Questions 9

ATI RN

ATI RN Test Bank

ATI Comprehensive Exit Exam 2023 With NGN Quizlet Questions

Question 1 of 5

A nurse is providing dietary teaching to a client who has chronic pancreatitis. Which of the following foods should the nurse instruct the client to avoid?

Correct Answer: D

Rationale: Clients with chronic pancreatitis should avoid fried foods because they are high in fat, which can exacerbate symptoms and lead to further complications. Baked chicken (choice A), grilled salmon (choice B), and steamed broccoli (choice C) are generally healthier options and can be included in a low-fat diet suitable for individuals with chronic pancreatitis.

Question 2 of 5

A nurse is reviewing the medical record of a client who has chronic kidney disease. The client's potassium level is 6.5 mEq/L. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Administer sodium polystyrene sulfonate. Sodium polystyrene sulfonate is used to treat hyperkalemia by promoting the excretion of potassium. Choice A, administering sodium bicarbonate, is incorrect as it is not used to treat hyperkalemia. Choice C, administering calcium gluconate, is incorrect as it is used to treat hypocalcemia, not hyperkalemia. Choice D, administering calcium carbonate, is incorrect as it is used to treat conditions like osteoporosis and indigestion, not hyperkalemia.

Question 3 of 5

A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: In a client with a sodium level of 125 mEq/L (hyponatremia), the nurse should administer 0.9% sodium chloride IV to help increase sodium levels. Choice B, administering a hypotonic IV solution, would further decrease the sodium level. Choice C, encouraging oral fluid intake, is contraindicated as it can dilute the sodium concentration further. Choice D, restricting oral fluid intake, could worsen the client's condition by leading to dehydration and further electrolyte imbalances.

Question 4 of 5

A nurse is caring for a client who is 1 day postoperative following an open reduction and internal fixation of the right tibia. Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: Pallor of the affected extremity could indicate impaired circulation, such as compromised blood flow to the area, which is crucial to monitor postoperatively. This finding suggests potential vascular compromise or decreased blood supply to the extremity, which is a serious concern and should be reported promptly to the provider for further evaluation and intervention. Serous drainage on the dressing is a normal finding in the immediate postoperative period and does not necessarily indicate a complication requiring immediate provider notification. Capillary refill of 2 seconds is within the normal range (less than 3 seconds) and indicates adequate peripheral perfusion. A heart rate of 88/min is also within the normal range for an adult and is not typically a cause for immediate concern postoperatively.

Question 5 of 5

A nurse is providing dietary teaching to a client with chronic kidney disease. Which of the following foods should the nurse recommend?

Correct Answer: C

Rationale: The correct answer is C: White bread. White bread is low in potassium, making it a suitable choice for clients with chronic kidney disease to prevent hyperkalemia. Canned soup (choice A), bananas (choice B), and processed meats (choice D) are high in potassium and should be limited or avoided by individuals with chronic kidney disease to manage their condition effectively.

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