ATI RN
ATI RN Exit Exam Test Bank
1. A nurse is caring for a client who is at risk for developing a deep vein thrombosis (DVT). Which of the following interventions should the nurse implement?
- A. Massage the client's legs every 2 hours.
- B. Instruct the client to sit with the legs crossed.
- C. Administer prophylactic antibiotics.
- D. Apply sequential compression devices to the client's legs.
Correct answer: D
Rationale: The correct answer is D: Apply sequential compression devices to the client's legs. Sequential compression devices help prevent venous stasis and reduce the risk of DVT by promoting blood flow in the legs. Massaging the client's legs every 2 hours (choice A) may dislodge a clot if present, leading to a higher risk of embolism. Instructing the client to sit with the legs crossed (choice B) can impede blood flow and increase the risk of DVT. Administering prophylactic antibiotics (choice C) is not indicated for preventing DVT, as antibiotics are used to treat infections caused by bacteria, not to prevent blood clots.
2. Which of the following is not a cultural aspect related to mental illness?
- A. Local or cultural norms define pathological behavior.
- B. The higher the social class, the greater the recognition of mental illness behaviors.
- C. Psychiatrists typically see patients when the family can no longer deny the illness.
- D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion.
Correct answer: D
Rationale: The statement in option D is incorrect. The greater the cultural distance from the mainstream of society, the more likely there will be negative responses to mental illness. In such cases, coercive treatments and involuntary hospitalizations are more common, rather than sensitivity and compassion.
3. During the oliguric phase of acute kidney injury, what intervention should be included in the plan of care for a child?
- A. Administer a loop diuretic.
- B. Provide a low-sodium diet.
- C. Weigh the child weekly.
- D. Provide a high-protein diet.
Correct answer: A
Rationale: During the oliguric phase of acute kidney injury, the priority is managing fluid balance. Administering a loop diuretic is crucial to promote diuresis and reduce fluid retention, aiding in managing the condition effectively. Providing a low-sodium diet may be beneficial but is not the priority intervention during this phase. Weighing the child weekly is important for monitoring overall health but does not directly address the oliguric phase. Providing a high-protein diet is not typically recommended in acute kidney injury, especially during the oliguric phase, as it can put additional stress on the kidneys.
4. In osteoporosis, what is the expected therapeutic action of raloxifene (Evista)?
- A. It decreases bone resorption and increases bone density.
- B. It stimulates the formation of new bone.
- C. It increases calcium absorption in the intestines.
- D. It decreases the excretion of calcium through the kidneys.
Correct answer: A
Rationale: The correct answer is A. Raloxifene works by decreasing bone resorption and increasing bone density. This helps in strengthening bones, reducing the risk of fractures, and improving bone health in patients with osteoporosis. Choice B is incorrect because raloxifene does not directly stimulate the formation of new bone but rather prevents bone loss. Choice C is incorrect as raloxifene does not primarily affect calcium absorption in the intestines. Choice D is also incorrect as raloxifene does not primarily decrease the excretion of calcium through the kidneys.
5. Which of the following statements is correct about MyPlate?
- A. Canned fruit can be considered part of the fruit group
- B. Soymilk is considered part of the dairy group
- C. Beans and peas are considered part of both the protein group and the vegetable group
- D. Cream cheese and butter are not part of the dairy group
Correct answer: C
Rationale: According to the MyPlate guide, beans and peas are classified as part of both the protein and vegetable groups due to their high protein content and the nutrients they share with vegetables. This makes Choice C correct. Choice A is incorrect as canned fruit can be part of the fruit group if it's canned in water or 100% fruit juice. Soymilk is considered part of the dairy group, making Choice B incorrect. While cream cheese and butter are dairy products, they are not part of the dairy group on MyPlate because they contain little to no calcium, making Choice D incorrect.
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