ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is preparing to administer an immunization to a 6-month-old infant. Which of the following actions should the nurse take to reduce pain at the injection site?
- A. Administer the immunization in the deltoid muscle
- B. Apply a cold compress to the injection site
- C. Apply pressure to the injection site for 5 minutes
- D. Administer a local anesthetic at the injection site
Correct answer: D
Rationale: Administering a local anesthetic at the injection site can help reduce pain during immunizations in infants. Options A, B, and C are incorrect. Administering the immunization in the deltoid muscle may not provide pain relief. Applying a cold compress or pressure to the injection site is not as effective as using a local anesthetic to reduce pain.
2. A nurse is planning care for a client who has osteoarthritis. Which of the following interventions should the nurse include?
- A. Administer opioids routinely for chronic pain.
- B. Instruct the client to avoid weight-bearing exercises.
- C. Apply heat to affected joints to reduce stiffness.
- D. Avoid physical activity to prevent joint damage.
Correct answer: C
Rationale: The correct intervention for a client with osteoarthritis is to apply heat to affected joints to reduce stiffness. Heat application helps improve circulation, relax muscles, and reduce discomfort in joints affected by osteoarthritis. Administering opioids routinely (Choice A) is not the first-line treatment for osteoarthritis and carries risks of dependency and side effects. Instructing the client to avoid weight-bearing exercises (Choice B) may lead to muscle weakness and reduced joint flexibility. Avoiding physical activity altogether (Choice D) can lead to further joint stiffness and compromised overall health.
3. A client is receiving discharge teaching after a total hip replacement. Which statement by the client indicates a need for further teaching?
- A. I will avoid crossing my legs when sitting.
- B. I can sleep on my side as long as I use a pillow between my legs.
- C. I will avoid bending at the waist to pick things up.
- D. I can bend down to tie my shoes after 2 weeks.
Correct answer: D
Rationale: After a total hip replacement, clients should avoid bending at the waist past 90 degrees for at least 6 weeks to prevent dislocation of the hip prosthesis. Bending down to tie shoes involves significant hip flexion and should be avoided during the initial postoperative period to ensure proper healing and reduce the risk of complications.
4. Which information about hemophilia will the nurse include in the teaching plan for the parents of a child diagnosed with hemophilia?
- A. Autosomal dominant disorder in which the blood clotting factors are deficient.
- B. X-linked recessive inherited disorder in which blood clotting factors are deficient.
- C. X-linked recessive inherited disorder involving decreased platelets causing prolonged bleeding.
- D. Autosomal recessive disorder in which the blood clotting factors are deficient.
Correct answer: B
Rationale: The correct answer is B: Hemophilia is an X-linked recessive disorder, primarily affecting males and passed from mothers to sons. It involves a deficiency in clotting factors, leading to prolonged bleeding. Choice A is incorrect as hemophilia is not autosomal dominant. Choice C is incorrect as hemophilia does not involve platelets. Choice D is incorrect as hemophilia is not autosomal recessive.
5. Which of the following are common symptoms of major depressive disorder? Select one that doesn't apply.
- A. Insomnia
- B. Feelings of hopelessness
- C. Increased energy
- D. Difficulty concentrating
Correct answer: C
Rationale: Common symptoms of major depressive disorder include insomnia, feelings of hopelessness, difficulty concentrating, and appetite changes. While individuals with major depressive disorder often experience fatigue and low energy levels, increased energy is not typically associated with this condition. Therefore, 'Increased energy' is the correct choice that doesn't apply to major depressive disorder. Choices A, B, and D are all commonly seen in individuals with major depressive disorder, making them incorrect answers.
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