ATI RN
ATI Exit Exam 2023
1. A client is receiving chemotherapy and is being taught about preventing infection. Which of the following instructions should the nurse include?
- A. Take your temperature daily.
- B. Avoid fresh fruits and vegetables.
- C. Limit your intake of high-protein foods.
- D. Increase your intake of high-fat foods.
Correct answer: B
Rationale: Clients receiving chemotherapy are instructed to avoid fresh fruits and vegetables to lower the risk of infection. Fresh produce may harbor bacteria or other pathogens that could be harmful to individuals with compromised immune systems. Taking the temperature daily may be important but is not directly related to preventing infection. Limiting high-protein foods is not necessary unless there are specific dietary restrictions due to the treatment plan. Increasing the intake of high-fat foods is not recommended during chemotherapy as a high-fat diet may lead to other health issues.
2. Which of the following lab values indicates a patient on warfarin is at a therapeutic level?
- A. INR of 1.1
- B. PT of 12 seconds
- C. INR of 2.5
- D. Platelet count of 150,000
Correct answer: C
Rationale: An INR of 2.5 indicates a therapeutic level for a patient on warfarin. The INR (International Normalized Ratio) is the most accurate way to monitor and adjust warfarin doses. An INR of 1.1 (Choice A) is below the therapeutic range, indicating a need for an increased dose. PT (Prothrombin Time) of 12 seconds (Choice B) is not specific for warfarin therapy monitoring. Platelet count (Choice D) is not directly related to monitoring warfarin therapy.
3. You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- A. Observation, percussion, palpation, auscultation
- B. Observation, auscultation, percussion, palpation
- C. Percussion, palpation, auscultation, observation
- D. Palpation, percussion, observation, auscultation
Correct answer: B
Rationale: The correct order for performing an abdominal assessment is observation, auscultation, percussion, and palpation.
4. Why is interdisciplinary collaboration important in community health?
- A. It enhances the quality of care by integrating different perspectives.
- B. It reduces the workload of individual health professionals.
- C. It ensures that all community health needs are met.
- D. It facilitates access to more resources and services.
Correct answer: A
Rationale: Interdisciplinary collaboration is crucial in community health as it brings together professionals from different fields to provide a holistic approach to patient care. By integrating various perspectives and expertise, it enhances the quality of care, leading to better health outcomes for the community. This teamwork allows for comprehensive assessments, innovative solutions, and improved coordination of services, ultimately benefiting the overall health and well-being of individuals in the community.
5. What is a chronic condition where the heart muscle becomes weakened and enlarged, reducing its ability to pump blood effectively?
- A. Dilated cardiomyopathy
- B. Hypertrophic cardiomyopathy
- C. Myocarditis
- D. Pericarditis
Correct answer: A
Rationale: Dilated cardiomyopathy is characterized by the weakening and enlargement of the heart muscle, leading to its reduced ability to pump blood effectively. This condition is different from hypertrophic cardiomyopathy, which involves abnormal thickening of the heart muscle, myocarditis, which is inflammation of the heart muscle, and pericarditis, which is inflammation of the pericardium. Therefore, the correct answer is Dilated cardiomyopathy.
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