ATI RN
ATI RN Exit Exam Test Bank
1. A client who is at 28 weeks of gestation is being taught by a nurse about managing heartburn. Which of the following instructions should the nurse include?
- A. Eat small, frequent meals.
- B. Drink a glass of milk with each meal.
- C. Lie down after meals.
- D. Drink plenty of fluids with meals.
Correct answer: A
Rationale: The correct instruction for managing heartburn during pregnancy is to eat small, frequent meals. This helps prevent heartburn by reducing gastric distention. Option B, drinking a glass of milk with each meal, may exacerbate heartburn in some individuals due to its fat content. Option C, lying down after meals, can worsen heartburn as it allows stomach acid to flow back into the esophagus. Option D, drinking plenty of fluids with meals, can also contribute to heartburn by distending the stomach. Therefore, the best advice for managing heartburn during pregnancy is to eat small, frequent meals.
2. What is the most appropriate action when a patient is experiencing confusion after surgery?
- A. Administer oxygen
- B. Reposition the patient
- C. Administer IV fluids
- D. Perform a neurological exam
Correct answer: A
Rationale: Administering oxygen is the most appropriate action when a patient is experiencing confusion after surgery because it helps alleviate hypoxia, which may be causing the patient's confusion. Repositioning the patient would not directly address the potential hypoxia issue. Administering IV fluids may be necessary for hydration or other reasons but is not the initial priority in addressing confusion post-surgery. Performing a neurological exam may be important later on to assess the patient's neurological status but should not be the first action taken when confusion is present.
3. The priority nursing diagnosis for a client with major depression is:
- A. Altered nutrition
- B. Altered thought process
- C. Self care deficit
- D. Risk for injury
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. What is a nurse's role in health promotion?
- A. Conducting health risk appraisals
- B. Educating clients to be effective health consumers
- C. Implementing worksite wellness programs
- D. None of the above
Correct answer: B
Rationale: A nurse plays a crucial role in health promotion by educating clients to be effective health consumers. This involves empowering individuals to make informed decisions about their health, access appropriate healthcare services, and engage in healthy behaviors to prevent illness and promote well-being. The other choices are not entirely accurate in describing the primary role of a nurse in health promotion. While nurses may conduct health risk appraisals and implement worksite wellness programs as part of their responsibilities, their central focus is on educating and empowering individuals to take control of their health.
5. A client is being taught about foods to include in a low-fiber diet. Which statement indicates the client understands the teaching?
- A. “A fresh pear would be a good snack option.”
- B. “I can prepare refried beans for supper.”
- C. “Bran cereal would be a good breakfast choice.”
- D. “I should choose white rice as a side dish.”
Correct answer: “I should choose white rice as a side dish.”
Rationale: The correct answer is "I should choose white rice as a side dish." In a low-fiber diet, foods that are low in fiber are recommended to reduce gastrointestinal irritation. White rice is a low-fiber option suitable for this diet. Choices A, B, and C are high-fiber options and not suitable for a low-fiber diet. A fresh pear, refried beans, and bran cereal are all high in fiber, which should be avoided in a low-fiber diet.
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