ATI RN
Exit Exam Nursing Study ATI Practice Questions Questions
Question 1 of 5
A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the priority for the nurse to report?
Correct Answer: D
Rationale: Stridor is a high-pitched sound that indicates airway obstruction and is the priority finding to report following a thyroidectomy. In this situation, airway compromise is a critical concern that requires immediate intervention to ensure adequate oxygenation. While calcium level (
Choice
A) and serum sodium level (
Choice
B) are important assessments post-thyroidectomy, they do not represent an immediate threat to the client's airway. A respiratory rate of 18/min (
Choice
C) falls within the normal range and does not indicate an immediate risk to the client's airway compared to the presence of stridor.
Question 2 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.
Question 3 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 4 of 5
A nurse is caring for a client in labor who is receiving electronic fetal monitoring. The nurse notes early decelerations. Which of the following should the nurse expect?
Correct Answer: D
Rationale: When a nurse notes early decelerations in electronic fetal monitoring, it indicates head compression, which is generally considered benign and not associated with fetal hypoxia, abruptio placentae, or post maturity. Early decelerations mirror the uterine contractions and are a normal response to fetal head compression during labor.
Question 5 of 5
What is the priority intervention for a patient with a suspected pulmonary embolism?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. Administering oxygen is the priority intervention for a patient with a suspected pulmonary embolism to improve oxygenation levels. In pulmonary embolism, there is a blockage in one of the pulmonary arteries, leading to decreased oxygen exchange. Administering oxygen helps increase oxygen saturation levels. Anticoagulants (
Choice
B) are essential in the treatment of pulmonary embolism but are not the initial priority intervention. Surgery (
Choice
C) is not typically the first-line treatment for pulmonary embolism. Monitoring oxygen saturation (
Choice
D) is important but administering oxygen takes precedence as the immediate action to address hypoxemia.