ATI RN
ATI Exit Exam 2023
1. A client has a new prescription for spironolactone. Which of the following instructions should the nurse include?
- A. Take this medication with a potassium supplement.
- B. Avoid foods that contain potassium.
- C. Limit your fluid intake while taking this medication.
- D. Take this medication on an empty stomach.
Correct answer: B
Rationale: The correct answer is B because spironolactone is a potassium-sparing diuretic, which means it helps the body retain potassium. Instructing the client to avoid foods high in potassium helps prevent hyperkalemia, a potential side effect of spironolactone. Choice A is incorrect because taking spironolactone with a potassium supplement can increase the risk of hyperkalemia. Choice C is not directly related to spironolactone use. Choice D is also incorrect as spironolactone does not need to be taken on an empty stomach.
2. A nurse is providing discharge instructions to a client who has tuberculosis and a new prescription for rifampin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should have my vision checked regularly while taking this medication.
- B. This medication can cause my urine to turn reddish-orange.
- C. I need to wear sunscreen and protective clothing while taking this medication.
- D. I will discontinue this medication if I experience nausea.
Correct answer: B
Rationale: The correct answer is B. Rifampin can cause a harmless reddish-orange discoloration of body fluids, including urine. Choice A is not related to rifampin; vision changes are not a common side effect of the medication. Choice C is more relevant to medications that cause photosensitivity reactions, not specifically rifampin. Choice D is incorrect because nausea is a common side effect of rifampin, but it does not warrant immediate discontinuation of the medication.
3. A client with heart failure is receiving digoxin. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 78/min.
- B. Vision changes.
- C. Respiratory rate of 16/min.
- D. Blood pressure of 120/80 mm Hg.
Correct answer: B
Rationale: The correct answer is B: Vision changes. Vision changes are a classic sign of digoxin toxicity and should be reported immediately to the provider for further evaluation and management. A heart rate of 78/min, a respiratory rate of 16/min, and a blood pressure of 120/80 mm Hg are within normal ranges and are not typically associated with digoxin toxicity. Therefore, they would not be the priority findings to report in this situation.
4. A nurse is caring for a client who has a new prescription for warfarin. Which of the following laboratory values should the nurse monitor to determine the effectiveness of the medication?
- A. Hemoglobin
- B. Platelet count
- C. Prothrombin time (PT)
- D. International normalized ratio (INR)
Correct answer: D
Rationale: The correct answer is D, International normalized ratio (INR). INR is used to monitor the therapeutic effect of warfarin, an anticoagulant medication. Warfarin works by inhibiting the synthesis of vitamin K-dependent clotting factors. Monitoring the INR helps assess how well the medication is working to prevent blood clots. Choices A, B, and C are not specific indicators for monitoring the effectiveness of warfarin. Hemoglobin levels primarily assess the oxygen-carrying capacity of red blood cells, platelet count evaluates the clotting ability of blood, and PT measures the time it takes for blood to clot. While these values are important for overall health assessment, they do not directly reflect the anticoagulant effects of warfarin.
5. During an in-service about nursing leadership, what information should the nurse include about an effective leader?
- A. Acts as an advocate for the nursing unit.
- B. Prioritizes staff requests over client needs.
- C. Shares personal opinions to influence the group's values.
- D. Provides routine client care and documentation.
Correct answer: A
Rationale: An effective leader advocates for the unit's success and its members. Choice B is incorrect because prioritizing staff requests over client needs does not align with effective leadership, which should focus on client-centered care. Choice C is incorrect as sharing personal opinions to influence the group's values can be biased and may not reflect the best interest of the team. Choice D is incorrect because while providing client care is essential, effective leadership involves more than routine tasks and includes guiding and supporting the team.
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