ATI RN
ATI Exit Exam 2023 Quizlet
1. A healthcare provider is assessing a child who is being treated for bacterial pneumonia. The provider notes an increase in the child's glucose level. The provider should identify this finding as an adverse effect of which of the following medications?
- A. Methylprednisolone.
- B. Ondansetron.
- C. Guaifenesin.
- D. Amoxicillin.
Correct answer: A
Rationale: Correct. Methylprednisolone, a corticosteroid, can lead to increased glucose levels as an adverse effect. Ondansetron is an antiemetic and does not typically cause elevated glucose levels. Guaifenesin is an expectorant and is not associated with raising glucose levels. Amoxicillin is an antibiotic and does not affect glucose levels.
2. A nurse is teaching a client who has a new prescription for lisinopril. Which of the following statements should the nurse include?
- A. You should expect to develop a dry cough while taking this medication.
- B. This medication can cause a slow heart rate.
- C. You should increase your intake of foods high in potassium.
- D. You should avoid using salt substitutes while taking this medication.
Correct answer: D
Rationale: The correct statement to include when teaching a client prescribed with lisinopril is that they should avoid using salt substitutes while taking this medication. Lisinopril can cause hyperkalemia, which is an elevated level of potassium in the blood. Therefore, using salt substitutes that contain potassium can worsen this condition. Choices A, B, and C are incorrect because lisinopril is not typically associated with causing a dry cough or a slow heart rate, and increasing potassium intake can be harmful in the presence of lisinopril-induced hyperkalemia.
3. A nurse is planning care for a client who has dehydration. Which of the following interventions should the nurse include?
- A. Monitor the client's fluid intake.
- B. Provide the client with a high-protein diet.
- C. Encourage the client to ambulate frequently.
- D. Administer 0.45% sodium chloride IV.
Correct answer: D
Rationale: The correct intervention for a client with dehydration is to administer 0.45% sodium chloride IV. This solution helps correct fluid imbalance by providing the necessary electrolytes. Restricting fluid intake (Choice A) is not appropriate for dehydration as the client needs adequate fluids to rehydrate. Providing a high-protein diet (Choice B) is not directly related to correcting dehydration. Encouraging the client to ambulate frequently (Choice C) is beneficial for overall health but does not address the issue of dehydration directly.
4. A client has a new diagnosis of hypertension, and a nurse is teaching about dietary management. Which of the following instructions should the nurse include?
- A. Limit your sodium intake to 2,000 mg per day.
- B. Increase your intake of high-fat foods.
- C. Increase your intake of green, leafy vegetables.
- D. Limit your potassium intake to 3,000 mg per day.
Correct answer: A
Rationale: The correct answer is A: Limit your sodium intake to 2,000 mg per day. Limiting sodium intake helps manage hypertension by reducing fluid retention and lowering blood pressure. Choice B is incorrect because increasing intake of high-fat foods can worsen hypertension by contributing to weight gain and other cardiovascular risks. Choice C is incorrect as green, leafy vegetables are beneficial for hypertension due to their high potassium and other nutrient content. Choice D is incorrect as limiting potassium intake is typically not recommended for hypertension management unless specified by a healthcare provider.
5. A client has a new prescription for levothyroxine, and a nurse is providing teaching. Which of the following client statements indicates an understanding of the teaching?
- A. ''I should take this medication with food to prevent nausea.''
- B. ''I should take this medication in the evening before bedtime.''
- C. ''I will need to take this medication for the rest of my life.''
- D. ''I should stop taking this medication if I develop a rash.''
Correct answer: C
Rationale: The correct answer is C. Levothyroxine is a lifelong medication for clients with hypothyroidism, and it should be taken as prescribed. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect because levothyroxine is usually taken in the morning on an empty stomach. Choice D is incorrect because stopping the medication abruptly can have adverse effects on thyroid function.
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