ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is conducting discharge teaching for a patient who has seizures and a new prescription for phenytoin. Which statements by the patient indicate a need for further teaching? Which statement indicates a need for phenytoin teaching?
Correct Answer: D
Rationale: Assuming phenytoin can be stopped indicates misunderstanding, as abrupt cessation risks seizures. Other statements are correct.
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 caring for a patient who has a history of heart failure and is receiving furosemide. Which of the following laboratory results should the nurse monitor? Which lab result should the nurse monitor for furosemide?
Correct Answer: A
Rationale: Furosemide can cause hypokalemia, requiring potassium monitoring. Other electrolytes are less commonly affected.
Question 4 of 5
A nurse is educating a group of nursing students about brain herniation. Which of the following interventions should the nurse include as a potential treatment for brain herniation? Which intervention is a potential treatment for brain herniation?
Correct Answer: A
Rationale: Hyperventilation reduces intracranial pressure by lowering CO2, aiding brain herniation management.
Question 5 of 5
A nurse is caring for a child who is allergic to penicillin. Which prescription should the nurse verify with the provider?,Which prescription should be verified for a penicillin-allergic child?
Correct Answer: A
Rationale: Amoxicillin-clavulanate is a penicillin antibiotic, requiring verification. Gentamicin, erythromycin, and amphotericin are non-penicillin.