ATI RN
ATI RN Comprehensive Exit Exam Questions
Question 1 of 5
Nurses caring for four clients. Which of the following client data should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. The client with chemotherapy and a low neutrophil count is at risk for infection and requires prompt intervention. Reporting this information to the provider is crucial to ensure appropriate monitoring and management to prevent potential complications. Choices A, B, and C do not indicate an immediate risk that requires immediate provider notification. A client reporting pain with pleurisy, a client draining fluid post-surgery, or a client with a heart rate of 98 per minute postoperative are not urgent enough to warrant immediate reporting compared to the client at risk for infection.
Question 2 of 5
A nurse is planning care for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication for hemodialysis?
Correct Answer: A
Rationale: In the context of chronic kidney disease (CKD), a glomerular filtration rate (GFR) of 14 mL/minute indicates severe kidney dysfunction. GFR measures how well the kidneys are filtering waste from the blood. When GFR drops below 15 mL/minute, it indicates end-stage renal disease (ESRD) where dialysis is required to remove waste and excess fluid from the body. This critical level of kidney function necessitates the initiation of hemodialysis to maintain the client's health and prevent complications of uremia. Option B, a blood urea nitrogen (BUN) level of 16 mg/dL, is within the normal range (7-20 mg/dL) and does not directly indicate the need for hemodialysis. Similarly, options C and D, serum magnesium and phosphorus levels within normal ranges, do not serve as indicators for the initiation of hemodialysis in CKD. Educationally, understanding the significance of GFR levels in CKD management is crucial for nurses caring for clients with kidney disease. Recognizing the appropriate indications for hemodialysis helps nurses intervene in a timely manner, ensuring optimal patient outcomes and quality of life. This rationale underscores the importance of clinical judgment based on laboratory values in the comprehensive care of clients with chronic conditions like CKD.
Question 3 of 5
While reviewing the monitor tracing of a client in labor, a nurse notes late decelerations. Which of the following interventions should the nurse perform?
Correct Answer: B
Rationale: Repositioning the client onto her left side is the appropriate intervention when late decelerations are noted on the monitor tracing. This action helps increase uteroplacental blood flow by relieving pressure on the vena cava and aorta, improving fetal oxygenation. Administering oxygen via nasal cannula may be indicated for variable decelerations, not late decelerations. Administering an amnioinfusion is not the primary intervention for late decelerations. Providing reassurance to the client is important but addressing the underlying cause of late decelerations takes precedence.
Question 4 of 5
A nurse is planning care for a client who has diabetes insipidus and is receiving desmopressin. Which of the following should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Weight. Weight monitoring is essential to assess the effectiveness of desmopressin therapy, as fluid retention is a common side effect. Monitoring fasting blood glucose (choice A) is not directly related to desmopressin therapy for diabetes insipidus. Monitoring carbohydrate intake (choice B) may be important in diabetes management but is not specific to desmopressin therapy. Hematocrit (choice C) monitoring is not a primary concern when managing diabetes insipidus with desmopressin.
Question 5 of 5
A nurse is reviewing the prescription for doxazosin with a client. Which of the following should be included in the teaching?
Correct Answer: C
Rationale: The correct answer is C. Doxazosin can cause orthostatic hypotension, leading to dizziness and falls if the client rises quickly from a seated position. Instructing the client to rise slowly when sitting up from bed helps prevent these adverse effects. Choices A, B, and D are incorrect because doxazosin does not directly relate to caloric intake, dietary fiber, or a specific time of day for administration.