ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is assessing a client who has a deep vein thrombosis (DVT). Which of the following findings should the nurse report to the provider?
- A. Calf tenderness.
- B. Shortness of breath.
- C. Elevated blood pressure.
- D. Respiratory rate of 18/min.
Correct answer: B
Rationale: Shortness of breath is a critical finding that can indicate a pulmonary embolism, a severe complication of DVT. This symptom suggests a potential life-threatening situation and requires immediate intervention. Calf tenderness, while common in DVT, is not as urgent as shortness of breath. Elevated blood pressure and a respiratory rate of 18/min are important to assess but are not typically as indicative of a serious complication like a pulmonary embolism.
2. What is the best way to monitor for infection in a patient with a central line?
- A. Check the central line site daily
- B. Monitor the patient's vital signs
- C. Check the central line dressing every other day
- D. Check for signs of sepsis
Correct answer: A
Rationale: The correct answer is A: Check the central line site daily. Monitoring the central line site daily is crucial in detecting early signs of infection, such as redness, swelling, tenderness, or drainage. By checking the site regularly, healthcare providers can take prompt action to prevent complications. Choice B, monitoring the patient's vital signs, while important in assessing overall health, may not specifically indicate an infection related to the central line. Choice C, checking the central line dressing every other day, may not be frequent enough to catch early signs of infection. Choice D, checking for signs of sepsis, is important but represents a more severe stage of infection and may occur after local signs at the central line site have already manifested.
3. What pathologic process is believed to be responsible for the development of postinfectious glomerulonephritis?
- A. Infarction of renal vessels
- B. Immune complex formation and glomerular deposition
- C. Bacterial endotoxin deposition on and destruction of glomeruli
- D. Embolization of glomeruli by bacteria and fibrin from endocardial vegetation
Correct answer: B
Rationale: Postinfectious glomerulonephritis is typically caused by immune complex deposition in the glomeruli following a streptococcal infection. This immune response leads to inflammation and impaired kidney function.
4. A client is receiving discharge teaching for a new prescription of metformin. Which of the following client statements demonstrates an understanding of the teaching?
- A. I will take this medication with my meals.
- B. I will take this medication at the same time every day.
- C. I will avoid drinking alcohol while taking this medication.
- D. I will expect to experience weight gain while taking this medication.
Correct answer: C
Rationale: The correct answer is C because clients taking metformin should avoid alcohol as it increases the risk of lactic acidosis. Choices A, B, and D are incorrect. Choice A is not specific to metformin but rather a general recommendation for some medications. Choice B is a good practice for medication adherence but does not relate specifically to metformin. Choice D is inaccurate as weight gain is not an expected side effect of metformin.
5. The interpersonal perspective ________.
- A. arose as a reaction against the unscientific methods of psychoanalysis.
- B. was introduced by Erik Erikson.
- C. emphasizes social rather than inner determinants of behavior.
- D. is the most influential humanistic perspective today.
Correct answer: C
Rationale: The interpersonal perspective emphasizes social rather than inner determinants of behavior. Choice A is incorrect as the interpersonal perspective focuses on social interactions rather than being a reaction against psychoanalysis. Choice B is incorrect as the interpersonal perspective is not specifically attributed to Erik Erikson. Choice D is incorrect as the most influential humanistic perspective today would be humanistic psychology, not the interpersonal perspective.
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