ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet
1. A client is 4 hours postpartum. Which of the following interventions should be implemented to prevent postpartum hemorrhage?
- A. Monitor for signs of infection.
- B. Massage the uterus every 4 hours.
- C. Apply ice packs to the perineum.
- D. Administer methylergonovine IM.
Correct answer: D
Rationale: Administering methylergonovine intramuscularly helps contract the uterus, reducing the risk of postpartum hemorrhage. Monitoring for signs of infection (Choice A) is important but not directly related to preventing postpartum hemorrhage. Uterine massage (Choice B) is beneficial to prevent uterine atony, but methylergonovine is a more specific intervention to prevent hemorrhage. Applying ice packs to the perineum (Choice C) is helpful for perineal pain and swelling, not for preventing postpartum hemorrhage.
2. A nurse is assessing a client who is 1 day postoperative following a bowel resection. Which of the following findings should the nurse report to the provider?
- A. Urine output of 40 mL/hr.
- B. Heart rate of 88/min.
- C. Wound drainage of 25 mL in 24 hours.
- D. Abdominal distention and rigidity.
Correct answer: D
Rationale: Abdominal distention and rigidity may indicate a postoperative complication, such as bowel obstruction or peritonitis, and should be reported to the provider. While monitoring urine output, heart rate, and wound drainage are essential postoperative assessments, they are not as concerning as abdominal distention and rigidity, which could signal a more urgent issue requiring immediate attention.
3. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the unit due to a staffing shortage. Which of the following clients should the nurse delegate to the LPN?
- A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
- B. A client who sustained a concussion and has unequal pupils.
- C. A client who is postoperative following a bowel resection with an NG tube.
- D. A client who fractured his femur yesterday and is experiencing shortness of breath.
Correct answer: C
Rationale: The correct answer is C because a client who is postoperative following a bowel resection with an NG tube can be delegated to an LPN as this involves routine postoperative care. Option A involves administering packed RBCs which requires assessment and monitoring for potential adverse reactions, not suitable for delegation to an LPN. Option B requires neurological assessment and close monitoring due to the concussion, which is beyond the scope of an LPN. Option D involves a client with a recent fracture and shortness of breath, which requires urgent assessment and intervention beyond the LPN's scope of practice.
4. A nurse is reviewing the medical record of a client who is 24 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Heart rate 90/min
- B. Serosanguineous drainage in the surgical drain
- C. Temperature 38.6°C (101.5°F)
- D. Urinary output 60 mL/hr
Correct answer: C
Rationale: The correct answer is C. A temperature of 38.6°C (101.5°F) is above the normal range and indicates a fever, which is a concerning finding postoperatively. Fever can be a sign of infection, so the nurse should report this finding to the provider for further evaluation and intervention. Choices A, B, and D are within expected parameters for a client who is 24 hours postoperative following abdominal surgery and do not require immediate reporting. A heart rate of 90/min, serosanguineous drainage in the surgical drain, and a urinary output of 60 mL/hr are all common postoperative findings that do not raise immediate concerns.
5. A client with gastroesophageal reflux disease (GERD) is being taught about dietary management by a nurse. Which of the following instructions should the nurse include?
- A. Avoid eating spicy foods.
- B. Eat three large meals each day.
- C. Lie down after meals.
- D. Increase your intake of dairy products.
Correct answer: A
Rationale: The correct instruction for a client with GERD is to avoid eating spicy foods. Spicy foods can trigger GERD symptoms by irritating the esophagus and increasing acid reflux. Choices B, C, and D are incorrect. Eating three large meals each day can exacerbate GERD symptoms by putting pressure on the lower esophageal sphincter, lying down after meals can worsen reflux due to gravity, and increasing dairy product intake may lead to higher fat consumption, which can also trigger GERD symptoms.
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