ATI RN
ATI Comprehensive Exit Exam 2023
1. A client has a new prescription for furosemide. Which of the following instructions should the nurse include?
- A. Avoid foods high in potassium while taking this medication.
- B. This medication may cause your blood pressure to increase.
- C. This medication can cause you to retain fluids.
- D. Take this medication with meals.
Correct answer: D
Rationale: The correct instruction for a client taking furosemide is to take the medication with meals. This helps prevent gastrointestinal upset and improves medication tolerance. Option A is incorrect because furosemide is a loop diuretic that can cause potassium depletion, so avoiding foods high in potassium is not necessary. Option B is incorrect as furosemide typically lowers blood pressure. Option C is incorrect because furosemide is a diuretic that promotes fluid loss rather than retention.
2. A nurse is preparing to administer an immunization to a 6-month-old infant. Which of the following actions should the nurse take to reduce pain at the injection site?
- A. Administer the immunization in the deltoid muscle
- B. Apply a cold compress to the injection site
- C. Apply pressure to the injection site for 5 minutes
- D. Administer a local anesthetic at the injection site
Correct answer: D
Rationale: Administering a local anesthetic at the injection site can help reduce pain during immunizations in infants. Options A, B, and C are incorrect. Administering the immunization in the deltoid muscle may not provide pain relief. Applying a cold compress or pressure to the injection site is not as effective as using a local anesthetic to reduce pain.
3. A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
- A. Weight loss.
- B. Bradycardia.
- C. Peripheral edema.
- D. Dry cough.
Correct answer: C
Rationale: The correct answer is C: Peripheral edema. In right-sided heart failure, the heart struggles to pump blood efficiently, leading to fluid backup in the body. This fluid retention commonly manifests as peripheral edema, causing swelling in the legs, ankles, and feet. Choices A, B, and D are incorrect. Weight loss is not typically associated with right-sided heart failure; bradycardia (slow heart rate) is more commonly seen in conditions like hypothyroidism or athletes, not specifically in right-sided heart failure; and a dry cough is more commonly associated with conditions like pneumonia or bronchitis, not typically with right-sided heart failure.
4. A nurse overhears two assistive personnel (AP) discussing care for a client in the elevator. What action should the nurse take?
- A. Contact the client's family about the incident.
- B. Notify the client's provider about the incident.
- C. File a complaint with the ethics committee.
- D. Report the incident to the AP's charge nurse.
Correct answer: D
Rationale: The correct action for the nurse to take in this situation is to report the incident to the AP's charge nurse. This ensures that the issue is addressed internally and allows for proper handling of the situation. Contacting the client's family about the incident (Choice A) may not be appropriate as it could breach confidentiality and escalate the situation unnecessarily. Notifying the client's provider (Choice B) is not the most immediate and effective step to address the issue. Filing a complaint with the ethics committee (Choice C) should be reserved for serious ethical violations, and in this case, reporting to the charge nurse is the more practical and immediate course of action.
5. A nurse is caring for a client who has a prescription for enoxaparin. Which of the following actions should the nurse take?
- A. Inject the medication into the deltoid muscle
- B. Inject the medication deep into subcutaneous tissue
- C. Massage the injection site for 2 minutes after administration
- D. Insert the needle at a 10-degree angle
Correct answer: B
Rationale: The correct action the nurse should take when administering enoxaparin is to inject the medication deep into subcutaneous tissue. This method helps ensure proper absorption of the medication and prevents tissue irritation. Injecting into the deltoid muscle (Choice A) is not recommended for enoxaparin administration. Massaging the injection site (Choice C) can lead to tissue damage and bruising. Inserting the needle at a 10-degree angle (Choice D) is not the correct technique for administering enoxaparin.
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