ATI RN
ATI RN Exit Exam Test Bank
1. What is the priority nursing assessment for a patient who has just returned from surgery?
- A. Monitor respiratory rate
- B. Monitor blood pressure
- C. Check the surgical site
- D. Monitor heart rate
Correct answer: A
Rationale: The correct answer is to monitor the patient's respiratory rate. This assessment is essential as it ensures that the patient is breathing adequately post-surgery. Maintaining a patent airway and adequate oxygenation are the top priorities in the immediate postoperative period. Monitoring blood pressure, checking the surgical site, or monitoring heart rate are important assessments but are not the priority immediately upon the patient's return from surgery.
2. Uric acid kidney stones are most commonly associated with what condition?
- A. diabetes
- B. hypercalcemia
- C. gout
- D. diarrhea
Correct answer: C
Rationale: Gout is a condition characterized by high levels of uric acid, which can lead to the formation of uric acid kidney stones due to the crystallization of uric acid in the kidneys.
3. Cyanocobalamin is a form of which vitamin?
- A. Vitamin B1
- B. Vitamin B2
- C. Vitamin B3
- D. Vitamin B12
Correct answer: D
Rationale: Cyanocobalamin is a synthetic form of Vitamin B12. Vitamin B12 is essential for various bodily functions, including red blood cell formation, neurological function, and DNA synthesis. It is not to be confused with Vitamin B1, B2, or B3, which are separate vitamins with different roles in the body.
4. A client with heart failure is being taught about dietary modifications by a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I will increase my intake of canned vegetables.
- B. I will limit my daily sodium intake to 2 grams.
- C. I will increase my intake of whole grains.
- D. I will reduce my intake of processed meats.
Correct answer: D
Rationale: The correct answer is 'D: I will reduce my intake of processed meats.' This choice indicates an understanding of the teaching because processed meats are high in sodium, which can worsen heart failure due to fluid retention. Choices A, B, and C do not directly address the issue of reducing sodium intake, which is crucial for clients with heart failure. Increasing canned vegetable intake (A) may not always be advisable due to potential high sodium content in canned products. Limiting sodium intake to 2 grams daily (B) is a good practice, but it's more specific to sodium restriction rather than addressing the source of sodium like processed meats. Increasing whole grains (C) is generally beneficial but does not directly relate to reducing sodium intake in heart failure clients.
5. A patient who has multiple health issues is discharged after a recent hospitalization. Which of the following comprehensive programs would a community health nurse refer the patient to if the patient is not under medical supervision but does have insurance?
- A. private health care practitioner
- B. a patient-centered medical home
- C. hospital clinic
- D. subacute facility
Correct answer: B
Rationale: A patient-centered medical home is a comprehensive care model that provides coordinated healthcare services across various settings. It is an ideal referral for a patient with multiple health issues who is not under medical supervision but has insurance, as it offers a patient-focused approach to managing the patient's overall health needs.
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