ATI RN
ATI RN Exit Exam Test Bank
1. A client has deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan of care?
- A. Apply cold compresses to the affected extremity.
- B. Massage the affected extremity every 2 hours.
- C. Elevate the affected extremity above the level of the heart.
- D. Keep the affected extremity dependent when sitting.
Correct answer: C
Rationale: The correct intervention for a client with deep vein thrombosis (DVT) is to elevate the affected extremity above the level of the heart. This position promotes venous return, reduces swelling, and helps prevent complications such as pulmonary embolism. Applying cold compresses (choice A) can vasoconstrict blood vessels, potentially worsening the condition. Massaging the affected extremity (choice B) can dislodge the clot and lead to serious complications. Keeping the affected extremity dependent when sitting (choice D) can hinder venous return and exacerbate the DVT.
2. A client comes to the emergency department reporting chest pain that is sharp, knife-like, and localized to an area he points to with one finger. The nurse should document this chest pain as which of the following?
- A. Angina pectoris
- B. Cardiogenic pain
- C. Myocardial infarction
- D. Pleuritic pain
Correct answer: Pleuritic pain
Rationale: The correct answer is 'Pleuritic pain.' Pleuritic pain is characterized by sharp, knife-like pain that worsens with deep breathing or coughing and is localized to a specific area. This type of pain is often associated with inflammation of the pleura. Choices A, B, and C are incorrect. Angina pectoris is a type of chest pain caused by reduced blood flow to the heart muscle. Cardiogenic pain refers to pain originating from the heart itself. Myocardial infarction is the medical term for a heart attack.
3. To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:
- A. take baseline vital signs
- B. warm the blood to room temperature for 30 minutes before administering the transfusion
- C. have two nurses verify client identification, blood type, unit number, and expiration date of blood
- D. get consent signed for blood transfusion
Correct answer: D
Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.
4. Developmental science is __________ because it has grown through the combined efforts of people from many fields of study.
- A. interdisciplinary
- B. empirical
- C. applied
- D. theoretical
Correct answer: A
Rationale: Correct answer: Developmental science is interdisciplinary because it integrates knowledge from multiple fields like psychology, biology, and sociology. The term 'empirical' refers to information gained from observation or experimentation, which is not the focus of this question. 'Applied' and 'theoretical' do not capture the essence of developmental science requiring inputs from various disciplines.
5. Clients with type 2 diabetes are most likely to achieve metabolic control if they:
- A. lose weight
- B. use self-monitoring of blood glucose
- C. eliminate all dietary sugars
- D. eat three regular meals daily
Correct answer: A
Rationale: Weight loss improves insulin sensitivity and glycemic control, making it a key strategy in managing type 2 diabetes.
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