ATI RN
ATI Comprehensive Exit Exam 2023 With NGN
1. A client who has a new prescription for levothyroxine is receiving teaching from a nurse. Which statement by the client indicates an understanding of the teaching?
- A. I will need to take this medication for 3 months.
- B. I will take this medication with an antacid.
- C. I will avoid foods that contain iodine.
- D. I will take this medication in the morning before breakfast.
Correct answer: D
Rationale: The correct answer is D: "I will take this medication in the morning before breakfast." Levothyroxine should be taken in the morning before breakfast to improve absorption and effectiveness. Choice A is incorrect because the duration of levothyroxine therapy is usually long-term and not limited to 3 months. Choice B is incorrect because levothyroxine should not be taken with antacids as they may decrease its absorption. Choice C is incorrect because there is no need to avoid foods that contain iodine while taking levothyroxine.
2. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if pt:
- A. Lubricates the tip of the catheter prior to inserting into the stoma
- B. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion
- C. Discontinues the insertion of fluid after only 500 ml of fluid has been instilled
- D. Clamps of the flow of fluid when felling uncomfortable
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
3. A patient with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Increased PaCO2
- D. CNS disturbances
Correct answer: B
Rationale: The correct answer is B: Respiratory alkalosis. Hyperventilation, which can be caused by extreme anxiety, is the most common cause of acute respiratory alkalosis. This leads to a decrease in PaCO2 levels. Respiratory acidosis, choice A, occurs in conditions like hypoventilation, leading to an increase in PaCO2 levels. Choice C, Increased PaCO2, is not the correct term for an acid-base imbalance related to hyperventilation. Choice D, CNS disturbances, is not directly related to the acid-base imbalance caused by hyperventilation.
4. A client in her second trimester of pregnancy is being taught by a nurse about managing nausea and vomiting. Which of the following client statements indicates an understanding of the teaching?
- A. ''I will drink a glass of orange juice before I get out of bed.''
- B. ''I will eat small, frequent meals throughout the day.''
- C. ''I will take 1 g of acetaminophen every 6 hours.''
- D. ''I will avoid foods that have a strong odor.''
Correct answer: B
Rationale: The correct answer is B. Eating small, frequent meals is a recommended strategy to manage nausea and vomiting during pregnancy. This approach helps prevent an empty stomach, which can worsen symptoms. Option A is not as effective as eating small, frequent meals. Option C is unrelated to managing nausea and vomiting, and acetaminophen should only be taken as directed by a healthcare provider. Option D may help reduce nausea in some cases, but the most appropriate response related to managing symptoms is to eat small, frequent meals.
5. When a client is comatose and has advance directives stating a desire to avoid life-sustaining measures, but the family wants these measures, what action should the nurse take?
- A. Arrange for an ethics committee meeting to address the family's concerns.
- B. Support the family's decision and initiate life-sustaining measures.
- C. Complete an incident report.
- D. Encourage the family to contact an attorney.
Correct answer: Arrange for an ethics committee meeting to address the family's concerns.
Rationale: In this scenario, the nurse should prioritize the client's wishes as outlined in the advance directives. By arranging for an ethics committee meeting, the nurse can facilitate discussions between the family and healthcare team to ensure that the client's wishes are respected while addressing the concerns of the family. This approach promotes ethical decision-making and collaborative communication among all involved parties, ultimately aiming to provide the best possible care for the client while considering their autonomy and preferences.
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