ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. What dietary instruction should the nurse provide?
- A. Take magnesium hydroxide for indigestion.
- B. Drink at least 3L of fluid daily.
- C. Eat 1g/kg of protein per day.
- D. Consume foods high in potassium.
Correct answer: C
Rationale: For a client with chronic kidney disease receiving hemodialysis, consuming 1g/kg of protein per day is important. This amount helps manage the condition without overburdening the kidneys. Choice A is incorrect because magnesium hydroxide is not specifically recommended for clients with chronic kidney disease. Choice B is not accurate as fluid intake needs to be individualized based on the client's condition and dialysis status. Choice D is incorrect because foods high in potassium should generally be limited for individuals with kidney disease undergoing hemodialysis to prevent hyperkalemia.
2. A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following interventions should the nurse include in the plan of care?
- A. Apply heat to the incision site.
- B. Keep the client's knee flexed while in bed.
- C. Place a pillow under the client's knee while in bed.
- D. Place a pillow under the client's lower legs.
Correct answer: D
Rationale: Placing a pillow under the client's lower legs is the correct intervention because it helps prevent pressure on the incision site and promotes circulation. Elevating the lower legs also aids in reducing swelling and improving blood flow. Applying heat to the incision site (Choice A) is contraindicated in the early postoperative period as it can increase inflammation and the risk of infection. Keeping the client's knee flexed while in bed (Choice B) may lead to contractures or limited extension of the knee joint. Placing a pillow under the client's knee (Choice C) may cause hyperextension of the knee, which is also not recommended post knee arthroplasty.
3. A nurse is caring for a client who is postpartum and reports perineal pain. Which intervention should the nurse implement?
- A. Administer analgesics as prescribed.
- B. Apply a warm compress to the perineum.
- C. Encourage the client to ambulate frequently.
- D. Position the client with the head elevated.
Correct answer: A
Rationale: Administering analgesics as prescribed is the appropriate intervention for managing perineal pain in a postpartum client. Analgesics help to alleviate discomfort and promote the client's recovery. Applying a warm compress (choice B) may provide some relief, but it does not address the pain as effectively as analgesics. Encouraging ambulation (choice C) and positioning the client with the head elevated (choice D) are not directly related to addressing perineal pain.
4. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?
- A. Taking furosemide can cause your potassium levels to be high
- B. Eat foods that are high in sodium
- C. Rise slowly when getting out of bed
- D. Taking furosemide can cause you to be overhydrated
Correct answer: C
Rationale: Furosemide can cause low potassium levels, and clients should be advised to rise slowly to prevent dizziness.
5. A client prescribed clozapine is receiving discharge teaching from a nurse. Which statement by the client indicates an understanding of the teaching?
- A. I should report a sore throat to my provider.
- B. I should avoid drinking grapefruit juice while taking this medication.
- C. I should take this medication with food.
- D. I should avoid taking this medication with food.
Correct answer: A
Rationale: The correct answer is A. Clozapine can cause agranulocytosis, a serious condition that decreases the number of white blood cells. Reporting a sore throat is crucial as it could be a sign of infection. Choice B is incorrect because there is no specific interaction between clozapine and grapefruit juice. Choice C is incorrect because clozapine is usually taken without regard to meals. Choice D is incorrect as clozapine is generally taken without food to enhance absorption.
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