ATI RN
ATI RN Exit Exam Quizlet
1. How should a healthcare professional assess a patient for dehydration?
- A. Check for skin turgor
- B. Monitor blood pressure
- C. Check for dry mucous membranes
- D. Monitor urine output
Correct answer: A
Rationale: Checking for skin turgor is a reliable method to assess dehydration in patients. Skin turgor refers to the skin's elasticity and hydration status. When a healthcare professional gently pinches the skin on the back of the patient's hand or forearm, dehydration is indicated by the skin not snapping back immediately. Monitoring blood pressure (choice B) is important but is more indicative of cardiovascular status rather than dehydration specifically. Checking for dry mucous membranes (choice C) can be a sign of dehydration, but skin turgor is a more direct assessment. Monitoring urine output (choice D) is also essential but may not provide immediate feedback on hydration status as skin turgor does.
2. What is the most important legal responsibility for the healthcare team after a patient's death in a hospital?
- A. Obtaining consent for an autopsy
- B. Notifying the coroner or medical examiner
- C. Labeling the body appropriately
- D. Ensuring the attending physician issues the death certificate
Correct answer: D
Rationale: After a patient's death in a hospital, the most crucial legal responsibility for the healthcare team is ensuring that the attending physician issues the death certificate. The death certificate is a vital legal document that confirms the cause of death and is required for legal and administrative purposes, including the completion of the patient's medical records and facilitating the family's ability to proceed with funeral arrangements and insurance claims. While other actions such as obtaining consent for an autopsy, notifying the coroner or medical examiner, and labeling the body appropriately are important, ensuring the timely and accurate issuance of the death certificate takes precedence in this scenario.
3. Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?
- A. Staff model
- B. Point of service model
- C. Network model
- D. Group model
Correct answer: C
Rationale: The correct answer is C, the Network model. This type of HMO contracts with two or more IPAs. In a Network model, multiple IPAs work together to provide healthcare services to the members. Choice A, the Staff model, involves physicians who are employees of the HMO. Choice B, the Point of Service model, allows members to seek care outside the network at a higher cost. Choice D, the Group model, does not specifically contract with IPAs.
4. By the twelfth week of pregnancy, __________.
- A. the sex of the fetus can be detected with ultrasound
- B. the mother can feel the movements of the fetus
- C. the fetus is viable and can survive if born early
- D. synchrony between fetal heart rate and motor activity peaks Answer: A Page Ref: 79 Skill Level: Understand Copyright © 2018 Laura E. Berk. All Rights Reserved. 6 Test Bank for Berk, Development Through the Lifespan, 7e Topic: Prenatal Development Difficulty Level: Moderate
Correct answer: A
Rationale: By the twelfth week of pregnancy, the sex of the fetus can be detected with ultrasound. Ultrasound technology allows for visualization of the developing fetus and identification of physical characteristics, such as sex, during prenatal appointments.
5. When collecting a sputum specimen from a client with tuberculosis, what action should the nurse take?
- A. Obtain the specimen immediately upon the client waking up.
- B. Wait one day to collect the specimen if the client cannot provide sputum.
- C. Ask the client to provide 15 to 20 ml of sputum.
- D. Wear sterile gloves when collecting the specimen.
Correct answer: A
Rationale: The correct answer is to obtain the specimen immediately upon the client waking up. Collecting sputum early in the morning provides the best sample for tuberculosis testing. Option B is incorrect because waiting a day can decrease the accuracy of the specimen. Option C is incorrect as it does not specify the optimal timing for specimen collection. Option D is incorrect as sterile gloves should be worn for infection control but do not specifically relate to the timing of specimen collection.
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