ATI RN
ATI RN Comprehensive Exit Exam 2023
1. What is the appropriate intervention for a patient with hypertension refusing medication?
- A. Educate the patient on the importance of medication
- B. Respect the patient's decision
- C. Inform the healthcare provider
- D. Explore alternative treatment options
Correct answer: A
Rationale: The correct answer is A: Educate the patient on the importance of medication. Providing education to the patient is crucial in promoting understanding of the condition and the necessity of medication. By enhancing the patient's knowledge, healthcare providers can empower them to make informed decisions regarding their health. Choice B, respecting the patient's decision, may not be appropriate in this scenario as untreated hypertension can lead to serious complications. Choice C, informing the healthcare provider, is important but should be done after attempting to educate the patient. Choice D, exploring alternative treatment options, may be considered if the patient has concerns or side effects related to the medication, but initially, educating the patient about the importance of medication is key.
2. A client with osteoporosis is being taught by a nurse about preventing bone loss. Which of the following instructions should the nurse include?
- A. Take a calcium supplement once a day.
- B. Avoid weight-bearing exercises.
- C. Walk for 30 minutes 3 times per week.
- D. Increase intake of high-phosphorus foods.
Correct answer: C
Rationale: The correct answer is C: 'Walk for 30 minutes 3 times per week.' Walking is a weight-bearing exercise that helps prevent bone loss and improve overall health in clients with osteoporosis. Option A is incorrect because while calcium is essential for bone health, simply taking a supplement is not sufficient for preventing bone loss. Option B is incorrect because weight-bearing exercises are actually beneficial for improving bone density and strength. Option D is incorrect because high-phosphorus foods do not play a significant role in preventing bone loss in osteoporosis.
3. A client prescribed clozapine is receiving discharge teaching from a nurse. Which statement by the client indicates an understanding of the teaching?
- A. I should report a sore throat to my provider.
- B. I should avoid drinking grapefruit juice while taking this medication.
- C. I should take this medication with food.
- D. I should avoid taking this medication with food.
Correct answer: A
Rationale: The correct answer is A. Clozapine can cause agranulocytosis, a serious condition that decreases the number of white blood cells. Reporting a sore throat is crucial as it could be a sign of infection. Choice B is incorrect because there is no specific interaction between clozapine and grapefruit juice. Choice C is incorrect because clozapine is usually taken without regard to meals. Choice D is incorrect as clozapine is generally taken without food to enhance absorption.
4. A client with a new diagnosis of type 2 diabetes mellitus is being taught about foot care by a nurse. Which of the following instructions should the nurse include?
- A. Soak your feet in warm water daily.
- B. Wear shoes that are one size larger than your normal size.
- C. Wear cotton socks to keep your feet dry.
- D. Trim your toenails straight across.
Correct answer: D
Rationale: The correct answer is D: "Trim your toenails straight across." This instruction is essential to prevent ingrown toenails in clients with diabetes. Soaking feet in warm water daily (choice A) may increase the risk of skin breakdown and infection. Wearing shoes one size larger than normal (choice B) can lead to friction and cause blisters. While wearing cotton socks (choice C) is generally recommended, the emphasis should be on moisture-wicking materials rather than just cotton.
5. A nurse is reviewing admission prescriptions for a group of clients. Which prescription should the nurse identify as complete?
- A. Furosemide 20 mg BID
- B. Aspirin 1 tablet daily
- C. Nitroglycerin transdermal patch
- D. Metoprolol 5 mg IV now
Correct answer: A
Rationale: The correct answer is A. A complete prescription should include the medication name (Furosemide), dosage (20 mg), and administration schedule (BID - twice daily). Choice B is missing the dosage of Aspirin, choice C lacks the dosage information for Nitroglycerin, and choice D does not specify the administration schedule for Metoprolol.
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