ATI RN
ATI Comprehensive Exit Exam 2023
1. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy. Which of the following information should the charge nurse include?
- A. The proxy should make health care decisions for the client regardless of the client's ability to do so
- B. The proxy can make financial decisions if the need arises
- C. The proxy can make treatment decisions if the client is under anesthesia
- D. The proxy should manage legal issues for the client
Correct answer: C
Rationale: The correct answer is C because the health care proxy can make treatment decisions for the client if the client is under anesthesia. This aligns with the concept of durable power of attorney for health care, where the proxy is authorized to make health care decisions when the client is unable to do so. Choices A, B, and D are incorrect. Choice A is incorrect because the proxy should make health care decisions only when the client is unable to do so. Choice B is incorrect as financial decisions are not typically within the scope of a health care proxy. Choice D is incorrect as managing legal issues is not the primary role of a health care proxy.
2. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include?
- A. Critical pathways have unlimited timeframes for completion.
- B. Critical pathways are designed to decrease health care costs.
- C. Patients follow the critical pathway if variances occur.
- D. Budgets are used to create the critical pathway.
Correct answer: B
Rationale: The correct answer is B. Critical pathways are structured, multi-disciplinary plans of care designed to decrease health care costs and improve outcomes by standardizing and streamlining processes. Choice A is incorrect because critical pathways have specific timeframes for completion. Choice C is incorrect as patients are expected to follow the critical pathway without deviations to achieve optimal outcomes. Choice D is incorrect because budgets do not create critical pathways; rather, they are based on clinical guidelines and best practices.
3. A client is prescribed albuterol. Which of the following instructions should the nurse include?
- A. Take this medication before meals.
- B. You might experience tremors while taking this medication.
- C. Limit your caffeine intake while taking this medication.
- D. Take this medication at bedtime.
Correct answer: B
Rationale: The correct answer is B. Albuterol can cause tremors as a common side effect. Instructing the client about this potential side effect is crucial for their awareness and preparedness. Choices A, C, and D are incorrect because taking albuterol before meals, limiting caffeine intake, or taking it at bedtime are not specific instructions related to managing the side effects of albuterol like tremors.
4. What is the best intervention for a patient experiencing respiratory distress?
- A. Administer oxygen
- B. Administer bronchodilators
- C. Administer IV fluids
- D. Provide humidified air
Correct answer: A
Rationale: Administering oxygen is the best intervention for a patient experiencing respiratory distress because it helps improve oxygenation and alleviate respiratory distress. Oxygen therapy is a critical and priority intervention in such cases as it aims to increase oxygen levels in the blood. Administering bronchodilators may be beneficial for specific respiratory conditions like asthma or COPD, but oxygen should be the initial priority. Administering IV fluids and providing humidified air, while important in certain situations, are not the primary interventions for respiratory distress.
5. A nurse is caring for an infant who has a prescription for continuous pulse oximetry. Which of the following is an appropriate action for the nurse to take?
- A. Place the infant under a radiant warmer
- B. Move the probe site every 3 hours
- C. Heat the skin one minute prior to placing the probe
- D. Place a sensor on the index finger
Correct answer: B
Rationale: The correct answer is to move the probe site every 3 hours. This action helps prevent skin breakdown and ensures accurate readings. Placing the infant under a radiant warmer (Choice A) is not necessary for pulse oximetry monitoring. Heating the skin before placing the probe (Choice C) can potentially cause burns in infants. Placing a sensor on the index finger (Choice D) is not the standard practice for continuous pulse oximetry in infants.
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