ATI RN
ATI Exit Exam Practice Questions Questions
Question 1 of 5
A client has deep vein thrombosis (DVT). Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for a nurse caring for a client with deep vein thrombosis (DVT) is to apply warm compresses to the affected extremity. Warm compresses help reduce swelling and pain in clients with DVT. Administering thrombolytics (
Choice
A) is not typically done without specific orders due to the risk of bleeding. Massaging the affected extremity (
Choice
B) can dislodge blood clots and lead to complications. Placing the client in a supine position with the legs elevated (
Choice
D) may increase the risk of clot dislodgment.
Question 2 of 5
When managing blood pressure at home, which statement by the client indicates an understanding of the teaching provided by a nurse for hypertension?
Correct Answer: D
Rationale: The correct answer is D because sitting quietly for 5 minutes before measuring blood pressure ensures an accurate reading and helps monitor hypertension.
Choice A is incorrect as medications for hypertension should be taken as prescribed, not based on symptoms like dizziness.
Choice B is not ideal as blood pressure should be checked more frequently, preferably daily.
Choice C is incorrect as stopping medication abruptly once blood pressure is normal can lead to rebound hypertension.
Question 3 of 5
A nurse is reviewing the medical record of a client who is at 30 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A weight gain of 2.3 kg (5 lb) in 1 week can indicate worsening preeclampsia due to fluid retention, which can lead to serious complications. This finding should be reported promptly to the provider for further assessment and intervention. Blood pressure of 140/90 mm Hg is high but may not be an immediate concern for a client with preeclampsia at 30 weeks. 1+ pitting edema in the lower extremities is common in pregnancy, especially in the third trimester, and may not be a significant finding in isolation. A mild headache can be a common symptom in pregnancy and may not be indicative of worsening preeclampsia unless accompanied by other concerning signs.
Question 4 of 5
When documenting an incorrect dose of medication administered, which fact related to the incident report should the nurse document in the client's medical record?
Correct Answer: A
Rationale: The nurse should document the time the medication was given in the client's medical record when an incorrect dose is administered. Recording the time is crucial for establishing the sequence of events accurately.
Choices B, C, and D, though important, are not directly relevant to documenting the incident of administering an incorrect dose of medication. The client's response to the medication, the actual dose administered, and the reason for the error may be documented for overall patient care but are not specifically required in the incident report for an incorrect dose.
Question 5 of 5
A client with a new diagnosis of heart failure is receiving teaching from a nurse. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. Weighing oneself daily is crucial in monitoring fluid retention, a key aspect in managing heart failure. This helps in detecting early signs of fluid buildup, prompting timely interventions.
Choice A is incorrect as the recommended sodium intake for heart failure clients is usually lower, around 2-3 grams daily.
Choice C is incorrect because excessive water intake can worsen fluid retention in heart failure.
Choice D is incorrect as clients with heart failure should consult healthcare providers before significantly altering their physical activity levels.