ATI RN
ATI RN Exit Exam
1. How should a healthcare professional respond to a patient who is experiencing confusion after surgery?
- A. Administer oxygen
- B. Reposition the patient
- C. Encourage deep breathing exercises
- D. Perform a neurological exam
Correct answer: A
Rationale: Administering oxygen is the most appropriate initial response to a patient experiencing confusion after surgery. Confusion can be a sign of hypoxia, which is inadequate oxygen supply to the brain. Administering oxygen helps ensure that the patient is getting enough oxygen, addressing a potential cause of the confusion. Repositioning the patient, encouraging deep breathing exercises, or performing a neurological exam may be necessary depending on the situation, but addressing potential hypoxia should be the priority in a confused post-operative patient.
2. The oral cavity is the site of a wide variety of systemic disease manifestations due to:
- A. Rapid cellular turnover
- B. Constant attack by microorganisms
- C. Trauma-intense environment
- D. All of the above
Correct answer: D
Rationale: The oral cavity is indeed the site of various systemic disease manifestations due to multiple factors. Firstly, the rapid cellular turnover in the oral mucosa makes it susceptible to diseases. Secondly, the constant presence of microorganisms in the oral cavity contributes to the development of systemic diseases. Finally, the oral cavity being a trauma-intense environment further increases the risk of systemic manifestations. Therefore, all the provided options - rapid cellular turnover, constant attack by microorganisms, and a trauma-intense environment - play a role in making the oral cavity a site for various systemic diseases. Hence, the correct answer is 'All of the above.' Choices A, B, and C are incorrect individually as they each represent only one aspect of why the oral cavity is prone to systemic disease manifestations, whereas the correct answer encompasses all these factors.
3. The mentally ill person responds positively to the nurse who is warm and caring. This is a demonstration of the nurse’s role as:
- A. counselor
- B. mother surrogate
- C. therapist
- D. socializing agent
Correct answer: A
Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.
4. Angelo, An 8 month old child is brought to the health care facility with sunken eyes. You pinch his skin and it goes back very slowly. In what classification of dehydration will you categorize Angelo?
- A. No Dehydration
- B. Some Dehydration
- C. Severe Dehydration
- D. Diarrhea
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
5. A client with schizophrenia is experiencing delusions. Which of the following actions should the nurse take?
- A. Encourage the client to discuss the delusions.
- B. Tell the client that the delusions are not real.
- C. Avoid discussing the delusions with the client.
- D. Challenge the client's delusions directly.
Correct answer: B
Rationale: Telling the client that their delusions are not real is the most appropriate action as it helps ground them in reality without reinforcing the delusion. Encouraging the client to discuss the delusions (choice A) may further validate or intensify the delusions. Avoiding discussing the delusions (choice C) may lead to the client feeling isolated and unheard. Challenging the client's delusions directly (choice D) can escalate the situation and cause distress to the client.
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