ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care?
- A. Withhold all medications until after dialysis.
- B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
- C. Check the vascular access site for bleeding after dialysis.
- D. Give an antibiotic 30 minutes before dialysis.
Correct answer: C
Rationale: The correct action the nurse should include in the plan of care for a client receiving hemodialysis is to check the vascular access site for bleeding after dialysis. This is crucial to detect any bleeding complications and ensure prompt intervention if necessary. Withholding all medications until after dialysis (Choice A) is not appropriate as some medications may need to be administered during dialysis. Rehydrating with dextrose 5% in water for orthostatic hypotension (Choice B) is not directly related to the immediate post-dialysis care. Giving an antibiotic 30 minutes before dialysis (Choice D) is not recommended as timing of medication administration should be based on the specific antibiotic and its pharmacokinetics.
2. A nurse is providing dietary teaching to a client with irritable bowel syndrome (IBS). Which of the following recommendations should the nurse include?
- A. Consume foods high in bran fiber.
- B. Increase intake of milk products.
- C. Sweeten foods with fructose corn syrup.
- D. Increase intake of foods high in gluten.
Correct answer: A
Rationale: The correct recommendation for a client with irritable bowel syndrome (IBS) is to consume foods high in bran fiber. Bran fiber promotes regularity and helps reduce IBS symptoms by aiding digestion and preventing constipation. Choices B, C, and D are incorrect. Increasing intake of milk products may exacerbate IBS symptoms in some individuals due to lactose intolerance. Sweetening foods with fructose corn syrup can worsen IBS symptoms as it may cause bloating and gas. Increasing intake of foods high in gluten may also be problematic for individuals with IBS as gluten-containing foods can trigger symptoms like abdominal pain and diarrhea.
3. Your alertness to both the physical and emotional needs of clients is based on which of the following philosophical frameworks?
- A. There is a basic similarity among human beings.
- B. All behavior has meaning for communicating a message or need.
- C. Human beings are systems of interdependent and interrelated parts.
- D. Each individual has the potential for growth and change in the direction of positive mental health.
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. Breastfeeding for just a few weeks ________.
- A. is a rare practice among American women
- B. leads directly to later obesity
- C. is not helpful because, in the beginning, breastfeeding causes constipation
- D. offers some protection against respiratory and intestinal infections
Correct answer: D
Rationale: Breastfeeding for even a short period offers infants protection against respiratory and intestinal infections. Choice A is incorrect because breastfeeding is not a rare practice among American women. Choice B is incorrect as there is no direct link between breastfeeding for a few weeks and later obesity. Choice C is incorrect as breastfeeding does not cause constipation in infants; in fact, it can help prevent constipation.
5. Each is a characteristic manifestation of necrotizing ulcerative gingivitis (NUG), except one. Which is the exception?
- A. Gingival erythema
- B. Necrosis of interdental papilla
- C. Marasmus
- D. Metallic taste and foul odor
Correct answer: C
Rationale: The correct answer is C: Marasmus. Marasmus is a form of severe malnutrition and is not a direct manifestation of necrotizing ulcerative gingivitis (NUG). Choices A, B, and D are all characteristic manifestations of NUG. Gingival erythema, necrosis of interdental papilla, and metallic taste with foul odor are commonly associated with NUG due to the inflammatory and necrotic nature of the condition.
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