ATI RN
ATI Exit Exam 2024
1. A nurse is teaching a newly licensed nurse about the stages of wound healing. The nurse should include in the teaching that collagen is added to the wound during which of the following stages?
- A. Hemostasis phase.
- B. Inflammatory phase.
- C. Proliferative phase.
- D. Maturation phase.
Correct answer: C
Rationale: The correct answer is C: Proliferative phase. During the proliferative phase of wound healing, collagen is added to the wound to promote tissue regeneration. In the hemostasis phase (choice A), the primary goal is to stop bleeding by forming a blood clot. The inflammatory phase (choice B) involves cleaning the wound and preparing it for healing. The maturation phase (choice D) is when the wound undergoes remodeling and gains strength, but collagen addition primarily occurs during the proliferative phase.
2. 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.
3. A nurse is providing care for a client who is in the advanced stage of amyotrophic lateral sclerosis (ALS). Which of the following referrals is the nurse's priority?
- A. Psychologist
- B. Social worker
- C. Occupational therapist
- D. Speech-language pathologist
Correct answer: D
Rationale: In the advanced stage of ALS, clients often experience swallowing difficulties, known as dysphagia. A speech-language pathologist specializes in assessing and managing these swallowing problems, making them the nurse's priority referral in this case. A psychologist primarily focuses on mental health and emotional well-being, which may not be the most critical issue at this stage. Social workers assist with social support and resources, while occupational therapists help with activities of daily living and mobility, which are important but not the priority when dysphagia is a concern.
4. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse implement?
- A. Use a donut-shaped cushion for sitting
- B. Turn the client every 4 hours
- C. Elevate the head of the bed to 45 degrees
- D. Massage reddened areas to increase circulation
Correct answer: C
Rationale: Elevating the head of the bed reduces pressure on bony prominences, which helps prevent pressure ulcers.
5. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following resources should the nurse provide?
- A. Personal blogs about managing diabetes medications
- B. Food exchange lists for meal planning from the American Diabetes Association
- C. Diabetes medication information from the Physicians' Desk Reference
- D. Food label recommendations from the Institute of Medicine
Correct answer: B
Rationale: The correct answer is B. Food exchange lists from the American Diabetes Association are a reliable resource for meal planning in diabetes. They provide structured guidance on appropriate food choices and portion sizes. Choice A, personal blogs, may not always offer accurate and evidence-based information. Choice C, diabetes medication information from the Physicians' Desk Reference, is not directly related to meal planning. Choice D, food label recommendations from the Institute of Medicine, while important for understanding nutritional content, may not provide the structured meal planning guidance needed for a client with type 2 diabetes mellitus.
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