ATI RN
ATI Comprehensive Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who is receiving warfarin therapy. Which of the following laboratory results indicates the need for an increase in the dose of warfarin?
Correct Answer: B
Rationale: An INR of 1.2 is below the therapeutic range for a client on warfarin, indicating inadequate anticoagulation.
Therefore, the client would require an increase in the dose of warfarin to achieve the desired therapeutic effect.
Choices A, C, and D are not indicative of the need for a dose increase in warfarin therapy. PT of 28 seconds is within the therapeutic range, aPTT of 40 seconds is also within the normal range, and fibrinogen level of 350 mg/dL does not provide information about the anticoagulant effect of warfarin.
Question 2 of 5
A nurse is caring for a client who has a chest tube. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Continuous bubbling in the water seal chamber should be reported to the provider as it can indicate an air leak. This finding suggests that air is escaping from the pleural space, which can lead to lung collapse or pneumothorax. Drainage of 75 mL in the past 24 hours is within the expected range for a client with a chest tube and is not a cause for concern. Intermittent bubbling in the water seal chamber is a normal finding that indicates the system is functioning properly. Tidaling in the water seal chamber is also an expected finding that shows the fluctuation of fluid with the client's breathing and is not alarming.
Question 3 of 5
A nurse is assessing a client who has just received an opioid medication. Which of the following findings should the nurse monitor first?
Correct Answer: D
Rationale: When a client receives an opioid medication, the nurse should first monitor for respiratory depression as it is a life-threatening adverse effect associated with opioids. This can lead to inadequate ventilation and hypoxia, requiring immediate intervention. Constipation, drowsiness, and orthostatic hypotension are also common side effects of opioids but are not as immediately life-threatening as respiratory depression.
Question 4 of 5
A client has a hemoglobin level of 7 g/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pale, cool skin is a common finding in clients with a hemoglobin level of 7 g/dL due to decreased oxygen carrying capacity. Bounding pulses (
Choice
A) are not typically associated with low hemoglobin levels. Elevated blood pressure (
Choice
B) is not a common finding in clients with anemia. While headache (
Choice
C) can occur with anemia, it is not a specific finding directly related to a hemoglobin level of 7 g/dL.
Question 5 of 5
A nurse is caring for a client who is 1 hour postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: After childbirth, it is normal for the fundus to be firm and at the level of the umbilicus, heart rate to be around 80/min, and blood pressure to be slightly elevated. However, a constant trickle of bright red blood from the vagina is concerning as it could indicate postpartum hemorrhage. This finding should be reported promptly to the healthcare provider for further evaluation and intervention.
Choices A, B, and C are within expected postpartum parameters and do not indicate an immediate need for intervention.