ATI RN
ATI Exit Exam Questions
Question 1 of 5
A nurse is assessing a client who has just returned from surgery and is experiencing acute pain. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Diaphoresis. Diaphoresis, which is excessive sweating, is a common response to acute pain due to increased sympathetic nervous system activity. Options A and B, Bradycardia and Hypotension, are unlikely findings in a client experiencing acute pain as pain usually triggers an increase in heart rate (tachycardia) and blood pressure. Option D, Hyperactive bowel sounds, is not typically associated with acute pain.
Question 2 of 5
A nurse is providing education to a client who is at 28 weeks gestation and has gestational diabetes mellitus. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct statement the nurse should make is that gestational diabetes can increase the risk of developing type 2 diabetes later in life. This information is crucial for the client's understanding of the potential long-term implications of gestational diabetes. Monitoring blood glucose levels closely (
Choice
B) is also important but does not address the long-term risk of developing type 2 diabetes.
Choices A and D are incorrect as increasing protein intake during pregnancy and avoiding exercise are not recommended strategies for managing gestational diabetes.
Question 3 of 5
A client receiving warfarin is being taught by a nurse. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because clients taking warfarin should avoid aspirin to reduce the risk of bleeding, as both medications can thin the blood.
Choice A is incorrect because it is essential to eat a consistent amount of leafy green vegetables to maintain a steady intake of Vitamin K, which can impact warfarin's effectiveness.
Choice B is incorrect although important because INR checks are necessary but do not specifically show an understanding of the teaching.
Choice C is incorrect because while taking warfarin at the same time each day is beneficial for consistency, it does not directly address the interaction with aspirin.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action the nurse should take when preparing to administer heparin subcutaneously is to administer the medication within 5 cm (2 in) of the umbilicus. This practice ensures proper subcutaneous delivery of the medication.
Choice A is incorrect because a smaller gauge needle, typically 25-26 gauge, is used for subcutaneous injections.
Choice B is incorrect as heparin should not be injected into the deltoid muscle but rather into fatty tissue.
Choice D is incorrect as massaging the injection site after administration can lead to tissue irritation or bruising.
Question 5 of 5
A client who has a new prescription for lisinopril is being taught by a nurse. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Lisinopril can increase potassium levels, so clients should avoid salt substitutes that contain potassium.
Choice B is incorrect because lisinopril is usually taken on an empty stomach.
Choice C is incorrect because lisinopril can lead to hyperkalemia, so increasing potassium-rich foods is not recommended.
Choice D is incorrect because lisinopril can cause increased urination, so fluid intake should not be limited.