ATI RN
ATI Comprehensive Exit Exam
1. A client has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Sodium
- C. Calcium
- D. Hemoglobin
Correct answer: A
Rationale: When a client is prescribed furosemide, monitoring potassium levels is crucial due to the drug's potential to cause hypokalemia. Furosemide is a loop diuretic that promotes potassium excretion in the urine, leading to a risk of low potassium levels. Monitoring potassium levels helps in detecting and preventing hypokalemia, which can result in adverse effects like cardiac dysrhythmias. Sodium, calcium, and hemoglobin levels are usually not directly affected by furosemide, making them less pertinent for monitoring in this specific scenario.
2. The client with ascites is scheduled for a paracentesis. The nurse is assisting the physician in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure?
- A. Supine
- B. Left side-lying
- C. Right side-lying
- D. Upright position.
Correct answer: D
Rationale: An upright position allows the intestine to float posteriorly and helps prevent intestinal laceration during catheter insertion.
3. A 37-year-old woman has a 10 pack-year smoking history and has been using oral contraceptives for the past 2 years. The nurse should plan health education interventions knowing that this patient faces an increased risk of
- A. osteoporosis.
- B. dementia.
- C. myocardial infarction.
- D. deep vein thrombosis.
Correct answer: C
Rationale: The correct answer is C: myocardial infarction. Women aged 35 and older who smoke, especially with a history of 10 pack-years like in this case, face an increased risk of cardiovascular disorders, including myocardial infarction, when using oral contraceptives. Choice A, osteoporosis, is incorrect because smoking and oral contraceptives do not significantly increase the risk of osteoporosis. Choice B, dementia, is not directly associated with smoking, oral contraceptives, or their combination. Choice D, deep vein thrombosis, is a risk associated with oral contraceptives, especially in combination with smoking, but the highest increased risk in this case is for myocardial infarction.
4. How is an ear infection that persists for less than 14 days classified?
- A. Mastoiditis
- B. Chronic Ear Infection
- C. Acute Ear Infection
- D. Otitis Media
Correct answer: C
Rationale: Acute Ear Infection is the correct answer because it typically refers to an infection that is short-lived and often severe, typically lasting less than 14 days. Chronic Ear Infection (Choice B) is incorrect as it refers to an ear infection that lasts for a long time or recurs often, typically more than three months. Mastoiditis (Choice A) is a complication of a middle ear infection and not an ear infection itself. Otitis Media (Choice D) is a general term for inflammation or infection in the middle ear, which can be either acute or chronic, so it's not specific enough to be the correct answer. Understanding the duration and severity of symptoms can help in identifying the type of ear infection, facilitating appropriate treatment and prevention of complications.
5. A fire has broken in the unit of DMLM R.N. The best leadership style suited in cases of emergencies like this is:
- A. Autocratic
- B. Participative
- C. Democratic
- D. Laissez Faire
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
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