ATI RN
ATI Exit Exam 2024
1. A nurse is caring for a client who is 36 weeks gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
- A. Proteinuria of 1+.
- B. Blood pressure 120/80 mm Hg.
- C. Respiratory rate of 18/min.
- D. Nonpitting ankle edema.
Correct answer: D
Rationale: Nonpitting ankle edema is a concerning sign of worsening preeclampsia due to fluid retention and should be reported immediately. Proteinuria of 1+ is a common finding in preeclampsia. A blood pressure of 120/80 mm Hg is within normal limits. A respiratory rate of 18/min is also within normal range. Therefore, choices A, B, and C are not as urgent as nonpitting ankle edema in this scenario.
2. A nurse is reviewing the prescription for doxazosin with a client. Which of the following should be included in the teaching?
- A. Decrease caloric intake to prevent weight gain.
- B. Increase dietary fiber to alleviate constipation.
- C. Rise slowly when sitting up from bed.
- D. Take this medication in the morning.
Correct answer: C
Rationale: The correct answer is C. Doxazosin can cause orthostatic hypotension, leading to dizziness and falls if the client rises quickly from a seated position. Instructing the client to rise slowly when sitting up from bed helps prevent these adverse effects. Choices A, B, and D are incorrect because doxazosin does not directly relate to caloric intake, dietary fiber, or a specific time of day for administration.
3. A nurse is preparing to administer a blood transfusion to a client. Which of the following actions should the nurse take?
- A. Monitor the client's vital signs every 4 hours.
- B. Start the transfusion with 0.9% sodium chloride.
- C. Administer the transfusion over 6 hours.
- D. Infuse the first 500 mL of blood over 1 hour.
Correct answer: B
Rationale: The correct answer is B: Start the transfusion with 0.9% sodium chloride. 0.9% sodium chloride is the only IV solution that is compatible with blood products and should be used to prime the tubing before a transfusion. Choice A is incorrect because vital signs should be monitored more frequently, typically every 15 minutes at the beginning of the transfusion. Choice C is incorrect as blood transfusions are usually administered over 2-4 hours, not 6 hours. Choice D is incorrect as the first 500 mL of blood should be infused slowly over 1-2 hours to monitor for any adverse reactions.
4. What is the priority intervention for a patient with a suspected pulmonary embolism?
- A. Administer oxygen
- B. Administer anticoagulants
- C. Prepare for surgery
- D. Monitor oxygen saturation
Correct answer: A
Rationale: The correct answer is A: Administer oxygen. Administering oxygen is the priority intervention for a patient with a suspected pulmonary embolism to improve oxygenation levels. In pulmonary embolism, there is a blockage in one of the pulmonary arteries, leading to decreased oxygen exchange. Administering oxygen helps increase oxygen saturation levels. Anticoagulants (Choice B) are essential in the treatment of pulmonary embolism but are not the initial priority intervention. Surgery (Choice C) is not typically the first-line treatment for pulmonary embolism. Monitoring oxygen saturation (Choice D) is important but administering oxygen takes precedence as the immediate action to address hypoxemia.
5. How should a healthcare provider monitor a patient who has been prescribed digoxin?
- A. Monitor potassium levels
- B. Monitor heart rate
- C. Check digoxin levels
- D. Check blood glucose levels
Correct answer: C
Rationale: The correct way to monitor a patient who has been prescribed digoxin is by checking digoxin levels. Digoxin is a medication used to treat various heart conditions, and monitoring its levels in the blood is crucial to prevent toxicity. Monitoring potassium levels (Choice A) is important as well, as digoxin can affect potassium levels, but checking digoxin levels is more specific to monitoring the medication itself. Monitoring heart rate (Choice B) is relevant but does not directly assess the medication levels. Checking blood glucose levels (Choice D) is not typically indicated specifically for patients prescribed digoxin.
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