ATI RN
ATI Exit Exam
1. A nurse is providing education to a client who is at 28 weeks gestation and has gestational diabetes mellitus. Which of the following statements should the nurse make?
- A. You will need to increase your protein intake during pregnancy.
- B. It is important to monitor your blood glucose levels closely.
- C. Gestational diabetes can increase the risk of developing type 2 diabetes later in life.
- D. You will need to avoid exercise while managing your blood sugar.
Correct answer: C
Rationale: The correct statement the nurse should make is that gestational diabetes can increase the risk of developing type 2 diabetes later in life. This information is crucial for the client's understanding of the potential long-term implications of gestational diabetes. Monitoring blood glucose levels closely (Choice B) is also important but does not address the long-term risk of developing type 2 diabetes. Choices A and D are incorrect as increasing protein intake during pregnancy and avoiding exercise are not recommended strategies for managing gestational diabetes.
2. A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which of the following statements indicates a need for further teaching?
- A. I will avoid leafy green vegetables while taking warfarin.
- B. I will have my INR checked regularly while taking warfarin.
- C. I will use a soft toothbrush while taking warfarin.
- D. I will take this medication at the same time each day.
Correct answer: A
Rationale: The correct answer is A. Clients taking warfarin should avoid leafy green vegetables because they are high in vitamin K, which can interfere with the effectiveness of warfarin by counteracting its anticoagulant effects. Choices B, C, and D are all correct statements related to taking warfarin. Regular INR monitoring is necessary to ensure the medication is within the therapeutic range, using a soft toothbrush reduces the risk of bleeding gums, and taking the medication at the same time daily helps maintain consistent blood levels.
3. Your values do not coincide with your colleagues. When you report for your shift on nights and staff are not responding to patient requests for pain medication, you, as the nurse responsible for collecting data about patient quality of care, should:
- A. Explain to the nurse manager that quality problems are because of staff apathy.
- B. Issue a memo to staff to assess patients and document their response to the pain medication.
- C. Explain to staff that improving quality is one of your annual goals and you expect them to follow through.
- D. Schedule meetings to engage with staff to monitor pain management.
Correct answer: D
Rationale: As the nurse responsible for collecting data about patient quality of care, it is important to address the issue of staff not responding to patient requests for pain medication. Scheduling meetings to engage with staff to monitor pain management is the most appropriate course of action in this scenario. By enlisting support from staff, reviewing patient satisfaction data, and quality reports about pain management, you can effectively address the issue and improve patient care. Choices A, B, and C are not as effective as they do not involve actively engaging with staff, reviewing data, and working collaboratively to address the problem.
4. A nurse has a seriously ill parent and must take care of the parent at home. Which of the following would NOT be a suitable solution to this problem? (EXCEPT)
- A. Resignation
- B. FMLA
- C. Termination
- D. LOA
Correct answer: C
Rationale: FMLA (Family and Medical Leave Act) provides up to 12 weeks of unpaid, job-protected leave to care for a seriously ill family member, securing the employee's job status. Termination and resignation involve ending employment, which is not a suitable solution as it does not provide job security. LOA (Leave of Absence) is often unpaid and does not guarantee job protection, making it less suitable than FMLA in this scenario.
5. A client is receiving discharge teaching regarding a new prescription for amoxicillin. Which of the following client statements indicates an understanding of the teaching?
- A. I will take this medication until my symptoms are gone.
- B. I will take this medication until it is finished.
- C. I will take this medication on an empty stomach.
- D. I will take this medication with milk.
Correct answer: B
Rationale: The correct answer is B. It is crucial for clients to complete the entire course of antibiotics as prescribed, even if symptoms improve. This helps to ensure that the infection is fully treated and reduces the risk of developing antibiotic resistance. Choice A is incorrect because stopping the medication when symptoms disappear can lead to incomplete treatment. Choice C is incorrect as amoxicillin can be taken with or without food. Choice D is incorrect because taking amoxicillin with milk can decrease its absorption.
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