ATI RN
ATI RN Exit Exam Quizlet
1. A client who has a new diagnosis of tuberculosis should be placed in which type of room to prevent the spread of airborne pathogens?
- A. Administer isoniazid by mouth daily.
- B. Place the client in droplet isolation.
- C. Wear a surgical mask when transporting the client.
- D. Place the client in a negative pressure room.
Correct answer: D
Rationale: Clients diagnosed with tuberculosis should be placed in a negative pressure room to prevent the spread of airborne pathogens. Option A is incorrect because administering isoniazid is a treatment for tuberculosis, not a preventive measure related to infection control. Option B is incorrect as droplet isolation is used for diseases transmitted through respiratory droplets, not airborne pathogens like tuberculosis. Option C is incorrect as wearing a surgical mask is not sufficient to prevent the spread of tuberculosis in healthcare settings; placing the client in a negative pressure room is the most effective measure.
2. What is the best intervention for a patient with suspected deep vein thrombosis (DVT)?
- A. Administer anticoagulants
- B. Apply compression stockings
- C. Encourage ambulation
- D. Monitor oxygen saturation
Correct answer: A
Rationale: The best intervention for a patient with suspected deep vein thrombosis (DVT) is to administer anticoagulants. Anticoagulants help prevent further clot formation and reduce the risk of complications such as pulmonary embolism. Applying compression stockings can help manage symptoms but does not address the underlying issue of clot formation. Encouraging ambulation is beneficial for overall circulation but may not be sufficient to treat DVT. Monitoring oxygen saturation is important, but it is not the primary intervention for suspected DVT.
3. A nurse is providing discharge teaching to a client who has had a total hip arthroplasty. Which of the following client statements indicates a need for further teaching?
- A. I will avoid sitting in a chair for longer than 30 minutes.
- B. I will avoid crossing my legs when sitting.
- C. I will bend at the hips to pick up items from the floor.
- D. I will avoid using a raised toilet seat.
Correct answer: C
Rationale: The correct answer is C because bending at the hips can dislocate the hip joint in clients who have had a total hip arthroplasty. This movement should be avoided to prevent complications post-surgery. Choices A, B, and D are all correct statements for a client who has had a total hip arthroplasty. Avoiding prolonged sitting, crossing legs, and using a raised toilet seat are all appropriate measures to ensure proper healing and prevent complications.
4. A client is starting therapy with a statin medication. Which of the following instructions should the nurse include?
- A. Take the medication on an empty stomach.
- B. Avoid consuming grapefruit juice.
- C. Increase intake of dietary fiber.
- D. Take the medication in the morning.
Correct answer: B
Rationale: The correct instruction the nurse should include is to advise the client to avoid consuming grapefruit juice when taking statin medication. Grapefruit juice can interfere with the metabolism of statins, leading to an increased risk of adverse effects. Taking the medication on an empty stomach (Choice A) or in the morning (Choice D) is not specifically necessary for statins. While increasing dietary fiber intake (Choice C) is generally beneficial for health, it is not a specific instruction related to taking statin medication.
5. What is the best intervention for a patient experiencing severe hypoglycemia?
- A. Administer IV dextrose
- B. Administer oral glucose
- C. Monitor blood sugar levels
- D. Recheck blood sugar in 15 minutes
Correct answer: A
Rationale: The best intervention for a patient experiencing severe hypoglycemia is to administer IV dextrose. This intervention is necessary to rapidly raise blood sugar levels in critical situations. Administering oral glucose may not be effective in severe cases as the patient may be unable to consume it. Monitoring blood sugar levels and rechecking blood sugar in 15 minutes are important steps but not the initial best intervention for severe hypoglycemia.
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