ATI RN
ATI RN Comprehensive Exit Exam
1. What is the most effective intervention for a patient experiencing acute pain?
- A. Administer analgesics
- B. Reposition the patient
- C. Provide non-pharmacological interventions
- D. Administer IV fluids
Correct answer: A
Rationale: Administering analgesics is the most effective intervention for a patient experiencing acute pain as it directly targets the pain receptors and provides relief. Repositioning the patient may help in some cases, but it is not the primary intervention for managing acute pain. Non-pharmacological interventions can be beneficial as adjuncts to pain management but might not provide immediate relief. Administering IV fluids is not a standard intervention for acute pain unless dehydration is contributing to the pain.
2. A nurse in a mental health facility receives a change of shift report on four clients. Which of the following clients should the nurse plan to assess first?
- A. Client placed in restraints due to aggressive behavior
- B. A new client with a history of 4.5 kg weight loss in the past two months
- C. Client receiving PRN dose of haloperidol 2 hours ago for anxiety
- D. Client receiving first ECT treatment today
Correct answer: A
Rationale: The nurse should plan to assess the client placed in restraints due to aggressive behavior first. Clients in restraints require immediate attention and frequent monitoring for safety. While weight loss, medication administration, and ECT treatment are important, the client in restraints is in a critical situation that requires immediate assessment and intervention.
3. Nurses caring for four clients. Which of the following client data should the nurse report to the provider?
- A. A client who has pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
- B. Client drained a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hours following surgery
- C. Client who is 4 hours postoperative and has a heart rate of 98 per minute
- D. The client has a prescription for chemotherapy and an absolute neutrophil count of 75/mm3
Correct answer: D
Rationale: The correct answer is D. The client with chemotherapy and a low neutrophil count is at risk for infection and requires prompt intervention. Reporting this information to the provider is crucial to ensure appropriate monitoring and management to prevent potential complications. Choices A, B, and C do not indicate an immediate risk that requires immediate provider notification. A client reporting pain with pleurisy, a client draining fluid post-surgery, or a client with a heart rate of 98 per minute postoperative are not urgent enough to warrant immediate reporting compared to the client at risk for infection.
4. A nurse is providing teaching to a client with asthma. Which of the following client statements indicates a need for further teaching?
- A. I should use my albuterol inhaler before I exercise.
- B. I should avoid using my inhaler more than twice a week.
- C. I should take my inhaler only when I feel short of breath.
- D. I should rinse my mouth after using my corticosteroid inhaler.
Correct answer: C
Rationale: The correct answer is C because the client stating they should only take the inhaler when feeling short of breath indicates a need for further teaching. Clients with asthma should use their inhaler as prescribed, not just when short of breath. Choices A, B, and D demonstrate good asthma management practices. Choice A indicates understanding of using the albuterol inhaler before exercise to prevent exercise-induced symptoms. Choice B mentions the importance of not overusing the inhaler, which can indicate poor asthma control. Choice D shows awareness of rinsing the mouth after using a corticosteroid inhaler to prevent oral thrush.
5. A client with a new diagnosis of type 2 diabetes mellitus is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to check my blood glucose level once a week.
- B. I will limit my carbohydrate intake to 50 grams per day.
- C. I should avoid eating foods high in protein.
- D. I should eat a snack if my blood glucose level is below 200 mg/dL.
Correct answer: D
Rationale: The correct answer is D. Clients with diabetes should eat a snack if their blood glucose level is below 70 mg/dL, not 200 mg/dL. Option A is incorrect because checking blood glucose levels once a week may not provide adequate monitoring for someone with diabetes. Option B is incorrect as a strict limit of 50 grams of carbohydrates per day may not be suitable for everyone and can vary based on individual needs. Option C is incorrect as it is important for clients with diabetes to have a balanced diet that includes protein in moderation.
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