ATI RN
ATI RN Comprehensive Exit Exam
1. A nurse is teaching a client about home care following cataract surgery. Which of the following statements should the nurse include?
- A. You should wear a protective eye shield while sleeping.
- B. You should avoid bending over to pick things up.
- C. You should apply pressure to your eye if you feel pain.
- D. You should resume wearing your regular glasses immediately.
Correct answer: A
Rationale: The correct answer is A: 'You should wear a protective eye shield while sleeping.' After cataract surgery, wearing a protective eye shield while sleeping is crucial to prevent accidental injury to the eye. Choice B is incorrect because patients should indeed avoid bending over, but it is not the most important instruction among the options provided. Choice C is incorrect because applying pressure to the eye if pain is felt can be harmful and should not be advised. Choice D is incorrect because patients should not resume wearing their regular glasses immediately post cataract surgery; they should wait until their healthcare provider permits.
2. When should healthcare professionals perform hand hygiene?
- A. Before and after patient contact
- B. Before and after performing procedures
- C. After using the restroom
- D. After touching contaminated surfaces
Correct answer: A
Rationale: Healthcare professionals should perform hand hygiene before and after patient contact to prevent the spread of infections. While choices B, C, and D are also important times to practice hand hygiene, they are not as crucial as before and after patient contact because patient contact poses a higher risk of transmitting infections.
3. A nurse is teaching a prenatal class about infection. Which statement by the client indicates further teaching is required?
- A. I can visit someone with chickenpox 5 days after the sores crust.
- B. I should avoid eating foods that contain high folic acid.
- C. I can clean my cat's litter box during pregnancy.
- D. I should wash my hands with hot water for 10 seconds after gardening.
Correct answer: C
Rationale: The correct answer is C because cleaning a cat's litter box during pregnancy can increase the risk of toxoplasmosis, which can be harmful to the developing fetus. Choice A is correct as the statement indicates understanding of the chickenpox transmission timeline. Choice B is also correct as high folic acid foods are beneficial during pregnancy. Choice D is correct as washing hands with hot water after gardening helps prevent infections.
4. A nurse is assessing a client who is 48 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
- A. Serosanguineous drainage on the surgical dressing.
- B. Temperature of 37.8°C (100°F).
- C. Urine output of 75 mL in the past 4 hours.
- D. WBC count of 15,000/mm³.
Correct answer: D
Rationale: The correct answer is D. An elevated WBC count can indicate a potential infection, especially in a postoperative client. This finding should be reported to the provider for further evaluation and management. Choices A, B, and C are common occurrences in postoperative clients and may not necessarily indicate a severe issue. Serosanguineous drainage on the surgical dressing is a normal finding in the immediate postoperative period. A temperature of 37.8°C (100°F) can be a mild fever, which is common postoperatively due to the body's response to tissue injury. Urine output of 75 mL in the past 4 hours may be within normal limits for a postoperative client, especially if they are still recovering from anesthesia.
5. A nurse is providing teaching to a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
- A. Take this medication on an empty stomach.
- B. Take this medication in the evening.
- C. You should avoid taking this medication with dairy products.
- D. You should monitor for signs of infection while taking this medication.
Correct answer: D
Rationale: The correct answer is D: "You should monitor for signs of infection while taking this medication." When a client is prescribed prednisone, it is essential to monitor for signs of infection due to the immunosuppressive effects of corticosteroids. Choices A, B, and C are incorrect because prednisone does not need to be taken on an empty stomach, at a specific time of day, or avoided with dairy products.
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