RN ATI Comprehensive Exit Exam (Version 1, 2, 3, 4) With Questions And
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m 9 Revised Correct Answers & Rationales () 100% Guaranteed Pass
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m 9 ||Complete A+ Guide
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EXAM DETAILS: m
➢ RN ATI Comprehensive Exit Exam
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➢ Version 1, 2, 3, 4 m m m m
➢ With Questions And Revised Correct Answers & Rationales
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➢ 100% Guaranteed Pass ||Complete A+ Guide
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➢ RN ATI Comprehensive
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,Question 1 m9
A home health nurse is caring for a child who has Lyme disease. Which of the following
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is an appropriate action for the nurse to take?
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A. Ensure the state health department has been notified.
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B. Administer antitoxin. m9
C. Educate the family to avoid sharing personal belongings.
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D. Assess for skin necrosis. m9 m9 m9
Correct Answer: A. Ensure the state health department has been notified.
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Rationale: Lyme disease is a nationally notifiable disease. Healthcare providers and
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laboratories are required to report cases to their state or local health department. This
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reporting is crucial for public health surveillance, monitoring incidence rates, and
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implementing control measures. The other actions are not directly associated with the
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nurse's role in managing a confirmed case of Lyme disease in a community setting.
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Question 2 m9
A nurse is caring for a client who has been admitted to the hospital. The client reports a
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loss of appetite, shortness of breath, weakness, abdominal pain, severe itching, and
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mood changes. The client has a 10-year history of alcohol use disorder. Assessment
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findings include disorientation to time, a bloated abdomen, red palms, excoriated
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areas on the upper thorax, and yellow sclera. Select the 5 actions the nurse should
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take.
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A. Provide frequent rest periods for the client.
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B. Restrict the client's sodium intake. m9 m9 m9 m9
C. Advise the client to avoid the use of soap and alcohol-based lotions.
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D. Place the client on a low-carbohydrate diet.
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E. Place the client under contact isolation.
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,F. Instruct the client to avoid blowing their nose forcefully.
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G. Assess the client's level of orientation.
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Correct Answers: A, B, C, F, G m9 m9 m9 m9 m9 m9
Rationale: The client's history and symptoms (alcohol use, ascites, jaundice, palmar
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erythema, pruritus, disorientation) point to liver failure. A. Provide frequent rest to
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conserve energy due to metabolic imbalances. B. Restrict sodium to manage ascites
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and fluid retention. C. Avoid soap/alcohol-based lotions to prevent further skin
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irritation and breakdown from severe itching (pruritus). F. Instruct to avoid blowing
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m9 nose forcefully due to the risk of bleeding from coagulopathy (impaired clotting
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factor synthesis). G. Assess orientation to monitor for worsening hepatic
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encephalopathy. (D is incorrect; carbohydrates are often needed for energy. E is
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incorrect; isolation is not required unless a specific infection is present.)
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Question 3 m9
A nurse is caring for a newborn. The newborn's vital signs show tachypnea. Complete
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the following sentence: "The client is at risk for developing Tachypnea and
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A. Hypoglycemia
B. Hyperthermia
C. Polycythemia
D. Hyperbilirubinemia
Correct Answer: A. Hypoglycemia m9 m9 m9
Rationale: This newborn, with a birth weight of 4200 gm (9 lb 4 oz), is macrosomic.
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Macrosomic infants are often born to mothers with diabetes and are at significant risk
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for hypoglycemia after birth due to hyperinsulinism from the excess glucose received
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in utero. The tachypnea can be an early sign of this metabolic derangement or
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respiratory distress. While hyperbilirubinemia is also a risk for this population,
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hypoglycemia is the immediate concern indicated by the data.
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, Question 4 m9
While performing a routine assessment, a nurse notices fraying on the electrical cord of
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a client's continuous passive motion (CPM) device. Which of the following actions
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should the nurse take first?
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A. Remove the device from the room. m9 m9 m9 m9 m9
B. Place a warning sign on the device.
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C. Report the defect to the biomedical department.
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D. Tag the device and send it for repair.
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Correct Answer: A. Remove the device from the room.
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Rationale: The first and most critical action is to ensure client safety by immediately
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removing the equipment with a frayed cord from the client's immediate environment to
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prevent the risk of electrical shock or fire. After removing the hazard, the nurse would
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then tag it as defective and report it to the appropriate department (biomedical
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engineering) for repair or disposal. The other steps are important follow-up actions but
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not the immediate priority.
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Question 5 m9
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the
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following actions should the nurse take when pouring the sterile solution?
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A. Hold the bottle with the label facing away from the palm of the hand.
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B. Pour the solution from a height of 25 cm (10 in) to ensure sterility.
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C. Hold the bottle so that the inside of the bottle neck touches the receiving container.
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D. Pour the solution with the bottle held in the center of the sterile field.
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Correct Answer: A. Hold the bottle with the label facing away from the palm of the
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hand.
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