ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A client has a central venous catheter. Which of the following actions should be taken to prevent an air embolism?
- A. Keep the catheter clamped when not in use
- B. Have the client perform the Valsalva maneuver while the catheter is removed
- C. Use a non-coring needle to access the catheter
- D. Flush the catheter with 0.9% sodium chloride every 24 hours
Correct answer: B
Rationale: The correct action to prevent an air embolism in a client with a central venous catheter is to have the client perform the Valsalva maneuver while the catheter is removed. This maneuver helps to close the airway and prevent air from entering the bloodstream. Keeping the catheter clamped at all times (Choice A) is not necessary and may lead to clot formation. Using a non-coring needle (Choice C) is important for accessing the catheter but does not specifically prevent air embolism. Flushing the catheter with 0.9% sodium chloride (Choice D) helps maintain patency but does not directly prevent air embolism.
2. A nurse is caring for a client who has osteoarthritis. Which of the following findings should the nurse expect?
- A. Joint pain that improves with rest.
- B. Joint stiffness that improves with movement.
- C. Red, warm joints.
- D. Systemic inflammation.
Correct answer: A
Rationale: In osteoarthritis, joint pain that improves with rest is a common characteristic due to the relief obtained by reducing weight-bearing on the affected joint. Joint stiffness that improves with movement is more indicative of rheumatoid arthritis, not osteoarthritis. Red, warm joints are typically seen in inflammatory arthritis conditions like rheumatoid arthritis, while systemic inflammation is not a primary feature of osteoarthritis.
3. A nurse is preparing to administer vancomycin IV to a client. Which of the following actions should the nurse take?
- A. Administer the medication over 30 minutes.
- B. Monitor the client for a decrease in blood pressure during administration.
- C. Assess the IV site for infiltration during administration.
- D. Premedicate the client with an antiemetic prior to administration.
Correct answer: C
Rationale: The correct action the nurse should take when administering vancomycin IV is to assess the IV site for infiltration during administration. Vancomycin is known to cause tissue damage if it infiltrates, making close monitoring crucial. Administering the medication over 30 minutes (Choice A) is a common practice but not the priority in preventing infiltration. Monitoring for a decrease in blood pressure (Choice B) is not directly related to vancomycin administration. Premedicating with an antiemetic (Choice D) is not typically required for vancomycin administration.
4. A client who wears glasses is under the care of a nurse. Which of the following actions should the nurse take?
- A. Store the glasses in a labeled case
- B. Clean the glasses with hot water
- C. Clean the glasses with a paper towel
- D. Store the glasses on the bedside table
Correct answer: A
Rationale: The correct action for the nurse to take is to store the glasses in a labeled case. This ensures the safety of the glasses and helps in their proper identification when needed. Cleaning the glasses with hot water (Choice B) can damage them, and using a paper towel (Choice C) can scratch the lenses. Storing the glasses on the bedside table (Choice D) can lead to misplacement or damage. Therefore, the most appropriate action is to store the glasses in a labeled case.
5. A nurse is reviewing the facility's safety protocols concerning newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching?
- A. Staff will apply the identification band after the first bath.
- B. I will not make public announcements about my baby's birth.
- C. I can remove my baby's identification band as long as they are in my room.
- D. I can leave my baby in my room while walking in the hallway.
Correct answer: B
Rationale: The correct answer is B. Not making public announcements about the baby's birth is crucial in preventing newborn abduction as it avoids exposing personal information. Choice A is incorrect because the identification band should be applied immediately after birth, not after the first bath. Choice C is incorrect as the baby's identification band should never be removed by the parent. Choice D is incorrect as parents should not leave their baby unattended in the room while they are outside the room.
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