ATI RN
ATI Exit Exam 2024 Questions
Question 1 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B because a new onset of tachypnea can indicate a respiratory complication, which requires immediate assessment. Sinus arrhythmia, epidural analgesia with weakness, and a hemoglobin A1C level of 6.8% in a client with diabetes do not pose immediate life-threatening concerns that require urgent assessment compared to the potential respiratory issues associated with tachypnea.
Question 2 of 5
A nurse is caring for a client who has a new prescription for nitroglycerin transdermal patches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is to apply the nitroglycerin transdermal patch in the morning and remove it at bedtime. This schedule helps prevent tolerance to the medication.
Choice A is incorrect because the patch should be rotated to different sites to prevent skin irritation.
Choice B is incorrect as daily rotation is recommended, not daily application to the same site.
Choice D is incorrect as the patch should be removed during a bath as it may decrease the efficacy of the medication.
Question 3 of 5
A client who has a new prescription for lithium is receiving discharge teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Clients prescribed lithium need regular monitoring of blood levels to ensure the medication's effectiveness and safety. This monitoring helps to keep the medication within the therapeutic range and prevent toxicity.
Choice B is incorrect because lithium is usually taken with food to minimize gastrointestinal side effects.
Choice C is not directly related to lithium therapy; however, excessive sodium intake can affect lithium levels.
Choice D is incorrect as abruptly stopping lithium can lead to adverse effects and should only be done under healthcare provider guidance.
Question 4 of 5
A client is receiving discharge teaching for a new prescription of digoxin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Clients taking digoxin should check their pulse before each dose to ensure it is within the appropriate range. Option A is incorrect because stopping the medication based solely on a heart rate below 80/min is not recommended. Option C is incorrect as having a pulse above 100/min doesn't necessarily indicate a need to stop digoxin. Option D is incorrect because digoxin should not be taken with an antacid as it can interfere with its absorption.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is to inject the medication into the abdomen. Enoxaparin should be administered subcutaneously into the abdomen for optimal absorption.
Choice A is incorrect as there is no specific interaction between enoxaparin and spinach.
Choice B is incorrect as massaging the injection site after administration is not recommended and can increase bruising.
Choice C is incorrect as enoxaparin injections should not be administered into the deltoid muscle.