ATI Exit Exam 180 Questions Quizlet - Nurselytic

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ATI Exit Exam 180 Questions Quizlet Questions

Question 1 of 5

A nurse is providing discharge teaching to a client who had a stroke. What instruction should the nurse provide?

Correct Answer: C

Rationale: The correct answer is C: 'Take medications at the same time every day.' Consistency in medication administration is crucial for stroke recovery to maintain therapeutic drug levels in the body.
Choice A, 'Avoid lifting more than 5 pounds,' though important to prevent strain, is not directly related to medication adherence.
Choice B, 'Perform range-of-motion exercises daily,' is beneficial for overall recovery but is not specific to medication management.
Choice D, 'Monitor blood pressure daily,' is important but does not address the key aspect of medication regimen adherence.

Question 2 of 5

A client who is postpartum requests information about contraception. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: The correct answer is to advise the client to avoid using vaginal spermicides while breastfeeding. This instruction is important as spermicides can potentially affect the milk supply and cause irritation.
Choice A is incorrect because the effectiveness of the lactation amenorrhea method diminishes after the first six months postpartum.
Choice B is incorrect as using the diaphragm used before pregnancy may not fit properly due to changes in the body postpartum.
Choice C is incorrect as the transdermal birth control patch is typically applied to the abdomen, buttocks, or upper torso, not specifically the upper arm.

Question 3 of 5

A client who had a colon resection and a new ascending colostomy is receiving discharge 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 because avoiding popcorn and fresh pineapple helps prevent complications with an ascending colostomy. Statements A, B, and D are incorrect. Statement A is inaccurate as it takes time for bowel function to normalize after surgery. Statement B is incorrect as alcohol can be irritating to the skin; gentle soap and water are recommended for cleaning. Statement D is incorrect as bruising around the stoma is not an expected outcome of colostomy creation.

Question 4 of 5

A healthcare professional is preparing to administer digoxin to a client with heart failure. Which of the following laboratory values should the professional report to the provider?

Correct Answer: C

Rationale: The correct answer is C: Sodium 140 mEq/L. An elevated sodium level can affect the effectiveness of digoxin therapy and may lead to toxicity.
Therefore, it is crucial to report this value to the provider. Potassium, calcium, and magnesium levels are important as well, but elevated sodium can have a more direct impact on digoxin therapy in this scenario.

Question 5 of 5

A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D. Developing a system for staff members to report safety concerns in the client care environment is crucial to promoting client advocacy and ensuring client safety. This action empowers staff to identify and address potential safety issues, ultimately enhancing the quality of care provided.

Choices A, B, and C are incorrect.
Choice A suggests implementing paternalism, which involves making decisions for clients without their input, contradicting the principles of client advocacy.
Choice B focuses on informed consent procedures, which are important but do not directly relate to promoting client advocacy among staff.
Choice C, sharing personal experiences, may not always align with professional boundaries and can potentially bias clients' decision-making processes.

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