ATI RN
ATI Fundamentals Proctored Exam 2023
1. A client with depression reports taking St. John's wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances?
- A. Serotonin syndrome
- B. Tardive dyskinesia
- C. Pseudoparkinsonism
- D. Acute dystonia
Correct answer: Serotonin syndrome
Rationale: When St. John's wort, an herbal supplement, is taken with citalopram, a selective serotonin reuptake inhibitor (SSRI), there is a risk of serotonin syndrome. Serotonin syndrome is a serious condition that can occur when there is an excess of serotonin in the body, leading to symptoms such as confusion, hallucinations, rapid heart rate, increased body temperature, and more. Monitoring for serotonin syndrome is crucial when these substances are taken together to prevent any potential harm to the client.
2. A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that her partner brought for her. Which of the following responses should the nurse make?
- A. Does the doctor know you are eating that?
- B. Why are you eating seaweed soup?
- C. Of course, I will heat that up for you.
- D. The hospital food is more nutritious.
Correct answer: C
Rationale: Respecting cultural preferences and providing client-centered care promotes trust.
3. The client with systemic sclerosis (Scleroderma) is experiencing Raynaud’s phenomenon. What assessment finding does the nurse anticipate?
- A. Excessive heartburn
- B. Cyanosis of the lips
- C. Excess wrinkled skin
- D. Cold and purple nailbeds
Correct answer: Cold and purple nailbeds
Rationale:
4. What is the most appropriate action for a healthcare provider if a child presents with suspected meningitis?
- A. Administer antibiotics immediately
- B. Perform a lumbar puncture
- C. Isolate the child
- D. Obtain a complete blood count
Correct answer: C
Rationale: Isolating the child is a priority to prevent the spread of infection until meningitis is confirmed or ruled out. Meningitis, particularly bacterial, is highly contagious and can lead to outbreaks if not properly managed. Isolation and prompt treatment are critical in preventing serious complications. Administering antibiotics immediately without confirmation of the diagnosis can be harmful if the cause is viral or non-infectious. Performing a lumbar puncture is a diagnostic procedure that should be done by a healthcare provider but is not the initial action when suspecting meningitis. Obtaining a complete blood count may be part of the diagnostic workup but is not the most appropriate initial action in suspected meningitis.
5. What are substances, such as viruses and drugs, that can cause birth defects?
- A. Teratogens
- B. Placenta
- C. Parturition
- D. Androgens
Correct answer: A
Rationale: Teratogens are substances that can cause birth defects, especially if exposure occurs during critical periods of development. In this context, teratogens refer to external agents that can interfere with the development of the embryo or fetus, leading to structural or functional abnormalities. Choice B, Placenta, is incorrect as it is an organ that develops during pregnancy to provide nutrients and oxygen to the fetus and remove waste products. Choice C, Parturition, refers to the process of giving birth and is not related to substances that cause birth defects. Choice D, Androgens, are male sex hormones and are not associated with causing birth defects.
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