ATI RN
ATI RN Comprehensive Exit Exam
1. A nurse is providing teaching to a client with asthma. Which of the following client statements indicates a need for further teaching?
- A. I should use my albuterol inhaler before I exercise.
- B. I should avoid using my inhaler more than twice a week.
- C. I should take my inhaler only when I feel short of breath.
- D. I should rinse my mouth after using my corticosteroid inhaler.
Correct answer: C
Rationale: The correct answer is C because the client stating they should only take the inhaler when feeling short of breath indicates a need for further teaching. Clients with asthma should use their inhaler as prescribed, not just when short of breath. Choices A, B, and D demonstrate good asthma management practices. Choice A indicates understanding of using the albuterol inhaler before exercise to prevent exercise-induced symptoms. Choice B mentions the importance of not overusing the inhaler, which can indicate poor asthma control. Choice D shows awareness of rinsing the mouth after using a corticosteroid inhaler to prevent oral thrush.
2. Which part of your brain is active when you get cues about being hungry, thirsty, or sleepy?
- A. Hippocampus
- B. Thalamus
- C. Hypothalamus
- D. Amygdala
Correct answer: C
Rationale: The correct answer is the Hypothalamus (Choice C). The hypothalamus plays a crucial role in regulating basic bodily functions such as hunger, thirst, and sleep. It receives cues related to these needs and helps to maintain homeostasis in the body. The Hippocampus (Choice A) is primarily involved in memory formation and spatial navigation, not in regulating physiological needs. The Thalamus (Choice B) acts as a relay station for sensory information but is not the main center for hunger, thirst, or sleep regulation. The Amygdala (Choice D) is more associated with emotions, particularly fear and pleasure, rather than physiological needs like hunger, thirst, or sleep.
3. How can dehydration be assessed in an elderly patient?
- A. Checking skin turgor on the forearm
- B. Assessing for dry mucous membranes
- C. Checking for orthostatic hypotension
- D. Measuring daily weights
Correct answer: A
Rationale: Assessing skin turgor by gently pinching the skin on the forearm is a reliable method to check for dehydration in elderly patients. When the skin is slow to return to its original position, it indicates dehydration. While assessing for dry mucous membranes is also important, checking skin turgor is a more direct method for dehydration assessment. Checking for orthostatic hypotension is more related to circulation status than dehydration. Measuring daily weights is helpful to monitor fluid balance but may not be as immediate or direct in detecting dehydration in elderly patients.
4. A patient is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
- A. Hemoglobin
- B. Prothrombin time (PT)
- C. Bleeding time
- D. Activated partial thromboplastin time (aPTT)
Correct answer: B
Rationale: The correct answer is to monitor Prothrombin time (PT) when a patient is on warfarin therapy. Warfarin affects blood clotting, and PT is used to assess the therapeutic effect of this medication. Hemoglobin (Choice A) is not directly affected by warfarin therapy and does not reflect its therapeutic effect. Bleeding time (Choice C) measures the time it takes for bleeding to stop after a standardized cut and is not specific to warfarin therapy. Activated partial thromboplastin time (aPTT) (Choice D) is more commonly used to monitor heparin therapy, not warfarin.
5. Which of the following tests can be performed to diagnose a hiatal hernia?
- A. Colonoscopy
- B. Lower GI series
- C. Barium swallow
- D. Abdominal x-rays
Correct answer: C
Rationale: A barium swallow is a diagnostic test that can visualize the esophagus, stomach, and small intestine to diagnose a hiatal hernia.
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