's disease by minimizing emotional stress, which can trigger vasospasms. Choice B is incorrect as maintaining a warm temperature, rather than a cool one, is recommended for individuals with Raynaud's disease to prevent triggering vasospasms. Choice C is incorrect because epinephrine is not typically used to manage Raynaud's disease, as it can further constrict blood vessels. Choice D is incorrect as glucocorticoid steroids are not a first-line treatment for Raynaud's disease.
5. A client with heart failure at risk for pulmonary edema should receive which intervention to improve oxygenation?
- A. Place the client in a supine position.
- B. Encourage the client to increase fluid intake.
- C. Elevate the client's legs when in bed.
- D. Administer oxygen via non-rebreather mask.
Correct answer: D
Rationale: Administering oxygen via a non-rebreather mask is the appropriate intervention for a client at risk for pulmonary edema as it helps improve oxygenation by delivering a high concentration of oxygen. Placing the client in a supine position can exacerbate pulmonary edema by increasing venous return to the heart, leading to fluid overload. Encouraging increased fluid intake is contraindicated in clients with heart failure and at risk for pulmonary edema, as it can worsen fluid accumulation. Elevating the client's legs when in bed is more appropriate for clients with conditions such as venous insufficiency or edema in the lower extremities, not for pulmonary edema.
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