ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet Questions
Question 1 of 5
A client has a new prescription for levothyroxine. Which of the following findings should the nurse monitor for as a potential adverse effect of the medication?
Correct Answer: A
Rationale: Corrected
Rationale: An increased heart rate is a common adverse effect of levothyroxine due to its role in boosting metabolism.
Choice B, weight loss, is actually a therapeutic effect of levothyroxine as it helps in managing hypothyroidism by increasing the metabolic rate. Hyperthermia (
Choice
C) is not a typical adverse effect of levothyroxine. Decreased deep-tendon reflexes (
Choice
D) are not associated with levothyroxine use.
Question 2 of 5
A nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Lorazepam is the correct medication to administer in this situation. It is used to manage the symptoms of alcohol withdrawal and prevent complications like seizures and delirium tremens. Metoclopramide is primarily used to treat gastrointestinal issues, Haloperidol is an antipsychotic medication used for conditions like schizophrenia, and Methadone is typically used in managing opioid dependence. These medications are not the first-line treatment for alcohol withdrawal.
Question 3 of 5
A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Captopril is known to cause a persistent, dry cough as a common side effect. Instructing the client about this potential side effect is crucial for their awareness.
Choices A and B are incorrect because captopril is usually taken on an empty stomach.
Choice C is incorrect because captopril can lead to hyperkalemia, so potassium supplements may be necessary in some cases.
Question 4 of 5
A nurse is assessing a newborn who is 1-day old and receiving phototherapy for jaundice. Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to keep the infant's head covered with a cap. This helps regulate the newborn's body temperature during phototherapy. Option A, feeding the infant glucose water every 2 hours, is incorrect because it is not a standard intervention for newborns receiving phototherapy. Option B, ensuring the newborn wears a diaper, may be necessary for hygiene but is not directly related to phototherapy. Option D, applying lotion to the newborn every 4 hours, is unnecessary and not indicated for managing jaundice or phototherapy.
Question 5 of 5
A nurse is caring for a client who has heart failure and is receiving furosemide. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: 'Hypokalemia.' Furosemide is a loop diuretic that can lead to potassium depletion (hypokalemia) due to increased urinary excretion of potassium. This can result in adverse effects such as muscle weakness, cardiac dysrhythmias, and other complications. Hyperkalemia (choice
A) is not an adverse effect of furosemide but rather an elevated potassium level. Hyperglycemia (choice
B) and hyponatremia (choice
D) are not typically associated with furosemide use.
Therefore, monitoring potassium levels and addressing hypokalemia is crucial in clients taking furosemide.
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