ATI RN
ATI Exit Exam 180 Questions Quizlet Questions
Question 1 of 5
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload?
Correct Answer: B
Rationale: The correct answer is B: Dyspnea. Dyspnea, or difficulty breathing, is a common sign of fluid overload in a client receiving packed RBCs. When fluid accumulates in the lungs due to overload, it can lead to respiratory distress. This finding requires prompt intervention to prevent further complications. Choices A, C, and D are incorrect: A) Low back pain is not typically associated with fluid overload; C) Hypotension refers to low blood pressure and is not a typical finding in fluid overload; D) Thready pulse may indicate poor perfusion but is not a direct indicator of fluid overload.
Question 2 of 5
A patient is scheduled to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Priming the IV tubing with 0.9% sodium chloride is crucial before administering packed RBCs as it prevents hemolysis and ensures the safe transfusion of blood. Using a smaller 20- to 22-gauge IV catheter is recommended for packed RBCs to prevent hemolysis due to the small tubing size and faster flow rate. Obtaining filterless IV tubing is incorrect as blood products should be administered through a specialized filter to prevent potential clots or contaminants from reaching the patient. Placing blood in the warmer for an hour is unnecessary and could lead to overheating, potentially causing harm to the patient.
Question 3 of 5
A nurse is reviewing the facility's safety protocols concerning newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Not making public announcements about the baby's birth is crucial in preventing newborn abduction as it avoids exposing personal information. Choice A is incorrect because the identification band should be applied immediately after birth, not after the first bath. Choice C is incorrect as the baby's identification band should never be removed by the parent. Choice D is incorrect as parents should not leave their baby unattended in the room while they are outside the room.
Question 4 of 5
A nurse is teaching a client who is at 10 weeks gestation about the amniocentesis procedure. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because amniocentesis is a procedure that confirms genetic disorders by analyzing the amniotic fluid surrounding the baby. Choice B is incorrect because amniocentesis is not used to assess lung maturity. Choice C is incorrect because some discomfort or pain may be felt during the procedure. Choice D is incorrect because amniocentesis does not primarily assess the amount of amniotic fluid around the baby.
Question 5 of 5
A nurse is providing discharge instructions to a client with chronic obstructive pulmonary disease (COPD) who is prescribed home oxygen. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct statement for the nurse to make is to advise the client to check the oxygen equipment daily for proper function. This is crucial to ensure the client's home oxygen therapy is working effectively and safely. Choice B is incorrect because adjusting the oxygen flow rate without healthcare provider guidance can be dangerous. Choice C is incorrect as oxygen tanks should be stored upright, not lying flat. Choice D is incorrect and unsafe advice, as smoking near an oxygen source can lead to a fire hazard.