ATI RN
ATI RN Exit Exam Quizlet
1. A nurse is planning care for a client who is 1 day postoperative following a total knee arthroplasty. Which of the following interventions should the nurse include?
- A. Keep the affected leg elevated as needed.
- B. Apply ice packs to the affected knee as prescribed.
- C. Encourage the client to ambulate as soon as possible.
- D. Perform range-of-motion exercises as instructed.
Correct answer: C
Rationale: Encouraging the client to ambulate as soon as possible is essential in preventing complications like deep vein thrombosis post knee arthroplasty. While keeping the affected leg elevated and applying ice packs can be beneficial in certain situations, early ambulation takes precedence in this case. Performing range-of-motion exercises hourly may not be necessary and could potentially cause more harm than good if not done correctly or excessively.
2. A client with acute respiratory distress syndrome (ARDS) requires care planning. Which of the following interventions should be included in the plan?
- A. Administer low-flow oxygen continuously via nasal cannula.
- B. Encourage oral intake of at least 3,000 mL of fluids per day.
- C. Offer high-protein and high-carbohydrate foods frequently.
- D. Place in a prone position
Correct answer: Place in a prone position
Rationale: In acute respiratory distress syndrome (ARDS), placing the client in a prone position helps improve ventilation-perfusion matching and oxygenation. This position can optimize lung function and is a beneficial intervention for clients with ARDS. Administering low-flow oxygen via nasal cannula, encouraging oral intake of excess fluids, or offering high-protein and high-carbohydrate foods are not primary interventions for ARDS and may not directly address the respiratory distress experienced by the client.
3. Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?
- A. Side rails are ineffective
- B. Side rails should not be used
- C. Side rails are a deterrent that prevents a patient from falling out of bed
- D. Side rails are a reminder to a patient not to get out of bed
Correct answer: D
Rationale: The correct conclusion drawn from the study is that side rails serve as a reminder to the patient not to get out of bed rather than being a fail-proof preventive measure against falls. While they may not entirely prevent falls, they play a role in prompting the patient to be cautious when moving.
4. Bernadette, a participant in a longitudinal study, became quite familiar with the test over time and, as a result, her performance improved. This limitation of longitudinal research is known as __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 34 Test Bank for Berk, Development Through the Lifespan, 7e
- A. biased sampling
- B. practice effects
- C. random assignment
- D. cohort effects Answer: B Page Ref: 35 Skill Level: Apply Topic: Studying Development Difficulty Level: Moderate
Correct answer: B
Rationale: Practice effects refer to the phenomenon where participants in a longitudinal study show improvement in test performance over time due to becoming familiar with the tasks or test materials. This can be considered a limitation as it may distort the results by showing an artificial improvement rather than a true developmental change.
5. What is the antidote for Heparin?
- A. Protamine sulfate
- B. Narcan
- C. Romazicon
- D. Naloxone
Correct answer: A
Rationale: The correct answer is A: Protamine sulfate. Heparin is an anticoagulant medication used to prevent blood clots. In cases of overdose or excessive bleeding due to Heparin, protamine sulfate is administered as the specific antidote. Protamine sulfate works by neutralizing Heparin's anticoagulant activity. Choices B, C, and D are incorrect. Narcan (Naloxone) is used to reverse opioid overdose, Romazicon (Flumazenil) is used to reverse benzodiazepine overdose, and Naloxone is also used to reverse opioid overdose but is not the antidote for Heparin.
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