ATI RN
ATI Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: In this scenario, the nurse should administer Bisacodyl 10 mg rectal suppository. Bisacodyl is a stimulant laxative that promotes bowel movement, which is appropriate for a postpartum client experiencing constipation. Magnesium hydroxide (choice
B) is an antacid and not indicated for constipation. Famotidine (choice
C) is an H2 receptor antagonist used for reducing stomach acid production, not for constipation. Loperamide (choice
D) is an antidiarrheal agent and would worsen constipation in this case.
Question 2 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. When updating protocols for the use of belt restraints, it is essential to document the client's condition every 15 minutes. This frequent documentation helps ensure the client's safety and allows for timely assessment of the need for continued restraint use.
Choice A is incorrect because restraints should be removed and reassessed more frequently than every 4 hours.
Choice C is incorrect as restraints should not be attached to the bed's side rails due to entrapment risks.
Choice D is also incorrect as restraints should not be used as needed (PRN) but rather based on a specific prescription and assessment indicating the need for restraint use.
Question 3 of 5
A nurse is providing dietary teaching to a client who has chronic pancreatitis. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: D
Rationale: Clients with chronic pancreatitis should avoid fried foods because they are high in fat, which can exacerbate symptoms and lead to further complications. Baked chicken (choice
A), grilled salmon (choice
B), and steamed broccoli (choice
C) are generally healthier options and can be included in a low-fat diet suitable for individuals with chronic pancreatitis.
Question 4 of 5
A nurse is providing teaching about gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse give?
Correct Answer: A
Rationale: The correct answer is to administer the feeding over 30 minutes. This slow administration helps prevent complications like nausea. Placing the child in a supine position after the feeding can increase the risk of aspiration, making choice B incorrect. Changing the feeding bag and tubing every 3 days is important for infection control and hygiene but is not directly related to the administration process, making choice C incorrect. Warming the formula in the microwave is not recommended as it can create hot spots that may burn the child's mouth or esophagus, so choice D is incorrect.
Question 5 of 5
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: 'Hypokalemia.' Furosemide is a loop diuretic that can lead to potassium depletion (hypokalemia) due to increased urinary excretion of potassium. This can result in adverse effects such as muscle weakness, cardiac dysrhythmias, and other complications. Hyperkalemia (choice
A) is not an adverse effect of furosemide but rather an elevated potassium level. Hyperglycemia (choice
B) and hyponatremia (choice
D) are not typically associated with furosemide use.
Therefore, monitoring potassium levels and addressing hypokalemia is crucial in clients taking furosemide.