ATI RN
ATI Comprehensive Exit Exam Questions
Question 1 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering calcium gluconate IV is the correct action when a client displays toxicity from magnesium sulfate. Calcium gluconate is used as the antidote for magnesium sulfate toxicity as it counteracts the effects. Positioning the client supine (
Choice
A) is not the immediate action needed. Administering dextrose 5% in water (
Choice
B) is not indicated for magnesium sulfate toxicity. Administering methylergonovine IM (
Choice
C) is used in postpartum hemorrhage, not for magnesium sulfate toxicity.
Question 2 of 5
A client with acute diverticulitis should have which intervention included in the care plan?
Correct Answer: B
Rationale: The correct intervention for a client with acute diverticulitis is to initiate a low-fiber diet. A low-fiber diet helps manage acute diverticulitis by reducing irritation to the colon, allowing it to heal. Administering a cleansing enema (
Choice
A) can worsen diverticulitis by increasing pressure within the colon. Applying moist heat to the abdomen (
Choice
C) may provide comfort but does not address the underlying cause. Providing a clear liquid diet (
Choice
D) is not ideal for diverticulitis management as it lacks the necessary nutrients for healing and may not provide enough bulk to prevent further irritation.
Question 3 of 5
When collecting a sputum specimen from a client with tuberculosis, what action should the nurse take?
Correct Answer: A
Rationale: The correct answer is to obtain the specimen immediately upon the client waking up. Collecting sputum early in the morning provides the best sample for tuberculosis testing. Option B is incorrect because waiting a day can decrease the accuracy of the specimen. Option C is incorrect as it does not specify the optimal timing for specimen collection. Option D is incorrect as sterile gloves should be worn for infection control but do not specifically relate to the timing of specimen collection.
Question 4 of 5
A nurse is caring for a client who has experienced a stroke and has aphasia. Which of the following communication strategies should the nurse use?
Correct Answer: C
Rationale: The correct answer is to use a picture board to facilitate communication. Aphasia can make it challenging for individuals to understand and use language. Using a picture board can help the client convey their needs and understand information more effectively. Speaking louder (
A) may not be helpful as aphasia is not related to hearing loss. While speaking using simple sentences and gestures (
B) can be beneficial, using a picture board (
C) is a more concrete and visual method to support communication for individuals with aphasia. Having the client practice writing words down (
D) may not be suitable if the client's expressive language skills are impaired due to aphasia.
Question 5 of 5
A client with a new diagnosis of peptic ulcer disease is receiving teaching from a nurse. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Clients with peptic ulcer disease should avoid spicy foods as they can exacerbate symptoms and delay healing. Ibuprofen can worsen peptic ulcers by irritating the stomach lining, so it should be avoided. While limiting dairy products may be beneficial for some individuals with lactose intolerance, it is not a specific recommendation for peptic ulcer disease. Taking antacids before meals can help neutralize stomach acid; however, the timing may vary depending on the type of antacid, so there is no universal rule of taking antacids 30 minutes before meals.
Choice A is incorrect because the client should avoid taking ibuprofen due to its potential to worsen peptic ulcers.
Choice C is incorrect as there is no direct correlation between dairy product intake and peptic ulcer disease.
Choice D is incorrect because the timing of antacid administration can vary and should be guided by specific recommendations.