Questions 73

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Exit Exam Nursing Study ATI Practice Questions Questions

Question 1 of 5

A client with a new diagnosis of celiac disease is receiving teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: B

Rationale: The correct answer is B because clients with celiac disease should avoid gluten, which is found in foods like rye and barley.
Choice A is incorrect because oatmeal may contain gluten unless specified gluten-free.
Choice C is incorrect as rye contains gluten.
Choice D is incorrect as barley contains gluten.

Question 2 of 5

A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin. Which of the following findings indicates the medication is effective?

Correct Answer: A

Rationale: The correct answer is A: 'The client's urine output decreases.' Desmopressin is used to treat diabetes insipidus by reducing excessive urine output.
Therefore, a decrease in urine output indicates that the medication is effectively controlling the symptoms.

Choices B, C, and D are incorrect because desmopressin primarily affects urine output, not blood pressure, heart rate, or urine specific gravity.

Question 3 of 5

A nurse is planning care for a client who has a stage 2 pressure injury. Which of the following interventions should the nurse include in the plan?

Correct Answer: D

Rationale: The correct answer is to apply a hydrocolloid dressing. For a stage 2 pressure injury, maintaining a moist environment is crucial for healing. Hydrocolloid dressings help achieve this by promoting autolytic debridement and creating a barrier against bacteria while allowing the wound to heal. Applying a dry dressing (
Choice
A) may not provide the necessary moisture for healing. Cleansing the wound with normal saline (
Choice
B) is essential, but a hydrocolloid dressing is more specific for promoting healing in this case. Performing debridement as needed (
Choice
C) is not typically indicated for stage 2 pressure injuries, as they involve partial-thickness skin loss without slough or eschar.

Question 4 of 5

A nurse is planning care for a client who has pneumonia. Which of the following actions should the nurse take to promote airway clearance?

Correct Answer: C

Rationale: Encouraging the client to increase fluid intake is essential in promoting airway clearance for a client with pneumonia. Increased fluid intake helps thin secretions, making it easier for the client to clear their airways. Chest physiotherapy (
Choice
A) is more focused on mobilizing secretions and may not be suitable for all clients with pneumonia. Suctioning (
Choice
B) is indicated for clients who have excessive secretions that they cannot manage effectively themselves. Administering oxygen via nasal cannula (
Choice
D) is important for clients with pneumonia to maintain adequate oxygenation, but it does not directly promote airway clearance.

Question 5 of 5

A patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct action for the nurse to take when a patient refuses a newly open fentanyl patch is to ask another nurse to witness the disposal of the new patch. This is essential for accountability and ensuring proper disposal procedures are followed.
Choice B is incorrect because disposing of the patch in a sharps container without a witness does not ensure proper accountability.
Choice C is incorrect as sending the patch back to the pharmacy is not the appropriate action for disposal.
Choice D is incorrect because although documenting the refusal is important, it is also crucial to ensure proper disposal of the unused patch by having another nurse witness it.

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