ATI RN
ATI RN Exit Exam
1. 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.
2. When should the nurse instruct parents to administer a daily proton pump inhibitor to their child with gastroesophageal reflux?
- A. At bedtime
- B. With a meal
- C. Midmorning
- D. 30 minutes before breakfast
Correct answer: D
Rationale: Proton pump inhibitors (PPIs) like omeprazole or lansoprazole are most effective when given 30 minutes before breakfast. This timing allows the medication to inhibit the proton pumps in the stomach that produce acid, providing better symptom control throughout the day. Administering the PPI at bedtime (choice A) may not be as effective as giving it before breakfast due to the timing of peak acid production during the day. Giving it with a meal (choice B) might affect the absorption and effectiveness of the medication. Midmorning administration (choice C) is not the recommended time for optimal PPI efficacy.
3. The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
- A. Fast for 8 hours before the test
- B. Eat a regular supper and breakfast
- C. Continue to take all oral medications as scheduled.
- D. Monitor own bowel movement pattern for constipation
Correct answer: A
Rationale: Fasting for 8 hours ensures that the stomach is empty, which is necessary for an accurate barium swallow test.
4. Are M6 practical nurses utilized in field units with patient holding capabilities?
- A. Yes
- B. No
- C. -
- D. -
Correct answer: A
Rationale: Yes, M6 practical nurses are utilized in field units with patient holding capabilities. They play a crucial role in providing care and support in these settings. Choice B is incorrect as M6 practical nurses are indeed utilized in such field units, as stated in the extract. Choices C and D are not applicable as the correct answer is 'Yes.'
5. A healthcare provider is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?
- A. Substernal retractions
- B. Hematuria
- C. Temperature 37.9°C (100.2°F)
- D. Sneezing
Correct answer: Substernal retractions
Rationale: Substernal retractions are a concerning sign of respiratory distress and can indicate acute chest syndrome, a severe complication of sickle-cell anemia. It results from vaso-occlusion in the pulmonary vasculature, leading to impaired oxygenation. Prompt reporting of this symptom is crucial for early intervention to prevent further complications. Hematuria, a high temperature, and sneezing are not specific manifestations of acute chest syndrome and would not warrant immediate notification to the provider in this context.
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