ATI RN
ATI RN Custom Exams Set 2 Questions
Question 1 of 5
Identifying the strengths and weaknesses in the plan of nursing care is part of which of the following steps in determining and fulfilling the nursing care needs of the patient?
Correct Answer: A
Rationale: The correct answer is A: Evaluation. Evaluation in nursing care involves assessing the effectiveness of the care plan, identifying strengths, weaknesses, and areas for improvement. This step helps ensure that the patient's needs are being met appropriately. Planning (choice
B) involves developing the care plan based on the assessment data. Implementation (choice
C) is the step where the care plan is put into action. Assessment (choice
D) is the initial step in the nursing process that involves collecting and analyzing data about the patient's health status.
Question 2 of 5
The nurse is caring for clients on a cardiac floor. Which client should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C because an audible S3 in a client with mitral valve prolapse could indicate heart failure, which requires immediate assessment.
Choice A is less urgent as occasional unifocal PVCs are common.
Choice B is important but can be addressed after the client with an audible S3.
Choice D, a client with pericarditis in normal sinus rhythm, is stable compared to a client with potential heart failure symptoms.
Question 3 of 5
A client is ordered lisinopril (Zestril) for the treatment of hypertension. He asks the nurse about possible adverse effects. The nurse should inform him about which common adverse effects of angiotensin-converting enzyme (ACE) inhibitors?
Correct Answer: D
Rationale: The correct answer is D: 'B, C.' Dizziness and headache are common side effects of ACE inhibitors due to their blood pressure-lowering effects. Constipation is not a common adverse effect associated with ACE inhibitors, so choice A is incorrect.
Choice B (Dizziness) and choice C (Headache) are more commonly seen and are directly related to the mechanism of action of ACE inhibitors, making them the correct choices.
Question 4 of 5
Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?
Correct Answer: A
Rationale: The correct answer is A because tapering glucocorticoids is crucial to prevent adrenal insufficiency, which can occur if the medication is stopped abruptly.
Choice B is incorrect as it refers to dose adjustments during stress or infection, not discontinuation.
Choice C is incorrect because it does not specifically address the issue of stopping the medication.
Choice D is not directly related to the management of glucocorticoid therapy for Addison's disease.
Question 5 of 5
What intervention should the nurse implement for the client who has an ileal conduit?
Correct Answer: C
Rationale: The correct intervention for a client with an ileal conduit is to report any decrease in urinary output to the healthcare provider. Decreased urinary output in these clients may indicate a blockage or another complication, which requires immediate attention. Monitoring the stoma for signs of infection (
Choice
D) is important but not the priority when compared to a decrease in urinary output. Pouching the stoma with a one-inch margin around it (
Choice
A) is incorrect as it does not address the issue of decreased urinary output. Referring the client to the United Ostomy Association (
Choice
B) is not necessary in this immediate situation where a potential complication is suspected.