ATI RN
ATI Exit Exam 2023
1. A client with heart failure is receiving digoxin. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 78/min.
- B. Vision changes.
- C. Respiratory rate of 16/min.
- D. Blood pressure of 120/80 mm Hg.
Correct answer: B
Rationale: The correct answer is B: Vision changes. Vision changes are a classic sign of digoxin toxicity and should be reported immediately to the provider for further evaluation and management. A heart rate of 78/min, a respiratory rate of 16/min, and a blood pressure of 120/80 mm Hg are within normal ranges and are not typically associated with digoxin toxicity. Therefore, they would not be the priority findings to report in this situation.
2. A nurse is administering medications to a group of clients. Which of the following occurrences requires the completion of an incident report?
- A. A client receives his antibiotics 2 hours late.
- B. A client vomits within 20 minutes of taking his morning medications.
- C. A client requests his statin to be administered at 2100.
- D. A client asks for pain medication 1 hour early.
Correct answer: A
Rationale: The correct answer is A. When a client receives antibiotics 2 hours late, it constitutes a medication error, requiring the completion of an incident report. Choice B, a client vomiting within 20 minutes of taking medications, does not necessarily require an incident report unless it is suspected to be related to a medication error. Choice C, a client requesting a statin at a specific time, and choice D, a client asking for pain medication an hour early, are not incidents that mandate the completion of an incident report unless there are specific circumstances indicating otherwise.
3. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?
- A. Remove the protective gown after leaving the client's room
- B. Place the client in a room with positive pressure
- C. Wear gloves when providing care to the client
- D. Wear a mask when entering the client's room
Correct answer: C
Rationale: The correct measure to include when caring for a client on contact precautions is to wear gloves when providing care. Gloves help prevent the spread of infection and cross-contamination. Choice A is incorrect because the protective gown should be removed before leaving the client's room to prevent the spread of pathogens. Choice B is incorrect as clients on contact precautions should be in a room with negative pressure to prevent the spread of airborne contaminants. Choice D is incorrect as wearing a mask when changing linens is not specifically required for contact precautions.
4. A client has a new prescription for furosemide. Which of the following instructions should the nurse include during discharge teaching?
- A. Avoid prolonged exposure to sunlight.
- B. Take this medication with a meal.
- C. Increase your intake of potassium-rich foods.
- D. Limit your fluid intake to 1 liter per day.
Correct answer: C
Rationale: The correct instruction for a client taking furosemide is to increase their intake of potassium-rich foods. Furosemide is a loop diuretic that can lead to potassium loss, so increasing potassium-rich foods helps prevent hypokalemia. Choice A, avoiding prolonged exposure to sunlight, is not directly related to furosemide use. Choice B, taking the medication with a meal, is not a specific requirement for furosemide administration. Choice D, limiting fluid intake to 1 liter per day, is not the correct advice as furosemide is a diuretic that often requires increased fluid intake to prevent dehydration.
5. When should healthcare professionals perform hand hygiene?
- A. Before and after patient contact
- B. Before and after performing procedures
- C. After using the restroom
- D. After touching contaminated surfaces
Correct answer: A
Rationale: Healthcare professionals should perform hand hygiene before and after patient contact to prevent the spread of infections. While choices B, C, and D are also important times to practice hand hygiene, they are not as crucial as before and after patient contact because patient contact poses a higher risk of transmitting infections.
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