ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is caring for a client who is 4 hours postoperative following an open reduction and internal fixation of the left tibia. Which of the following findings should the nurse report to the provider?
- A. Serous drainage on the dressing
- B. Capillary refill of 2 seconds
- C. Heart rate of 62/min
- D. Left foot is cool to the touch
Correct answer: D
Rationale: The correct answer is D. A cool left foot indicates impaired circulation, which could be a sign of compartment syndrome or impaired blood flow. This finding should be reported to the provider promptly for further evaluation and intervention. Serous drainage on the dressing is expected postoperatively and is not a concerning finding. A capillary refill of 2 seconds is within the normal range (less than 3 seconds is normal), indicating adequate peripheral perfusion. A heart rate of 62/min is also within the normal range for an adult, suggesting no immediate concern related to the surgery.
2. A nurse is caring for a patient diagnosed with chronic myeloid leukemia (CML) who is receiving the drug imatinib (Gleevec). What should the nurse monitor in this patient to assess for side effects of this therapy?
- A. Cardiac function
- B. Renal function
- C. Liver function
- D. Pulmonary function
Correct answer: A
Rationale: The correct answer is A: Cardiac function. Imatinib can cause fluid retention and heart failure, so cardiac function should be closely monitored. Renal function (choice B) is not typically affected by imatinib. Liver function (choice C) is not the primary concern with this medication. Pulmonary function (choice D) is not directly impacted by imatinib therapy.
3. Which pediatric condition is most likely to present with a "whooping" sound during coughing?
- A. Croup
- B. Bronchitis
- C. Pertussis
- D. Asthma
Correct answer: C
Rationale: The correct answer is C: Pertussis. Pertussis, also known as whooping cough, is characterized by a "whooping" sound during coughing episodes. This distinctive sound is due to the rapid intake of air after a series of coughs. Choice A, Croup, typically presents with a barking cough and stridor. Choice B, Bronchitis, is characterized by a productive cough with mucus. Choice D, Asthma, usually presents with wheezing and shortness of breath.
4. A nurse is planning care for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the therapy?
- A. Serum calcium level
- B. Blood glucose level
- C. Serum albumin level
- D. Serum sodium level
Correct answer: C
Rationale: The correct answer is C, Serum albumin level. Monitoring the serum albumin level helps assess the nutritional effectiveness of total parenteral nutrition (TPN). Serum albumin is a protein that reflects the long-term nutritional status of a patient. Serum calcium level (choice A) is not directly related to TPN effectiveness. Blood glucose level (choice B) is important to monitor in diabetic patients but is not the primary indicator of TPN efficacy. Serum sodium level (choice D) is more related to fluid balance and electrolyte status rather than the effectiveness of TPN.
5. The thoracic cavity lies _____________ the abdominopelvic cavity.
- A. dorsal (posterior) to
- B. ventral (anterior) to
- C. superior to
- D. inferior to
Correct answer: C: superior to
Rationale: The correct answer is 'superior to.' The thoracic cavity is located above the abdominopelvic cavity, making it superior. The term 'dorsal (posterior) to' refers to the back side, 'ventral (anterior) to' indicates the front side, and 'inferior to' means below. In the context of body cavities, the thoracic cavity is positioned higher than the abdominopelvic cavity, making 'superior to' the most appropriate choice.
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