ATI RN
ATI Exit Exam 180 Questions Quizlet Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: "You should monitor for signs of infection while taking this medication." When a client is prescribed prednisone, it is essential to monitor for signs of infection due to the immunosuppressive effects of corticosteroids. Choices A, B, and C are incorrect because prednisone does not need to be taken on an empty stomach, at a specific time of day, or avoided with dairy products.
Question 2 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is to inject the medication into the client's abdomen. Enoxaparin is a medication that should be administered subcutaneously, not intramuscularly. Massaging the injection site after administration is not recommended as it can cause bruising or discomfort. Injecting the medication into the deltoid muscle is also incorrect because enoxaparin should be given in areas of adipose tissue, such as the abdomen, to ensure proper absorption and effectiveness.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following results should the nurse report to the provider?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Aspartate aminotransferase (AST) 60 units/L. Methotrexate, a disease-modifying antirheumatic drug (DMARD) used to treat rheumatoid arthritis, can cause hepatotoxicity as a side effect. Monitoring liver function tests, such as AST levels, is crucial to detect any potential liver damage early on. An elevated AST level could indicate liver toxicity, which would require immediate intervention from the healthcare provider. Option A) White blood cell count 8,000/mm3, Option B) Platelet count 150,000/mm3, and Option C) Hemoglobin 14 g/dL are within normal ranges and are not directly related to methotrexate therapy or the specific side effects associated with it. Educationally, understanding the significance of monitoring liver enzymes in patients on methotrexate is vital for nursing practice. This knowledge ensures early detection of potential adverse effects, promoting patient safety and optimal outcomes.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who has Cushing's disease. The nurse should expect an increase in which of the following laboratory values?
Correct Answer: A
Rationale: The correct answer is A: Serum glucose level. In Cushing's disease, there is increased cortisol production, leading to elevated blood glucose levels. This occurs due to the role of cortisol in promoting gluconeogenesis and insulin resistance. Choices B, C, and D are incorrect because Cushing's disease is not typically associated with alterations in serum potassium, calcium, or sodium levels.
Question 5 of 5
A client is receiving morphine for pain management. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A respiratory rate of 10/min indicates respiratory depression, a serious adverse effect of morphine that should be reported immediately. While a heart rate of 88/min, pain rating of 4, and a temperature of 37.2°C (99°F) are within normal ranges and do not indicate immediate concern related to morphine administration.