ATI RN
ATI RN Comprehensive Exit Exam 2023
1. How should a healthcare professional manage a patient with non-compliance to hypertension medication?
- A. Provide education on medication
- B. Refer the patient to a specialist
- C. Discontinue the medication
- D. Reassess the patient in 6 months
Correct answer: A
Rationale: Providing education on medication is crucial when managing a patient with non-compliance to hypertension medication. By educating the patient on the importance of adherence, potential side effects, and the impact of uncontrolled hypertension, healthcare professionals can help improve the patient's understanding and compliance. Referring the patient to a specialist (Choice B) may be necessary in some cases but should not be the first step. Discontinuing the medication (Choice C) without exploring reasons for non-compliance and providing education can worsen the patient's condition. Reassessing the patient in 6 months (Choice D) is important but should be accompanied by interventions to address non-compliance in the interim.
2. Which food has the highest calcium content?
- A. 1 cup of carrot strips
- B. 3 oz of canned salmon
- C. 1 plain baked potato
- D. 1 cup of chopped chicken breast
Correct answer: 3 oz of canned salmon
Rationale: The highest source of calcium among the given choices is the 3 oz of canned salmon. This is due to the presence of bones in canned salmon, which are rich in calcium. The other options, including 1 cup of carrot strips, 1 plain baked potato, and 1 cup of chopped chicken breast, do not contain as much calcium due to the nature of their composition and lack of bone content.
3. What intervention is needed for a patient with a chest tube and an air leak?
- A. Tighten the connections of the chest tube system
- B. Replace the chest tube
- C. Clamp the chest tube
- D. Continue to monitor the chest tube
Correct answer: A
Rationale: The correct intervention for a patient with a chest tube and an air leak is to tighten the connections of the chest tube system. This step helps prevent air leaks and ensures the proper functioning of the chest tube. Choice B, replacing the chest tube, is not necessary as tightening the connections should be attempted first. Clamping the chest tube (Choice C) is not recommended as it can lead to complications by obstructing the drainage system. Continuing to monitor the chest tube (Choice D) without taking action may result in worsening of the air leak. Therefore, the priority intervention is to tighten the connections of the chest tube system.
4. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
- A. I can give you information about respite care if you are interested.
- B. You should consider taking a sleeping pill before bed each night.
- C. It must be difficult taking care of someone who is terminally ill.
- D. You are doing a great job taking care of your mother.
Correct answer: A
Rationale: Offering information about respite care is a therapeutic response that supports the caregiver. Choice B suggests a quick fix with sleeping pills without addressing the underlying issue of caregiver stress. Choice C, though empathetic, does not offer practical assistance or support. Choice D, while positive, does not address the son's need for rest and support.
5. A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?
- A. Lower rates of maternal morbidity
- B. Reduced incidence of death from motor-vehicle crashes
- C. Increased rates of chronic illness
- D. More frequent dental preventative care visits
Correct answer: C
Rationale: The correct answer is C: 'Increased rates of chronic illness.' Rural areas often face challenges such as limited access to healthcare services, healthcare provider shortages, socioeconomic factors, and lifestyle choices that contribute to higher rates of chronic illnesses. Maternal morbidity rates are typically higher in rural areas due to limited access to obstetric care. While rural areas may have fewer motor-vehicle crashes compared to urban areas, the severity of crashes is usually higher due to factors like longer emergency response times. Dental care access can also be limited in rural areas, leading to less frequent preventative care visits.
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