ATI RN
ATI Clinical Exam Questions
Extract:
Nurse's Notes & Physical Examination
• The client is found attempting to climb out of bed, stating, "People are trying to hurt me." They are highly agitated and disoriented, attempting to remove IV lines. The client's behavior is erratic, and they require constant supervision. The skin is now cool and pale, with poor capillary refill. Respirations are labored, and the client is using accessory muscles to breathe. Lung sounds have deteriorated, with coarse crackles heard throughout. The abdomen is firm, and the client expresses significant discomfort. The urinary catheter output has decreased, and urine appears concentrated.
Vital Signs
• Blood Pressure: 100/64 mm Hg
• Temperature: 37.3° C (99.1° F)
• Pulse: 110/min
• Respirations: 28/min
Diagnostic Results
• Hemoglobin: 12.5 g/dL
• Hematocrit: 38.0%
• AST: 52 units/L
• ALT: 49 units/L
Provider's Prescriptions
• Soft wrist restraints if necessary.
• Immediate reassessment and adjustment of care plan.
2100 hrs - Critical Incident
Question 1 of 5
A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D. Latex allergy can be triggered by latex balloons.
Therefore, buying balloons for the son's birthday could potentially expose the client to latex, leading to an allergic reaction. Elastic bandages, dishwashing gloves, and ink pens are typically latex-free alternatives. The other choices are incorrect because they do not involve direct exposure to latex.
Extract:
Question 2 of 5
A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose? How many clonidine tablets should the nurse administer?
Correct Answer: 3
Rationale:
Correct
Answer: 3
Rationale:
To calculate the number of tablets needed, divide the total dose needed (0.3 mg) by the dose per tablet (0.1 mg). 0.3 mg ÷ 0.1 mg = 3 tablets.
Therefore, the nurse should administer 3 tablets per dose.
Summary:
A: Incorrect - Not the correct number of tablets based on the dosage calculation.
B: Incorrect - Not the correct number of tablets based on the dosage calculation.
C: Incorrect - Not the correct number of tablets based on the dosage calculation.
D: Incorrect - Not the correct number of tablets based on the dosage calculation.
E: Incorrect - Not the correct number of tablets based on the dosage calculation.
F: Incorrect - Not the correct number of tablets based on the dosage calculation.
G: Incorrect - Not the correct number of tablets based on the dosage calculation.
Question 3 of 5
A nurse is providing teaching to a patient who has a new prescription for levothyroxine. Which of the following instructions should the nurse include? What instructions should the nurse include for levothyroxine?
Correct Answer: B
Rationale: The correct answer is B: Take the medication in the morning on an empty stomach. Levothyroxine is best absorbed when taken on an empty stomach, preferably 30 minutes to 1 hour before breakfast. This ensures optimal absorption and effectiveness of the medication. Taking it with a meal (choice
A) may interfere with absorption due to food interactions. Taking it at bedtime (choice
C) may lead to insomnia or disrupted sleep patterns. Taking it with grapefruit juice (choice
D) is not recommended, as grapefruit juice can interfere with the absorption of certain medications. Thus, the most appropriate instruction for the patient is to take levothyroxine in the morning on an empty stomach for optimal efficacy.
Extract:
Medical History (0700 hrs)
• Gestational age: 42 weeks
• Delivery: Spontaneous vaginal birth
• Amniotic fluid: Dark brown-greenish color noted
• Apgar scores: 8 at 1 minute, 9 at 5 minutes
Vital Signs (0700 hrs)
• Axillary temperature: 36.9°C (98.4°F)
• Heart rate: 170/min
• Respiratory rate: 72/min
• Birth weight: 4025 gm (8 lb 14 oz) (Appropriate for Gestational Age)
Nurses' Notes (0700 hrs)
The newborn was placed on the birth parent's abdomen immediately following delivery. The mouth and nose were suctioned with a bulb syringe to clear secretions. The newborn was dried and stimulated, resulting in a strong cry. The newborn was moving all extremities with a flexed tone noted. Acrocyanosis was present. The newborn was alert and active. Respirations were rapid and shallow with occasional expiratory grunting. Fine crackles were auscultated throughout the lung fields. A small amount of green- stained vernix was present in skin folds. The newborn had fingernails stained green. Molding of the skull and generalized soft occipital swelling were noted.
Question 4 of 5
A nurse is caring for a newborn who is 30 minutes old following a spontaneous vaginal birth. The birth parent noted dark brown- greenish amniotic fluid during labor. The newborn was delivered at 42 weeks gestation. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Exhibits After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? Drag one condition and one client finding to fill in each blank in the following sentence.The condition that poses the greatest risk to the newborn is ---------------- due to -------------------
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: A; Parameter to Monitor: C, E.
Rationale:
- Meconium aspiration syndrome (MAS) is the correct answer as newborns exposed to meconium in amniotic fluid are at risk for respiratory distress.
- The color of amniotic fluid (brown-green) indicates presence of meconium, which can lead to MAS.
- Monitoring jaundice (
C) is important as newborns with MAS may develop complications affecting liver function.
- Monitoring birth weight (E) is crucial as MAS can impact the newborn's overall health and growth.
Summary of Incorrect
Choices:
- Jaundice (
C): Although important to monitor, it is not the greatest risk in this scenario.
- Cold stress (
D): Not relevant to the information provided about the newborn.
- Birth weight (E): While important to monitor, it is not the greatest risk posed by the scenario.
Extract:
Question 5 of 5
A nurse is planning a meal for a patient who has diverticulitis. Which menu selection should the nurse include in the plan? Which menu is suitable for diverticulitis?
Correct Answer: B
Rationale: The correct answer is B: Grilled chicken breast with white rice. This choice is suitable for diverticulitis because it is low in fiber, which helps reduce irritation to the digestive system. High-fiber foods like green salad, celery sticks, green peas, and whole grain bread from the turkey sandwich can aggravate diverticulitis symptoms. Pork tenderloin may be too fatty for some individuals with diverticulitis, making grilled chicken a better option. White rice is easily digestible and less likely to cause discomfort compared to whole grains.