ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is caring for a client who is 4 hours postoperative following an open reduction and internal fixation of the left tibia. Which of the following findings should the nurse report to the provider?
- A. Serous drainage on the dressing
- B. Capillary refill of 2 seconds
- C. Heart rate of 62/min
- D. Left foot is cool to the touch
Correct answer: D
Rationale: The correct answer is D. A cool left foot indicates impaired circulation, which could be a sign of compartment syndrome or impaired blood flow. This finding should be reported to the provider promptly for further evaluation and intervention. Serous drainage on the dressing is expected postoperatively and is not a concerning finding. A capillary refill of 2 seconds is within the normal range (less than 3 seconds is normal), indicating adequate peripheral perfusion. A heart rate of 62/min is also within the normal range for an adult, suggesting no immediate concern related to the surgery.
2. A nurse is preparing to administer insulin glargine to a client who has diabetes mellitus. Which of the following actions should the nurse take?
- A. Administer the insulin via IV push.
- B. Rotate injection sites to prevent tissue damage.
- C. Mix the insulin with regular insulin before administering it.
- D. Administer the insulin at the same time each day.
Correct answer: D
Rationale: Corrected Rationale: The correct action for the nurse to take when administering insulin glargine is to give it at the same time each day. This consistent timing helps maintain stable blood glucose levels. Choice A is incorrect because insulin glargine should not be administered via IV push. Choice B is incorrect as rotating injection sites is typically done for short-acting insulins to prevent lipodystrophy, not for insulin glargine. Choice C is incorrect as insulin glargine should not be mixed with other insulins before administration.
3. 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.
4. 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.
5. 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.
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