ATI RN
ATI Exit Exam RN
1. A client is postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 90/min
- B. Temperature of 37.1°C (98.8°F)
- C. Serosanguineous wound drainage
- D. Urine output of 25 mL/hr
Correct answer: D
Rationale: A urine output of 25 mL/hr is a sign of oliguria, which may indicate dehydration or kidney impairment and should be reported. A heart rate of 90/min is within the normal range (60-100/min) for adults at rest and may be expected postoperatively. A temperature of 37.1°C (98.8°F) is within the normal range (36.1-37.2°C or 97-99°F) and does not indicate an immediate concern. Serosanguineous wound drainage is a common finding postoperatively and indicates a normal healing process.
2. Difficulties with eating, sleeping, playing, repetitive or difficult behaviors, and paying attention may all be caused in part by which of the following?
- A. Cognitive delays
- B. Lack of motivation for mastery
- C. Sensory processing challenges
- D. Imitation deficits
Correct answer: C
Rationale: Sensory processing challenges can affect various aspects of a child's daily life, including eating, sleeping, playing, behavior, and attention. These challenges can lead to difficulties in processing sensory information, which may manifest in different behaviors and impact their overall functioning.
3. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?
- A. Notify the provider
- B. Check the condition of the client
- C. Document the occurrence in the electronic medical record
- D. Complete an incident report
Correct answer: B
Rationale: The correct answer is to 'Check the condition of the client' first. When a medication error occurs, the nurse's initial priority should be to assess the client's condition to address any immediate harm or side effects. Notifying the provider can come after ensuring the client's safety. Documenting the occurrence in the electronic medical record and completing an incident report are important steps but should follow the assessment of the client's condition to prioritize patient safety.
4. Which best describes an effective approach to community health assessment?
- A. Using standardized assessment tools
- B. Collecting qualitative and quantitative data
- C. Engaging community members in the assessment process
- D. Analyzing health trends over time
Correct answer: C
Rationale: Engaging community members in the assessment process is crucial for an effective community health assessment. By involving community members, the assessment becomes more comprehensive, inclusive, and reflective of the actual needs and priorities of the community. This approach helps in gathering insights, perspectives, and first-hand experiences that may not be captured through standardized tools or data analysis alone. Community engagement fosters trust, collaboration, and empowerment within the community, leading to more meaningful and sustainable health interventions.
5. When educating a client who has a prescription for Propranolol, what instruction should the healthcare provider include?
- A. Take this medication with food.
- B. Discontinue the medication if you feel fatigued.
- C. Expect to have decreased heart rate with this medication.
- D. Do not stop taking this medication abruptly.
Correct answer: D
Rationale: The correct instruction for a client with a prescription for Propranolol is not to stop taking the medication abruptly. Abrupt cessation can result in rebound hypertension or other cardiac complications. It is crucial for the client to taper off the medication gradually under healthcare provider supervision to prevent adverse effects. Choice A is incorrect because Propranolol can be taken with or without food. Choice B is incorrect as discontinuing the medication based on fatigue alone is not advisable without consulting a healthcare provider. Choice C is incorrect because while Propranolol can decrease heart rate, it is not the primary instruction to provide in this scenario.
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