ATI RN
ATI Exit Exam RN Questions
Question 1 of 5
Which laboratory test is essential for monitoring renal function in a patient with chronic kidney disease?
Correct Answer: A
Rationale: The correct answer is to monitor BUN (Blood Urea Nitrogen) and creatinine levels in a patient with chronic kidney disease. These tests provide crucial information about renal function. Checking blood glucose levels (
Choice
B) is important for monitoring diabetes, not renal function. Monitoring hemoglobin and hematocrit levels (
Choice
C) helps assess anemia, not specifically renal function. Monitoring liver enzymes (
Choice
D) is relevant for assessing liver function, not renal function.
Question 2 of 5
What is the priority intervention for a patient with fluid overload?
Correct Answer: A
Rationale: The correct answer is to administer diuretics. Diuretics help reduce excess fluid in cases of fluid overload, making it the priority intervention. Administering additional IV fluids (choice
B) would exacerbate the problem by adding more fluid. Providing oral fluids (choice
C) is not the priority as the excess fluid needs to be removed first. Chest physiotherapy (choice
D) is not the primary intervention for fluid overload.
Question 3 of 5
A healthcare provider is reviewing laboratory results for a client who is receiving heparin therapy. Which of the following results indicates that the medication is effective?
Correct Answer: B
Rationale: An aPTT of 60 seconds indicates that the client is receiving an effective dose of heparin. The activated partial thromboplastin time (aPTT) measures the time it takes for blood to clot and is used to monitor heparin therapy. A therapeutic range for aPTT during heparin therapy is usually 1.5 to 2 times the control value, which is around 25-35 seconds. Platelets, hemoglobin, and INR values are not direct indicators of the effectiveness of heparin therapy.
Question 4 of 5
A nurse is reviewing the results of an arterial blood gas analysis of a client who has chronic obstructive pulmonary disease. Which of the following results should the nurse expect?
Correct Answer: B
Rationale: In chronic obstructive pulmonary disease, there is impaired gas exchange, leading to retention of carbon dioxide (CO2) and subsequent respiratory acidosis. A PaCO2 of 55 mm Hg is higher than the normal range (35-45 mm Hg) and is indicative of respiratory acidosis in COPD.
Choices A, C, and D are not typically associated with COPD. PaO2 may be decreased, HCO3 may be elevated to compensate for acidosis, and pH may be lower than 7.35 due to respiratory acidosis in COPD.
Question 5 of 5
A client is being taught about the use of hypnosis during labor. Which of the following statements is appropriate?
Correct Answer: B
Rationale: The correct answer is B because hypnosis during labor aims to increase control over pain perception, helping manage labor pain without the need for medication.
Choice A is incorrect as hypnosis doesn't primarily focus on biofeedback.
Choice C is incorrect because hypnosis doesn't rely on therapeutic touch.
Choice D is incorrect because hypnosis doesn't just provide instructions to minimize pain but rather helps individuals gain control over their pain perception.