ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is instructing a patient who has just been prescribed bumetanide. What should the nurse include in the instructions? What should the nurse include in bumetanide instructions?
Correct Answer: C
Rationale: The correct answer is C: Report any changes in hearing. Bumetanide is a loop diuretic that can cause ototoxicity, leading to changes in hearing. Instructing the patient to report any changes in hearing is crucial to monitor for potential adverse effects.
Choice A is incorrect as bumetanide is usually taken once daily in the morning to prevent nocturia.
Choice B is incorrect as the patient may need to increase fluid intake to prevent dehydration.
Choice D is incorrect as bumetanide can lead to hypokalemia, so foods high in potassium may be beneficial.
Question 2 of 5
A nurse is educating a patient with benign prostatic hypertrophy who has been newly prescribed finasteride. What should the nurse include in the teaching? What should the nurse include in finasteride teaching?
Correct Answer: A
Rationale: The correct answer is A: Decreased libido is an adverse effect of the medication. Finasteride is a 5-alpha reductase inhibitor commonly used to treat benign prostatic hypertrophy. One of the common side effects of finasteride is a decrease in libido due to its mechanism of action on hormone levels. This information is crucial for the patient to be aware of to monitor and report any changes in sexual function.
Choice B is incorrect because grapefruit juice does not interact with finasteride.
Choice C is incorrect as PSA levels typically decrease with finasteride treatment.
Choice D is incorrect as it may take several months to see a response from the medication due to its mechanism of action on prostate size.
Question 3 of 5
A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?
Correct Answer: C
Rationale: The correct answer is C: Apply moistened sterile gauze to the site. This is the correct action because it helps to keep the exposed bowel moist, which is crucial to prevent drying and potential damage. Reinserting the bowel (choice
A) may cause further harm and should only be done by a surgeon. Placing the head of the bed flat (choice
B) can increase intra-abdominal pressure and worsen the situation. Positioning the patient on his left side (choice
D) does not address the immediate need to protect the exposed bowel. Applying moistened gauze is the best initial action to protect the bowel while awaiting further medical intervention.
Question 4 of 5
A nurse in a coronary care unit is admitting a patient who has had CPR following a cardiac arrest. The patient is receiving lidocaine IV at 2 mg/min. When the patient asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? Why is the patient receiving lidocaine?
Correct Answer: D
Rationale: The patient is receiving lidocaine to prevent dysrhythmias after experiencing a cardiac arrest. Lidocaine is a class IB antiarrhythmic drug that stabilizes the cardiac cell membrane, reducing the likelihood of abnormal electrical activity and dysrhythmias. It does not relieve pain, slow intestinal motility, or dissolve blood clots.
Therefore, the correct answer is D, as it directly addresses the purpose of administering lidocaine in this specific clinical scenario.
Question 5 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? Which statement indicates a need for HIPAA teaching?
Correct Answer: D
Rationale: The correct answer is D because HIPAA protects the confidentiality of a patient's health information and restricts disclosure to family members without the patient's consent. This ensures privacy and security.
Choice A is correct as a patient's address is considered personally identifiable information.
Choice B is correct as HIPAA is indeed a federal law.
Choice C is correct as HIPAA covers health information in various forms.
Choices E, F, and G are not relevant to the question.