ATI RN
ATI Comprehensive Exit Exam
1. A nurse is planning care for a client who is experiencing acute mania. What intervention should the nurse include?
- A. Encourage the client to take frequent rest periods.
- B. Withdraw TV privileges if the client does not attend group therapy.
- C. Place the client in seclusion during periods of anxiety.
- D. Encourage the client to spend time in the day room.
Correct answer: A
Rationale: The correct answer is A: Encourage the client to take frequent rest periods. During acute mania, individuals often experience high levels of energy, decreased need for sleep, and increased activity levels. Encouraging the client to take frequent rest periods can help prevent exhaustion and promote better self-regulation. Choice B is incorrect because withdrawing TV privileges may not be directly related to managing acute mania. Choice C is incorrect as placing the client in seclusion can exacerbate feelings of anxiety and agitation. Choice D is incorrect as spending time in the day room may not address the need for rest and relaxation that is crucial during acute mania.
2. Which statement about prenatal marijuana exposure is true?
- A. It is linked to impulsivity and overactivity.
- B. Lasting consequences are well-established.
- C. Studies show no negative effects of exposure.
- D. It is linked to an array of physical malformations.
Correct answer: A
Rationale: The correct answer is A: 'It is linked to impulsivity and overactivity.' Prenatal marijuana exposure has been associated with impulsivity and overactivity in children based on research findings. However, lasting consequences of prenatal marijuana exposure are not as well-established compared to other teratogens. Choice B is incorrect because lasting consequences are not firmly established. Choice C is incorrect because studies have shown negative effects of prenatal marijuana exposure. Choice D is incorrect as prenatal marijuana exposure is not primarily linked to physical malformations.
3. Select all that apply. Which of the following oils contain high levels of unsaturated fatty acids and low levels of saturated and trans fats?
- A. vegetable oil
- B. palm oil
- C. coconut oil
- D. canola oil
Correct answer: A
Rationale: Vegetable, canola, and olive oils are high in unsaturated fats and low in saturated and trans fats, making them heart-healthy choices.
4. When assessing a 7-year-old child's pain after an emergency appendectomy, what is the most appropriate tool for the nurse to use?
- A. Use a visual analog scale (VAS) to assess the pain.
- B. Ask the child to rate their pain on a scale of 0 to 10.
- C. Use the Wong-Baker FACES scale to assess the pain.
- D. Ask the parents to describe the child's pain behavior.
Correct answer: C
Rationale: The correct answer is to use the Wong-Baker FACES scale to assess the child's pain. This scale is specifically designed for children and uses facial expressions of varying intensities to help them communicate their pain levels effectively. Choices A and B may not be as suitable for a young child who may have difficulty understanding or using a numerical scale. Choice D involving parents may not provide an accurate reflection of the child's pain experience, as it is essential to assess the child's self-reporting.
5. A healthcare professional is preparing to administer a transfusion of 300 mL of pooled platelets for a client with severe Thrombocytopenia. How should the healthcare professional plan to administer the transfusion over which of the following time frames?
- A. Within 30 minutes/unit
- B. Within 60 minutes/unit
- C. Within 2 hours/unit
- D. Within 4 hours/unit
Correct answer: A
Rationale: Platelets are fragile components that must be administered promptly to minimize the risk of clumping. The correct administration time for platelets is within 15 to 30 minutes per unit to maintain their therapeutic effectiveness and reduce adverse effects. Administering platelets over longer time frames can lead to decreased efficacy and potential harm to the patient. Therefore, the correct answer is to administer the 300 mL of pooled platelets within 30 minutes per unit.
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