ATI RN
RN ATI Exit Exam Test Bank Questions
Question 1 of 5
A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will avoid aspirin while taking this medication." Clients taking warfarin should avoid aspirin due to the increased risk of bleeding.
Choice B is incorrect because increasing the intake of green leafy vegetables high in Vitamin K can interfere with the effects of warfarin.
Choice C is incorrect because warfarin should not be taken with antacids as they can decrease its absorption.
Choice D is incorrect because mild bruising is a common side effect of warfarin due to its anticoagulant properties.
Question 2 of 5
A nurse is reviewing the medical record of a client who is scheduled for surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. Warfarin is an anticoagulant that increases the risk of bleeding during surgery. It is crucial for the provider to be informed about the client taking warfarin to adjust the treatment plan accordingly.
Choices B, C, and D are not as critical to report for surgical planning. A history of hypertension (
B) is important but may not require immediate intervention for surgery. Eating a light breakfast 2 hours prior (
C) is a normal preoperative instruction. Smoking history (
D) is relevant for overall health assessment but is not as urgent as the use of warfarin before surgery.
Question 3 of 5
A nurse is caring for a client who has pneumonia and is receiving oxygen therapy. Which of the following findings indicates the need for suctioning?
Correct Answer: A
Rationale: The correct answer is A: Increased respiratory rate. An increased respiratory rate suggests the client is having difficulty clearing secretions and may require suctioning. Oxygen saturation of 96% is within the normal range and indicates adequate oxygenation. Clear lung sounds suggest good air entry without the need for suctioning. A productive cough, although a symptom of pneumonia, does not directly indicate the need for suctioning.
Question 4 of 5
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In this scenario, the nurse should arrange for an ethics committee meeting to address the family's concerns while ensuring the client's wishes are respected. Choosing option A allows for a formal discussion involving healthcare professionals, family members, and possibly a legal expert to navigate the situation ethically and legally. Supporting the family's decision to initiate life-sustaining measures (option
B) would disregard the client's advance directives and autonomy. Completing an incident report (option
C) is not appropriate in this situation as it does not address the conflict of interest between the family's desires and the client's wishes. Encouraging the family to contact an attorney (option
D) may escalate the situation unnecessarily before exploring more ethical and collaborative approaches.
Question 5 of 5
A client has a new prescription for ferrous sulfate. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct instruction is to take ferrous sulfate with orange juice to increase absorption because the vitamin C content in orange juice enhances iron absorption.
Choice A is incorrect because ferrous sulfate should be taken with food to reduce gastrointestinal side effects.
Choice B is incorrect because milk can decrease iron absorption.
Choice D is incorrect because antacids can reduce the absorption of ferrous sulfate.