ATI RN
ATI RN Exit Exam 2023
1. A nurse is caring for a client who is receiving radiation therapy. Which of the following findings should the nurse expect?
- A. Weight gain
- B. Mouth sores
- C. Hyperpigmentation
- D. Increased saliva production
Correct answer: B
Rationale: The correct answer is B: Mouth sores. Mouth sores are a common side effect of radiation therapy, especially when the treatment is focused on the head or neck area. Weight gain is not typically associated with radiation therapy; instead, clients may experience weight loss due to side effects like nausea and loss of appetite. Hyperpigmentation is not a common finding related to radiation therapy. Increased saliva production is not a typical side effect of radiation therapy; instead, clients may experience dry mouth.
2. Can a person with Celiac disease eat Poptarts that contain gluten?
- A. Yes
- B. No
- C. Only in small quantities
- D. Only if they are gluten-free Poptarts
Correct answer: B
Rationale: A person with Celiac disease cannot consume Poptarts that contain gluten because gluten is a protein found in wheat, barley, and rye, triggering an autoimmune response in individuals with Celiac disease and damaging their small intestine. Even small quantities of gluten can lead to this harmful response, making choices 'A' and 'C' incorrect. While gluten-free Poptarts may be suitable for individuals with Celiac disease, regular Poptarts containing gluten are not safe for consumption by them, rendering choice 'D' incorrect as well.
3. If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?
- A. Blood replacement
- B. Antacid administration
- C. Nasogastric tube suction
- D. Fluid and electrolyte replacement
Correct answer: B
Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.
4. Does taste perception decline with age, and are individuals taking three or more medications likely to have less taste sensitivity, requiring greater amounts of sodium and sugar to perceive these tastes?
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: A
Rationale: Both statements are indeed true. As people age, their taste perception tends to decline. This change can be further exacerbated by the use of multiple medications, which can potentially dull taste sensitivity even more. Consequently, these individuals often need to consume foods with higher levels of sodium and sugar in order to perceive these tastes. Choices B, C, and D are incorrect because they deny either one or both of these established facts.
5. During an assessment, a nurse is evaluating a pregnant client for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
- A. Increased urine output
- B. Vaginal discharge
- C. Elevated blood pressure
- D. Joint pain
Correct answer: Elevated blood pressure
Rationale: Preeclampsia is characterized by elevated blood pressure, proteinuria, and sometimes edema. Hypertension is a key sign of preeclampsia, and if present, further evaluation and monitoring are necessary to prevent complications for both the mother and the fetus.
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