ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. The nurse should monitor the client for which of the following therapeutic effects of this medication?
- A. Improved mental status.
- B. Increased urine output.
- C. Decreased serum ammonia.
- D. Decreased bilirubin levels.
Correct answer: C
Rationale: The correct answer is C: Decreased serum ammonia. Lactulose is prescribed to decrease serum ammonia levels in clients with cirrhosis and hepatic encephalopathy. By reducing serum ammonia, lactulose helps improve the mental status of these clients. Therefore, monitoring for decreased serum ammonia is crucial to assess the effectiveness of lactulose therapy. Choice A (Improved mental status) is indirectly related as it is the desired outcome of decreasing ammonia levels. Choices B (Increased urine output) and D (Decreased bilirubin levels) are not directly associated with the therapeutic effects of lactulose in cirrhosis and hepatic encephalopathy.
2. A nurse is caring for a patient diagnosed with essential thrombocythemia (ET) who is at risk for thromboembolic events. What nursing intervention is most appropriate for this patient?
- A. Encouraging regular physical activity
- B. Administering anticoagulant therapy
- C. Monitoring for signs of bleeding
- D. Monitoring for signs of infection
Correct answer: B
Rationale: Administering anticoagulant therapy is crucial to prevent thromboembolic events in patients with ET.
3. A registered nurse (RN) administered a patient�s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?
- A. Quasi-intentional tort
- B. Misdemeanor
- C. Negligence
- D. Juvenile offense
Correct answer: C
Rationale: The RN could be charged with negligence.
4. When assessing the client with celiac disease, the nurse can expect to find which of the following?
- A. Steatorrhea
- B. Jaundiced sclerae
- C. Clay-colored stools
- D. Widened pulse pressure
Correct answer: A
Rationale: Because celiac disease destroys the absorbing surface of the intestine, fat isn't absorbed but is passed in the stool. Steatorrhea is bulky, fatty stools that have a foul odor. Jaundiced sclerae result from elevated bilirubin levels. Clay-colored stools are seen with biliary disease when bile flow is blocked. Celiac disease doesn't cause a widened pulse pressure.
5. Where is the site of chemical communication in the brain?
- A. Neuron
- B. Synapse
- C. Axon
- D. Dendrite
Correct answer: B
Rationale: The correct answer is B: Synapse. The synapse is the site where chemical communication occurs between neurons. Neurotransmitters are released from the axon terminal of one neuron, cross the synaptic cleft, and bind to receptors on the dendrites of the next neuron. Choice A, Neuron, is incorrect as it refers to the entire nerve cell. Choices C and D, Axon and Dendrite, are also incorrect as they are specific parts of a neuron and not the primary site of chemical communication.
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