ATI RN
RN ATI Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who has septic shock. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. A urinary output of 40 mL/hr is below the expected range and should be reported to the provider as it may indicate impaired kidney function, which is crucial to monitor in a client with septic shock.
Choices A, C, and D are within acceptable ranges for a client with septic shock and do not indicate immediate concerns. A temperature of 38°C (100.4°F) is slightly elevated but can be expected in septic shock. A heart rate of 92/min is within the normal range for an adult. A capillary refill time of 2 seconds is also normal, indicating adequate peripheral perfusion.
Question 2 of 5
A client is 2 hours postoperative following a cholecystectomy. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Administering morphine for pain relief is crucial for postoperative clients following a cholecystectomy to manage pain effectively. Placing the client in a supine position may not be ideal as it can cause discomfort and hinder breathing. Applying a warm compress to the incision site can increase the risk of infection. Placing a pillow under the client's knees is not a priority intervention compared to pain management.
Question 3 of 5
A client in active labor requests pain management. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: During active labor, nonpharmacologic comfort measures like placing the client in a warm shower are effective for pain relief. Ondansetron (
Choice
A) is an antiemetic and not used for pain management during labor. Applying fundal pressure (
Choice
C) can cause harm and is not recommended due to the risk of uterine rupture. Assisting the client to a supine position (
Choice
D) is not ideal in labor as it can decrease blood flow to the placenta and is associated with increased maternal complications.
Question 4 of 5
A nurse is assessing a client who has hyperthyroidism. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. In clients with hyperthyroidism, tachycardia is a common finding due to the increased metabolic rate. Weight loss and heat intolerance are also expected due to the elevated metabolism.
Choices A, B, and C (Weight gain, dry skin, cold intolerance) are not typical findings in hyperthyroidism, as the condition is associated with an overactive thyroid gland leading to an increase in metabolic functions.
Question 5 of 5
A nurse is assessing a client who is experiencing acute pain. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Diaphoresis. Diaphoresis, which is excessive sweating, is a common manifestation of acute pain caused by increased sympathetic nervous system activity. This response is the body's way of trying to regulate body temperature during the stress response.
Choices A, B, and D are incorrect. Hypertension (
Choice
A) and tachycardia (not bradycardia as in
Choice
B) are more likely responses to acute pain due to sympathetic nervous system activation. Piloerection (
Choice
D), also known as goosebumps, is not a typical manifestation of acute pain.