ATI RN
ATI Comprehensive Exit Exam
1. A client with bipolar disorder and experiencing mania is under the care of a nurse. Which intervention should the nurse include in the plan?
- A. Encourage the client to spend time in the day room.
- B. Withdraw the client's TV privileges if they do not attend group therapy.
- C. Encourage the client to take frequent rest periods.
- D. Place the client in seclusion when they exhibit signs of anxiety.
Correct answer: C
Rationale: Encouraging the client to take frequent rest periods is an appropriate intervention for managing mania in a client with bipolar disorder. During a manic episode, individuals often have increased energy levels, decreased need for sleep, and may engage in high-risk behaviors. Encouraging regular rest periods can help reduce stimulation and promote relaxation, which may assist in stabilizing mood. Choices A and B are not as effective in managing manic symptoms, as they do not directly address the client's need for rest and relaxation. Choice D is inappropriate because placing the client in seclusion can increase feelings of anxiety and agitation, worsening the manic episode.
2. A client has a new prescription for Verapamil to treat angina. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of Verapamil?
- A. I am frequently constipated.
- B. I have been urinating more frequently.
- C. My skin is peeling.
- D. I have ringing in my ears.
Correct answer: A
Rationale: The correct answer is A: 'I am frequently constipated.' Constipation is a common adverse effect of Verapamil, a calcium channel blocker. Verapamil can slow down intestinal motility, leading to constipation as a side effect. Choices B, C, and D are not typically associated with adverse effects of Verapamil. Increased urination is not a common side effect, skin peeling is not related to Verapamil use, and ringing in the ears is not a typical adverse effect of this medication.
3. The changes brought forth by the state boards of nursing are an example of which type of change agent?
- A. Resistance
- B. Empirical–rational
- C. Normative–reeducative
- D. Power–coercive
Correct answer: D
Rationale: The changes implemented by state boards of nursing typically fall under the category of Power–coercive change agents. State boards of nursing have the authority to enforce changes through regulations and policies, making use of their legitimate power. Resistance (choice A) is not the correct answer as it refers to opposition to change rather than the entity driving change. Empirical–rational (choice B) focuses on convincing individuals through empirical evidence and rational arguments, which is not reflective of the state boards' authority. Normative–reeducative (choice C) involves persuading individuals to change based on shared values and beliefs, which is not the primary approach of state boards of nursing.
4. A healthcare provider is providing teaching to a client who has a new prescription for metronidazole. The healthcare provider should instruct the client to avoid which of the following?
- A. Dairy products
- B. Alcohol
- C. Leafy green vegetables
- D. Grapefruit juice
Correct answer: B
Rationale: The correct answer is B: Alcohol. Clients should avoid alcohol while taking metronidazole due to the risk of a disulfiram-like reaction. This reaction can cause symptoms like flushing, headache, nausea, and vomiting when alcohol is consumed while on metronidazole. Dairy products, leafy green vegetables, and grapefruit juice do not have significant interactions with metronidazole. Dairy products do not interfere with metronidazole absorption; leafy green vegetables are safe to consume as they do not affect metronidazole metabolism, and grapefruit juice is not contraindicated with metronidazole.
5. There is experimental evidence showing that consistently being discriminated against may cause a person to ________.
- A. be happy.
- B. be more conscious.
- C. have cardiovascular reactivity.
- D. have greater intelligence and wisdom.
Correct answer: C
Rationale: The correct answer is C: 'have cardiovascular reactivity.' Consistent discrimination can lead to increased cardiovascular reactivity, impacting heart health. Choice A ('be happy') is incorrect because discrimination typically causes distress and negative emotions. Choice B ('be more conscious') is not directly related to the impact of discrimination. Choice D ('have greater intelligence and wisdom') is also unrelated to the physiological response of cardiovascular reactivity caused by discrimination.
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