ATI RN
ATI Exit Exam 2023 Quizlet
1. A client who is taking phenytoin is being taught about contraceptive options. Which of the following statements should the nurse make?
- A. You should use a backup method of birth control while taking phenytoin.
- B. Phenytoin can decrease the effectiveness of oral contraceptives.
- C. You should stop taking phenytoin while using oral contraceptives.
- D. Phenytoin can increase the effectiveness of oral contraceptives.
Correct answer: B
Rationale: The correct answer is B. Phenytoin can decrease the effectiveness of oral contraceptives, so it is important to inform the client about this interaction. Using an additional form of contraception, such as a backup method, is recommended to ensure adequate protection against pregnancy. Choice A is incorrect because it lacks specificity about the decrease in effectiveness of oral contraceptives caused by phenytoin. Choice C is incorrect as it suggests stopping phenytoin use while using oral contraceptives, which is not the appropriate action. Choice D is incorrect as phenytoin is known to decrease, not increase, the effectiveness of oral contraceptives.
2. A nurse is caring for a client who is 32 weeks pregnant and has cardiac disease. Which of the following positions should the nurse place the client in to promote optimal cardiac output?
- A. Semi-Fowler's
- B. Supine with head elevated
- C. Left lateral
- D. Right lateral
Correct answer: C
Rationale: The correct answer is C: Left lateral. Placing the client in the left lateral position helps promote optimal cardiac output during pregnancy by avoiding pressure on the vena cava. This position improves venous return to the heart and subsequently cardiac output. Option A, Semi-Fowler's position, may not be the best choice for a client with cardiac disease as it does not alleviate pressure on the vena cava. Option B, supine with head elevated, can also compress the vena cava, reducing cardiac output. Option D, right lateral position, does not provide the same benefits as the left lateral position for cardiac output during pregnancy.
3. What is the best way to prevent transmission of infectious agents?
- A. Take antibiotics daily
- B. Call the practitioner for herbal supplements
- C. Wash hands
- D. Avoid public areas as much as possible
Correct answer: C
Rationale: The correct answer is C: Wash hands. Washing hands is the most effective way to prevent the transmission of infectious agents. Antibiotics are not effective in preventing infections, and their overuse can lead to antibiotic resistance. Calling a practitioner for herbal supplements is not a primary method for preventing the transmission of infectious agents. Avoiding public areas entirely is impractical and not as effective as proper hand hygiene.
4. When teaching a client with a prescription for Cephalexin, which of the following instructions should the nurse include?
- A. Take the medication with an antacid.
- B. Avoid dairy products while taking this medication.
- C. Expect your stools to turn black.
- D. Complete the full course of medication.
Correct answer: D
Rationale: The correct instruction for a client prescribed with Cephalexin is to complete the full course of medication. This is crucial to ensure the infection is completely treated and to reduce the risk of antibiotic resistance. Choices A, B, and C are incorrect. Taking Cephalexin with an antacid is generally not recommended as it may reduce its effectiveness. While dairy products can interfere with certain antibiotics, they do not have a direct interaction with Cephalexin. Stools turning black is not an expected side effect of Cephalexin.
5. Sigmund Freud developed an innovative procedure for treating people with psychological problems, which he called?
- A. Behavior modification.
- B. Primal therapy.
- C. Psychoanalysis.
- D. Rational-emotive therapy.
Correct answer: C
Rationale: Sigmund Freud developed psychoanalysis, not behavior modification, primal therapy, or rational-emotive therapy, as an innovative method for treating psychological problems. Psychoanalysis focuses on exploring unconscious motivations to understand and address psychological disorders, making it the correct answer. Behavior modification involves changing behavior through conditioning techniques, primal therapy emphasizes expressing repressed emotions, and rational-emotive therapy aims to identify and change irrational beliefs.
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