ATI RN
ATI Exit Exam 2023 Quizlet
1. A client who is postoperative following a total hip arthroplasty is at risk for hip dislocation. Which of the following actions should the nurse take to prevent this complication?
- A. Position the client supine with a pillow between the legs
- B. Place a pillow under the client's knees
- C. Place an abduction pillow between the client's legs
- D. Place a trochanter roll under the client's legs
Correct answer: C
Rationale: After a total hip arthroplasty, it is crucial to prevent hip dislocation. Placing an abduction pillow between the client's legs helps maintain proper alignment and prevents the hip from dislocating. This position aids in keeping the hip in a neutral or slightly outwardly rotated position, reducing the risk of dislocation. Placing the client supine with a pillow between the legs (Choice A) or using a trochanter roll (Choice D) may not provide the same level of abduction and support needed to prevent hip dislocation. Placing a pillow under the client's knees (Choice B) does not provide the necessary support to maintain proper hip alignment in this situation.
2. A patient is being educated about sildenafil (Viagra). Which of the following statements by the patient indicates that further teaching is necessary?
- A. I can take this medication with nitroglycerin.
- B. This medication can cause an erection lasting more than 4 hours.
- C. I should not take this medication if I am taking medications containing nitrates.
- D. This medication is safe to take with any over-the-counter medication.
Correct answer: A
Rationale: The correct answer is A because sildenafil should not be taken with medications containing nitrates, such as nitroglycerin, due to the risk of severe hypotension. Choice B is incorrect because priapism (prolonged erection) is a serious side effect but does not require immediate intervention like severe hypotension. Choice C is incorrect as it correctly identifies a contraindication for sildenafil use. Choice D is incorrect because not all over-the-counter medications are safe to take with sildenafil, and interactions can occur.
3. A nurse is assessing a client who has a history of seizure disorder and is receiving phenytoin. Which of the following findings should the nurse identify as an adverse effect of the medication?
- A. Bradycardia.
- B. Ataxia.
- C. Tachycardia.
- D. Insomnia.
Correct answer: B
Rationale: The correct answer is B: Ataxia. Ataxia, which refers to uncoordinated movements, is a common adverse effect of phenytoin, a medication used to manage seizure disorders. Bradycardia (Choice A) is not typically associated with phenytoin; instead, it may cause tachycardia (Choice C) as a side effect. Insomnia (Choice D) is not a common adverse effect of phenytoin.
4. Which nutrient is critical for wound healing and immune function?
- A. Vitamin B12
- B. Vitamin C
- C. Vitamin D
- D. Vitamin K
Correct answer: B
Rationale: Vitamin C is essential for collagen formation and immune function.
5. A client with heart failure is being instructed on laxative use. Which of the following laxatives should the client avoid?
- A. Sodium phosphate
- B. Psyllium
- C. Bisacodyl
- D. Polyethylene glycol
Correct answer: A
Rationale: The correct answer is A: Sodium phosphate. Clients with heart failure often follow a sodium-restricted diet. Sodium phosphate laxatives can lead to sodium absorption, causing fluid retention, which is contraindicated in heart failure. It is crucial to avoid sodium phosphate laxatives in these clients to prevent exacerbation of fluid overload and heart failure symptoms. Psyllium (choice B), Bisacodyl (choice C), and Polyethylene glycol (choice D) are not contraindicated in clients with heart failure and can be used safely for bowel management.
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