ATI RN
ATI Exit Exam 2023
1. A nurse is preparing to administer an IV bolus of 0.9% sodium chloride to a client who is dehydrated. Which of the following actions should the nurse take?
- A. Administer the solution slowly over 24 hours
- B. Assess the client's lung sounds before administration
- C. Change the IV tubing every 12 hours
- D. Flush the IV line with 2 mL of heparin every 4 hours
Correct answer: B
Rationale: The correct action for the nurse to take is to assess the client's lung sounds before administering IV fluids. This is crucial to identify any signs of fluid overload, such as crackles or wheezes. Administering the solution slowly over 24 hours (choice A) is not appropriate for an IV bolus, which is a rapid infusion. Changing the IV tubing every 12 hours (choice C) is a standard practice for preventing infection but is not directly related to administering an IV bolus. Flushing the IV line with heparin every 4 hours (choice D) is a maintenance practice to prevent clot formation in the line, not specifically related to administering an IV bolus.
2. In dealing with conflict, the manager knows that feelings or perceptions about the situation will have an effect. According to Filey, what is this effect known as?
- A. Conflict suppression
- B. Resolution aftermath
- C. Antecedent conditions
- D. Manifest behavior
Correct answer: D
Rationale: Feelings or perceptions about the situation initiate behavior, known as manifest behavior. Antecedent conditions refer to preexisting conditions that may have led to the conflict but are not the immediate effect of feelings or perceptions. Resolution aftermath pertains to the consequences or outcomes following conflict resolution. Conflict suppression refers to the action of suppressing conflict without addressing its root causes, which is a subsequent step after the manifestation of behavior.
3. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.
- A. the age of the sperm.
- B. the age of her eggs.
- C. her risk of developing diabetes.
- D. her cholesterol level, not her appearance.
Correct answer: the age of her eggs.
Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.
4. Select all that apply. A person who is deficient in vitamin A could consume which of the following to increase vitamin A levels?
- A. cantaloupe
- B. eggs
- C. carrots
- D. all of the above
Correct answer: D
Rationale: Vitamin A can be found in high amounts in foods like cantaloupe, eggs, carrots, and milk, all of which help to maintain healthy vision, skin, and immune function.
5. Which test is used to monitor the degree of blood glucose control over a long period?
- A. Glucose tolerance test
- B. Glycated hemoglobin level
- C. Self-monitoring of blood glucose
- D. 24-hour urinary glucose excretion
Correct answer: B
Rationale: The correct answer is B, glycated hemoglobin level. The glycated hemoglobin (HbA1c) test measures the average blood glucose levels over the past 2-3 months, providing a long-term picture of glucose control. Choice A, the glucose tolerance test, measures how well your body processes glucose but is not specifically for long-term monitoring. Choice C, self-monitoring of blood glucose, involves daily testing by individuals, providing immediate rather than long-term information. Choice D, 24-hour urinary glucose excretion, measures the amount of glucose excreted in the urine over 24 hours and is not typically used for long-term monitoring of blood glucose control.
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