ATI RN
ATI Comprehensive Exit Exam 2023 With NGN
1. A nurse is caring for a client who has received a new diagnosis of terminal cancer. The client tells the nurse, 'I just want to live long enough to see my child graduate.' The nurse should identify that the client is in which of the following stages of grief?
- A. Denial
- B. Bargaining
- C. Acceptance
- D. Anger
Correct answer: B
Rationale: The client expressing a desire to live long enough to see their child graduate is an example of bargaining, which is a stage of grief where individuals attempt to negotiate for more time or different outcomes. Denial refers to refusing to accept the reality of the situation, acceptance involves coming to terms with the diagnosis, and anger is feeling frustrated and upset about the situation. Therefore, the correct answer is 'Bargaining.'
2. Overweight and obesity often accompany conditions such as _____ that limit mobility or result in short stature, which can lead to feeding difficulties.
- A. Parkinson's disease
- B. muscular dystrophy
- C. Down syndrome
- D. multiple sclerosis
Correct answer: C
Rationale: The correct answer is C, Down syndrome. Down syndrome is often associated with short stature and limited mobility, which can contribute to feeding difficulties and obesity. Parkinson's disease (choice A) primarily affects motor function, but it is not typically associated with short stature. Muscular dystrophy (choice B) primarily impacts muscle strength and does not necessarily lead to short stature. Multiple sclerosis (choice D) is a neurological condition affecting the central nervous system and does not directly cause short stature or feeding difficulties as seen in Down syndrome.
3. A client has a prescription for hydrochlorothiazide to treat hypertension. The nurse should monitor the client for which of the following adverse effects?
- A. Hypokalemia
- B. Hypertension
- C. Hyperglycemia
- D. Hypercalcemia
Correct answer: A
Rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss, leading to hypokalemia. Monitoring potassium levels is crucial to prevent potential adverse effects such as cardiac arrhythmias and muscle weakness.
4. Students in the resident M6 Practical Nurse Course are expected to achieve entry-level competencies for which of the following?
- A. Medical-surgical nursing
- B. Obstetric and newborn nursing
- C. Pediatric nursing
- D. Trauma nursing
Correct answer: A
Rationale: The correct answer is A: Medical-surgical nursing. In the resident M6 Practical Nurse Course, students are expected to achieve entry-level competencies in medical-surgical nursing. This area of nursing focuses on caring for adult patients with a variety of medical conditions. Obstetric and newborn nursing (choice B), pediatric nursing (choice C), and trauma nursing (choice D) are specialized areas within nursing that are not typically covered in entry-level practical nurse courses, making them incorrect choices.
5. A nurse is teaching a client who has a new prescription for iron supplements. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with a glass of milk.
- B. I will take this medication with orange juice.
- C. I should expect my stools to be black and tarry.
- D. I will take this medication before bedtime.
Correct answer: C
Rationale: The correct answer is C. When a client understands the teaching about iron supplements, they should know that black, tarry stools are a normal side effect. This indicates that the medication is being absorbed and working effectively. Choices A and B are incorrect because iron supplements should not be taken with milk or orange juice, as these can interfere with the absorption of iron. Choice D is also incorrect because iron supplements are usually best absorbed on an empty stomach, so taking them before bedtime may not be ideal.
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