ATI RN
ATI Exit Exam 2024
1. A client who has a new prescription for lithium is receiving discharge teaching from a nurse. Which of the following client statements indicates an understanding of the teaching?
- A. I will need to have my blood levels checked regularly while taking this medication.
- B. I should take this medication on an empty stomach.
- C. I should avoid eating foods that are high in sodium.
- D. I should stop taking this medication if I experience nausea.
Correct answer: A
Rationale: The correct answer is A. Clients prescribed lithium need regular monitoring of blood levels to ensure the medication's effectiveness and safety. This monitoring helps to keep the medication within the therapeutic range and prevent toxicity. Choice B is incorrect because lithium is usually taken with food to minimize gastrointestinal side effects. Choice C is not directly related to lithium therapy; however, excessive sodium intake can affect lithium levels. Choice D is incorrect as abruptly stopping lithium can lead to adverse effects and should only be done under healthcare provider guidance.
2. Dr. Faulkner believes that directly observable events, such as stimuli and responses, are the appropriate focus of the study of development. Dr. Faulkner probably follows the __________ perspective of development.
- A. psychosexual
- B. psychosocial
- C. behaviorist
- D. cognitive-developmental
Correct answer: C
Rationale: Dr. Faulkner's focus on directly observable events, such as stimuli and responses, aligns with the behaviorist perspective of development. Behaviorism emphasizes the influence of the environment on individual behavior and learning, with a strong emphasis on observable actions rather than internal mental processes or stages of development. Choice A, psychosexual, is associated with Freud's theory focusing on stages of psychosexual development. Choice B, psychosocial, is linked to Erikson's theory of psychosocial development. Choice D, cognitive-developmental, is related to Piaget's theory emphasizing cognitive development stages.
3. Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct answer: A
Rationale: Statutory laws govern nursing practice. These laws are enacted by legislative bodies and regulate various aspects of nursing practice, including licensure requirements, scope of practice, and patient care standards. Common laws, administrative laws, and constitutional laws may also impact nursing practice, but statutory laws specifically outline the legal framework for nursing professionals to follow. Common laws are based on court decisions and precedents, not specific to nursing practice. Administrative laws deal with regulations set by administrative agencies. Constitutional laws relate to the fundamental rights and principles outlined in the constitution, not specifically governing nursing practice.
4. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent?
- A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse.
- B. Incompetence only impacts the individual nurse.
- C. The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
- D. Most nurse practice acts direct how to handle incompetent nurses.
Correct answer: C
Rationale: The director should follow her institution�s formal process for reporting and handling practices that jeopardize patient safety.
5. Nurse Managers work with staff to educate them about ways to diffuse potentially violent situations. Which of the following diagnoses can staff expect to be more frequently associated with violence?
- A. Alcohol or drug withdrawal
- B. Anxiety
- C. Depression
- D. Confusion
Correct answer: A
Rationale: Alcohol or drug withdrawal is more frequently associated with violence as these conditions alter a person's inhibitions. Gilmore (2006) highlights that working with the public involves inherent risks and stressors. Individuals with head trauma, mental illnesses, and those withdrawing from substances are more likely to respond with violence. Anxiety, depression, and confusion do not typically lead to increased violent behavior compared to conditions involving substance withdrawal.
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