ATI RN
ATI RN Exit Exam 2023
1. A nurse is reviewing the medication record of a client with chronic kidney disease. Which of the following medications should the nurse question?
- A. Calcium carbonate
- B. Furosemide
- C. Epoetin alfa
- D. Spironolactone
Correct answer: D
Rationale: The correct answer is D, Spironolactone. Spironolactone is a potassium-sparing diuretic, which may lead to hyperkalemia in clients with chronic kidney disease. Therefore, its use should be questioned in this population. Choice A, Calcium carbonate, is commonly used to manage phosphate levels in chronic kidney disease. Choice B, Furosemide, is a loop diuretic that helps with fluid retention but should be used with caution in kidney disease. Choice C, Epoetin alfa, is a medication used to stimulate red blood cell production in clients with chronic kidney disease and anemia.
2. How does parenting style influence child development?
- A. Authoritative parenting is associated with the best outcomes.
- B. Permissive parenting leads to the best outcomes.
- C. Neglectful parenting is associated with the best outcomes.
- D. Authoritarian parenting is the most effective in child development.
Correct answer: A
Rationale: Authoritative parenting, which balances warmth and control, is associated with the best outcomes in child development. It fosters independence, self-regulation, and social competence in children. Choice B is incorrect because permissive parenting, which is characterized by low demands and high responsiveness, may lead to issues like lack of self-discipline. Choice C is incorrect as neglectful parenting, characterized by low demands and low responsiveness, can result in various negative outcomes for the child. Choice D is incorrect because authoritarian parenting, which is high on control but low on warmth, may lead to obedience but can also stifle a child's independence and creativity.
3. What is the appropriate action when a patient refuses treatment for religious reasons?
- A. Respect the patient's decision
- B. Persuade the patient to accept treatment
- C. Inform the healthcare provider
- D. Document the refusal
Correct answer: A
Rationale: The correct answer is to respect the patient's decision. When a patient refuses treatment for religious reasons, it is crucial to respect their autonomy and beliefs. Persuading the patient to accept treatment could violate their rights and autonomy, going against ethical principles. Informing the healthcare provider is important, but the immediate action should be to respect the patient's decision first. Documenting the refusal is necessary for legal and documentation purposes, but it should not override respecting the patient's autonomy and right to refuse treatment based on religious beliefs.
4. A postoperative patient receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion, what action should the nurse take?
- A. Give the PRN diphenhydramine
- B. Send a urine specimen to the laboratory
- C. Administer PRN acetaminophen (Tylenol)
- D. Draw blood for a new type and crossmatch
Correct answer: C
Rationale: The patient’s clinical manifestations are consistent with a febrile, nonhemolytic transfusion reaction. The transfusion should be stopped and antipyretics administered for the fever as ordered.
5. A woman with severe visual and auditory deficits is able to identify individuals by running her fingers lightly over her face. Which source is most likely to provide the input that allows for the woman's unique ability?
- A. Special somatic afferent fibers
- B. General somatic afferents
- C. Special visceral afferent cells
- D. General visceral afferent neurons
Correct answer: C
Rationale: The correct answer is C, special visceral afferent cells. These cells are responsible for functions like taste and smell. In individuals with severe visual and auditory deficits, their other sensory abilities, such as touch, can be heightened. Special somatic afferent fibers (choice A) are involved in sensations like touch and vibration from the skin and muscles, but they are not specific to the face. General somatic afferents (choice B) transmit sensory information from the skin, muscles, and joints, but they are not specialized for the unique ability described. General visceral afferent neurons (choice D) are responsible for transmitting sensory information from internal organs, not relevant to the woman's ability to identify individuals through touch on her face.
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