ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is caring for a client who is postpartum and reports perineal pain. Which intervention should the nurse implement?
- A. Administer analgesics as prescribed.
- B. Apply a warm compress to the perineum.
- C. Encourage the client to ambulate frequently.
- D. Position the client with the head elevated.
Correct answer: A
Rationale: Administering analgesics as prescribed is the appropriate intervention for managing perineal pain in a postpartum client. Analgesics help to alleviate discomfort and promote the client's recovery. Applying a warm compress (choice B) may provide some relief, but it does not address the pain as effectively as analgesics. Encouraging ambulation (choice C) and positioning the client with the head elevated (choice D) are not directly related to addressing perineal pain.
2. A nurse is assessing a client who has a peripherally inserted central catheter (PICC). Which of the following findings should the nurse report to the provider?
- A. Redness at the insertion site.
- B. Swelling of the arm above the insertion site.
- C. A bruised area around the insertion site.
- D. A temperature of 37.2°C (99°F).
Correct answer: B
Rationale: Swelling of the arm above the insertion site is concerning as it can indicate complications like thrombosis, which require immediate attention. Redness at the insertion site is common and expected in the initial stages. A bruised area around the insertion site may result from the insertion procedure and is usually not alarming unless it worsens or becomes larger. A temperature of 37.2°C (99°F) is within the normal range and is not directly related to PICC complications.
3. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment by assessing which of the following?
- A. A chest x-ray reveals increased density in all lung fields
- B. The client reports feeling less anxious
- C. Diminished breath sounds are auscultated unilaterally
- D. ABG results include pH 7.48, PaO2 77 mm Hg, and PaCO2 47 mm Hg
Correct answer: B
Rationale: The correct answer is B. Client-reported improvement in anxiety is an indication of effective treatment for pulmonary embolism. Choice A is incorrect as increased density in all lung fields on a chest x-ray may indicate complications or lack of improvement. Choice C is incorrect as diminished breath sounds auscultated unilaterally may suggest a localized lung issue and not necessarily reflect the effectiveness of treatment for a pulmonary embolism. Choice D is incorrect as the ABG results provided do not specifically indicate the effectiveness of treatment for a pulmonary embolism.
4. A nurse is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurses is the nurse demonstrating?
- A. Quality improvement
- B. Patient safety
- C. Evidence-based practice
- D. Informatics
Correct answer: A
Rationale: The correct answer is A: Quality improvement. Completing an incident report after a client fall aligns with the quality improvement competency of QSEN, as it involves identifying a system issue (fall incident) that needs to be addressed to enhance the quality of care. Choice B, patient safety, focuses more on preventing harm to patients rather than the systematic improvement process. Choice C, evidence-based practice, pertains to integrating research evidence with clinical expertise and patient values in decision-making, which is not directly related to incident reporting. Choice D, informatics, involves using technology and data to support decision-making and improve patient care, which is not the primary focus when completing an incident report.
5. A nurse is caring for a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?
- A. Place a pillow under the client's knees
- B. Keep the client's legs elevated
- C. Flex the client's knee every 2 hours
- D. Apply heat to the operative knee
Correct answer: B
Rationale: Keeping the client's legs elevated is the appropriate action to prevent venous thromboembolism following a total knee arthroplasty. Elevating the legs helps promote circulation and reduce the risk of blood clots. Placing a pillow under the client's knees may provide comfort but does not address the specific postoperative complication. Flexing the client's knee every 2 hours may be contraindicated as excessive movement can disrupt the surgical site. Applying heat to the operative knee is not recommended immediately postoperatively as it can increase swelling and discomfort.
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