ATI RN
ATI Comprehensive Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who has cirrhosis. Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: Corrected Rationale: Increased bilirubin levels are expected in clients with cirrhosis due to impaired liver function. Elevated bilirubin levels are commonly seen in cirrhosis as the liver's ability to process bilirubin is compromised. Decreased albumin levels and increased prothrombin time are also associated with cirrhosis, but the most specific finding related to liver dysfunction among the choices provided is increased bilirubin levels. Decreased serum glucose levels are not typically associated with cirrhosis.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new prescription for digoxin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct instruction for the nurse to include is to advise the client to take their pulse before taking digoxin. This is important to monitor for bradycardia, a potential side effect of the medication. Option A is incorrect because digoxin is usually taken in the morning. Option C is unrelated to digoxin therapy, as high potassium foods are usually restricted in clients taking potassium-sparing diuretics. Option D is incorrect because digoxin should not be taken with antacids as they can affect its absorption.
Question 3 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 4 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 5 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.