ATI RN
ATI RN Exit Exam
1. What is the most important nursing action when a patient experiences a fall?
- A. Assess the patient for injuries
- B. Call for help
- C. Document the fall
- D. Notify the healthcare provider
Correct answer: A
Rationale: The most important nursing action when a patient experiences a fall is to assess the patient for injuries. This is critical to identify any potential harm or underlying issues that may require immediate attention. Calling for help and notifying the healthcare provider are important steps, but assessing the patient's condition takes precedence to ensure prompt and appropriate care. Documenting the fall is also necessary but should follow the initial assessment and care provided to the patient.
2. The genetic influences that determine behavior may never be fully understood due to ________
- A. the ease of researching to differentiate between the effects of the environment and the effects of genes.
- B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
- C. the tendency to rely on twin studies in genetic research.
- D. our significant understanding of how genes impact brain chemistry.
Correct answer: B
Rationale: The correct answer is B because most behaviors are influenced by a complex interaction of many genes and the environment. Choice A is incorrect because it states that it is easy to differentiate between the effects of the environment and genes, which is not the case. Choice C is incorrect because although twin studies are commonly used in genetic research, this alone does not hinder the full understanding of genetic influences on behavior. Choice D is incorrect because even though we have some understanding of how genes impact brain chemistry, this does not mean that we fully understand the genetic influences on behavior.
3. A healthcare professional is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. How many mL should the healthcare professional administer per dose?
- A. 6.5 mL
- B. 7 mL
- C. 5 mL
- D. 8 mL
Correct answer: A
Rationale: To calculate the volume to administer: (Desired dose / Concentration) = Volume to administer. In this case, (650 mg / 500 mg) x 5 mL = 6.5 mL. Therefore, the healthcare professional should administer 6.5 mL of acetaminophen per dose to achieve the desired 650 mg dose for pain relief. Choice A is correct because it accurately calculates the volume required based on the concentration of the liquid acetaminophen. Choices B, C, and D are incorrect as they do not reflect the correct calculation based on the concentration of the liquid medication and the desired dose.
4. A nurse is reviewing the laboratory values of a client who is taking spironolactone. Which of the following values should the nurse report to the provider?
- A. Sodium 144 mEq/L
- B. Potassium 5.2 mEq/L
- C. Bicarbonate 24 mEq/L
- D. Magnesium 1.9 mEq/L
Correct answer: B
Rationale: The correct answer is B: 'Potassium 5.2 mEq/L.' When a client is taking spironolactone, which is a potassium-sparing diuretic, monitoring potassium levels is crucial. A potassium level of 5.2 mEq/L is higher than normal and can lead to cardiac dysrhythmias, so it should be reported. Choices A, C, and D are within normal ranges and would not be of immediate concern when assessing a client taking spironolactone.
5. The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?
- A. Platelet count
- B. Neutrophil count
- C. Hemoglobin level
- D. White blood cell count
Correct answer: C
Rationale: The correct answer is C, 'Hemoglobin level.' Pallor of the skin and nail beds is a sign of anemia, which is characterized by a low hemoglobin level. Anemia is a condition where there is a decreased number of red blood cells or hemoglobin in the blood, leading to reduced oxygen-carrying capacity. Checking the hemoglobin level would help confirm the presence and severity of anemia, guiding further diagnostic and treatment interventions. Choices A, B, and D are incorrect because platelet count, neutrophil count, and white blood cell count are not typically associated with the pallor of the skin and nail beds, which are more indicative of an underlying anemic condition.
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