ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nurse take?
- A. Apply zinc oxide ointment to the irritated area
- B. Wipe stool from the skin using store-bought baby wipes
- C. Apply talcum powder to the irritated area
- D. Apply a warm compress to the irritated area
Correct answer: A
Rationale: Correct answer: Applying zinc oxide ointment to the irritated area is the most appropriate action for diaper dermatitis. Zinc oxide is a barrier cream that helps protect the skin and promote healing. Choice B is incorrect because using store-bought baby wipes may contain chemicals or fragrances that can further irritate the skin. Choice C is incorrect as talcum powder can also worsen the condition by drying out the skin. Choice D is incorrect because a warm compress is not typically used for diaper dermatitis; it may provide relief for other conditions but is not the best option for diaper dermatitis.
2. Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct answer: A
Rationale: A key component of the chronic care model involves implementing community health education programs. These programs are essential for supporting self-management among individuals with chronic conditions and have been shown to improve health outcomes by empowering patients with the knowledge and skills needed to manage their conditions effectively.
3. A client complains of difficulty swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse take?
- A. Dissolve the capsule in a glass of water
- B. Break the capsule and give the contents with applesauce
- C. Check the availability of a liquid preparation
- D. Crush the capsule and place it under the tongue
Correct answer: C
Rationale: When a client has difficulty swallowing capsule medication, the nurse should check the availability of a liquid preparation. This is a safer approach and ensures that the medication's integrity is maintained, providing an alternative form that is easier for the client to take. Dissolving the capsule in water (choice A) may alter the medication's effectiveness, breaking the capsule and mixing the contents with applesauce (choice B) is not recommended as it may cause an unpleasant taste, and crushing the capsule and placing it under the tongue (choice D) can be unsafe and affect the medication's absorption.
4. A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is experiencing dyspnea. Which of the following actions should the nurse take?
- A. Encourage the client to take deep breaths.
- B. Place the client in a high-Fowler's position.
- C. Administer a bronchodilator.
- D. Administer oxygen at 6 L/min via face mask.
Correct answer: B
Rationale: The correct answer is to place the client in a high-Fowler's position. This position helps improve breathing by expanding the lungs and aiding in better oxygenation. Encouraging the client to take deep breaths may not be effective in managing dyspnea in COPD as it can lead to fatigue. Administering a bronchodilator may be necessary but placing the client in a high-Fowler's position should be the priority. Administering oxygen at 6 L/min via face mask may also be needed, but positioning is the initial intervention to optimize respiratory function.
5. Which step of the management process is concerned with Policy making and Stating the goals and objective of the institution?
- A. Planning
- B. Organizing
- C. Directing
- D. Controlling
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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