ATI RN
ATI Exit Exam Questions
Question 1 of 5
A nurse is reviewing the laboratory results of a client who is at 36 weeks of gestation. The nurse should report which of the following laboratory results to the provider?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) Hemoglobin 11.2 g/dL. During pregnancy, it is common for a woman's hemoglobin levels to decrease due to the expansion of plasma volume, leading to dilutional anemia. A hemoglobin level of 11.2 g/dL at 36 weeks of gestation is lower than the normal range and could indicate the presence of anemia, which can have implications for both the mother and the fetus. Therefore, it is crucial to report this result to the healthcare provider for further evaluation and management. Option B) Platelet count 148,000/mm3 is within the normal range. While thrombocytopenia can occur during pregnancy, a platelet count of 148,000/mm3 is not typically concerning unless it significantly decreases. Option C) Leukocyte count 9,000/mm3 falls within the normal range and is a common finding during pregnancy due to the physiological changes in immune function. Therefore, it does not require immediate reporting. Option D) Blood glucose 80 mg/dL is within the normal range. While monitoring blood glucose levels is essential during pregnancy, a value of 80 mg/dL is not indicative of any immediate concerns. In an educational context, understanding the normal physiological changes and potential complications during pregnancy is crucial for nurses caring for pregnant clients. Recognizing abnormal laboratory values and knowing when to escalate them to the healthcare provider is essential in ensuring the well-being of both the mother and the fetus. This question reinforces the importance of monitoring laboratory results in prenatal care and the significance of early intervention when abnormalities are detected.
Question 2 of 5
A nurse is reviewing the medical record of a client who is receiving heparin to treat deep vein thrombosis (DVT). Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A platelet count of 80,000/mm3 is below the normal range and should be reported to the provider due to the risk of bleeding. Heparin can cause a rare but serious side effect known as heparin-induced thrombocytopenia, leading to a decrease in platelet count and an increased risk of bleeding. The aPTT of 38 seconds, hemoglobin of 15 g/dL, and an INR of 1.0 are within normal ranges and not directly concerning in this scenario. Platelet count is crucial to monitor in clients receiving heparin therapy to ensure adequate clotting function and prevent bleeding complications.
Question 3 of 5
A client with a history of heart failure is receiving furosemide. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Potassium 3.2 mEq/L. A potassium level of 3.2 mEq/L is below the normal range and should be monitored in clients receiving furosemide due to the risk of hypokalemia. Furosemide is a loop diuretic that can cause potassium depletion, leading to hypokalemia. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias. Choices A, B, and D are not directly impacted by furosemide therapy in the same way as potassium levels, making them less relevant for monitoring in this scenario.
Question 4 of 5
A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take when preparing to administer an intermittent enteral feeding through a nasogastric tube is to flush the tube with 10 mL of water after feeding. This helps maintain tube patency and prevent clogging. Choice A, checking for residual feeding contents, is not the immediate action to take before administering the feeding. Choice B, administering the feeding through a large-bore syringe, is not the recommended method for administering enteral feedings. Choice D, administering the feeding at room temperature, is important but not the immediate action related to tube maintenance.
Question 5 of 5
A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: 'Monitor for signs of infection.' Clopidogrel affects platelet levels, increasing the risk of bleeding. Therefore, it is essential for clients taking clopidogrel to monitor for signs of infection, which could indicate a lowered immune response. Choices A, B, and C are incorrect because they do not directly relate to the specific monitoring needs associated with clopidogrel therapy.