ATI RN
ATI Exit Exam
1. A nurse is assessing a client who has just returned from surgery and is experiencing acute pain. Which of the following findings should the nurse expect?
- A. Bradycardia.
- B. Hypotension.
- C. Diaphoresis.
- D. Hyperactive bowel sounds.
Correct answer: C
Rationale: The correct answer is C: Diaphoresis. Diaphoresis, which is excessive sweating, is a common response to acute pain due to increased sympathetic nervous system activity. Options A and B, Bradycardia and Hypotension, are unlikely findings in a client experiencing acute pain as pain usually triggers an increase in heart rate (tachycardia) and blood pressure. Option D, Hyperactive bowel sounds, is not typically associated with acute pain.
2. One important contribution of Freud's theory was that ________.
- A. he truly understood the role of women in society.
- B. he heavily utilized experimental evidence to support his theories.
- C. he applied the same principles to normal and abnormal behavior.
- D. he increased the focus on positive growth for individuals.
Correct answer: C
Rationale: Freud's important contribution was that he applied the same principles to both normal and abnormal behavior. This approach allowed for a comprehensive understanding of human behavior without creating a rigid distinction between normal and abnormal psychology. Choice A is incorrect because Freud's theory did not primarily focus on the role of women in society. Choice B is incorrect as Freud's theories were largely based on clinical observations and case studies rather than experimental evidence. Choice D is incorrect as Freud's theory emphasized the unconscious mind and conflicts rather than solely focusing on positive growth for individuals.
3. A client is being taught relaxation techniques to manage anxiety. Which of the following techniques should not be included in the teaching? Select all that apply.
- A. Deep breathing exercises
- B. Progressive muscle relaxation
- C. Mindfulness meditation
- D. Cognitive restructuring
Correct answer: D
Rationale: Deep breathing exercises, progressive muscle relaxation, and mindfulness meditation are commonly used relaxation techniques to manage anxiety. Cognitive restructuring is a cognitive-behavioral technique aimed at changing negative thought patterns and beliefs, not a relaxation technique. It focuses on altering cognitive distortions rather than inducing physical relaxation responses.
4. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
- A. Within 4 days after discharge
- B. Within 24 hours after discharge
- C. Within 1 hour after discharge
- D. Within 1 week of discharge
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.
5. A nurse is teaching the partner of a client who had a stroke about manifestations of dysphagia. Which of the following statements by the client's partner indicates the need for further teaching?
- A. I will monitor my husband for coughing while he is eating
- B. I will monitor my husband for pocketing food in his mouth
- C. I will monitor for a change in my husband's voice after he swallows
- D. I will monitor my husband for tilting his head forward when he swallows
Correct answer: D
Rationale: The correct answer is D. Tilting the head forward during swallowing is not a compensatory technique for dysphagia and may increase the risk of aspiration. Choices A, B, and C are correct statements indicating appropriate monitoring for manifestations of dysphagia: coughing while eating, pocketing food in the mouth, and changes in voice after swallowing are all signs that should be monitored.
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