ATI RN
ATI Exit Exam 2023 Quizlet
1. A client who is postoperative following a total hip arthroplasty is at risk for hip dislocation. Which of the following actions should the nurse take to prevent this complication?
- A. Position the client supine with a pillow between the legs
- B. Place a pillow under the client's knees
- C. Place an abduction pillow between the client's legs
- D. Place a trochanter roll under the client's legs
Correct answer: C
Rationale: After a total hip arthroplasty, it is crucial to prevent hip dislocation. Placing an abduction pillow between the client's legs helps maintain proper alignment and prevents the hip from dislocating. This position aids in keeping the hip in a neutral or slightly outwardly rotated position, reducing the risk of dislocation. Placing the client supine with a pillow between the legs (Choice A) or using a trochanter roll (Choice D) may not provide the same level of abduction and support needed to prevent hip dislocation. Placing a pillow under the client's knees (Choice B) does not provide the necessary support to maintain proper hip alignment in this situation.
2. A nurse is teaching a client who has heart failure about a new prescription for furosemide. Which of the following statements should the nurse include?
- A. You should take this medication in the morning to reduce urination during the day.
- B. You may experience ringing in your ears as a side effect.
- C. This medication may cause your potassium level to decrease.
- D. You should consume foods high in potassium while taking this medication.
Correct answer: C
Rationale: The correct statement to include when teaching a client about furosemide is that it may cause potassium levels to decrease. Furosemide is a loop diuretic that can lead to hypokalemia, emphasizing the importance of monitoring potassium levels. Option A is incorrect because furosemide is usually taken in the morning to prevent nighttime diuresis. Option B is incorrect as tinnitus, not ringing in the ears, is associated with furosemide use. Option D is wrong because while it is essential to monitor potassium levels, the client should be advised to consume foods high in potassium to prevent hypokalemia.
3. A nurse is providing dietary teaching to a client who has a new diagnosis of celiac disease. Which of the following foods should the nurse instruct the client to avoid?
- A. Rice
- B. Barley soup
- C. Cornbread
- D. Potatoes
Correct answer: B
Rationale: The correct answer is B: Barley soup. Barley contains gluten, which is harmful to individuals with celiac disease. Therefore, the nurse should instruct the client to avoid barley-containing foods like barley soup. Choices A, C, and D are safe options for individuals with celiac disease as they do not contain gluten. Rice, cornbread, and potatoes are gluten-free and can be included in the client's diet.
4. A client has a new prescription for metformin. Which of the following client statements indicates an understanding of the teaching?
- A. ''I will take this medication at bedtime to avoid nausea.''
- B. ''I should take this medication with a full glass of water in the morning.''
- C. ''I should avoid eating foods that contain iodine.''
- D. ''I should take this medication with food to improve absorption.''
Correct answer: B
Rationale: The correct answer is B. Metformin should be taken with a full glass of water in the morning to improve absorption and prevent gastrointestinal upset. Choice A is incorrect because metformin is not typically taken at bedtime. Choice C is unrelated to metformin therapy. Choice D is incorrect because metformin is actually better absorbed when taken with or after meals.
5. A client has a new diagnosis of hypertension, and a nurse is teaching about dietary management. Which of the following instructions should the nurse include?
- A. Limit your sodium intake to 2,000 mg per day.
- B. Increase your intake of high-fat foods.
- C. Increase your intake of green, leafy vegetables.
- D. Limit your potassium intake to 3,000 mg per day.
Correct answer: A
Rationale: The correct answer is A: Limit your sodium intake to 2,000 mg per day. Limiting sodium intake helps manage hypertension by reducing fluid retention and lowering blood pressure. Choice B is incorrect because increasing intake of high-fat foods can worsen hypertension by contributing to weight gain and other cardiovascular risks. Choice C is incorrect as green, leafy vegetables are beneficial for hypertension due to their high potassium and other nutrient content. Choice D is incorrect as limiting potassium intake is typically not recommended for hypertension management unless specified by a healthcare provider.
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