ATI RN
ATI RN Exit Exam
1. A nurse is assessing a client who has deep vein thrombosis (DVT) in the left lower extremity. Which of the following findings should the nurse expect?
- A. Pain in the right lower extremity
- B. Cold skin in the affected extremity
- C. Redness and warmth in the affected extremity
- D. Shiny skin on the affected extremity
Correct answer: C
Rationale: Corrected Rationale: Redness and warmth are classic signs of inflammation, which are commonly seen in clients with deep vein thrombosis (DVT). These findings indicate increased blood flow and temperature in the affected area. Pain in the right lower extremity (Choice A) is not expected in a client with DVT affecting the left lower extremity. Cold skin (Choice B) is not a typical finding in DVT; instead, warmth is more indicative of inflammation. Shiny skin (Choice D) is not a common characteristic of DVT; rather, the skin may appear red, swollen, and warm due to the inflammatory process.
2. The nurse is assessing the patient for the presence of a Chvostek's sign. What electrolyte imbalance does a positive Chvostek's sign indicate?
- A. Hypermagnesemia
- B. Hypomagnesemia
- C. Hypocalcemia
- D. Hyperkalemia
Correct answer: C
Rationale: Chvostek's sign is characterized by a brief contraction of the upper lip, nose, or side of the face and is indicative of hypocalcemia, making choice C the correct answer. Hypomagnesemia (choice B) is associated with Trousseau's sign, not Chvostek's sign. Hypermagnesemia (choice A) is not related to Chvostek's sign. Hyperkalemia (choice D) is not typically associated with Chvostek's sign; instead, it may present with muscle weakness and cardiac arrhythmias.
3. The patient asks the nurse if he will die if air bubbles get into the IV tubing. What is the nurse's best response?
- A. The system is closed, and that scenario is highly unlikely.
- B. Only relatively large volumes of air administered rapidly are dangerous.
- C. There is a risk of complications associated with IV administration.
- D. You have been influenced by movies too much.
Correct answer: B
Rationale: The correct answer is B because air emboli are more commonly associated with central vein access. Usually, only relatively large volumes of air administered rapidly are dangerous. It is a significant concern when air enters a central venous access line. Choice A is incorrect as it downplays the risk and is not entirely accurate. Choice C is too general and does not specifically address the patient's concern. Choice D is dismissive and does not provide any relevant information regarding the risk of air bubbles in IV tubing.
4. The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss?
- A. Scrub Nurse
- B. Surgeon
- C. Anaesthesiologist
- D. Circulating Nurse
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
5. Theorists who emphasize plasticity believe that __________.
- A. change in response to influential experiences is possible
- B. heredity, rather than the environment, influences behavior
- C. individuals who are high in anxiety as children will remain so at later ages
- D. early experiences establish a lifelong pattern of behavior
Correct answer: A
Rationale: Theorists who emphasize plasticity believe that change in response to influential experiences is possible. They argue that individuals have the capacity to adapt and change their behavior based on their experiences, rather than being limited by genetic predispositions or early childhood experiences. This perspective highlights the importance of environmental influences in shaping behavior and development. Choices B, C, and D are incorrect because they do not align with the concept of plasticity, which emphasizes the flexibility and adaptability of individuals in response to their experiences, rather than being fixed by heredity, childhood traits, or early experiences.
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