ATI RN
ATI RN Comprehensive Exit Exam
1. Which electrolyte imbalance is commonly seen in patients taking furosemide?
- A. Hypokalemia
- B. Hyponatremia
- C. Hyperkalemia
- D. Hypercalcemia
Correct answer: A
Rationale: The correct answer is A: Hypokalemia. Furosemide, a loop diuretic, can lead to potassium loss in the urine, resulting in hypokalemia. This electrolyte imbalance is commonly seen in patients taking furosemide and requires close monitoring. Choices B, C, and D are incorrect because furosemide does not typically cause hyponatremia, hyperkalemia, or hypercalcemia as frequently as it causes hypokalemia.
2. A healthcare provider is providing discharge instructions to a client who has a new prescription for metformin. Which of the following instructions should the healthcare provider include?
- A. Take this medication with meals.
- B. Avoid consuming alcohol while taking this medication.
- C. Take this medication at bedtime.
- D. Report any muscle pain to your healthcare provider.
Correct answer: B
Rationale: The correct answer is B: 'Avoid consuming alcohol while taking this medication.' Clients taking metformin should avoid alcohol as it increases the risk of lactic acidosis. Choice A is incorrect because metformin is usually taken with meals to reduce gastrointestinal side effects. Choice C is incorrect as metformin is typically taken with meals, not at bedtime. Choice D is incorrect because muscle pain is not a common side effect of metformin.
3. A client is prescribed Ranitidine. Which of the following laboratory results should be monitored by the nurse?
- A. Complete blood count (CBC).
- B. Serum creatinine.
- C. Serum potassium.
- D. Serum glucose.
Correct answer: A
Rationale: Ranitidine can potentially lead to blood dyscrasias, necessitating the monitoring of the client's CBC. Checking the CBC can help detect any abnormalities in blood cell counts and assess the client's overall hematologic status during Ranitidine therapy.
4. What is the primary symptom of congenital diaphragmatic hernia in a newborn?
- A. Cyanosis
- B. Bradycardia
- C. Absent breath sounds
- D. Tachypnea
Correct answer: C
Rationale: Absent breath sounds on the affected side are a primary symptom of congenital diaphragmatic hernia. Cyanosis, bradycardia, and tachypnea may also be present but are not the primary symptom. Cyanosis is a bluish discoloration of the skin due to poor oxygenation, bradycardia is a slower than normal heart rate, and tachypnea is rapid breathing.
5. Why does the selection of a theoretical perspective of mental disorders matter?
- A. Because it determines how data is interpreted, and influences treatment approaches.
- B. It matters because different perspectives offer different insights into the causes and treatments of mental disorders.
- C. The selection of a theoretical perspective is not important as all perspectives lead to the same treatment outcomes.
- D. Theoretical perspectives are only relevant for academic research, not for clinical practice.
Correct answer: A
Rationale: The selection of a theoretical perspective matters because it determines how data is interpreted and influences the treatment approaches that are considered appropriate. Choice B is incorrect because different perspectives may lead to different interpretations and treatment strategies. Choice C is incorrect because different theoretical perspectives can result in varied treatment outcomes. Choice D is incorrect because theoretical perspectives play a crucial role in both academic research and clinical practice.
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