ATI RN
ATI Comprehensive Exit Exam 2023
1. A nurse is caring for a client who has a pressure ulcer. Which of the following findings should the nurse report to the provider?
- A. Eschar
- B. Slough
- C. Granulation tissue
- D. Undermining
Correct answer: D
Rationale: The correct answer is D, 'Undermining.' Undermining occurs when the tissue under the wound edges erodes, indicating poor healing progress. This finding should be reported to the provider as it suggests delayed wound healing and may require intervention. Choice A, 'Eschar,' is a thick, hard, black/brown necrotic tissue that forms over a wound. While it indicates a non-healing wound, it is not as concerning as undermining. Choice B, 'Slough,' is a soft, moist, yellow/white tissue that is also a sign of necrosis. While the presence of slough indicates the need for wound cleaning and debridement, it is not as critical to report as undermining. Choice C, 'Granulation tissue,' is new tissue that forms during wound healing and is a positive sign. The presence of granulation tissue indicates that the wound is progressing through the healing stages and is not a finding that requires immediate reporting to the provider.
2. A client has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?
- A. Increase intake of protein-rich foods.
- B. Expect muscle twitching to occur.
- C. Take this medication with food.
- D. Anticipate relief of manifestations in 24 hours.
Correct answer: C
Rationale: The correct instruction for the nurse to include is to advise the client to take Levodopa/Carbidopa with food. This recommendation helps reduce gastrointestinal side effects commonly associated with this medication. Food can help minimize nausea and other stomach-related issues that may occur when taking Levodopa/Carbidopa. Options A, B, and D are incorrect. Increasing intake of protein-rich foods is not necessary with this medication. Muscle twitching is not an expected side effect of Levodopa/Carbidopa. Anticipating relief of manifestations in 24 hours is unrealistic as it may take days to weeks for the full therapeutic effect of the medication to be achieved.
3. The humanistic perspective focuses primarily upon the capacity of the individual to ________.
- A. confront the dilemma of our deaths.
- B. be driven by unconscious motives.
- C. rationally explain our behavior.
- D. engage in positive self-growth.
Correct answer: D
Rationale: The humanistic perspective, as highlighted by proponents like Carl Rogers and Abraham Maslow, emphasizes the inherent drive of individuals to achieve self-actualization and positive self-growth. It focuses on the individual's potential for growth, self-improvement, and fulfilling their highest capabilities. Choice A is incorrect as the humanistic perspective is more concerned with personal growth than with addressing the fear of death. Choice B is associated with the psychodynamic perspective, which focuses on unconscious motives. Choice C is related to cognitive-behavioral approaches that emphasize the rational understanding of behavior.
4. Which electrolyte imbalance is a potential side effect of diuretics?
- A. Hyperkalemia
- B. Hypercalcemia
- C. Hypomagnesemia
- D. Hypokalemia
Correct answer: D
Rationale: The correct answer is D, Hypokalemia. Diuretics commonly cause hypokalemia due to increased urinary excretion of potassium. Hyperkalemia (Choice A) is the opposite, characterized by high potassium levels and is not typically associated with diuretics. Hypercalcemia (Choice B) is an elevated calcium level, which is not a common side effect of diuretics. Hypomagnesemia (Choice C) is low magnesium levels, which can be a side effect of diuretics, but the most common electrolyte imbalance associated with diuretics is hypokalemia.
5. Each of the following is a fat-soluble vitamin except for one. Which is the exception?
- A. Vitamin A
- B. Vitamin C
- C. Vitamin D
- D. Vitamin K
Correct answer: B
Rationale: The correct answer is B, Vitamin C. Vitamin C is a water-soluble vitamin, not fat-soluble. Fat-soluble vitamins are Vitamins A, D, E, and K. These vitamins are stored in the body's fat tissues and liver, unlike water-soluble vitamins which are not stored and are eliminated in urine, making them less likely to reach toxic levels.
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