ATI RN
ATI RN Comprehensive Exit Exam Questions
Question 1 of 5
A nurse is planning care for a client who has a nasogastric tube for enteral feedings. Which of the following interventions should the nurse include to prevent aspiration?
Correct Answer: C
Rationale: Elevating the head of the bed to 45 degrees during feedings is the correct intervention to prevent aspiration in clients with a nasogastric tube. This position helps reduce the risk of regurgitation and subsequent aspiration of stomach contents into the lungs. Flushing the tube with water before feedings (
Choice
A) is not necessary for preventing aspiration. Checking for gastric residuals (
Choice
B) helps monitor feeding tolerance but does not directly prevent aspiration. Placing the client in the left lateral position (
Choice
D) is not specifically indicated for preventing aspiration in a client with a nasogastric tube.
Question 2 of 5
A client with schizophrenia starting therapy with clozapine is being discharged. Which symptom should the client report to the provider as the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Fever. When a client is taking clozapine, fever can indicate serious conditions such as infection or severe reactions, which need immediate medical attention. Constipation (choice
A), blurred vision (choice
B), and dry mouth (choice
D) are common side effects of clozapine but are not as urgent as fever. Constipation can be managed with dietary changes or medications, blurred vision can improve over time, and dry mouth can be relieved with frequent sips of water.
Question 3 of 5
What is the priority nursing action for a patient experiencing an acute asthma attack?
Correct Answer: A
Rationale: The correct answer is to administer bronchodilators as the priority nursing action for a patient experiencing an acute asthma attack. Bronchodilators help open the airways and improve airflow, which is crucial in managing the acute respiratory distress in asthma. Corticosteroids may be used subsequently to reduce inflammation, but in the acute phase, bronchodilators take precedence. Providing supplemental oxygen is important but may not address the underlying bronchoconstriction characteristic of an asthma attack. Starting IV fluids is not a priority in managing an acute asthma attack unless indicated for specific reasons such as dehydration.
Question 4 of 5
A client receiving a blood transfusion develops a fever. What action should the nurse take?
Correct Answer: A
Rationale: When a client receiving a blood transfusion develops a fever, the priority action for the nurse is to stop the transfusion immediately. A fever during a blood transfusion may indicate a transfusion reaction, and stopping the transfusion is crucial to prevent further complications. Administering an antihistamine (choice
B) or a diuretic (choice
C) without assessing and addressing the potential transfusion reaction can be harmful. Increasing the transfusion rate (choice
D) is contraindicated as it can exacerbate any adverse reactions the client is experiencing.
Question 5 of 5
How should a healthcare provider respond to a patient with a history of hypertension who is non-compliant with medication?
Correct Answer: A
Rationale: Encouraging compliance through education is crucial in helping patients understand the importance of consistent medication use. By providing education, the patient can make informed decisions about their health and better manage their condition. Contacting the healthcare provider (choice
B) may be necessary in some cases, but the initial approach should focus on patient education. Documenting the refusal (choice
C) is important for legal and medical records but does not address the root cause of non-compliance. Exploring alternative treatment options (choice
D) should come after efforts to educate and encourage compliance with the current medication regimen.