ATI RN
ATI RN Exit Exam Test Bank
1. A client is receiving discharge teaching for a new prescription of metformin. Which of the following client statements demonstrates an understanding of the teaching?
- A. I will take this medication with my meals.
- B. I will take this medication at the same time every day.
- C. I will avoid drinking alcohol while taking this medication.
- D. I will expect to experience weight gain while taking this medication.
Correct answer: C
Rationale: The correct answer is C because clients taking metformin should avoid alcohol as it increases the risk of lactic acidosis. Choices A, B, and D are incorrect. Choice A is not specific to metformin but rather a general recommendation for some medications. Choice B is a good practice for medication adherence but does not relate specifically to metformin. Choice D is inaccurate as weight gain is not an expected side effect of metformin.
2. In monitoring the patient in PACU, the nurse correctly identifies that checking the patient's vital signs is done every:
- A. 1 hour
- B. 5 minutes
- C. 15 minutes
- D. 30 minutes
Correct answer: A
Rationale: Correct Answer: A - Vital signs monitoring in the PACU (Post-Anesthesia Care Unit) is typically done every hour to closely monitor the patient's condition during the immediate postoperative period. This frequency allows the nurse to promptly identify any changes in the patient's vital signs and intervene as necessary. Choice B (5 minutes) is too frequent for routine vital signs monitoring in the PACU and may not allow for a comprehensive assessment of the patient's stability. Choice C (15 minutes) and Choice D (30 minutes) are also not in line with the standard practice of vital signs monitoring in the PACU, which is typically hourly.
3. Dr. Lee is studying pain perception using a functionalist perspective. It is most likely that Dr. Lee would suggest that we can only understand the conscious experience of pain?
- A. If all the component parts that make up the experience of pain are understood.
- B. By observing the outward expression of pain in response to different stimuli.
- C. If we first understand the role of pain in human survival and adaptation.
- D. If we understand the unconscious processes that initiate the sensation of pain.
Correct answer: C
Rationale: The functionalist perspective, as used by Dr. Lee, focuses on understanding the role of pain in human survival and adaptation. This perspective suggests that to fully comprehend pain perception, one must first grasp the significance of pain in terms of its adaptive functions and impact on behavior. Choices A, B, and D do not align with the functionalist perspective, as they do not emphasize the role of pain in human survival and adaptation.
4. Is a cell the basic unit of structure and function of an organism?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: True. A cell is indeed the basic unit of structure and function of an organism. Cells are the smallest independently functioning unit in the structure of an organism and carry out vital functions necessary for life. Choice B, False, is incorrect because cells are universally recognized as the fundamental unit of life. Choice C, Not Sure, is incorrect as the role of a cell as the basic unit of an organism's structure and function is a well-established scientific fact. Choice D, None of the above, is incorrect as the statement provided in the question is true.
5. Interpret the following arterial blood gas results: PH = 7.30; PaCO2 = 55 mmHg; HCO3 = 24 mEq/L
- A. Respiratory acidosis
- B. Metabolic acidosis
- C. Respiratory alkalosis
- D. Metabolic alkalosis
Correct answer: A
Rationale: The correct answer is A: Respiratory acidosis. In respiratory acidosis, there is an accumulation of CO2 in the blood, leading to a decrease in pH. The elevated PaCO2 of 55 mmHg in the given results indicates hypoventilation, causing respiratory acidosis. Choices B, C, and D are incorrect because the provided data does not show metabolic acidosis, respiratory alkalosis, or metabolic alkalosis.
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