ATI RN
ATI RN Exit Exam Test Bank Questions
Question 1 of 5
What is the best method to assess pain in a non-verbal patient?
Correct Answer: A
Rationale: The correct answer is to observe for facial expressions when assessing pain in a non-verbal patient. Facial expressions can provide vital clues about the patient's pain level and discomfort.
Choices B and C, observing for restlessness and sweating, can be less specific and may indicate other issues besides pain.
Choice D, checking for non-verbal cues, is too broad and does not specify the crucial aspect of focusing on facial expressions.
Question 2 of 5
A nurse is assessing a client who has a chest tube and notes continuous bubbling in the water seal chamber. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take when continuous bubbling is noted in the water seal chamber of a chest tube is to apply a dressing over the insertion site. Continuous bubbling indicates an air leak, and applying a dressing helps manage this issue by providing a seal. Clamping the chest tube or replacing the drainage system is not appropriate in this situation as it can lead to complications such as tension pneumothorax or inadequate drainage of the pleural space.
Question 3 of 5
Which lab value should be monitored in patients receiving heparin therapy?
Correct Answer: A
Rationale: The correct answer is to monitor aPTT in patients receiving heparin therapy. Activated Partial Thromboplastin Time (aPTT) is crucial to assess the therapeutic effectiveness of heparin and to prevent bleeding complications. Monitoring INR (
Choice
B) is more relevant for patients on warfarin therapy, not heparin. Platelet count (
Choice
C) monitoring is essential for detecting heparin-induced thrombocytopenia rather than assessing heparin therapy itself. Monitoring sodium levels (
Choice
D) is not directly related to heparin therapy monitoring.
Question 4 of 5
A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group?
Correct Answer: B
Rationale: The correct answer is B. Therapeutic groups indeed encourage members to focus on particular issues. This focus helps individuals address specific concerns, work through challenges, and support one another in a structured setting.
Choice A is incorrect because therapeutic groups typically promote a democratic structure that values input from all members rather than an autocratic one.
Choice C is incorrect as therapeutic groups can be led by various mental health professionals, not solely by licensed psychiatrists.
Choice D is incorrect; therapeutic groups aim to foster independent growth and self-reliance rather than promoting dependent relationships.
Question 5 of 5
A nurse is preparing to administer an IV bolus of 0.9% sodium chloride to a client who is dehydrated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take is to assess the client's lung sounds before administering IV fluids. This is crucial to identify any signs of fluid overload, such as crackles or wheezes. Administering the solution slowly over 24 hours (choice
A) is not appropriate for an IV bolus, which is a rapid infusion. Changing the IV tubing every 12 hours (choice
C) is a standard practice for preventing infection but is not directly related to administering an IV bolus. Flushing the IV line with heparin every 4 hours (choice
D) is a maintenance practice to prevent clot formation in the line, not specifically related to administering an IV bolus.