ATI RN
ATI Mental Health Proctored Exam 2019
1. When educating a client prescribed diazepam for anxiety, which statement indicates an accurate understanding of the medication?
- A. I should take this medication only when I feel anxious.
- B. I should avoid drinking alcohol while taking this medication.
- C. I should avoid driving until I know how this medication affects me.
- D. I can stop taking this medication abruptly if I feel better.
Correct answer: B
Rationale: The correct answer is B. Clients prescribed diazepam for anxiety should avoid drinking alcohol while taking this medication. Alcohol can potentiate the side effects of diazepam, such as drowsiness and dizziness, increasing the risk of harm. Choice A is incorrect because diazepam is typically taken regularly as prescribed, not just when feeling anxious. Choice C is also important but not directly related to the medication itself. Choice D is dangerous advice; stopping diazepam abruptly can lead to withdrawal symptoms and should only be done under medical supervision.
2. Which intervention is most effective in preventing postoperative complications?
- A. Encourage the patient to drink fluids.
- B. Ambulate the patient as soon as possible.
- C. Perform deep breathing exercises with the patient.
- D. Encourage the patient to perform range of motion exercises.
Correct answer: B
Rationale: The most effective intervention in preventing postoperative complications is to ambulate the patient as soon as possible. Early ambulation helps prevent complications like deep vein thrombosis and pneumonia by enhancing circulation and preventing respiratory issues. Encouraging the patient to drink fluids, perform deep breathing exercises, or range of motion exercises are beneficial interventions, but ambulation is the priority due to its overall impact on preventing various postoperative complications.
3. A nurse is providing discharge teaching to a client who has had a total hip arthroplasty. Which of the following client statements indicates a need for further teaching?
- A. I will avoid sitting in a chair for longer than 30 minutes.
- B. I will avoid crossing my legs when sitting.
- C. I will bend at the hips to pick up items from the floor.
- D. I will avoid using a raised toilet seat.
Correct answer: C
Rationale: The correct answer is C because bending at the hips can dislocate the hip joint in clients who have had a total hip arthroplasty. This movement should be avoided to prevent complications post-surgery. Choices A, B, and D are all correct statements for a client who has had a total hip arthroplasty. Avoiding prolonged sitting, crossing legs, and using a raised toilet seat are all appropriate measures to ensure proper healing and prevent complications.
4. Which area of the alimentary canal is the most common location for Crohn’s disease?
- A. Ascending colon
- B. Descending colon
- C. Sigmoid colon
- D. Terminal ileum
Correct answer: D
Rationale: The terminal ileum is the most common location for Crohn's disease.
5. Which of the following measures should the nurse focus on for the client with esophageal varices?
- A. Recognizing hemorrhage
- B. Controlling blood pressure
- C. Encouraging nutritional intake
- D. Teaching the client about varices
Correct answer: A
Rationale: The primary focus for a client with esophageal varices is recognizing hemorrhage because these varices can rupture and cause significant bleeding.
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