ATI RN
ATI RN Exit Exam Test Bank
1. A nurse is caring for a client who is receiving chemotherapy. Which of the following findings should the nurse report to the provider?
- A. Alopecia
- B. Weight gain of 1 kg (2.2 lb) in 24 hours
- C. White blood cell count of 6,000/mm³
- D. Temperature of 37.2°C (99°F)
Correct answer: B
Rationale: The correct answer is B. A weight gain of 1 kg (2.2 lb) in 24 hours is concerning as it indicates fluid retention, which can be a sign of complications in clients receiving chemotherapy. Rapid weight gain can be associated with conditions like fluid overload or electrolyte imbalances, which need prompt medical attention. Choices A, C, and D are not typically immediate concerns related to chemotherapy. Alopecia (choice A) is a common side effect of chemotherapy, a white blood cell count of 6,000/mm³ (choice C) falls within the normal range, and a temperature of 37.2°C (99°F) (choice D) is slightly elevated but not a critical finding in this context.
2. What is the main function of dietary fiber in managing cholesterol levels?
- A. To reduce absorption of dietary fats
- B. To increase cholesterol synthesis
- C. To enhance protein digestion
- D. To decrease cholesterol absorption
Correct answer: D
Rationale: Dietary fiber helps lower cholesterol levels by binding to bile acids and reducing cholesterol absorption.
3. A client practicing Orthodox Judaism informs the nurse they are observing the Passover holiday. Which action should the nurse include in the plan of care?
- A. Provide chicken with cream sauce
- B. Avoid serving fish with fins and scales
- C. Provide unleavened bread
- D. Avoid serving foods containing lamb
Correct answer: C
Rationale: During the Passover holiday, individuals practicing Orthodox Judaism follow dietary restrictions that include consuming unleavened bread. This symbolizes the haste with which the Israelites left Egypt and the lack of time for bread to rise. Providing chicken with cream sauce (Choice A) is not aligned with Passover dietary restrictions. Avoiding serving fish with fins and scales (Choice B) is a general dietary law in Judaism but not specific to Passover. Similarly, avoiding foods containing lamb (Choice D) is not a specific requirement during Passover.
4. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?
- A. Catatonia
- B. Loose association
- C. Disorganized speech
- D. Blunted affect
Correct answer: A
Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.
5. A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?
- A. Ensure blankets are placed on all four sides of the bed.
- B. Refrain from using restraints during seizure activity.
- C. Position the client laterally during seizure activity.
- D. Have a tongue depressor available at the client's bedside.
Correct answer: D
Rationale: The correct action the nurse should add to the client's plan of care is to have a tongue depressor available at the client's bedside. This is important during a seizure to prevent the client from biting their tongue. Placing the client laterally helps maintain a clear airway and prevents aspiration, making choice C a good practice during seizure activity. Using restraints during a seizure can cause injuries and should be avoided, making choice B incorrect. Wrapping blankets around all four sides of the bed is unnecessary for seizure management and does not contribute to the client's safety during a seizure, making choice A incorrect.
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