ATI RN
ATI Exit Exam 180 Questions Quizlet
1. A nurse is providing dietary teaching to a client who has a new diagnosis of chronic kidney disease. Which of the following foods should the nurse instruct the client to avoid?
- A. Baked chicken
- B. Bananas
- C. Lean cuts of beef
- D. Canned soup
Correct answer: D
Rationale: The correct answer is D: Canned soup. Canned soups are typically high in sodium, which can lead to fluid retention in clients with chronic kidney disease. Sodium restriction is crucial in managing this condition. Choice A, baked chicken, is a lean protein source that is generally recommended for individuals with kidney disease. Bananas (Choice B) are high in potassium, so clients with kidney disease may need to limit their intake depending on their individual treatment plan. Lean cuts of beef (Choice C) can be a good source of protein and iron for clients with kidney disease as long as portion sizes are controlled to manage protein intake.
2. Scientific research has demonstrated that the ________ parenting style is most likely to lead to healthy psychological development in children.
- A. authoritative
- B. authoritarian
- C. permissive
- D. neglectful/uninvolved
Correct answer: A
Rationale: The correct answer is A, authoritative. Authoritative parenting combines warmth and nurturing with reasonable limits and consistent discipline. This style promotes independence, self-regulation, and social competence in children, leading to healthy psychological development. Choice B, authoritarian parenting, is characterized by strict rules and harsh punishment without much warmth, which can lead to anxiety and lower self-esteem in children. Choice C, permissive parenting, involves few demands and little control, resulting in children lacking self-discipline and social skills. Choice D, neglectful/uninvolved parenting, is characterized by a lack of responsiveness to a child's emotional needs and can lead to various negative outcomes such as poor self-esteem and emotional issues.
3. Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
- A. Serum creatinine and BUN
- B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
- C. Serum amylase and lipase
- D. Cardiac enzymes
Correct answer: C
Rationale: Serum amylase and lipase levels are typically elevated in patients with acute pancreatitis.
4. A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process?
- A. A second nurse enters the prescription into the client's medical record.
- B. Another nurse should listen to the phone call.
- C. The provider can clarify the prescription when he signs the health record.
- D. I should omit the 'read back' if this is a one-time prescription.
Correct answer: B
Rationale: The correct answer is B: 'Another nurse should listen to the phone call.' When taking a telephone prescription, having another nurse listen to the phone call is essential to prevent errors in communication. This process helps ensure accuracy and reduces the risk of misinterpretation. Choice A is incorrect because entering the prescription into the client's medical record is not related to verifying the accuracy of the telephone prescription. Choice C is incorrect as the provider clarifying the prescription upon signing the health record doesn't address the immediate need for verification during the phone call. Choice D is incorrect because the 'read back' is a crucial step in confirming the accuracy of all prescriptions, regardless of whether they are one-time or recurring.
5. What is extinction and how might it be used in treating a disorder?
- A. Extinction strengthens the conditioned response by continuously pairing the conditioned stimulus with the unconditioned stimulus.
- B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus.
- C. Extinction is ineffective and is not used in treating disorders.
- D. Extinction is the process of intensifying the conditioned response by pairing the conditioned stimulus with a stronger unconditioned stimulus.
Correct answer: B
Rationale: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.
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