ATI RN
ATI Exit Exam
1. A nurse is caring for a client who is 1 day postoperative following a total knee replacement. The client reports pain of 8 on a scale of 0 to 10. Which of the following actions should the nurse take?
- A. Administer ibuprofen 400 mg PO
- B. Administer oxycodone 10 mg PO
- C. Reposition the client to the unaffected side
- D. Apply a cold compress to the affected knee
Correct answer: B
Rationale: In this scenario, the appropriate action for the nurse to take when a client reports severe postoperative pain of 8 out of 10 is to administer oxycodone 10 mg PO. Oxycodone is a potent analgesic that is more effective in managing severe pain compared to ibuprofen, making choice A incorrect. Repositioning the client to the unaffected side or applying a cold compress may provide some comfort but are not the priority interventions for severe postoperative pain, making choices C and D less appropriate.
2. A client with a history of heart failure is receiving furosemide. Which of the following laboratory values should the nurse monitor?
- A. Sodium 140 mEq/L
- B. Calcium 9.0 mg/dL
- C. Potassium 3.2 mEq/L
- D. Chloride 100 mEq/L
Correct answer: C
Rationale: The correct answer is C: Potassium 3.2 mEq/L. A potassium level of 3.2 mEq/L is below the normal range and should be monitored in clients receiving furosemide due to the risk of hypokalemia. Furosemide is a loop diuretic that can cause potassium depletion, leading to hypokalemia. Monitoring potassium levels is crucial to prevent complications such as cardiac arrhythmias. Choices A, B, and D are not directly impacted by furosemide therapy in the same way as potassium levels, making them less relevant for monitoring in this scenario.
3. A client receiving chemotherapy is being taught about infection prevention by a nurse. Which of the following instructions should the nurse include?
- A. Wear a mask when gardening.
- B. Avoid crowds to reduce the risk of infection.
- C. You should take a daily vitamin to prevent infection.
- D. Increase your intake of high-protein foods.
Correct answer: B
Rationale: The correct answer is B: 'Avoid crowds to reduce the risk of infection.' Clients receiving chemotherapy are immunocompromised, so avoiding crowds can help decrease the likelihood of exposure to infections. Wearing a mask when gardening (choice A) is important but not directly related to infection prevention in the context of chemotherapy. Taking a daily vitamin (choice C) may be beneficial for overall health but is not specifically focused on infection prevention. Increasing intake of high-protein foods (choice D) is essential for nutrition but does not directly address infection prevention.
4. A healthcare provider is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome (IBS). Which of the following foods should the healthcare provider instruct the client to avoid?
- A. Lean cuts of pork.
- B. Low-fat yogurt.
- C. White bread.
- D. Oatmeal.
Correct answer: D
Rationale: The correct answer is D, oatmeal. Oatmeal contains insoluble fiber, which can exacerbate the symptoms of irritable bowel syndrome. Choices A, B, and C are not typically problematic for individuals with IBS. Lean cuts of pork, low-fat yogurt, and white bread are generally well-tolerated and may even be recommended as part of a balanced diet for individuals with IBS.
5. When preparing education materials for a client, what technique should be used to make the information accessible?
- A. Emphasize important information using bold lettering.
- B. Use a 7th-grade reading level.
- C. Avoid using cartoons in the material.
- D. Use words with three or four syllables.
Correct answer: B
Rationale: The correct answer is to use a 7th-grade reading level. This technique ensures that the information provided is accessible and easily understandable for most clients. Using simple language helps to avoid confusion and ensures that the message is conveyed clearly. Emphasizing important information using bold lettering (Choice A) can be helpful but may not improve overall accessibility. Avoiding cartoons in the material (Choice C) is not directly related to making information accessible. Using words with three or four syllables (Choice D) can complicate the material and hinder understanding, making it less accessible.
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