ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is preparing to measure the temperature of an infant. Which of the following actions should the nurse take?
- A. Place the tip of the thermometer under the center of the infant's axilla.
- B. Pull the pinna of the infant's ear forward before inserting the probe.
- C. Insert the probe 3.8 cm (1.5 inches) into the infant's rectum.
- D. Insert the thermometer in front of the infant's tongue.
Correct answer: A
Rationale: The correct method for measuring an infant's temperature is by placing the tip of the thermometer under the center of the infant's axilla (armpit). This method is non-invasive and safe. Pulling the pinna of the ear forward is used when taking a tympanic temperature. Inserting the probe into the rectum is done for rectal temperature measurement, which is not recommended as an initial method in infants. Inserting the thermometer in front of the infant's tongue is not a standard method for measuring temperature in infants.
2. A healthcare provider is assessing a child who is being treated for bacterial pneumonia. The provider notes an increase in the child's glucose level. The provider should identify this finding as an adverse effect of which of the following medications?
- A. Methylprednisolone.
- B. Ondansetron.
- C. Guaifenesin.
- D. Amoxicillin.
Correct answer: A
Rationale: Correct. Methylprednisolone, a corticosteroid, can lead to increased glucose levels as an adverse effect. Ondansetron is an antiemetic and does not typically cause elevated glucose levels. Guaifenesin is an expectorant and is not associated with raising glucose levels. Amoxicillin is an antibiotic and does not affect glucose levels.
3. A nurse is caring for a client who is receiving packed RBCs. Which of the following actions should the nurse take?
- A. Monitor the client's blood glucose level every hour
- B. Administer the blood using a microdrip set
- C. Assess the client's vital signs every 2 hours
- D. Infuse the blood within 4 hours
Correct answer: D
Rationale: The correct answer is to infuse the blood within 4 hours. This is crucial to prevent bacterial contamination and hemolysis during blood transfusions. Monitoring the client's blood glucose level every hour (Choice A) is not directly related to packed RBC transfusions. Administering the blood using a microdrip set (Choice B) may be appropriate for specific medications but is not a requirement for packed RBC transfusions. Assessing the client's vital signs every 2 hours (Choice C) is important for monitoring the client's overall condition but is not as time-sensitive as ensuring the timely infusion of packed RBCs.
4. A nurse is teaching a prenatal class about infection prevention. Which of the following statements indicates an understanding of the teaching?
- A. I can visit someone with chickenpox 5 days after the sores crust.
- B. I should avoid cleaning my cat's litter box during pregnancy.
- C. I should wash my hands with hot water for 10 seconds after gardening.
- D. I can take antibiotics for viral infections.
Correct answer: B
Rationale: The correct answer is B because avoiding cleaning the cat's litter box during pregnancy reduces the risk of toxoplasmosis, which can be harmful to the developing fetus. Choice A is incorrect because visiting someone with chickenpox should be avoided as it is highly contagious. Choice C is incorrect as handwashing after gardening should involve soap and water, not just hot water, for effective infection prevention. Choice D is incorrect because antibiotics are ineffective against viral infections.
5. A nurse is providing teaching to a client who has a new prescription for nitroglycerin transdermal patches. Which of the following instructions should the nurse include?
- A. Apply the patch to your upper arm.
- B. You should remove the patch before showering.
- C. Rotate the patch site each time you apply it.
- D. Apply the patch to your lower abdomen.
Correct answer: C
Rationale: The correct answer is to instruct the client to rotate the patch site each time they apply it. This practice helps prevent skin irritation and ensures the effectiveness of nitroglycerin transdermal patches. Applying the patch to the same site each time can lead to skin irritation and decreased patch efficacy. Choices A, B, and D are incorrect because applying the patch to the upper arm, removing it before showering, and placing it on the lower abdomen do not promote proper rotation of patch sites, which is essential for optimal outcomes.
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