ATI RN
ATI RN Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who is in labor and is receiving electronic fetal monitoring. The nurse notes early decelerations. Which of the following should the nurse expect?
Correct Answer: B
Rationale: In the scenario of early decelerations noted during labor with electronic fetal monitoring, the nurse should expect head compression. Early decelerations are a normal response to fetal head compression during contractions and are not indicative of fetal distress. Choice A, fetal hypoxia, is incorrect as early decelerations are not associated with fetal oxygen deprivation. Choices C and D, placenta previa and umbilical cord prolapse, are unrelated to the scenario described and do not cause early decelerations.
Question 2 of 5
A client is preparing advance directives. Which of the following statements by the client indicates an understanding of advance directives?
Correct Answer: D
Rationale: The correct answer is D: 'I have the right to refuse treatment.' This statement shows an understanding of advance directives because they allow individuals to specify their treatment preferences in advance, including the right to refuse treatment. Choices A, B, and C are incorrect. Choice A is inaccurate as individuals can update or change their advance directives at any time. Choice B is incorrect because while a doctor may discuss advance directives with the client, approval is not required for the directives to be valid. Choice C is also incorrect as a witness is typically required to verify the client's signature, not the other way around.
Question 3 of 5
A nurse is performing a dressing change for a client who has a sacral wound using negative pressure wound therapy. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is to determine the pain level first. Assessing the client's pain is crucial before any procedure to ensure their comfort and safety. Applying skin preparation to wound edges (Choice A) may come later in the process after ensuring the client's comfort. Donning sterile gloves (Choice B) is important before directly handling the wound but can follow pain assessment. Normal saline (Choice C) might be used during wound cleansing but is not the initial step in this situation.
Question 4 of 5
A nurse is teaching a client about the physiological changes that occur with aging. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Decreased sense of taste. As individuals age, they may experience a decrease in their sense of taste due to changes in taste buds and a decrease in saliva production. This can lead to a reduced ability to taste flavors or distinguish between different tastes. Choices B, C, and D are incorrect. Decreased blood pressure is not a consistent physiological change with aging; instead, blood pressure may increase or remain stable. Gastric secretions tend to decrease with age, leading to issues like decreased absorption of certain nutrients. Accommodation to near vision typically decreases with age, causing a condition known as presbyopia, where individuals have difficulty focusing on close objects.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Blood glucose level of 120 mg/dL. When caring for a client receiving total parenteral nutrition (TPN), monitoring blood glucose levels is crucial as TPN solutions contain high concentrations of glucose. Elevated blood glucose levels can indicate complications such as hyperglycemia, which can lead to adverse effects like electrolyte imbalances, infections, and hyperosmolar hyperglycemic state. Option A) Prealbumin level of 20 mg/dL and option B) Serum albumin level of 3.5 g/dL are not directly related to TPN administration. These levels reflect a client's nutritional status over a longer period and are not typically affected by short-term TPN therapy. Option C) Serum sodium level of 138 mEq/L is within the normal range and does not specifically indicate issues related to TPN administration. Educationally, it is vital for nurses to understand the implications of TPN therapy, including the need for close monitoring of blood glucose levels to prevent complications. By grasping the significance of specific lab values in TPN therapy, nurses can provide safe and effective care to clients receiving this specialized form of nutrition support.