ATI Leadership Predictor Remediation Exam 2023

A nurse is caring for a client following a personal crisis. List one (1) finding that would indicate to the nurse that the client has successfully adapted to the life changes. The client has begun to share their feelings regarding the impact. Differentiate Parental Grief from Sibling Grief. Parental grief is intense, long-lasting and complex. Secondary losses related to the death of the child and parents can experience and express grief differently based on their role in the family whereas sibling grief, the reactions depend on age and developmental stage. Differentiate the following two personality disorders: Antisocial and Narcissistic Personality Disorder Antisocial disorder is characterized by disregard for others with exploitation, lack of empathy, repeated unlawful actions and failure to accept personal responsibility. Narcissistic personality disorder is characterized by arrogance, grandiose views of self-importance, the need for consistent admiration, and the lack of empathy for others that strains most relationships. The nurse is caring for a client with antisocial personality disorder. List three (3) behaviors or traits the nurse may note when working with this client. • Manipulative • Impulsive • Sense of entitlement List three (3) manifestations the nurse would expect to observe in a client experiencing opioid withdrawal. • Agitation • Flulike symptoms • Yawning List two (2) clients who would be good candidates for electroconvulsive therapy (ECT). • Clients with schizophrenia • Clients with bipolar disorder The nurse is assessing a client that has been taking allopurinol for treatment of gout. What assessment data indicates the medication is effective? • Low uric acid levels The nurse is caring for a client receiving magnesium sulfate for pre-eclampsia. What are three (3) signs of magnesium toxicity and what actions should the nurse take if magnesium toxicity is suspected? • Absence of patellar deep tendon reflexes: • Urine output less than 20 mL/hr • Cardiac dysrhythmias If magnesium toxicity is suspected: • Immediately discontinue infusion • Administer antidote calcium gluconate or calcium chloride • Prepare for actions to prevent respiratory or cardiac arrest A client with dehydration related to frequent emesis is receiving lactated ringers for fluid replacement. Identify two (2) indicators that the fluid replacement is adequate upon completion of an assessment. • There is an increase in hemoglobin and hematocrit levels • Patient is no longer in the state of dehydration The client has received a new prescription for ondansetron. Identify an adverse effect associated with this antiemetic and necessary nursing action to monitor for complications? • Dizziness. The nurse should assess dizziness or drowsiness which can affect the client’s gait, balance, and other functional activities. A nurse is preparing to administer an IV bolus of verapamil. What is an important consideration to reduce adverse effects when administering this medication? The nurse should consider monitoring the client’s blood pressure to keep the client from becoming hypotensive. A client is taking alprazolam for generalized anxiety disorder. The nurse is reviewing medication information and potential interactions prior to discharge. Name two (2) medication classes that interact with alprazolam. • Third-generation cephalosporin • Barbiturates A client on chlorpromazine, an antipsychotic medication complains of dry mouth and constipation. What teaching points can the nurse discuss with the client to address these adverse effects of the medication? The nurse should suggest the client to chew on sugarless gum, sip on water, eat foods high in fiber and participate in regular exercise. Also, they should maintain a fluid intake of 2 to 3 L/day from beverages and food sources. A client 42-year-old client is receiving methylergonovine, a uterine stimulant. List three (3) contraindications that should be assessed prior to administration of this medication. • Hypertension • Nausea/vomiting • Headache The nurse is performing an admission health history in the preoperative area of an ambulatory surgery center. What client finding would indicate a potential latex allergy? • Allergy to shellfish • Allergy to avocados The nurse is providing teaching to a client with scabies. List two (2) potential adverse effects of the prescribed medicated cream the client should be taught. • Burning • Itching