ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration.
Question 1 of 5
Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Bisacodyl 10 mg rectal suppository. Bisacodyl is indicated for immediate relief of constipation as a rectal suppository. It acts directly on the colon to stimulate peristalsis and promote bowel movement. The rectal route ensures faster onset of action compared to oral medications, making it suitable for a patient needing immediate relief. Magnesium hydroxide (
B) is a laxative taken orally, which may not provide quick relief. Famotidine (
C) is for acid reflux, not constipation. Loperamide (
D) is an antidiarrheal agent, not appropriate for constipation.
Extract:
Question 2 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B: "I know It will be a couple of weeks before the medication helps me feel better"
Rationale: Amitriptyline is a tricyclic antidepressant that can take several weeks to reach its full therapeutic effect. This statement shows the client understands the delayed onset of action of the medication, managing expectations. This is crucial in ensuring the client does not become discouraged if they do not feel immediate improvement.
Incorrect
Choices:
A: "I can continue to take St John's wort while taking this medication" - St John's wort can interact with amitriptyline, leading to increased side effects and reduced effectiveness.
C: "I expect this medication to raise my blood pressure" - Amitriptyline can indeed cause hypotension, not hypertension.
D: "I should take this medication on an empty stomach" - Amitriptyline should be taken with food to reduce gastrointestinal side effects and improve absorption.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale:
Rationale: Acetaminophen is the appropriate pain relief option to be taken concurrently with enoxaparin because it does not interfere with platelet aggregation or clotting factors, unlike other options. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) which can increase the risk of bleeding when taken with enoxaparin. Acetaminophen, on the other hand, does not have the same effect on platelet function, making it a safer choice for pain relief in patients taking enoxaparin.
Extract:
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg.
Question 4 of 5
Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Orthostatic hypotension is a potential adverse effect of valsartan overdose.
Extract:
A nurse in an emergency department is caring for a client.
Question 5 of 5
The nurse should first address the client’s-------followed by the client’s-----
Correct Answer: E,A
Rationale: Addressing pain and safety prioritizes client needs.