ATI RN
ATI Exit Exam 2023 Quizlet
1. A nurse is reviewing the medical record of a client who has a new prescription for enalapril. Which of the following findings should the nurse report to the provider?
- A. Serum potassium 4.0 mEq/L
- B. Sodium 138 mEq/L
- C. Serum creatinine 3.8 mg/dL
- D. Hemoglobin 13 g/dL
Correct answer: C
Rationale: The correct answer is C. An elevated serum creatinine level can indicate impaired kidney function, which is crucial to report before administering enalapril. Enalapril, an ACE inhibitor, can affect kidney function, especially in patients with pre-existing renal impairment. Choices A, B, and D are within normal ranges and do not directly impact the initiation of enalapril therapy.
2. Magnesium's major functions in the body would be least likely to include which of the following?
- A. allowing muscles to relax after contraction
- B. assisting the operation of hundreds of enzymes
- C. synthesis of protein in the soft tissues
- D. regulation of body temperature
Correct answer: D
Rationale: Magnesium plays a key role in muscle relaxation, enzyme operation, and protein synthesis, but it is not directly involved in regulating body temperature.
3. What role do hormones play in mental health and behavior?
- A. Hormones only affect physical processes, not mental health.
- B. Hormones play a critical role in regulating mood, behavior, and mental health.
- C. Hormones have no effect on behavior.
- D. Hormones are only involved in reproductive processes.
Correct answer: B
Rationale: Hormones play a critical role in regulating mood, behavior, and mental health, influencing everything from stress response to emotional stability. Choice A is incorrect because hormones have a significant impact on mental health in addition to physical processes. Choice C is incorrect as hormones do have a notable effect on behavior. Choice D is incorrect as hormones have broad functions beyond just reproductive processes.
4. When planning care for a client with severe acute respiratory distress syndrome (SARS), which of the following actions should not be included in the care plan?
- A. Administer antibiotics
- B. Provide supplemental oxygen
- C. Administer antiviral medications
- D. Administer bronchodilators
Correct answer: Administer antibiotics
Rationale: Severe acute respiratory distress syndrome (SARS) is caused by a virus, not bacteria, and antibiotics are ineffective against viral infections. Therefore, administering antibiotics would not be appropriate in the care plan for a client with SARS. The priority interventions for SARS include providing supplemental oxygen to improve oxygenation, administering antiviral medications to target the viral infection, and using bronchodilators to help with bronchospasm or airway constriction. Antibiotics are not indicated unless there is a secondary bacterial infection present.
5. A nurse is providing instructions to a client who will collect a stool specimen for occult blood. The nurse instructs the client to avoid which of the following for 3 days before the collection of the stool specimen?
- A. Milk products
- B. Hard cheese
- C. Turnips
- D. Cottage cheese
Correct answer: C
Rationale: The correct answer is C: Turnips. The nurse would instruct the client to avoid red meat, poultry, fish, turnips, horseradish, and foods such as fruits and vegetables for 3 days before and during testing. These products may alter test results. Choices A, B, and D are incorrect because they are not specifically mentioned as items to avoid before collecting a stool specimen for occult blood.
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