ATI RN
ATI RN Comprehensive Exit Exam 2023
1. A client with a new diagnosis of hypertension is receiving discharge teaching. Which statement by the client indicates an understanding of the teaching?
- A. I will take my medication only when I feel dizzy.
- B. I will check my blood pressure at least once a week.
- C. I will limit my saturated fat intake to 7% of daily calories.
- D. I will take my medication only when I have symptoms.
Correct answer: C
Rationale: The correct answer is C because limiting saturated fat intake to 7% of daily calories is a crucial component of the dietary management for hypertension. This dietary modification helps reduce the risk of cardiovascular complications. Choices A, B, and D are incorrect. Choice A is incorrect because medication adherence should not be based on symptoms like dizziness. Choice B is inadequate as blood pressure monitoring should be more frequent, preferably daily, for effective management of hypertension. Choice D is incorrect because medication for hypertension should be taken consistently as prescribed, not just when symptoms occur.
2. A client is being instructed on how to perform pursed-lip breathing. Which of the following should be included in the plan of care?
- A. Take quick breaths upon inhalation.
- B. Place your hand over your stomach.
- C. Take a deep breath in through your nose.
- D. Puff your cheeks upon exhalation.
Correct answer: C: Take a deep breath in through your nose.
Rationale: Pursed-lip breathing is a breathing technique that involves inhaling slowly through the nose and exhaling gently through pursed lips. This technique helps improve breathing efficiency and can be beneficial for individuals with respiratory conditions. Instructing the client to take a deep breath in through the nose is essential for proper execution of pursed-lip breathing, making choice C the correct answer.
3. The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of decreased level of consciousness (LOC) secondary to increased intracranial pressure (ICP). Which healthcare provider order should the nurse question?
- A. Passive range-of-motion exercises to promote hip flexion
- B. Oxygen at 2 L nasal cannula to maintain saturation above 95%
- C. Hourly vital signs and neurologic checks
- D. Elevate head of bed 30 degrees
Correct answer: A
Rationale: In a pediatric client with increased intracranial pressure (ICP) and decreased level of consciousness (LOC), passive range-of-motion exercises to promote hip flexion should be questioned as they can potentially increase intracranial pressure. This action may not be safe for the client's condition. The other options are appropriate interventions for managing a pediatric client with increased ICP and decreased LOC.
4. What is an expected finding during the assessment of a client transitioning into a new role?
- A. The client's ability to express feelings of guilt
- B. Presence of suicidal or homicidal ideation
- C. Changes in coping skills over the past few weeks
- D. Client's involvement in community activities
Correct answer: B
Rationale: During a client's transition into a new role, the presence of suicidal or homicidal ideation should be assessed due to the increased risk associated with significant life changes. This finding could indicate a need for immediate intervention. While assessing the client's ability to express feelings of guilt is important, it may not be the most critical aspect during this specific assessment. Changes in coping skills over time are relevant but might not be the primary focus during a role transition assessment. The client's involvement in community activities, although beneficial for social support, is not directly related to the immediate concerns of assessing a client transitioning into a new role.
5. Which theoretical viewpoint is most closely associated with Carl Rogers and Abraham Maslow?
- A. Cognitive approach.
- B. Humanism.
- C. Structuralism.
- D. Biological approach.
Correct answer: B
Rationale: The correct answer is B: Humanism. Humanism, associated with Carl Rogers and Abraham Maslow, emphasizes personal growth and self-actualization. The cognitive approach (choice A) focuses on mental processes such as thinking and memory, not specifically associated with Rogers and Maslow. Structuralism (choice C) is a historical school of psychology that aimed to identify the structures of consciousness, not linked to Rogers and Maslow. The biological approach (choice D) emphasizes the influence of biology on behavior, also not directly associated with Rogers and Maslow.
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