ATI-RN Comprehensive Predictor EXIT EXAM 2023-2024
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Questions and Answers

What is a key monitoring parameter for lymphadenopathy?

  • Blood glucose levels
  • Erythrocyte Sedimentation Rate (ESR) (correct)
  • Urinalysis
  • Liver function tests
  • In the context of potential skin conditions, what does 'mastasis' refer to?

  • Infection due to a crack in the nipple (correct)
  • Skin irritation from unknown cause
  • Inflammation of the skin without infection
  • A benign tumor on the skin
  • Which statement best describes the recommended approach for managing anorexia nervosa?

  • Focus only on weight gain without dietary structure
  • Avoid emotional discussions related to food
  • Encourage unrestricted eating habits
  • Implement structured meals with monitoring of behavior (correct)
  • What initial treatment should be provided for a patient requiring oxygen?

    <p>Provide supplemental oxygen before anything else</p> Signup and view all the answers

    What is a sign that might indicate potential complications due to deep vein thrombosis (DVT)?

    <p>Signs of bleeding</p> Signup and view all the answers

    What is the likely initial action in response to an abdominal case suspected of requiring IV treatment?

    <p>Obtain IV access first</p> Signup and view all the answers

    Which of the following factors is NOT typically assessed when dealing with potential gastrointestinal issues?

    <p>Patient's dental records</p> Signup and view all the answers

    In treating patients with osteoarthritis, which of the following is recommended?

    <p>Topical analgesics, heat, or cold application</p> Signup and view all the answers

    What should be monitored closely alongside respiratory function in emergent situations?

    <p>Blood pressure and pain levels</p> Signup and view all the answers

    Identify the most appropriate action when lung sounds are abnormal.

    <p>Anticipate further complications</p> Signup and view all the answers

    How should safety and pain management be prioritized in patient care?

    <p>Both safety and pain management should be integrated</p> Signup and view all the answers

    Which condition should be least likely suspected if a patient displays multiple bruises and abrasions?

    <p>Chronic stationary lifestyle</p> Signup and view all the answers

    What is the significance of assessing vital signs such as blood pressure and heart rate in emergency situations?

    <p>They provide insight into the patient's stability and urgency of treatment.</p> Signup and view all the answers

    Which symptom is indicative of potential preterm labor during a cervical exam?

    <p>Low back pain and pinkish vaginal discharge</p> Signup and view all the answers

    What should be monitored to assess the risk of sepsis in a client with PROM?

    <p>WBC count and temperature</p> Signup and view all the answers

    Which action is most appropriate for a nurse managing a client with brief psychotic disorder?

    <p>Engage with the client several times a day</p> Signup and view all the answers

    What clinical sign in a client with upper abdominal pain may indicate liver involvement?

    <p>Jaundice noted in the sclera</p> Signup and view all the answers

    In a scenario where a patient presents with severe abdominal pain after eating, what should be the priority area of assessment?

    <p>Assessing for signs of gallbladder disease</p> Signup and view all the answers

    Which of the following findings could be a sign of preterm labor?

    <p>Signs of cervical shortening</p> Signup and view all the answers

    What is the correct nursing intervention for a client experiencing pain and guarding in the abdomen?

    <p>Document the findings and notify the physician</p> Signup and view all the answers

    If a client has low back pain without discharge, which of the following assessments should be prioritized?

    <p>Checking for uterine contractions</p> Signup and view all the answers

    What is the primary focus of the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Predicting NCLEX-RN success</p> Signup and view all the answers

    Which aspect is NOT included in the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Mechanical skills</p> Signup and view all the answers

    What is the intended outcome for students taking the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>To measure preparation for NCLEX-RN</p> Signup and view all the answers

    How does the ATI-RN Comprehensive Predictor EXIT Exam assist nursing students?

    <p>By analyzing their NCLEX-RN passing likelihood</p> Signup and view all the answers

    Which of the following is a feature of the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Comprehensive practice assessments</p> Signup and view all the answers

    What is a critical component emphasized in pharmacology for nursing practice within the exam?

    <p>Calculating medication dosages</p> Signup and view all the answers

    Which of the following best describes the structure of the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Timed multiple-choice questions</p> Signup and view all the answers

    In preparing for the ATI-RN Comprehensive Predictor EXIT Exam, students should focus on which area?

    <p>Integrated pharmacological therapies</p> Signup and view all the answers

    What type of knowledge does the ATI-RN Comprehensive Predictor EXIT Exam primarily assess?

    <p>Practical and clinical reasoning</p> Signup and view all the answers

    What role does critical thinking play in the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>It is essential for answering questions</p> Signup and view all the answers

    How often should students review pharmacology concepts for the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Regularly throughout their coursework</p> Signup and view all the answers

    What is the ultimate goal of the ATI-RN Comprehensive Predictor EXIT Exam for nursing students?

    <p>To improve chances of NCLEX-RN success</p> Signup and view all the answers

    Which characteristic is NOT typically assessed in the ATI-RN Comprehensive Predictor EXIT Exam?

    <p>Communication skills with patients</p> Signup and view all the answers

    Study Notes

    ATI-RN Comprehensive Predictor EXIT EXAM 2023 2024

    • The correct answer for question number 1 is A.
    • The correct answers for question number 2 are 1, 2, 3, 6, and 7.
    • The correct answer for question number 3 is B.
    • The correct answer for question number 4 is C.
    • The correct answer for question number 5 is A.
    • The correct answer for question number 6 is A.
    • The possible complications of an infant with fetal alcohol syndrome include tachypnea and hypoglycemia.

