ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
- A. Raise the side rails on both sides of the client's bed during repositioning.
- B. Reposition the client without assistive devices.
- C. Discuss the client's preferences to determine a repositioning schedule.
- D. Evaluate the client's ability to help with repositioning.
Correct answer: D
Rationale: The correct answer is to evaluate the client's ability to help with repositioning. When caring for a client who had a stroke, assessing their ability to participate in repositioning is crucial for promoting safety and encouraging their involvement in their care. This evaluation helps determine the level of assistance needed and supports the client's autonomy. Option A is incorrect because raising the side rails alone does not address the client's active involvement in repositioning. Option B is incorrect as using assistive devices may be necessary for safe repositioning. Option C is incorrect as discussing preferences is important but does not directly address the client's ability to assist in repositioning.
2. A 5-year-old has patient-controlled analgesia (PCA) for pain management after abdominal surgery. What information does the nurse include in teaching the parents about the PCA?
- A. The child may not be pain-free.
- B. The parents or nurse may push the button for a bolus if needed.
- C. The pump allows for a continuous basal rate to deliver a constant amount of medication for pain control.
- D. Monitoring is required every 1 to 2 hours to assess patient response.
Correct answer: C
Rationale: The correct answer is C because the PCA pump can be programmed to deliver a continuous basal rate of pain medication to maintain pain control. While the goal of PCA is effective pain relief, it does not guarantee a pain-free state. In the case of a 5-year-old child, the parents or nurse can administer boluses if necessary since the child may not fully comprehend using the PCA button. Monitoring every 1 to 2 hours for patient response is adequate and there is no need for monitoring every 15 minutes, as stated in choice D, unless specific circumstances dictate more frequent monitoring.
3. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following food choices should the nurse recommend?
- A. Skim milk
- B. Unsalted popcorn
- C. Graham crackers
- D. Raw carrots
Correct answer: C
Rationale: Graham crackers are an appropriate snack choice for a 9-month-old infant due to their texture and ease of consumption.
4. Baby Gabriella claps her hands after her mother does. Gabriella is displaying __________.
- A. reinforcement
- B. classical conditioning
- C. observational learning
- D. adaptation
Correct answer: C
Rationale: Observational learning is when an individual learns by watching others and mimicking their actions or behaviors. In this scenario, Baby Gabriella claps her hands after her mother does, indicating she is learning through observing her mother's behavior and imitating it. The other choices are incorrect: Reinforcement typically involves a consequence that strengthens a behavior, classical conditioning is a type of learning where an association is made between two stimuli, and adaptation refers to the process of adjusting to new conditions.
5. Place a washcloth between the skin and tourniquet
- A. Provide a bed bath instead of letting the client take a shower
- B. Use sterile technique when changing the dressing.
- C. Disconnect the intravenous fluid tubing prior to the clients bath.
- D. Use a plastic bag to cover the extremity with the device
Correct answer: Use a plastic bag to cover the extremity with the device
Rationale:
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