ATI RN
ATI Comprehensive Exit Exam Test Bank Questions
Question 1 of 5
A healthcare professional is preparing to administer a blood transfusion to a client. Which of the following actions should the healthcare professional take first?
Correct Answer: D
Rationale: Verifying the client's identity is the first crucial action the healthcare professional should take before administering a blood transfusion. This step ensures that the right blood is given to the right client, helping prevent errors. Obtaining vital signs, ensuring IV access, and priming IV tubing are important steps in the process but verifying the client's identity takes precedence for patient safety and accurate care delivery.
Question 2 of 5
A nurse is caring for a client who is 1 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In this situation, the nurse should irrigate the catheter with 0.9% sodium chloride to help relieve any obstruction and ensure proper urinary drainage following a TURP. Repositioning the catheter may not address the underlying issue of obstruction. Notifying the provider should be done after attempting to resolve the drainage issue. Increasing the rate of continuous bladder irrigation is not the initial intervention for a catheter that is not draining.
Question 3 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse is to insert the catheter until urine flow is established. This helps ensure proper placement and reduces the risk of trauma. Choice A (7.5 cm) and Choice D (5 cm) provide specific measurements that may not be appropriate for all individuals as catheter insertion depth can vary. Choice C is incorrect as catheters should be cleansed with an appropriate solution such as sterile saline, not sterile water.
Question 4 of 5
A nurse is reviewing the medical record of a client who is receiving morphine for pain management. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C) Respiratory rate of 10/min. When a client is receiving morphine, a common opioid analgesic, one of the significant side effects is respiratory depression, which can be life-threatening. A respiratory rate of 10/min is abnormally low and could indicate respiratory depression, a serious adverse effect of morphine. This finding must be reported to the provider immediately for further evaluation and intervention to prevent respiratory compromise or arrest. Option A) Heart rate of 88/min is within normal limits and not a concerning finding in a client receiving morphine for pain management. Option B) Pain rating of 4 on a scale of 0 to 10 is subjective and does not indicate any immediate physiological concern requiring provider notification. Option D) Temperature of 37.2°C (99°F) is within normal range and not directly related to the client's current treatment with morphine. In an educational context, this question highlights the importance of recognizing and monitoring common side effects of opioid medications like morphine, such as respiratory depression. Nurses must be vigilant in assessing vital signs and promptly reporting any abnormal findings to ensure patient safety and prevent complications associated with opioid therapy.
Question 5 of 5
A client is postoperative following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypocalcemia?
Correct Answer: B
Rationale: Numbness and tingling of the fingers are classic signs of hypocalcemia, a condition that may result from inadvertent damage to the parathyroid glands during a thyroidectomy. These symptoms occur due to decreased levels of calcium in the bloodstream affecting nerve function. Choices A, C, and D are not typical manifestations of hypocalcemia. Constipation is more associated with hypercalcemia, increased thirst can be seen in diabetes or dehydration, and frequent urination is a symptom more commonly linked to conditions like diabetes or urinary tract issues.