ATI RN
ATI Comprehensive Exit Exam 2023
1. A healthcare provider is planning care for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the healthcare provider include?
- A. Administer 0.9% sodium chloride with the TPN.
- B. Change the TPN tubing every 24 hours.
- C. Weigh the client every 72 hours.
- D. Flush the TPN line with heparin.
Correct answer: B
Rationale: The correct action the healthcare provider should include is changing the TPN tubing every 24 hours to decrease the risk of infection. Administering 0.9% sodium chloride with TPN is not typically recommended as it can cause chemical instability. Weighing the client every 72 hours is important but not directly related to TPN administration. Flushing the TPN line with heparin is not a standard practice and not recommended as it can increase the risk of complications.
2. A nurse is assessing a client who is 2 hours postpartum and is receiving oxytocin to control postpartum bleeding. Which of the following findings should the nurse report to the provider?
- A. Blood pressure 80/50 mm Hg
- B. Uterine contractions
- C. Urine output 150 mL in 2 hours
- D. Client reports cramping
Correct answer: A
Rationale: The correct answer is A: 'Blood pressure 80/50 mm Hg.' Hypotension can be a side effect of oxytocin administration. A blood pressure of 80/50 mm Hg should be reported to the provider. Choice B, 'Uterine contractions,' is an expected finding as oxytocin is used to stimulate uterine contractions. Choice C, 'Urine output 150 mL in 2 hours,' is within the expected range postpartum. Choice D, 'Client reports cramping,' is a common finding due to uterine contractions and is not a cause for concern unless excessive or severe.
3. Paired organs, such as the kidneys or lungs, are said to be
- A. bisexual.
- B. bilingual.
- C. bilateral.
- D. bivalent.
Correct answer: C
Rationale: The correct answer is C: 'bilateral.' Paired organs like the kidneys or lungs are described as bilateral because they occur in pairs on both sides of the body. Option A 'bisexual' refers to having both male and female reproductive organs, which is not the correct term for paired organs. Option B 'bilingual' refers to being able to speak two languages, which is not related to the description of paired organs. Option D 'bivalent' means having two valences, which is also unrelated to the context of paired organs.
4. What is a condition where the lung's air sacs (alveoli) are damaged and enlarged, leading to breathlessness?
- A. Emphysema
- B. Chronic bronchitis
- C. Asthma
- D. Pulmonary fibrosis
Correct answer: A
Rationale: Emphysema is the correct answer. It is a condition where the air sacs in the lungs are damaged and enlarged, leading to breathlessness. Chronic bronchitis is characterized by inflammation of the bronchial tubes, not the alveoli. Asthma involves airway inflammation and constriction, not alveolar damage. Pulmonary fibrosis is a condition where lung tissue becomes thickened and scarred, different from the alveolar damage seen in emphysema.
5. A nurse is providing care for a client who is in the advanced stage of amyotrophic lateral sclerosis (ALS). Which of the following referrals is the nurse's priority?
- A. Psychologist
- B. Social worker
- C. Occupational therapist
- D. Speech-language pathologist
Correct answer: D
Rationale: In the advanced stage of ALS, clients often experience swallowing difficulties, known as dysphagia. A speech-language pathologist specializes in assessing and managing these swallowing problems, making them the nurse's priority referral in this case. A psychologist primarily focuses on mental health and emotional well-being, which may not be the most critical issue at this stage. Social workers assist with social support and resources, while occupational therapists help with activities of daily living and mobility, which are important but not the priority when dysphagia is a concern.
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