ATI RN
ATI Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: During a tonic-clonic seizure, the nurse should turn the client onto their side. This action helps maintain an open airway by allowing saliva or any vomitus to drain out of the mouth, reducing the risk of aspiration. Inserting a tongue depressor (choice
A) is incorrect as it can cause injury to the client's mouth and is not recommended during a seizure. Restraining the client's arms and legs (choice
B) can lead to physical harm and should be avoided. Placing the client in a prone position (choice
D) is dangerous as it can obstruct the airway and hinder breathing, which is not suitable for a client experiencing a seizure.
Question 2 of 5
A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the unit due to a staffing shortage. Which of the following clients should the nurse delegate to the LPN?
Correct Answer: C
Rationale: The correct answer is C because a client who is postoperative following a bowel resection with an NG tube can be delegated to an LPN as this involves routine postoperative care. Option A involves administering packed RBCs which requires assessment and monitoring for potential adverse reactions, not suitable for delegation to an LPN. Option B requires neurological assessment and close monitoring due to the concussion, which is beyond the scope of an LPN. Option D involves a client with a recent fracture and shortness of breath, which requires urgent assessment and intervention beyond the LPN's scope of practice.
Question 3 of 5
A client has a new prescription for captopril. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. A persistent dry cough is a common side effect of captopril, an ACE inhibitor, and should be included in the teaching.
Choice A is incorrect because captopril is usually taken on an empty stomach.
Choice C is incorrect because captopril can increase potassium levels, so there is no need to further increase potassium intake.
Choice D is incorrect because captopril does not interact with grapefruit.
Question 4 of 5
A client is 4 hours postpartum. Which of the following interventions should be implemented to prevent postpartum hemorrhage?
Correct Answer: D
Rationale: Administering methylergonovine intramuscularly helps contract the uterus, reducing the risk of postpartum hemorrhage. Monitoring for signs of infection (
Choice
A) is important but not directly related to preventing postpartum hemorrhage. Uterine massage (
Choice
B) is beneficial to prevent uterine atony, but methylergonovine is a more specific intervention to prevent hemorrhage. Applying ice packs to the perineum (
Choice
C) is helpful for perineal pain and swelling, not for preventing postpartum hemorrhage.
Question 5 of 5
A client with liver cirrhosis is experiencing confusion. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Ammonia 145 mcg/dL. An elevated ammonia level can indicate hepatic encephalopathy in clients with liver cirrhosis, leading to confusion. Bilirubin (
Choice
A) is within the normal range, indicating adequate liver function. Albumin (
Choice
C) and Hemoglobin (
Choice
D) levels are also within normal limits and are not directly related to the client's confusion in this scenario.