ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Serosanguineous drainage on the surgical dressing.
- B. Heart rate of 88/min.
- C. Blood pressure of 118/76 mm Hg.
- D. Temperature of 38.8°C (101.8°F).
Correct answer: D
Rationale: A temperature of 38.8°C (101.8°F) is above the normal range and may indicate infection, which should be reported. Elevated temperature postoperatively can be a sign of infection, especially in the early postoperative period. Serosanguineous drainage on the surgical dressing is expected in the early postoperative period. A heart rate of 88/min and a blood pressure of 118/76 mm Hg are within normal ranges and do not necessarily indicate a complication postoperatively.
2. What procedure uses a balloon to open narrowed or blocked blood vessels in the heart?
- A. Angioplasty
- B. Coronary artery bypass graft
- C. Stent placement
- D. Valve replacement
Correct answer: A
Rationale: The correct answer is Angioplasty. Angioplasty is a procedure that involves using a balloon to open narrowed or blocked blood vessels in the heart, thereby improving blood flow. This choice is correct because it directly matches the description provided in the question. Choices B, C, and D are incorrect because they involve different procedures: Bypass graft is a surgical procedure to redirect blood flow, stent placement involves inserting a mesh tube to keep an artery open, and valve replacement is the surgical replacement of a heart valve.
3. Being in contact with reality and the environment is a function of the:
- A. conscience
- B. ego
- C. id
- D. super ego
Correct answer: B
Rationale: Being in contact with reality and the environment is a function of the ego. The ego is responsible for mediating between the id's basic desires, the superego's idealistic standards, and the real world. The conscience (not listed as a choice) is related to feelings of guilt or moral responsibility. The id represents primal instincts, and the superego represents the internalized ideals and moral standards.
4. A client is experiencing mild anxiety. Which of the following findings should the nurse expect?
- A. Feelings of dread
- B. Heightened perceptual field
- C. Rapid speech
- D. Purposeless activity
Correct answer: B
Rationale: In clients experiencing mild anxiety, a heightened perceptual field is a common finding. This means that the individual may be more alert and observant of their surroundings, sometimes to the point of being hyper-aware. Choices A, C, and D are less likely to be associated with mild anxiety. Feelings of dread (Choice A) are more commonly seen in moderate to severe anxiety. Rapid speech (Choice C) may be observed in some cases of anxiety, but it is not a specific hallmark of mild anxiety. Purposeless activity (Choice D) is more indicative of severe anxiety or other mental health conditions.
5. A predisposition toward developing a disorder is termed a ________.
- A. diathesis
- B. comorbidity
- C. genotype
- D. phenotype
Correct answer: A
Rationale: A diathesis is indeed the correct term for a predisposition toward developing a disorder. A diathesis refers to an underlying vulnerability or predisposition to a particular condition. Choice B, 'comorbidity,' refers to the presence of two or more disorders in the same individual. Choice C, 'genotype,' relates to an individual's genetic makeup. Choice D, 'phenotype,' refers to the observable characteristics of an organism resulting from the interaction of its genotype with the environment. Therefore, A is the most appropriate term for describing a predisposition toward developing a disorder.
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