ATI RN
ATI Exit Exam RN
1. A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
- A. Bradycardia
- B. Weight gain
- C. Hypertension
- D. Decreased deep tendon reflexes
Correct answer: D
Rationale: Corrected Rationale: Decreased deep tendon reflexes are a common finding in clients with hypothyroidism due to slowed metabolic processes. The other choices, such as bradycardia (slow heart rate), weight gain, and hypertension (high blood pressure) are not typically associated with hypothyroidism. Bradycardia can occur due to the decreased metabolic rate, but it is not a consistent finding. Weight gain is common but not universal, and hypertension is more commonly associated with hyperthyroidism.
2. A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?
- A. Passing small clots in the urine.
- B. Continuous bladder irrigation.
- C. Red-tinged urine with numerous clots.
- D. Urine output of 50 mL/hr.
Correct answer: C
Rationale: The correct answer is C: Red-tinged urine with numerous clots. This finding should be reported because it indicates excessive bleeding following a TURP procedure. Passing small clots in the urine (choice A) is expected post-TURP. Continuous bladder irrigation (choice B) is a standard procedure after TURP to prevent clot retention. Urine output of 50 mL/hr (choice D) is within the expected range postoperatively and does not indicate a complication.
3. A nurse is caring for a client who is receiving radiation therapy for breast cancer. Which of the following skin care instructions should the nurse provide?
- A. Wear loose clothing over the radiation site.
- B. Use scented lotions to moisturize the skin.
- C. Apply ice packs to the radiation site for pain relief.
- D. Expose the radiation site to sunlight for 20 minutes daily.
Correct answer: A
Rationale: The correct answer is A: Wear loose clothing over the radiation site. Clients receiving radiation therapy should wear loose clothing over the treatment area to prevent irritation and promote healing. Choice B is incorrect as scented lotions can irritate the skin during radiation therapy. Choice C is incorrect because ice packs should not be applied to the radiation site as they can exacerbate skin reactions. Choice D is incorrect as exposing the radiation site to sunlight can increase skin damage and should be avoided.
4. A nurse is providing dietary teaching to a client who has chronic pancreatitis. Which of the following foods should the nurse instruct the client to avoid?
- A. Baked chicken
- B. Grilled salmon
- C. Steamed broccoli
- D. Fried foods
Correct answer: D
Rationale: Clients with chronic pancreatitis should avoid fried foods because they are high in fat, which can exacerbate symptoms and lead to further complications. Baked chicken (choice A), grilled salmon (choice B), and steamed broccoli (choice C) are generally healthier options and can be included in a low-fat diet suitable for individuals with chronic pancreatitis.
5. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify which finding as an indication of effective treatment?
- A. A chest x-ray reveals increased density in all lung fields.
- B. The client reports feeling less anxious.
- C. Diminished breath sounds are auscultated bilaterally.
- D. ABG results include a pH of 7.48, PaO2 77 mm Hg, and PaCO2 47 mm Hg.
Correct answer: B
Rationale: The correct answer is B. The client reporting feeling less anxious is a positive indication of effective treatment for a pulmonary embolism. This suggests that the client's condition is improving psychologically. Option A is incorrect because increased density in all lung fields on a chest x-ray may indicate unresolved issues related to the embolism. Option C is incorrect as diminished breath sounds bilaterally suggest a complication or worsening of the condition. Option D is incorrect as ABG results within normal range do not necessarily indicate effective treatment for a pulmonary embolism, as other complications may still be present.
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