ATI RN
ATI RN Exit Exam
1. Which of the following is the most concerning electrolyte imbalance for a patient on furosemide?
- A. Hypokalemia
- B. Hyperkalemia
- C. Hyponatremia
- D. Hypercalcemia
Correct answer: A
Rationale: The correct answer is Hypokalemia. Furosemide, a loop diuretic, can lead to potassium depletion in the body, causing hypokalemia. This is a significant concern as low potassium levels can result in cardiac arrhythmias and other serious complications. Hyperkalemia (Choice B) is unlikely to occur as a result of furosemide use. Hyponatremia (Choice C) is more commonly associated with thiazide diuretics. Hypercalcemia (Choice D) is not typically linked to furosemide use.
2. When educating a patient with hypertension about lifestyle changes, what is the most crucial advice to provide?
- A. Advise the patient to reduce salt intake.
- B. Instruct the patient to limit alcohol consumption.
- C. Recommend the patient to exercise for 30 minutes every day.
- D. Instruct the patient to avoid high-cholesterol foods.
Correct answer: A
Rationale: The most critical lifestyle change for a patient with hypertension is to reduce salt intake. Excessive salt consumption can lead to increased blood pressure levels. While limiting alcohol consumption (Choice B) and regular exercise (Choice C) are also beneficial for managing hypertension, reducing salt intake has a more direct impact on blood pressure control. Avoiding high-cholesterol foods (Choice D) is important for heart health but may not have as significant an impact on blood pressure as reducing salt intake.
3. Which best describes a key component of health literacy?
- A. Understanding medical terminology
- B. Reading and comprehending health information
- C. Accessing health care services
- D. Navigating the health care system
Correct answer: B
Rationale: Health literacy encompasses the ability to read and comprehend health information effectively. This skill is crucial for individuals to interpret and utilize health-related information to make informed decisions about their health and well-being. While understanding medical terminology, accessing health care services, and navigating the health care system are important aspects of healthcare, the core of health literacy lies in the ability to understand and apply health information in various contexts.
4. After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta), which patient statement indicates that the teaching has been effective?
- A. �I may feel hungrier than usual when I take this medicine.�
- B. �I will not need to worry about hypoglycemia with the Byetta.�
- C. �I should take my daily aspirin at least an hour before the Byetta.�
- D. �I will take the pill at the same time I eat breakfast in the morning.�
Correct answer: C
Rationale:
5. While caring for a client with an arterial line, which of the following actions should the nurse take?
- A. Level the transducer with the client's phlebotomy site
- B. Flush the arterial line every 8 hours
- C. Obtain a blood sample for arterial blood gases
- D. Keep the client's hand elevated above the heart level
Correct answer: C
Rationale: Obtaining arterial blood gases is a crucial nursing action when caring for a client with an arterial line. This procedure helps assess the client's oxygenation status and acid-base balance accurately. Leveling the transducer with the client's phlebotomy site (A) is important for accurate pressure measurements, but it is not the primary action in this scenario. Flushing the arterial line every 8 hours (B) is a routine maintenance procedure and not the immediate priority. Keeping the client's hand elevated above the heart level (D) is a good practice to prevent swelling, but it is not directly related to the arterial line care in this case.
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