ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A healthcare professional is reviewing the medical record of a client who has a new prescription for enoxaparin. Which of the following findings should the healthcare professional report to the provider?
- A. Platelet count 150,000/mm³
- B. aPTT 30 seconds
- C. Sodium 140 mEq/L
- D. Serum creatinine 3.0 mg/dL
Correct answer: D
Rationale: An elevated serum creatinine level indicates impaired kidney function, which can affect the metabolism and excretion of enoxaparin, potentially leading to increased drug levels and risk of bleeding. Therefore, it is crucial to report a high serum creatinine level before administering enoxaparin. Platelet count, aPTT, and sodium levels are not directly related to the administration of enoxaparin and would not impact its use; hence, they do not need to be reported before starting the medication.
2. Which action demonstrates primary prevention?
- A. Administering immunizations
- B. Teaching healthy lifestyle behaviors
- C. Educating about the importance of regular check-ups
- D. Screening for early signs of disease
Correct answer: A
Rationale: Administering immunizations is a primary prevention strategy aimed at preventing diseases before they occur. By administering immunizations, the nurse helps individuals develop immunity against specific diseases, reducing the likelihood of them getting sick in the first place. This proactive approach aligns with primary prevention efforts to promote health and prevent illnesses.
3. While assessing a clients peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How should the nurse document this finding?
- A. Grade 3 phlebitis at IV site
- B. infection at IV site
- C. Thrombosed area at IV site
- D. infiltration at IV site
Correct answer: Grade 3 phlebitis at IV site
Rationale:
4. A nurse in a prenatal clinic is educating a client about expected changes during pregnancy. The nurse should instruct the client about which change during pregnancy is related to the slowing of the gastrointestinal tract?
- A. Diarrhea
- B. Constipation
- C. Decreased absorption of iron
- D. Decreased absorption of calcium
Correct answer: B
Rationale: During pregnancy, the hormonal changes can lead to the slowing down of the gastrointestinal tract, causing constipation. This occurs due to increased progesterone levels, which relax smooth muscles, including those in the intestines, leading to slower bowel movements. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. While there may be changes in the absorption of nutrients like iron and calcium, they are not directly related to the slowing of the gastrointestinal tract.
5. Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
- A. I will call my health care provider if my stools turn black.
- B. I will take a stool softener if I feel constipated occasionally.
- C. I should take the iron with orange juice about an hour before eating.
- D. I should increase my fluid and fiber intake while I am taking iron tablets.
Correct answer: A
Rationale: It is normal for the stools to appear black when a patient is taking iron, and the patient should not call the health care provider about this.
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