ATI RN
ATI Comprehensive Exit Exam
1. A nurse is providing care to a client who has thrombocytopenia. Which of the following actions should the nurse take?
- A. Encourage the client to floss daily.
- B. Remove fresh flowers from the client's room.
- C. Provide the client with a stool softener.
- D. Avoid serving raw vegetables.
Correct answer: C
Rationale: The correct answer is C: Provide the client with a stool softener. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Providing the client with a stool softener helps prevent constipation, reduces the need for straining during bowel movements, and ultimately decreases the risk of bleeding. Choice A is incorrect as flossing daily does not directly address the issue of bleeding risk associated with thrombocytopenia. Choice B is incorrect as removing fresh flowers from the client's room is more related to the risk of infection rather than bleeding in thrombocytopenia. Choice D is incorrect as avoiding serving raw vegetables does not directly impact the risk of bleeding in clients with thrombocytopenia.
2. A child is being assessed for Kawasaki disease. Which of the following findings should be expected?
- A. Decreased heart rate
- B. Dry, scaly skin
- C. Fever unresponsive to antipyretics
- D. Nontender cervical lymphadenopathy
Correct answer: C
Rationale: In Kawasaki disease, a child typically presents with a fever that is unresponsive to antipyretics because the disease is characterized by systemic inflammation. The persistent fever is a hallmark feature of the disease and can last for more than five days despite treatment with antipyretics.
3. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 21
- B. 49
- C. 60
- D. 50
Correct answer: D
Rationale: To calculate the grams of fat: 1500 calories x 30% = 450 calories from fat. Since 1 gram of fat = 9 calories, 450 / 9 = 50 grams of fat.
4. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?
- A. Catatonia
- B. Loose association
- C. Disorganized speech
- D. Blunted affect
Correct answer: A
Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.
5. Which type of illness is characterized by severe symptoms of relatively short duration?
- A. Chronic Illness
- B. Acute Illness
- C. Pain
- D. Syndrome
Correct answer: B
Rationale: The correct answer is B: Acute Illness. Acute illnesses are characterized by the sudden onset of severe symptoms that typically last for a short duration. These conditions usually resolve within a defined period, unlike chronic illnesses that persist over a longer time frame. Choices C and D, Pain and Syndrome, are not specific types of illnesses but rather symptoms or clinical manifestations that can occur in various health conditions.
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