ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse overhears two assistive personnel (AP) discussing care for a client in the elevator. What action should the nurse take?
- A. Contact the client's family about the incident.
- B. Notify the client's provider about the incident.
- C. File a complaint with the ethics committee.
- D. Report the incident to the AP's charge nurse.
Correct answer: D
Rationale: The correct action for the nurse to take in this situation is to report the incident to the AP's charge nurse. This ensures that the issue is addressed internally and allows for proper handling of the situation. Contacting the client's family about the incident (Choice A) may not be appropriate as it could breach confidentiality and escalate the situation unnecessarily. Notifying the client's provider (Choice B) is not the most immediate and effective step to address the issue. Filing a complaint with the ethics committee (Choice C) should be reserved for serious ethical violations, and in this case, reporting to the charge nurse is the more practical and immediate course of action.
2. Which chronic medical condition commonly triggers major depressive disorder?
- A. Pain
- B. Hypertension
- C. Hypothyroidism
- D. Crohn's disease
Correct answer: A
Rationale: Chronic pain is a common trigger for major depressive disorder. The persistent and distressing nature of chronic pain can lead to feelings of hopelessness, helplessness, and contribute to the development of major depressive disorder in individuals experiencing it.
3. During a panic attack, what is the nurse's priority intervention for a patient with panic disorder?
- A. Encourage the patient to verbalize their feelings.
- B. Provide reassurance and stay with the patient.
- C. Leave the patient alone to calm down.
- D. Distract the patient with a task.
Correct answer: B
Rationale: During a panic attack, the priority intervention for the nurse is to provide reassurance and stay with the patient. This action helps reduce fear and provides a sense of safety, which can aid in calming the patient and preventing further escalation of the panic attack. Encouraging the patient to verbalize their feelings (Choice A) may be beneficial after the acute phase of the panic attack. Leaving the patient alone (Choice C) may increase feelings of abandonment and escalate the panic attack. Distracting the patient with a task (Choice D) is not recommended during a panic attack as it may divert attention but not address the underlying anxiety and fear.
4. A healthcare professional is receiving a change-of-shift report for an adult female client who is postoperative. Which client information should the healthcare professional report?
- A. Low-grade fever.
- B. Shortness of breath.
- C. Decreased urine output.
- D. High platelet count.
Correct answer: A
Rationale: In a postoperative client, a low-grade fever can be an early sign of infection, which is crucial to report to the healthcare team for timely intervention. Shortness of breath and decreased urine output are also important to monitor, but in the context of postoperative care, infection is a more immediate concern. A high platelet count is not typically a priority in the immediate postoperative period.
5. Which of the following hormones is secreted by the posterior pituitary gland?
- A. Growth hormone
- B. Luteinizing hormone
- C. Adrenocorticotropic hormone
- D. Antidiuretic hormone
Correct answer: D
Rationale: The correct answer is D: Antidiuretic hormone. Antidiuretic hormone (ADH), also known as vasopressin, is produced by the hypothalamus and stored in the posterior pituitary gland. It plays a key role in regulating the body's water balance by controlling the amount of water reabsorbed by the kidneys. Choices A, B, and C are incorrect because Growth hormone is produced by the anterior pituitary gland, Luteinizing hormone is produced by the anterior pituitary gland, and Adrenocorticotropic hormone is produced by the anterior pituitary gland.
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