ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is caring for a client who has a prescription for a high-protein diet. Which of the following foods should the nurse recommend?
- A. Almonds
- B. Cheddar cheese
- C. Chicken breast
- D. Pasta
Correct answer: C
Rationale: Chicken breast is an excellent choice for a high-protein diet as it is a lean source of protein. Almonds, while a good source of protein, also contain high amounts of fat. Cheddar cheese is high in protein but also high in saturated fat. Pasta is not a significant source of protein compared to chicken breast.
2. A healthcare professional is preparing to administer digoxin to a client with heart failure. Which of the following laboratory values should the professional report to the provider?
- A. Potassium 4.0 mEq/L
- B. Calcium 9.5 mg/dL
- C. Sodium 140 mEq/L
- D. Magnesium 2.0 mg/dL
Correct answer: C
Rationale: The correct answer is C: Sodium 140 mEq/L. An elevated sodium level can affect the effectiveness of digoxin therapy and may lead to toxicity. Therefore, it is crucial to report this value to the provider. Potassium, calcium, and magnesium levels are important as well, but elevated sodium can have a more direct impact on digoxin therapy in this scenario.
3. A healthcare professional is preparing to administer an intermittent enteral feeding to a client who has an NG tube. Which of the following actions should the healthcare professional take first?
- A. Check the residual volume.
- B. Flush the tube with 0.9% sodium chloride.
- C. Elevate the head of the bed to 45 degrees.
- D. Warm the formula to body temperature.
Correct answer: C
Rationale: Elevating the head of the bed to 45 degrees is the priority action before administering an enteral feeding through an NG tube. This position helps prevent aspiration by promoting proper flow and digestion of the feeding. Checking the residual volume, flushing the tube, and warming the formula are important steps but come after ensuring the client is in the correct position to minimize the risk of complications.
4. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect?
- A. Loose stools.
- B. Jitteriness.
- C. Hypertonia.
- D. Abdominal distention.
Correct answer: B
Rationale: Corrected Rationale: Jitteriness is a common manifestation of hypoglycemia in newborns. Choice A, 'Loose stools,' is not typically associated with hypoglycemia in newborns. Choice C, 'Hypertonia,' is not a common manifestation of hypoglycemia in newborns; instead, hypotonia may be observed. Choice D, 'Abdominal distention,' is not a typical manifestation of hypoglycemia in newborns.
5. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will limit my intake of protein to prevent kidney damage.
- B. I will avoid taking ibuprofen for my headaches.
- C. I will monitor my blood glucose level before meals and at bedtime.
- D. I will reduce my intake of carbohydrates to manage my blood sugar.
Correct answer: C
Rationale: The correct answer is C. Monitoring blood glucose levels before meals and at bedtime is crucial for managing type 2 diabetes mellitus. Option A is incorrect because limiting protein intake is not a primary focus for diabetes management. Option B is unrelated to diabetes management and focuses on pain relief. Option D mentions reducing carbohydrate intake, which is a common dietary recommendation for managing blood sugar levels, but it is not as specific as monitoring blood glucose levels at key times.
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