ATI RN
ATI RN Comprehensive Exit Exam 2023
1. A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following client statements indicates an understanding of the teaching?
- A. I should weigh myself every morning.
- B. I should drink 2 liters of water each day.
- C. I should avoid all physical activity.
- D. I should take an extra dose of diuretic if I gain 2 pounds in a day.
Correct answer: A
Rationale: The corrected answer is A. Weighing daily is crucial for clients with heart failure to monitor fluid status since sudden weight gain can indicate fluid retention. Choice B is incorrect because excessive water intake can worsen fluid retention in heart failure. Choice C is incorrect as some physical activity is encouraged for heart failure clients, tailored to their condition. Choice D is incorrect as adjusting medication doses should always be done under healthcare provider guidance rather than self-administration.
2. Define resilience and explain its significance in mental health.
- A. Resilience refers to the ability to avoid all mental health issues despite severe stress.
- B. Resilience is the ability to adapt successfully to even very difficult circumstances.
- C. Resilience is the tendency to be unaffected by any form of stress or adversity.
- D. Resilience is the ability to avoid stress by avoiding challenges.
Correct answer: B
Rationale: The correct definition of resilience is the ability to adapt successfully to difficult circumstances, not avoiding stress entirely. Resilience is significant in mental health as it helps individuals overcome adversity rather than avoiding it. Choice A is incorrect as resilience doesn't mean avoiding all mental health issues but rather dealing with stress effectively. Choice C is incorrect as resilience involves facing and overcoming stress, not being unaffected by it. Choice D is incorrect as resilience involves facing challenges and stress, not avoiding them altogether.
3. A nurse is reviewing the lab results of a client who has bulimia nervosa. The nurse should notify the provider of which of the following results?
- A. White Blood Cells 5,200/mm3
- B. Hemoglobin 14
- C. Magnesium 1.6
- D. Potassium 3.2
Correct answer: D
Rationale: A potassium level of 3.2 is below normal and requires provider notification, especially in clients with bulimia nervosa who may have electrolyte imbalances.
4. The apnea monitor alarm sounds on a neonate for the third time during this shift. What is the priority action by the nurse?
- A. Provide tactile stimulation.
- B. Administer 100% oxygen.
- C. Investigate possible causes of a false alarm.
- D. Assess infant for color and presence of respirations.
Correct answer: D
Rationale: The priority action for the nurse when the apnea monitor alarm sounds on a neonate is to assess the infant for color and the presence of respirations. This initial assessment helps determine the infant's respiratory status and the need for immediate intervention. Providing tactile stimulation or administering oxygen should only be done after assessing the infant's respiratory status. Investigating possible causes of a false alarm comes after ensuring the infant's well-being through the initial assessment.
5. A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should the nurse take?
- A. Check for residual feeding contents.
- B. Administer the feeding through a large-bore syringe.
- C. Flush the tube with 10 mL of water after feeding.
- D. Administer the feeding at room temperature.
Correct answer: C
Rationale: The correct action for the nurse to take when preparing to administer an intermittent enteral feeding through a nasogastric tube is to flush the tube with 10 mL of water after feeding. This helps maintain tube patency and prevent clogging. Choice A, checking for residual feeding contents, is not the immediate action to take before administering the feeding. Choice B, administering the feeding through a large-bore syringe, is not the recommended method for administering enteral feedings. Choice D, administering the feeding at room temperature, is important but not the immediate action related to tube maintenance.
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