ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is caring for a client who is 3 days postoperative following a bowel resection. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 80/min
- B. White blood cell count of 9,000/mm3
- C. Temperature of 37.8°C (100°F)
- D. Blood pressure of 118/78 mm Hg
Correct answer: C
Rationale: A temperature of 37.8°C (100°F) should be reported to the provider as it can indicate infection, a common postoperative complication. A normal heart rate of 80/min (Choice A), white blood cell count of 9,000/mm3 (Choice B), and blood pressure of 118/78 mm Hg (Choice D) are within normal ranges and do not necessarily indicate a complication postoperatively.
2. A healthcare provider is assessing a client who has left-sided heart failure. Which of the following should the healthcare provider identify as a manifestation of pulmonary congestion?
- A. Frothy, pink sputum
- B. Jugular vein distention
- C. Weight gain
- D. Bradypnea
Correct answer: A: Frothy, pink sputum
Rationale: Pulmonary congestion is a common manifestation of left-sided heart failure. When the left side of the heart fails, blood backs up into the lungs, leading to pulmonary congestion. This can result in symptoms such as frothy, pink-tinged sputum due to the presence of blood in the respiratory secretions. Jugular vein distention, weight gain, and bradypnea are also associated with heart failure, but frothy, pink sputum specifically indicates pulmonary congestion in this scenario.
3. A patient has been prescribed raloxifene (Evista) for the prevention of osteoporosis. What effect should the nurse include in the teaching plan regarding the action of this medication?
- A. Decreases calcium excretion by the kidneys.
- B. Increases intestinal absorption of calcium.
- C. Stimulates bone formation by increasing osteoblast activity.
- D. Selectively binds to estrogen receptors, decreasing bone resorption.
Correct answer: D
Rationale: The correct answer is D: Selectively binds to estrogen receptors, decreasing bone resorption. Raloxifene is a selective estrogen receptor modulator (SERM) that works by binding to estrogen receptors, thereby decreasing bone resorption. This action helps in the prevention and treatment of osteoporosis by preserving bone density. Choices A, B, and C are incorrect because raloxifene does not directly affect calcium excretion by the kidneys, intestinal absorption of calcium, or stimulate bone formation by increasing osteoblast activity.
4. As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, school population, workers in factories
- B. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct answer: D
Rationale: As a community health nurse focusing on a cluster of Barangays, the primary population coverage typically includes families in their homes, school populations, and workers in factories. Patients in hospitals are usually under the care of hospital healthcare providers, not community health nurses. The main role of community health nurses is to provide healthcare services and education within the community and public health settings, rather than hospitals.
5. A client taking antibiotics develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?
- A. Whole wheat bread
- B. Fresh orange sections
- C. Ice cream
- D. Yogurt
Correct answer: D
Rationale: Yogurt is the correct answer because it contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea. Whole wheat bread (Choice A) may worsen diarrhea due to its high fiber content. Fresh orange sections (Choice B) are acidic and may irritate the digestive system further. Ice cream (Choice C) is high in sugar and fat, which can exacerbate diarrhea.
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