ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? Which lab value should the nurse report during chemotherapy?
Correct Answer: B
Rationale: Platelet count 50,000/mm3 indicates thrombocytopenia, increasing bleeding risk, requiring reporting. Other values are normal.
Extract:
History & Physical (0700hrs)
Date: 06/28/0X
• Client presented to the clinic reporting pelvic pain, dysmenorrhea, dyspareunia, and pain with defecation.
• Vaginal examination reveals fixed, palpable nodules with a retroverted uterus.
• Imaging reveals endometrial lesions on the ovaries, uterosacral ligaments, and round ligaments.
• Endometriosis diagnosed.
Provider's Prescriptions (0700hrs)
• Nafarelin 200 mcg: 1 spray intranasally every morning and 1 spray in the opposite nostril every evening.
Nurse's Notes (0700hrs)
• Client reports adherence to nafarelin regimen without missing doses.
• Client verbalizes irritation in the nasal mucosa.
• Reports feeling better overall with decreased dyspareunia.
• Notes decreased pain during bowel movements.
• Reports decreased pelvic pain and the absence of menstruation last month.
• Mentions experiencing headaches, increased acne, and reduced sex drive since starting treatment.
• Client observes a decrease in breast size.
Scenario:
A nurse is caring for a 32-year-old female client who was recently diagnosed with endometriosis. The client is in the clinic for a follow-up visit after beginning nafarelin treatment.
Setting: Clinic
Question 2 of 5
Which of the following manifestations reported by the client should the nurse identify as a therapeutic effect of the nafarelin? (Select all that apply.)
Correct Answer: B,E
Rationale: Reduced dyspareunia and amenorrhea indicate nafarelin's effectiveness in treating endometriosis by lowering estrogen. Other options are side effects.
Extract:
Question 3 of 5
A nurse is educating a parent of a 6-month-old infant about car seat safety. Which statement from the parent indicates a correct understanding of the teaching?,Which statement indicates correct understanding of car seat safety?
Correct Answer: A
Rationale: An anchored infant model car seat (rear-facing) is correct. Front seat placement risks airbag injury, loose harness is unsafe, and front-facing is incorrect for 6 months.
Question 4 of 5
A nurse is caring for a patient who is receiving a blood transfusion. The patient reports chills and back pain 15 minutes after the transfusion begins. Which of the following actions should the nurse take first? What should the nurse do first for transfusion reaction symptoms?
Correct Answer: B
Rationale: Stopping the transfusion is the first action for suspected reaction (chills, back pain) to prevent further harm. Other actions follow.
Question 5 of 5
A nurse is assessing a patient who has schizophrenia and is taking aripiprazole. The nurse should notify the provider of which of the following findings? Which finding should the nurse report for aripiprazole?
Correct Answer: D
Rationale: Muscle stiffness may indicate extrapyramidal symptoms, a serious side effect requiring reporting. Other findings are less urgent.