    Preterm Labor

    • A patient presents with low back pain and pinkish vaginal discharge. Possible reasons: preterm labor, previous preterm birth
    • A patient presenting with PROM (Premature Rupture of Membranes) and sepsis should be assessed for possible infection
    • Preterm labor Assessment: Uterine contractions, cervical exam, low back pain, pinkish vaginal discharge
    • Preterm labor Interventions: urine culture and antibiotics, phenazopyridine
    • Preterm labor Monitoring: low back pain, vaginal discharge, contractions, burning with urination, platelets, blood pressure, WBC, temperature

    Abdominal Pain

    • A client presents with severe pain in the upper abdomen radiating into the back. The pain started 12 hours ago and is worse when supine or after eating. Other presenting symptoms: Sclera is yellow, abdomen is firm, bowel sounds are hypoactive.
    • Possible Diagnosis: Peritonitis, hypbili, pancreatitis.
    • Assessment: Guard's abdomen, grimaces during palpation, bloody stool
    • Monitoring: WBC, Abdominal Pain, Lung Sounds, Temperature
    • Interventions: anticipate pain medication, contraindicate antispasmodics, anticipate antacids, anticipate antiemetics

    Pain Management

    • The most important nursing action to prioritize: Assess the client for potential causes of pain.
    • Important elements for pain assessment: Quality, location, intensity, duration, and onset

    Endoscopy

    • Patient presenting with recent GI bleed: prepare the patient for an endoscopy
    • Necessary actions to take before endoscopy: Obtain IV access, prepare to administer IV
    • Prioritization when preparing for endoscopy: ABC (Airway, Breathing, Circulation)
    • Endoscopy Assessment (indicated): Assessment of ABCs, VS (Vital Signs), Level of consciousness, Pain assessment, Monitor for adverse reactions to medications.
    • Endoscopy Assessment (not indicated): Assessing hematocrit and hemoglobin levels

    Hypoglycemia Assessment

    • Hypoglycemia Assessment: Assess blood sugar, assess LOC (Level Of Consciousness) , monitor for changes in mental status, assess skin for signs of diaphoresis, check for tachycardia, assess for tremors, assess for behavior changes, check peripheral pulses.

    Nutrition

    • Patient recovering from surgery: Assess their diet.
    • Patient's diet after surgery: Advance to a regular diet as tolerated
    • Patient is NPO: Assess for signs of dehydration.

    Safety and Pain

    • Patient with a history of assault: Assess for safety concerns, assess for bruises, abrasions and pain, assess for history of abuse, ask about potential triggers.
    • Patient with history of assault: Assess for risk for financial exploitation and neglect.
    • Patient with history of assault: Assess for signs of neglect, assess financial resources, assess risk for further assault.
    • Patient with a history of assault: Assess potential for psychological abuse, assess for drug abuse or dependence.
    • Safety Considerations: Assess the client's pain, Assess the client's safety.

    Fluid and Electrolyte Assessment

    • Patient with a history of diarrhea: Assess fluid volume status, assess electrolyte status, assess vital signs, monitor for signs of dehydration.

    Cardiac Assessment

    • Monitor cardiac status: Assess blood pressure, monitor for bradycardia, assess electrolytes, assess for EKG changes, assess for chest pain.
    • Patient with a history of COPD: Assess respiratory status.

    Pain Assessment

    • Patient with a history of COPD: Assess respiratory status.
    • Patient with a history of COPD: Assess pain, assess for tingling in the hand.

    Wound Care Assessment

    • Patient with a history of COPD: Assess respiratory status.
    • Patient with a history of COPD: Assess pain, assess for tingling in the hand.

    Gastrointestinal Assessment

    • Patient with a history of COPD: Assess respiratory status.
    • Patient with a history of COPD: Assess pain, assess for tingling in the hand.
    • Patient with a history of COPD: Assess LOC (Level Of Consciousness), assess for changes in mental status.

    Osteoarthritis

    • Patient with Osteoarthritis: Monitor ESR (Erythrocyte Sedimentation Rate), monitor for Lymphadenopathy.
    • Patient with Osteoarthritis: Apply heat or cold to the joints, apply topical analgesics.

    Anorexia Nervosa

    • Client with Anorexia Nervosa: Assess the patient's weight loss, assess for changes in eating habits.
    • Anorexia Nervosa Interventions: Focus on feelings, monitor behavior after meals, monitor for complications with EKG.
    • Important considerations for clients with Anorexia Nervosa: Monitor the client 15 minutes after meals.

    Serotonin Syndrome

    • Client presenting with Serotonin Syndrome: Assess for adverse effects of paroxetine, monitor for muscle rigidity.
    • Patient presenting with a medical emergency: Administer oxygen, administer nitrates.

    **DVT (Deep Vein Thrombosis) **

    • Key assessment points: Assess for DVT using Doppler, assess PT/INR levels for bleeding, assess for Homans sign
    • Key interventions: Anticoagulants

    Mastitis

    • Key assessment points:Assess for crackle nipples, assess for edema in breast tissues
    • Key interventions: Antibiotics

    Postpartum psychosis

    • Key assessment points: Assess for changes in mood, assess for changes the client's ability to care for their infant, assess for changes in cognition
    • Key interventions: Engage with the client several times a day, reduce stimuli in the environment, monitor for suicide risk.

    Delirium

    • Key assessment points: Assess for changes in alertness, assess for changes in cognition.
    • Key interventions: Establish eye contact, give one direction, reinforce orientation.

    Inflammatory Bowel Disease

    • Key assessment points: Monitor for bloody stool, assess for abdominal pain
    • Key interventions: Administer medication

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    Description

    This quiz covers key topics related to the ATI-RN Comprehensive Predictor Exit Exam for the academic years 2023-2024. It includes questions about fetal alcohol syndrome complications and assessment of preterm labor. Test your knowledge and preparation for nursing success!

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