ATI RN Comprehensive Exit Exam - Nurselytic

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ATI RN Comprehensive Exit Exam Questions

Question 1 of 5

A healthcare provider is teaching a client who has a new prescription for levothyroxine. Which of the following instructions should the healthcare provider include?

Correct Answer: B

Rationale: The correct instruction for a client prescribed levothyroxine is to take the medication at the same time every day. This consistency is important for maintaining stable thyroid hormone levels.
Choice A is incorrect because levothyroxine should be taken on an empty stomach to ensure proper absorption.
Choice C is important but not directly related to the administration of levothyroxine.
Choice D is incorrect as antacids can interfere with the absorption of levothyroxine.

Question 2 of 5

A nurse is providing teaching to a client with asthma. Which of the following client statements indicates a need for further teaching?

Correct Answer: C

Rationale: The correct answer is C because the client stating they should only take the inhaler when feeling short of breath indicates a need for further teaching. Clients with asthma should use their inhaler as prescribed, not just when short of breath.

Choices A, B, and D demonstrate good asthma management practices.
Choice A indicates understanding of using the albuterol inhaler before exercise to prevent exercise-induced symptoms.
Choice B mentions the importance of not overusing the inhaler, which can indicate poor asthma control.
Choice D shows awareness of rinsing the mouth after using a corticosteroid inhaler to prevent oral thrush.

Question 3 of 5

A nurse is teaching a client about home care following cataract surgery. Which of the following statements should the nurse include?

Correct Answer: A

Rationale: The correct answer is A: 'You should wear a protective eye shield while sleeping.' After cataract surgery, wearing a protective eye shield while sleeping is crucial to prevent accidental injury to the eye.
Choice B is incorrect because patients should indeed avoid bending over, but it is not the most important instruction among the options provided.
Choice C is incorrect because applying pressure to the eye if pain is felt can be harmful and should not be advised.
Choice D is incorrect because patients should not resume wearing their regular glasses immediately post cataract surgery; they should wait until their healthcare provider permits.

Question 4 of 5

A nurse is assessing a client who is receiving enteral feedings through a nasogastric tube. Which of the following findings requires immediate intervention?

Correct Answer: C

Rationale: Auscultating crackles in the lung bases indicates fluid in the lungs, which can be a sign of aspiration pneumonia or pulmonary edema and requires immediate intervention to prevent respiratory distress. Aspirating 100 mL of gastric residual is within the acceptable range and does not require immediate intervention. A gastric pH of 4 is normal for gastric contents. Checking residual every 6 hours is a routine nursing intervention and does not indicate an urgent issue like pulmonary complications.

Question 5 of 5

A healthcare professional is preparing to administer enoxaparin to a client. Which of the following actions should the healthcare professional take?

Correct Answer: B

Rationale: The correct answer is to inject the medication into the lateral abdominal wall when administering enoxaparin. This is the recommended technique to ensure proper absorption and prevent tissue damage.
Choice A is incorrect because enoxaparin should be administered subcutaneously, not intramuscularly.
Choice C is incorrect as massaging the injection site after administration is not recommended, as it can cause bruising and discomfort.
Choice D is incorrect because the prefilled syringe should not be discarded after expelling the air bubble; it should be used for the injection.

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