ATI RN Comprehensive Exit Exam

ATI RN Comprehensive Exit Exam Related

Review ATI RN Comprehensive Exit Exam related questions and content

How should a healthcare provider manage a patient with chronic heart failure?

  • A. Monitor daily weight
  • B. Provide fluid restriction
  • C. Administer diuretics
  • D. Monitor intake and output
Correct Answer: A

Rationale: Corrected Rationale: Daily weight monitoring is crucial in managing patients with chronic heart failure as it helps assess fluid balance. Monitoring daily weight allows healthcare providers to detect any sudden weight gain, which could indicate fluid retention and worsening heart failure. This intervention helps in adjusting treatment plans promptly. Providing fluid restriction (Choice B) can be a part of managing heart failure but is not the primary intervention mentioned in the question. Administering diuretics (Choice C) is a treatment modality for heart failure but does not encompass the comprehensive approach to patient management. Monitoring intake and output (Choice D) is important but does not specifically address the direct assessment of fluid status as daily weight monitoring does.

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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.

A nurse is caring for a client who is receiving radiation therapy. Which of the following side effects should the nurse monitor for?

  • A. Fatigue
  • B. Hair loss
  • C. Nausea
  • D. Dry mouth
Correct Answer: D

Rationale: The correct answer is D, dry mouth. Dry mouth is a common side effect of radiation therapy due to damage to the salivary glands. It is essential for the nurse to monitor for this condition as it can lead to oral health issues and discomfort. Fatigue (choice A) is a common side effect of radiation therapy, but in this case, dry mouth is a more specific side effect to monitor for. Hair loss (choice B) is more commonly associated with chemotherapy rather than radiation therapy. Nausea (choice C) is also a common side effect of radiation therapy, but dry mouth is a more direct effect of the treatment that the nurse should focus on monitoring.

A client with osteoporosis needs to increase calcium intake. Which of the following foods should be recommended by the nurse?

  • A. Carrots
  • B. Broccoli
  • C. Chicken
  • D. Bananas
Correct Answer: B

Rationale: The correct answer is B: Broccoli. Broccoli is rich in calcium and is a suitable food to recommend to clients with osteoporosis to increase their calcium intake. Carrots, chicken, and bananas are not as high in calcium content compared to broccoli and therefore not the most appropriate choices for increasing calcium intake in clients with osteoporosis.

What is the best method to manage fluid overload in a patient with heart failure?

  • A. Administer diuretics
  • B. Provide oral fluids
  • C. Increase fluid intake
  • D. Provide chest physiotherapy
Correct Answer: A

Rationale: Administering diuretics is the best method to manage fluid overload in a patient with heart failure. Diuretics help to remove excess fluid from the body by increasing urine output, thus reducing the fluid volume in the bloodstream and tissues. Providing oral fluids (choice B) or increasing fluid intake (choice C) would exacerbate the fluid overload rather than managing it. Chest physiotherapy (choice D) is not indicated for managing fluid overload in heart failure; it is more commonly used for conditions affecting the lungs or airways.

How should a healthcare professional assess for infection in a patient post-surgery?

  • A. Check the surgical site
  • B. Check for fever
  • C. Check for abnormal breath sounds
  • D. Check the patient's skin color
Correct Answer: A

Rationale: When assessing for infection in a patient post-surgery, checking the surgical site is crucial. Changes in the appearance of the surgical site, such as redness, swelling, warmth, or drainage, can indicate an infection. While checking for fever (Choice B) is also important as it can be a sign of infection, it is a more general symptom and may not always be present. Checking for abnormal breath sounds (Choice C) and skin color (Choice D) are not typically direct indicators of infection in a post-surgery patient.

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