ATI RN
ATI Leadership Proctored Exam
1. Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)?
- A. The patient�s blood glucose level is 174 mg/dL.
- B. The patient has gained 2 lb (0.9 kg) since yesterday.
- C. The patient is scheduled for a chest x-ray in an hour
- D. The patient�s blood urea nitrogen (BUN) level is 52 mg/dL.
Correct answer: D
Rationale:
2. What intervention should be done if continuous bubbling is seen in the chest tube water seal chamber?
- A. Tighten the connections of the chest tube system
- B. Replace the chest tube system
- C. Clamp the chest tube
- D. Continue monitoring the chest tube
Correct answer: A
Rationale: When continuous bubbling is observed in the chest tube water seal chamber, the appropriate intervention is to tighten the connections of the chest tube system. This step helps address an air leak in the system, which could compromise its effectiveness. Choice B (Replace the chest tube system) is not the initial step and may be unnecessary if the issue can be resolved by tightening connections. Choice C (Clamp the chest tube) is incorrect as clamping the chest tube could lead to a dangerous increase in pressure within the system. Choice D (Continue monitoring the chest tube) is also not the best immediate action to take when continuous bubbling is present, as prompt intervention is needed to prevent complications.
3. Which of the following statements about the DSM-5 is inaccurate?
- A. It includes specific criteria for diagnosing mental disorders.
- B. It is used by mental health professionals to guide diagnosis.
- C. It provides a classification system for mental disorders.
- D. It includes guidelines for the treatment of mental disorders.
Correct answer: D
Rationale: The DSM-5 is a diagnostic tool that provides specific criteria for diagnosing mental disorders, is utilized by mental health professionals to guide diagnosis, and offers a systematic classification of mental disorders. The statement that the DSM-5 includes guidelines for the treatment of mental disorders is inaccurate. The primary focus of the DSM-5 is on diagnosis and classification, not treatment. Therefore, choice D is the correct answer. Choices A, B, and C accurately describe the purpose and functions of the DSM-5.
4. A healthcare provider is preparing to administer metoprolol to a client. Which of the following findings should the provider identify as a contraindication to receiving this medication?
- A. Bradycardia
- B. Hypertension
- C. Fever
- D. Rash
Correct answer: A
Rationale: Metoprolol, a beta-blocker, is contraindicated in clients with bradycardia as it can further lower the heart rate, potentially leading to more serious complications. Bradycardia is defined as a heart rate below 60 beats per minute, and administering metoprolol in such cases can exacerbate this condition, causing adverse effects on cardiac output. Hypertension, fever, and rash are not contraindications for metoprolol administration.
5. How do foods or supplements containing significant amounts of plant sterols help lower LDL cholesterol levels?
- A. reducing cholesterol synthesis
- B. suppressing inflammation
- C. reducing blood clotting
- D. interfering with cholesterol and bile absorption
Correct answer: D
Rationale: Plant sterols interfere with cholesterol and bile absorption in the intestines. This interference helps lower LDL cholesterol levels by reducing the amount of cholesterol that enters the bloodstream. Choices A, B, and C are incorrect because plant sterols primarily work by interfering with cholesterol and bile absorption, not by reducing cholesterol synthesis, suppressing inflammation, or reducing blood clotting.
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