ATI RN
ATI RN Comprehensive Exit Exam 2023
1. A client with a new diagnosis of celiac disease is receiving teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I can still have oatmeal for breakfast.
- B. I need to avoid foods that contain gluten.
- C. I can have rye toast with my eggs.
- D. I can continue to eat foods made from barley.
Correct answer: B
Rationale: The correct answer is B because clients with celiac disease should avoid gluten, which is found in foods like rye and barley. Choice A is incorrect because oatmeal may contain gluten unless specified gluten-free. Choice C is incorrect as rye contains gluten. Choice D is incorrect as barley contains gluten.
2. A client has a prescription for digoxin. Which of the following instructions should the nurse include?
- A. Take this medication with food.
- B. Avoid taking antacids at the same time as this medication.
- C. Take this medication if your heart rate is above 100/min.
- D. Notify your provider if you experience nausea or visual changes.
Correct answer: D
Rationale: The correct instruction the nurse should include for a client prescribed digoxin is to notify the provider if they experience nausea or visual changes, as these symptoms can indicate digoxin toxicity. Option A is incorrect because digoxin should be taken on an empty stomach for better absorption. Option B is incorrect as antacids can interfere with the absorption of digoxin. Option C is incorrect as taking digoxin based on heart rate alone is not appropriate.
3. A nurse is providing discharge teaching to a client who has had a total hip arthroplasty. Which of the following client statements indicates a need for further teaching?
- A. I will avoid sitting in a chair for longer than 30 minutes.
- B. I will avoid crossing my legs when sitting.
- C. I will bend at the hips to pick up items from the floor.
- D. I will avoid using a raised toilet seat.
Correct answer: C
Rationale: The correct answer is C because bending at the hips can dislocate the hip joint in clients who have had a total hip arthroplasty. This movement should be avoided to prevent complications post-surgery. Choices A, B, and D are all correct statements for a client who has had a total hip arthroplasty. Avoiding prolonged sitting, crossing legs, and using a raised toilet seat are all appropriate measures to ensure proper healing and prevent complications.
4. A client who is at 10 weeks of gestation is being taught about nutrition during pregnancy. Which statement by the client indicates an understanding of the teaching?
- A. I should consume 1,200 calories per day.
- B. I should increase my daily intake of folic acid.
- C. I should drink 2 liters of water each day.
- D. I should limit my intake of iron-rich foods.
Correct answer: B
Rationale: The correct answer is B. Increasing folic acid intake is crucial during pregnancy to prevent neural tube defects. Option A is incorrect because calorie requirements during pregnancy vary and are generally higher than 1,200 calories per day. Option C is not specific to pregnancy nutrition teaching, although hydration is important. Option D is incorrect as iron-rich foods are typically recommended during pregnancy to prevent anemia.
5. A nurse is assessing a newborn who is 1-day old and receiving phototherapy for jaundice. Which action should the nurse take?
- A. Feed the infant glucose water every 2 hours.
- B. Ensure the newborn wears a diaper.
- C. Keep the infant's head covered with a cap.
- D. Apply lotion to the newborn every 4 hours.
Correct answer: C
Rationale: The correct action for the nurse to take is to keep the infant's head covered with a cap. This helps regulate the newborn's body temperature during phototherapy. Option A, feeding the infant glucose water every 2 hours, is incorrect because it is not a standard intervention for newborns receiving phototherapy. Option B, ensuring the newborn wears a diaper, may be necessary for hygiene but is not directly related to phototherapy. Option D, applying lotion to the newborn every 4 hours, is unnecessary and not indicated for managing jaundice or phototherapy.
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