ATI PN Cloned Assessment Exam Questions and Correct Explained Answers 2024
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ATI PN Cloned Assessment
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ATI PN Cloned Assessment
ATI PN Cloned Assessment Exam Questions and Correct Explained Answers 2024
A nurse is caring for a client who has Alzheimer's disease and is confused. Which of the following actions should the nurse take?
ATI PN Cloned Assessment Exam Questions
and Correct Explained Answers 2024
A nurse is reinforcing teaching with a client who has a prescription for lithium
carbonate to treat bipolar disorder. Which of the following instructions should the
nurse include?
A. Limit fluid intake to 800 ounces per day while taking this medication.
B. Take the medication on an empty stomach.
C. Wait up to 3 weeks to see the full effects of the medication.
D. Follow a low-sodium diet.
Explanation
Choice A rationale:
The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces
per day.
Choice B rationale:
Lithium can be taken with or without food. This instruction is not necessary.
Choice C rationale:
It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.
Choice D rationale:
The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.
A nurse is reinforcing discharge teaching for a client who will continue to take
lithium carbonate at home to manage bipolar disorder. Which of the following
instructions should the nurse include when reinforcing the teaching?
A. Withhold dose if having a fine hand tremor.
B. Avoid foods with a high tyramine content.
C. Limit daily fluid intake.
D. Follow a low-sodium diet.
Explanation
Choice A rationale:
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a
common side effect of lithium, but they can be managed by adjusting the dose.
Choice B rationale:
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary
restriction is typically associated with certain antidepressants, not lithium.
Choice C rationale:
,Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s
important to maintain adequate hydration.
Choice D rationale:
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in
your blood, so it’s important to consume a steady amount every day.
A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the following
instructions should the nurse include in the teaching?
A. Treat nasal rhinitis with an over-the-counter antihistamine.
B. If a medication dose is missed, wait until the next scheduled dose to take the medication.
C. Expect diaphoresis as a side effect of the neostigmine.
D. Take the medication 45 minutes before eating.
Explanation
Choice A rationale:
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to
neostigmine use or myasthenia gravis.
Choice B rationale:
If a medication dose is missed, wait until the next scheduled dose to take the medication is not
the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
Choice C rationale:
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a
common side effect of neostigmine.
Choice D rationale:
Taking the medication 45 minutes before eating is correct. This timing helps maximize the
medication’s effectiveness during meals, when muscle strength for swallowing is crucial.
A nurse in the emergency department is assisting with the care of a client who has
myasthenia gravis and is in crisis. The nurse should identify that which of the
following factors can cause a myasthenic crisis?
A. Developing a respiratory infection.
B. Taking too much prescribed medication.
C. Insufficient sleep.
D. Insufficient exercise.
Explanation
Choice A rationale:
Developing a respiratory infection can indeed trigger a myasthenic crisis. Any form of stress on
the body, including infections, can exacerbate symptoms.
, Choice B rationale:
Taking too much prescribed medication is not typically a cause of myasthenic crisis. However,
medication changes should always be managed carefully.
Choice C rationale:
Insufficient sleep can contribute to overall stress and fatigue, potentially exacerbating
symptoms, but it is not a primary cause of myasthenic crisis.
Choice D rationale:
Insufficient exercise is not a known trigger for myasthenic crisis. While regular exercise can help
manage symptoms, lack of exercise is not a direct cause.
A nurse is modifying the diet of a client who has Parkinson's disease and a
prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the
following foods should the nurse eliminate from the client's diet?
A. Fresh fish.
B. Cheddar cheese.
C. Cherries.
D. Chicken.
Explanation
Choice A rationale:
Fresh fish is not a food that needs to be eliminated from the diet of a client taking an MAOI like
selegiline. It does not contain tyramine, which can cause a hypertensive crisis in clients taking
MAOIs.
Choice B rationale:
Cheddar cheese is a food high in tyramine and should be eliminated from the diet of a client
taking an MAOI. Consuming foods high in tyramine can lead to a hypertensive crisis in these
clients.
Choice C rationale:
Cherries are not a food that needs to be eliminated from the diet of a client taking an MAOI.
They do not contain tyramine.
Choice D rationale:
Chicken is not a food that needs to be eliminated from the diet of a client taking an MAOI. It
does not contain tyramine.
A nurse is caring for a client who has Alzheimer's disease and is confused. Which
of the following actions should the nurse take?
A. Keep the television on at all times.
B. Hang abstract pictures on the walls.
C. Keep familiar personal items in client's room.
D. Encourage bright lighting in the room.
Explanation
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