ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse in an emergency department is caring for a client who reports cocaine use 1 hour ago. Which of the following findings should the nurse expect?
- A. Hypotension.
- B. Memory loss.
- C. Slurred speech.
- D. Elevated temperature.
Correct answer: D
Rationale: The correct answer is D: Elevated temperature. Cocaine is a stimulant drug that can lead to increased body temperature. Hypotension (Choice A) is less likely as cocaine tends to elevate blood pressure. Memory loss (Choice B) and slurred speech (Choice C) are more commonly associated with depressant drugs rather than stimulant drugs like cocaine.
2. A client has a new prescription for Zolpidem. Which of the following instructions should the nurse include?
- A. Notify the provider if you plan to become pregnant.
- B. Take the medication 1 hour before planning to go to sleep.
- C. Allow at least 6 hours for sleep when taking zolpidem.
- D. Do not take zolpidem with a bedtime snack.
Correct answer: A
Rationale: Zolpidem is classified as Pregnancy Risk Category C. It is important for the client to inform the provider if they plan to become pregnant because the medication may need to be adjusted or changed to ensure the safety of the fetus. This communication allows for appropriate monitoring and adjustments to be made to the treatment plan. Choice B is incorrect because zolpidem should be taken just before going to bed, not specifically 1 hour before. Choice C is incorrect as zolpidem is a short-acting medication, and it does not require a full 6 hours for sleep. Choice D is incorrect because zolpidem can be taken with or without food, so taking it with a bedtime snack is not contraindicated.
3. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e
- A. endanger the newborn
- B. arouse the infant into alertness
- C. cause the cervix to thin and the uterine wall to contract
- D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate
Correct answer: B
Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.
4. A new manager is implementing an initiative with the desired outcome of having the unit run more smoothly. What quality is the manager demonstrating?
- A. Being unrealistic
- B. Being a change agent
- C. Being democratic
- D. Being authoritarian
Correct answer: B
Rationale: The correct answer is B: Being a change agent. The manager is demonstrating the quality of being a change agent by implementing an initiative aimed at improving the unit's operations. A change agent initiates and drives changes to enhance effectiveness and efficiency within the unit. Choice A is incorrect because the manager's actions are not described as unrealistic but rather proactive. Choice C, being democratic, is incorrect as it does not relate to the manager's initiative to improve unit operations. Choice D, being authoritarian, is also incorrect as the manager is not described as enforcing changes through strict control and power.
5. When developing a home program for self-care, which approach is the most effective?
- A. Require the parent to practice the steps regularly and track progress.
- B. Introduce new home programs weekly with clear instructions for the parent to follow.
- C. List all the steps and have the parent teach them to the child without practicing.
- D. Practice the new steps until the child is ready to independently perform them at home.
Correct answer: D
Rationale: The most effective approach when developing a home program for self-care is to practice the new steps with the child until they are capable of independently carrying them out at home. This method ensures that the child has mastered the skills before transitioning to independent implementation. It is essential for the child's success in self-care activities and promotes their autonomy and confidence. Requiring the parent to practice the steps regularly and track progress, introducing new programs weekly, or having the parent teach the steps without practice may not be as beneficial in fostering the child's independence and skill acquisition.
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