ATI RN
ATI Exit Exam RN
1. A healthcare provider is reviewing the laboratory data of a client who is receiving total parenteral nutrition. Which of the following findings should the healthcare provider report?
- A. Serum calcium 8.5 mg/dL
- B. Blood glucose level 120 mg/dL
- C. Serum sodium 138 mEq/L
- D. Serum albumin 3.5 g/dL
Correct answer: D
Rationale: The correct answer is D: Serum albumin 3.5 g/dL. A low serum albumin level indicates protein deficiency, which can be a complication of TPN therapy and requires prompt intervention. The other laboratory findings provided (serum calcium 8.5 mg/dL, blood glucose level 120 mg/dL, and serum sodium 138 mEq/L) are within normal ranges and do not specifically indicate complications related to TPN therapy.
2. Which client action is an example of the defense mechanism of sublimation?
- A. A woman channels her energy into a new hobby after a breakup.
- B. A man redirects his anger from work into a workout routine.
- C. A student focuses on studying to avoid thinking about a recent argument.
- D. An athlete channels competitive impulses into a successful sports career.
Correct answer: B
Rationale: Sublimation is a defense mechanism where unacceptable impulses are redirected into socially acceptable activities. In this scenario, the man redirects his anger from work into a workout routine, which is a positive and constructive way of managing his emotions. Choices A, C, and D do not fully align with sublimation as they do not involve redirecting unacceptable impulses into socially acceptable outlets, unlike the man's action in choice B.
3. To follow a healthy diet, a person should be sure that:
- A. 20-35% of the total carbs eaten should be made up of fiber
- B. 45-65% of the total carbs eaten should be made up of fiber
- C. 45-65% of the total fiber eaten should be made up of soluble fiber
- D. 45-65% of the total calories eaten should be made up of carbs
Correct answer: D
Rationale: The Acceptable Macronutrient Distribution Range (AMDR) suggests that 45-65% of total daily calories should come from carbohydrates.
4. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?
- A. Posttraumatic stress disorder
- B. Phobic disorder
- C. Panic disorder
- D. Acute stress disorder
Correct answer: A
Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.
5. The nurse is educating a patient who was discharged from the hospital after having cardiac surgery one week ago. The nurse recognizes the patient understands medication management when he/she states:
- A. I need to take my Lisinopril daily to reduce my risk of heart failure
- B. I only need to take the metoprolol when I feel my heart skip a beat
- C. I should carry my nitroglycerin pills in my pocket at all times
- D. I should only take the pain pills when my pain is really bad
Correct answer: I need to take my Lisinopril daily to reduce my risk of heart failure
Rationale: The correct answer is A. Lisinopril is commonly prescribed post-cardiac surgery to manage blood pressure and reduce the risk of heart failure. It is important for the patient to take Lisinopril daily as prescribed to achieve optimal outcomes. Choice B is incorrect as metoprolol is usually prescribed on a regular schedule to manage heart conditions, not just when symptoms occur. Choice C is incorrect because nitroglycerin should be kept in a cool, dry place, not in a pocket where it could be exposed to heat or moisture. Choice D is incorrect as pain medication should be taken as prescribed for adequate pain control, not just when pain is severe.
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