ATI RN
ATI Exit Exam 2023 Quizlet
1. A client has a new prescription for levothyroxine, and a nurse is providing teaching. Which of the following client statements indicates an understanding of the teaching?
- A. ''I should take this medication with food to prevent nausea.''
- B. ''I should take this medication in the evening before bedtime.''
- C. ''I will need to take this medication for the rest of my life.''
- D. ''I should stop taking this medication if I develop a rash.''
Correct answer: C
Rationale: The correct answer is C. Levothyroxine is a lifelong medication for clients with hypothyroidism, and it should be taken as prescribed. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect because levothyroxine is usually taken in the morning on an empty stomach. Choice D is incorrect because stopping the medication abruptly can have adverse effects on thyroid function.
2. A nurse is caring for a client who is 2 hours postoperative following a cholecystectomy. Which of the following actions should the nurse take to prevent postoperative complications?
- A. Instruct the client to perform deep breathing and coughing exercises.
- B. Have the client wear sequential compression devices (SCDs).
- C. Place the client in a supine position with the head of the bed flat.
- D. Encourage the client to ambulate every 2 hours.
Correct answer: B
Rationale: The correct answer is B: Have the client wear sequential compression devices (SCDs). Following a cholecystectomy, the client is at risk for venous thromboembolism (VTE) due to reduced mobility and surgical stress. SCDs help prevent VTE by promoting venous return and reducing the risk of blood clots. Choices A, C, and D are incorrect. While deep breathing and coughing exercises are essential postoperatively, SCDs take precedence in preventing VTE. Placing the client in a supine position with the head of the bed flat can increase the risk of respiratory complications. Encouraging ambulation is important, but SCDs are a higher priority in this situation to prevent VTE.
3. A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse report to the provider?
- A. Blood glucose of 110 mg/dL.
- B. Weight loss of 0.5 kg (1.1 lb) in 24 hours.
- C. WBC count of 6,500/mm3.
- D. Temperature of 37.3°C (99.1°F).
Correct answer: B
Rationale: A weight loss of 0.5 kg (1.1 lb) in 24 hours may indicate dehydration or malnutrition, which are critical concerns for a client receiving total parenteral nutrition (TPN). Therefore, the nurse should report this finding to the provider. Elevated blood glucose levels (Choice A) can be managed by adjusting TPN components, WBC count (Choice C) and a slightly elevated temperature (Choice D) are not directly related to TPN administration and may not require immediate intervention.
4. A nurse is caring for a client who has a new prescription for enalapril. Which of the following findings should the nurse identify as an adverse effect of the medication?
- A. Cough.
- B. Dry mouth.
- C. Urinary retention.
- D. Insomnia.
Correct answer: A
Rationale: Corrected Rationale: A persistent cough is a known adverse effect of enalapril, an ACE inhibitor. Enalapril can cause the accumulation of bradykinin, leading to a dry, persistent cough in some patients. Dry mouth (choice B) and urinary retention (choice C) are not typically associated with enalapril use. Insomnia (choice D) is also not a common adverse effect of enalapril. Therefore, the correct answer is A.
5. A nurse is reviewing the laboratory results for a client who has Cushing's disease. The nurse should expect the client to have an increase in which of the following laboratory values?
- A. Serum glucose level.
- B. Serum calcium level.
- C. Lymphocyte count.
- D. Serum potassium level.
Correct answer: A
Rationale: The correct answer is A: Serum glucose level. In Cushing's disease, elevated cortisol levels lead to increased gluconeogenesis, insulin resistance, and breakdown of proteins and fats, resulting in elevated blood glucose levels. This is known as hyperglycemia. The other options, including serum calcium level (choice B), lymphocyte count (choice C), and serum potassium level (choice D), are not typically affected by Cushing's disease. Therefore, they are incorrect choices.
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