ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is providing teaching to a client who has a new diagnosis of osteoporosis and is prescribed alendronate. Which of the following instructions should the nurse include?
- A. Take this medication with food.
- B. Take this medication with a full glass of water after meals.
- C. Take this medication on an empty stomach with a full glass of water.
- D. You can take this medication at any time of day.
Correct answer: C
Rationale: Correct Answer: C. Alendronate should be taken on an empty stomach with a full glass of water to ensure proper absorption. Choice A is incorrect because alendronate should not be taken with food. Choice B is incorrect because alendronate should be taken on an empty stomach, not after meals. Choice D is incorrect because alendronate should be taken at a specific time following the instructions given.
2. A nurse is teaching a prenatal class about infection prevention. Which of the following statements indicates an understanding of the teaching?
- A. I can visit someone with chickenpox 5 days after the sores crust.
- B. I should avoid cleaning my cat's litter box during pregnancy.
- C. I should wash my hands with hot water for 10 seconds after gardening.
- D. I can take antibiotics for viral infections.
Correct answer: B
Rationale: The correct answer is B because avoiding cleaning the cat's litter box during pregnancy reduces the risk of toxoplasmosis, which can be harmful to the developing fetus. Choice A is incorrect because visiting someone with chickenpox should be avoided as it is highly contagious. Choice C is incorrect as handwashing after gardening should involve soap and water, not just hot water, for effective infection prevention. Choice D is incorrect because antibiotics are ineffective against viral infections.
3. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, 'It's hard not to listen to the voices.' Which of the following questions should the nurse ask?
- A. Do you understand that the voices are not real?
- B. Why do you think the voices are talking to you?
- C. Have you tried going to a private place when this occurs?
- D. What helps you ignore what you are hearing?
Correct answer: D
Rationale: The correct answer is 'D: What helps you ignore what you are hearing?' Asking the client about coping mechanisms is essential in assisting them to manage auditory hallucinations. Choice A is incorrect as questioning the reality of the voices may not be helpful. Choice B delves into the cause of the hallucinations rather than coping strategies. Choice C focuses on isolation rather than addressing the client's coping mechanisms.
4. A client with a new diagnosis of type 2 diabetes mellitus is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to check my blood glucose level once a week.
- B. I will limit my carbohydrate intake to 50 grams per day.
- C. I should avoid eating foods high in protein.
- D. I should eat a snack if my blood glucose level is below 200 mg/dL.
Correct answer: D
Rationale: The correct answer is D. Clients with diabetes should eat a snack if their blood glucose level is below 70 mg/dL, not 200 mg/dL. Option A is incorrect because checking blood glucose levels once a week may not provide adequate monitoring for someone with diabetes. Option B is incorrect as a strict limit of 50 grams of carbohydrates per day may not be suitable for everyone and can vary based on individual needs. Option C is incorrect as it is important for clients with diabetes to have a balanced diet that includes protein in moderation.
5. A client with heart failure is being educated by a nurse about fluid restrictions. Which of the following instructions should the nurse include?
- A. Limit your fluid intake to 3 liters per day.
- B. Increase your fluid intake to 5 liters per day.
- C. Avoid drinking more than 1 liter of fluid per day.
- D. You can drink as much fluid as you want during meals.
Correct answer: C
Rationale: The correct answer is C: "Avoid drinking more than 1 liter of fluid per day." Clients with heart failure are typically advised to limit their fluid intake to around 1 liter per day to prevent fluid overload, which can worsen their condition. Choices A, B, and D are incorrect because they suggest fluid intakes that are higher than the recommended limit, which could lead to fluid retention and exacerbate heart failure symptoms.
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