ATI RN
ATI RN Exit Exam 2023
1. A nurse is caring for a client who is receiving oxytocin to augment labor. The client's contractions are occurring every 90 seconds with a duration of 90 seconds. Which of the following actions should the nurse take?
- A. Increase oxytocin infusion.
- B. Decrease oxytocin infusion.
- C. Maintain oxytocin infusion.
- D. Discontinue oxytocin infusion.
Correct answer: D
Rationale: The correct action for the nurse to take in this scenario is to discontinue the oxytocin infusion. With contractions occurring every 90 seconds with a duration of 90 seconds, the contractions are too frequent and prolonged, which can lead to uterine rupture or fetal distress. Increasing or maintaining the oxytocin infusion would exacerbate the situation, potentially causing harm to the mother and fetus. Decreasing the oxytocin infusion might not be sufficient to address the issue, making discontinuation the most appropriate action to ensure the safety of both the client and the baby.
2. When explaining one of the main differences between narcolepsy and obstructive sleep apnea syndrome, what should the nurse mention?
- A. Symptoms of the two diagnoses are essentially the same, making it difficult to differentiate between them.
- B. People with narcolepsy awaken from a nap feeling rested and replenished.
- C. People with obstructive sleep apnea syndrome can experience temporary paralysis during naps.
- D. Naps are contraindicated for clients with narcolepsy due to their association with catatonia.
Correct answer: B: People with narcolepsy awaken from a nap feeling rested and replenished.
Rationale: Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden attacks of sleep, while obstructive sleep apnea syndrome involves the obstruction of the upper airway during sleep. One of the main differences is that people with narcolepsy often experience refreshing naps, feeling rested and replenished upon waking, which is not the case for obstructive sleep apnea syndrome. This distinction is important for healthcare providers to understand as it helps differentiate between these two sleep disorders.
3. Living organisms use oxygen to __________________.
- A. reduce heat production
- B. accept electrons for cellular metabolism
- C. release energy stored in the molecules of food
- D. remove metabolic wastes
Correct answer: C: release energy stored in the molecules of food
Rationale: The correct answer is C. Living organisms use oxygen to release energy stored in the molecules of food through a process called cellular respiration. This process involves breaking down glucose molecules in the presence of oxygen to produce energy in the form of ATP. Choice A is incorrect because oxygen does not directly reduce heat production in organisms. Choice B is incorrect because oxygen is involved in accepting electrons rather than donating them in cellular metabolism. Choice D is incorrect because the removal of metabolic wastes is not the primary role of oxygen in living organisms.
4. When assessing a preschooler's chest, what should the nurse expect?
- A. Respiratory movements to be chiefly thoracic
- B. Anteroposterior diameter to be equal to the transverse diameter
- C. Retraction of the muscles between the ribs on respiratory movement
- D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
Correct answer: D
Rationale: In a preschooler, chest movement should be symmetric and coordinated with breathing, indicating healthy respiratory function.
5. Which of the following measures is not recommended to prevent pressure ulcers?
- A. Massaging the reddened area with lotion
- B. Using a water or air mattress
- C. Adhering to a schedule for positioning and turning
- D. Providing meticulous skin care
Correct answer: A
Rationale: Massaging a reddened area can cause further tissue damage by increasing pressure on already compromised skin. The other options, such as using specialized mattresses, adhering to repositioning schedules, and maintaining good skin care, are all recommended strategies to prevent pressure ulcers by reducing pressure and friction on vulnerable areas of the skin.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99