ATI RN
ATI Comprehensive Exit Exam Questions
Question 1 of 5
A nurse is planning care for a client who is experiencing acute mania. What intervention should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to take frequent rest periods. During acute mania, individuals often experience high levels of energy, decreased need for sleep, and increased activity levels. Encouraging the client to take frequent rest periods can help prevent exhaustion and promote better self-regulation.
Choice B is incorrect because withdrawing TV privileges may not be directly related to managing acute mania.
Choice C is incorrect as placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice D is incorrect as spending time in the day room may not address the need for rest and relaxation that is crucial during acute mania.
Question 2 of 5
A nurse is preparing to administer an IM injection to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: 'Use a Z-track technique to administer the injection.' When administering IM injections, using a Z-track technique helps prevent medication from leaking into subcutaneous tissues. This technique involves pulling the skin laterally, injecting the medication deeply into the muscle, and then releasing the skin.
Choice A is incorrect because massaging the injection site after administering the medication can lead to increased blood flow and potential leakage of the medication.
Choice B is incorrect as the needle should typically be inserted at a 90° angle for IM injections to ensure proper delivery into the muscle.
Choice D is incorrect as aspirating for blood before injecting the medication is not routinely recommended for IM injections.
Question 3 of 5
A client who has a new prescription for lithium is receiving teaching from a nurse. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C. Drinking at least 2 liters of water daily is crucial for clients taking lithium to prevent dehydration and lithium toxicity. Lithium is a salt, so it's important for clients to maintain adequate hydration. Option A is incorrect because lithium does not interact with tyramine-containing foods. Option B is incorrect because increasing salt intake is not necessary and can actually exacerbate lithium toxicity. Option D is incorrect because avoiding caffeinated beverages is not a priority teaching point for clients taking lithium.
Question 4 of 5
A nurse is caring for a client with heart failure receiving digoxin. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. A blood pressure of 110/70 mm Hg is a finding that the nurse should report to the provider when caring for a client with heart failure receiving digoxin. Digoxin can cause hypotension, so a low blood pressure reading should be reported promptly to the provider for further evaluation and management.
Choices A, C, and D are within normal ranges and would not require immediate reporting. A heart rate of 60/min is considered normal, but any further decrease should be monitored. A serum potassium level of 4 mEq/L is also within the normal range. A blood pressure of 120/80 mm Hg is typically considered normal as well.
Question 5 of 5
A client has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct instruction for a client prescribed nitroglycerin sublingual tablets is to lie down before taking the medication. Nitroglycerin can cause a sudden drop in blood pressure leading to dizziness or fainting, so taking the medication while lying down helps prevent falls.
Choice B is incorrect because nitroglycerin is usually taken on an empty stomach to enhance its absorption.
Choice C is incorrect as taking a double dose of nitroglycerin can lead to low blood pressure and other adverse effects.
Choice D is incorrect as nitroglycerin sublingual tablets should be stored in their original container at room temperature away from light and moisture, not in the refrigerator.