ATI RN
ATI Comprehensive Exit Exam
1. A client is receiving furosemide for heart failure. Which of the following findings should the nurse report to the provider?
- A. Weight loss of 0.5 kg (1.1 lb) in 24 hours.
- B. Heart rate of 68/min.
- C. Potassium level of 3.8 mEq/L.
- D. Urine output of 60 mL/hr.
Correct answer: B
Rationale: The correct answer is B. A heart rate of 68/min is lower than expected and should be reported as it may indicate digoxin toxicity. Choices A, C, and D are within normal limits for a client receiving furosemide for heart failure and do not require immediate reporting. Weight loss may be expected due to diuretic therapy, a potassium level of 3.8 mEq/L is within the normal range, and a urine output of 60 mL/hr indicates adequate renal perfusion.
2. A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD). Which of the following actions should the nurse take?
- A. Encourage the client to increase physical activity.
- B. Place the client in the Trendelenburg position.
- C. Limit the client's fluid intake to prevent fluid overload.
- D. Administer high-flow oxygen via mask.
Correct answer: A
Rationale: The correct action for the nurse to take when caring for a client with COPD is to encourage the client to increase physical activity. Increased physical activity helps manage COPD symptoms by improving lung function and preventing deconditioning. Placing the client in the Trendelenburg position is not recommended for COPD as it can worsen breathing difficulties. Limiting fluid intake to prevent fluid overload is not typically necessary in COPD unless the client has comorbid conditions that require fluid restriction. Administering high-flow oxygen via mask may be necessary for COPD clients with severe hypoxemia, but it is not the initial action for planning care.
3. What is not appropriate client education on the preventing the spread of methicillin- resistance Staphylococcus aureus (MRSA)?
- A. Avoid contact sports until the infection has cleared
- B. Use a bath sponge to cleanse the skin
- C. Wash hands with soap and water before and after touching the infected area
- D. Use an antibacterial soap when showering
Correct answer: Use a bath sponge to cleanse the skin
Rationale:
4. he can be expected to:
- A. Profit from vocational training with moderate supervision
- B. Live successfully in the community
- C. Perform simple tasks in closely supervised settings
- D. Acquire academic skills of 6th grade level
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. A nurse is assessing a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
- A. Increased appetite
- B. Dry mucous membranes
- C. Hypotension
- D. Hyperreflexia
Correct answer: C
Rationale: A sodium level of 125 mEq/L indicates hyponatremia, which can lead to hypotension. Hyponatremia is associated with signs such as confusion and weakness, rather than increased appetite, dry mucous membranes, or hyperreflexia. Therefore, the nurse should expect hypotension as a finding in a client with a sodium level of 125 mEq/L.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99