ATI RN
ATI RN Exit Exam 2023
1. How should a healthcare provider handle a patient with non-compliance to hypertension medication?
- A. Provide education about medication
- B. Refer the patient to a specialist
- C. Explore alternative treatments
- D. Reassess the patient in 6 months
Correct answer: A
Rationale: Providing education about the importance of medication adherence is crucial in managing hypertension. By educating the patient about the significance of taking their medication as prescribed, the healthcare provider can help improve compliance and control the patient's blood pressure. Referring the patient to a specialist (Choice B) may be necessary in some cases but addressing non-compliance should start with education. Exploring alternative treatments (Choice C) could be considered if the current medication is not suitable, but initial steps should focus on improving adherence. Reassessing the patient in 6 months (Choice D) may be too delayed if non-compliance is an issue that needs immediate attention.
2. A nurse is reviewing the laboratory results of a client who is at 36 weeks of gestation. The nurse should report which of the following laboratory results to the provider?
- A. Hemoglobin 11.2 g/dL
- B. Platelet count 148,000/mm3
- C. Leukocyte count 9,000/mm3
- D. Blood glucose 80 mg/dL
Correct answer: A
Rationale: A hemoglobin level of 11.2 g/dL is below the normal range for a client who is 36 weeks gestation and should be reported to the provider.
3. A nurse is reviewing the medical record of a client who has a new prescription for insulin glargine. Which of the following should the nurse include in the teaching?
- A. This insulin has a peak effect of 2 to 4 hours.
- B. This insulin has a duration of action of 24 hours.
- C. This insulin is given before meals to control your blood sugar.
- D. You should avoid eating 30 minutes before or after taking this insulin.
Correct answer: B
Rationale: The correct answer is B. Insulin glargine has a 24-hour duration of action, making it suitable for once-daily dosing for long-term blood sugar control. Choice A is incorrect as insulin glargine is a long-acting insulin with no pronounced peak effect in its action profile. Choice C is incorrect as insulin glargine is usually given at the same time each day regardless of meals. Choice D is incorrect as there is no specific requirement to avoid eating before or after taking insulin glargine.
4. A nurse is assessing a client who has pneumonia. Which of the following findings should the nurse report to the provider?
- A. Crackles in the lung bases
- B. Oxygen saturation of 95%
- C. Heart rate of 88/min
- D. Frequent productive cough
Correct answer: A
Rationale: The correct answer is A: Crackles in the lung bases. In a client with pneumonia, crackles in the lung bases can indicate fluid accumulation, suggesting worsening respiratory status. This finding should be reported to the provider for further evaluation and management. Choice B, an oxygen saturation of 95%, is within the normal range and does not require immediate reporting. Choice C, a heart rate of 88/min, is also within normal limits and does not indicate an urgent need for intervention. Choice D, a frequent productive cough, is a common symptom in pneumonia and may not require immediate reporting unless it is severe or worsening. Therefore, crackles in the lung bases are the most concerning finding that warrants prompt attention.
5. A client with a nasogastric tube receiving continuous enteral feedings is at risk for aspiration. Which of the following actions should the nurse take to prevent aspiration?
- A. Elevate the head of the bed to 15 degrees
- B. Check gastric residual volumes every 6 hours
- C. Monitor the pH of gastric aspirate
- D. Instill 10 mL of air into the tube before feeding
Correct answer: B
Rationale: Checking gastric residual volumes every 6 hours is essential in preventing aspiration in clients receiving continuous enteral feedings. This practice helps determine if the stomach is adequately emptying, reducing the risk of regurgitation and aspiration. Elevating the head of the bed to 30 degrees, not 15 degrees, is recommended to further prevent aspiration by reducing the risk of reflux. Monitoring the pH of gastric aspirate is important to assess tube placement but does not directly prevent aspiration. Instilling air into the tube before feeding is not a recommended practice and does not prevent aspiration.
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