ATI RN
ATI RN Exit Exam 2023
1. What is the appropriate diet for a patient with chronic kidney disease?
- A. Low protein diet
- B. High protein diet
- C. Low sodium diet
- D. Low potassium diet
Correct answer: A
Rationale: A low protein diet is the appropriate choice for a patient with chronic kidney disease because it helps to reduce the buildup of waste products in the body, which the kidneys may struggle to filter out. High protein diets can put extra strain on the kidneys by increasing the workload to eliminate the byproducts of protein metabolism. While low sodium and low potassium diets can also be important for managing certain aspects of kidney disease, the primary focus should be on controlling protein intake to lessen the burden on the kidneys.
2. The client has recently been diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?
- A. Instruct the client to avoid drinking fluids with meals
- B. Explain the need to decrease intake of flatus-forming foods
- C. Teach the client how to perform gentle perianal care
- D. Encourage the client to see a psychologist
Correct answer: B
Rationale: The correct answer is B. Decreasing the intake of flatus-forming foods can help reduce symptoms of bloating and discomfort in IBS. This intervention focuses on dietary modifications that can positively impact the client's condition. Instructing the client to avoid drinking fluids with meals (choice A) may not directly address the underlying cause of IBS symptoms. Teaching perianal care (choice C) is important for hygiene but does not directly address IBS symptoms. Encouraging the client to see a psychologist (choice D) may be beneficial for managing stress or anxiety associated with IBS but does not directly target symptom reduction through dietary changes.
3. What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
- A. Assist the child in minimizing body movements.
- B. Change the child's position frequently.
- C. Maintain the child's bed flat.
- D. Keep edematous areas moist and covered.
Correct answer: B
Rationale: Changing the child's position frequently is essential for preventing respiratory tract infections and reducing pressure on delicate skin, which are common risks for edematous children with reduced mobility due to nephrotic syndrome. This intervention helps promote circulation and prevents complications associated with prolonged immobility.
4. What role does brain development play in psychopathology?
- A. Brain development has no impact on psychopathology.
- B. Brain development plays a crucial role in the onset of many mental disorders.
- C. Brain development is only linked to physical disabilities, not mental disorders.
- D. Brain development is not associated with mental health.
Correct answer: B
Rationale: Brain development plays a crucial role in the onset of many mental disorders. It affects how the brain processes information and responds to stress, influencing the development of psychopathology. Choice A is incorrect as brain development does impact psychopathology. Choice C is incorrect as brain development is linked to mental disorders as well. Choice D is incorrect as brain development has implications for mental health.
5. A client has a prescription for vancomycin 1g IV intermittent infusion over 30 minutes every 12 hours. What action should the nurse take?
- A. Start the infusion immediately
- B. Slow down the infusion rate
- C. Contact the provider for prescription clarification
- D. Check blood pressure during the infusion
Correct answer: C
Rationale: The correct action for the nurse to take is to contact the provider for prescription clarification. Administering vancomycin over less than 60 minutes can lead to infusion reactions like hypotension and flushing. Starting the infusion immediately (choice A) is incorrect as it goes against the prescribed rate. Slowing down the infusion rate (choice B) without provider approval can result in underdosing the medication. Checking blood pressure during the infusion (choice D) is important but not the most immediate action needed in this situation.
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