ATI RN
ATI Exit Exam
1. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, 'It's hard not to listen to the voices.' Which of the following questions should the nurse ask?
- A. Do you understand that the voices are not real?
- B. Why do you think the voices are talking to you?
- C. Have you tried going to a private place when this occurs?
- D. What helps you ignore what you are hearing?
Correct answer: D
Rationale: The correct answer is 'D: What helps you ignore what you are hearing?' Asking the client about coping mechanisms is essential in assisting them to manage auditory hallucinations. Choice A is incorrect as questioning the reality of the voices may not be helpful. Choice B delves into the cause of the hallucinations rather than coping strategies. Choice C focuses on isolation rather than addressing the client's coping mechanisms.
2. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?
- A. Operating room event involving the use of unsafe equipments
- B. Specific events that enable a hospital to maximize reimbursement
- C. An unexpected event involving death or serious physical or psychological injury
- D. An event that can cause serious injury to a client that should never happen in a hospital
Correct answer: An unexpected event involving death or serious physical or psychological injury
Rationale:
3. The client with peripheral venous disease is scheduled to go to the whirlpool for a dressing change. What is the nurse’s priority intervention?
- A. Escort the client to the physical therapy department
- B. Medicate the client 30 minutes before going to the whirlpool
- C. Obtain the sterile dressing supplies for the client
- D. Assist the client to the bathroom prior to the treatment
Correct answer: B
Rationale: The correct answer is B. Pain management is essential before the procedure to ensure the client’s comfort and cooperation during the dressing change. Escorting the client to the physical therapy department (Choice A) is not the priority at this point. Obtaining sterile dressing supplies (Choice C) is important but not the priority before addressing pain management. Assisting the client to the bathroom (Choice D) is not the priority intervention for a dressing change in the whirlpool.
4. Which term describes a combination of economic and social factors detailing an individual or family's position, including income, education, and occupation?
- A. Culture
- B. Socioeconomic status
- C. Risk factors
- D. Ethnic gloss
Correct answer: B
Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status (SES) is a term used to combine economic and social factors to describe an individual's or family's position in society. Choice A, Culture, refers to the beliefs, customs, and practices of a specific group of people. Choice C, Risk factors, are characteristics or exposures that increase the likelihood of developing a disease or injury. Choice D, Ethnic gloss, is not a term related to the description of an individual or family's economic and social position.
5. A paranoid client refuses to eat telling you that you poisoned his food. The best intervention to this client is:
- A. Taste the food in front of him and tell him that the food is not poisoned
- B. Offer other types of food until the client eats
- C. Simply state that the food is not poisoned
- D. Offer sealed foods
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
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