ATI RN
ATI Exit Exam Questions
Question 1 of 5
A nurse is teaching a client who has a new prescription for fluoxetine. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct statement the nurse should include is that the client may experience weight gain while taking fluoxetine. Weight gain is a common side effect of fluoxetine, and patients should be informed about this potential issue. Stating that the client should expect improvement in symptoms within 1 week (Choice A) is incorrect as fluoxetine may take a few weeks to have a noticeable effect. Taking the medication in the morning to prevent insomnia (Choice C) is not necessary since fluoxetine can be taken at any time of the day. Instructing the client to stop taking the medication if experiencing dry mouth (Choice D) is misleading, as dry mouth is a common but usually not serious side effect of fluoxetine.
Question 2 of 5
A client with schizophrenia is pacing the hall and is agitated. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take when caring for a client with schizophrenia who is pacing the hall and agitated is to walk with the client at a gradually slower pace. This approach can help reduce the client's agitation and prevent the situation from escalating. Choice A is incorrect because directly asking about harm may increase the client's anxiety. Choice B is inappropriate as it may worsen the client's agitation. Choice C is not recommended as the client may benefit from the nurse's presence and support during this time of distress.
Question 3 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 4 of 5
A healthcare provider is teaching a client who has a new diagnosis of hypertension about dietary management. Which of the following foods should the healthcare provider recommend?
Correct Answer: C
Rationale: The correct answer is 'Lean beef.' Lean beef is a good source of protein, which is essential for a balanced diet. While carrots and bananas are healthy food choices, they are not specifically recommended for clients with hypertension. Whole grains are a better alternative to refined grains for individuals with hypertension, but lean beef is a more suitable recommendation due to its protein content.
Question 5 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.