ATI RN
ATI Exit Exam RN
1. A client is postoperative following cataract surgery. Which of the following instructions should the nurse include?
- A. Avoid lying flat for 24 hours after surgery.
- B. Avoid bending at the waist.
- C. Wear an eye patch at night for 1 week.
- D. Sleep on your affected side to reduce discomfort.
Correct answer: B
Rationale: The correct instruction that the nurse should include for a client postoperative following cataract surgery is to avoid bending at the waist. Bending at the waist can increase intraocular pressure, which is not recommended after cataract surgery. Choices A, C, and D are incorrect because lying flat for 24 hours after surgery may not be necessary, wearing an eye patch at night for a week is not a standard postoperative instruction for cataract surgery, and sleeping on the affected side may not necessarily reduce discomfort and can increase pressure on the eye.
2. Which is a key aspect of the Health Belief Model?
- A. Perceived susceptibility
- B. Perceived severity
- C. Perceived barriers
- D. Perceived benefits
Correct answer: A
Rationale: Perceived susceptibility is a fundamental aspect of the Health Belief Model as it refers to an individual's belief about their risk of developing a health condition or experiencing a negative health outcome. This perception plays a crucial role in influencing individuals' willingness to engage in health-promoting behaviors. When individuals perceive themselves as susceptible to a health threat, they are more likely to take preventive actions to protect their health.
3. A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take when providing tracheostomy care?
- A. Use sterile technique when performing tracheostomy care.
- B. Replace the tracheostomy ties every 24 hours.
- C. Use a sterile brush to clean the inner cannula.
- D. Change the tracheostomy dressing once a week.
Correct answer: C
Rationale: The correct answer is to use a sterile brush to clean the inner cannula. This action is crucial to prevent infection during tracheostomy care. Choice A is incorrect as clean technique is not adequate for tracheostomy care, sterile technique is required. Choice B is incorrect as tracheostomy ties should be replaced when soiled, not routinely every 24 hours. Choice D is incorrect as tracheostomy dressings should be changed more frequently to maintain cleanliness and prevent infection.
4. What information should you provide to your patient if they are taking sennosides? Select All That Apply.
- A. Sennosides should be used for short-term therapy
- B. The medication does not cure hypothyroidism
- C. The color of the urine may change to pink, red, violet, yellow, or brown
- D. Make sure to use other forms of bowel regulation
Correct answer: A
Rationale: When educating a patient taking sennosides, it is important to emphasize that these laxatives should be used for short-term therapy only. The medication does not address hypothyroidism, so this information is not relevant. Patients should be informed that the color of their urine may change to various colors like pink, red, violet, yellow, or brown, which is a common side effect of sennosides. It is advisable to incorporate other forms of bowel regulation alongside sennosides for optimal bowel health. Choice A is correct as it provides essential guidance on the duration of sennosides use. Choice B is incorrect because sennosides are not used to cure hypothyroidism. Choice C is correct as it highlights a common side effect of sennosides. Choice D is incorrect because it does not specifically relate to sennosides but rather suggests using other forms of bowel regulation in general.
5. Etiology refers to ________
- A. a condition that tends to maintain maladaptive behavior.
- B. the causal pattern of a disorder.
- C. a predisposition toward developing a disorder.
- D. a condition that makes it less likely a person will experience the negative consequences of stress.
Correct answer: B
Rationale: Etiology refers to the causal pattern of a disorder, explaining the factors contributing to the development of a specific condition. Choice A is incorrect as it describes a condition that maintains maladaptive behavior, which is not the definition of etiology. Choice C is incorrect as it refers to a predisposition, which is more related to risk factors rather than the cause itself. Choice D is incorrect as it discusses a condition that reduces the negative consequences of stress, which is not directly related to the cause of a disorder.
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