ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A client who had a colon resection and a new ascending colostomy is receiving discharge teaching from a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. My stool will become fully formed within 3 weeks.
- B. My skin should be cleaned with alcohol before applying a new pouch.
- C. I should avoid eating popcorn and fresh pineapple.
- D. I should expect bruising around the stoma.
Correct answer: C
Rationale: The correct answer is C because avoiding popcorn and fresh pineapple helps prevent complications with an ascending colostomy. Statements A, B, and D are incorrect. Statement A is inaccurate as it takes time for bowel function to normalize after surgery. Statement B is incorrect as alcohol can be irritating to the skin; gentle soap and water are recommended for cleaning. Statement D is incorrect as bruising around the stoma is not an expected outcome of colostomy creation.
2. A healthcare professional is preparing to administer an autologous blood product to a client. Which of the following actions should the healthcare professional take to identify the client?
- A. Match the client's identification band with the number on the blood unit
- B. Confirm the provider's prescription matches the number on the blood component
- C. Ask the client to state their blood type and confirm the date of their last blood donation
- D. Ensure that the client's identification band matches the number on the blood unit
Correct answer: D
Rationale: Ensuring that the client's identification band matches the number on the blood unit is crucial for correct identification. This action helps prevent errors by confirming that the blood product is indeed intended for the specific client. Matching the client's blood type with type and cross-match specimens (Choice A) is important for compatibility but does not directly verify the client's identity. Confirming the provider's prescription (Choice B) is relevant but does not ensure the correct identification of the client. Asking the client to state their blood type and confirm the date of their last blood donation (Choice C) relies on the client's memory and verbal confirmation, which may not be accurate or reliable for identification purposes.
3. Which food should be avoided by a child with acute glomerulonephritis to prevent hyperkalemia, as recommended by the nurse?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct answer: D
Rationale: Bananas are rich in potassium, which can contribute to hyperkalemia in individuals with acute glomerulonephritis. It is essential to limit potassium intake to prevent further complications associated with high potassium levels in the blood.
4. Which statement provides an example of an age-graded influence?
- A. Paul learned to play the violin at a young age.
- B. Jack enjoys hiking in the mountains.
- C. Sarah prefers reading mystery novels.
- D. Alex excels in mathematics.
Correct answer: A
Rationale: The corrected statement 'Paul learned to play the violin at a young age' provides an example of an age-graded influence. This is because learning to play the violin is a behavior that is typical or expected at a certain age, reflecting how age influences individuals' experiences and development. In contrast, choices B, C, and D do not directly relate to age-graded influences. Jack's enjoyment of hiking, Sarah's preference for reading mystery novels, and Alex's proficiency in mathematics are not inherently tied to age-related developmental influences.
5. A client is being educated by a nurse on snacks suitable for a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the need for further teaching?
- A. A slice of cheese
- B. A jam sandwich
- C. A cup of plain popcorn
- D. A small container of applesauce
Correct answer: A slice of cheese
Rationale: The correct answer is A: A slice of cheese. Cheese is high in fat, sodium, and cholesterol, making it unsuitable for a low-fat, low-sodium, and low-cholesterol diet. Choices B, C, and D are more appropriate for such a diet. B: A jam sandwich can be low in fat, sodium, and cholesterol if made with whole grain bread and a low-sugar jam. C: A cup of plain popcorn is a good choice as it is low in fat and can be made without added salt. D: A small container of applesauce is also a suitable option for a low-fat, low-sodium, and low-cholesterol diet.
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