ATI RN
ATI RN Custom Exams Set 1
1. A patient with hypothyroidism should be advised to consume more of which nutrient?
- A. Calcium
- B. Iodine
- C. Vitamin C
- D. Iron
Correct answer: B
Rationale: The correct answer is B: Iodine. Iodine is essential for thyroid hormone production, and its deficiency can contribute to hypothyroidism. While calcium, vitamin C, and iron are important for overall health, they are not specifically related to thyroid function. Calcium is more associated with bone health, vitamin C with immune function, and iron with red blood cell production.
2. The nurse on the medical/surgical unit cares for a client with a diagnosis of cerebrovascular accident (CVA). The nursing assessment of the client’s neurological status should include which of the following? (Select all that apply)
- A. Obtain the pulses in all four extremities
- B. Ask the client to grasp and squeeze two fingers on each of the nurse’s hands
- C. Determine the client’s orientation to person, place, and time
- D. B, C
Correct answer: D
Rationale: The correct answer is 'D' because assessing grasp strength (choice B) and orientation to person, place, and time (choice C) are crucial components of a neurological assessment following a cerebrovascular accident (CVA). Pulse assessment in all four extremities (choice A) is not directly related to a neurological assessment and is more pertinent to vascular status. Therefore, choices A and D are incorrect in this context.
3. The medical C4I headquarters has automated data processing systems that aid in which of the following?
- A. Patient accountability
- B. Tracking the movement of patients
- C. Management of health service logistics systems
- D. Patient accountability, tracking the movement of patients, and management of health service logistics systems
Correct answer: D
Rationale: The correct answer is D because the automated data processing systems in the medical C4I headquarters play a role in patient accountability, tracking the movement of patients, and managing health service logistics systems. These systems help in efficiently managing patient information, monitoring and coordinating patient movements, and optimizing the logistics involved in health services. Choices A, B, and C are incorrect because they represent individual aspects that are all encompassed by the functions of the automated data processing systems in the C4I headquarters.
4. What causes hepatic encephalopathy?
- A. Buildup of ammonia in the body
- B. Buildup of urea in the body
- C. Fatty infiltration of the liver
- D. Jaundice
Correct answer: A
Rationale: Hepatic encephalopathy is caused by the buildup of ammonia in the body, not urea. Ammonia accumulates due to liver dysfunction, leading to neurological symptoms. Fatty infiltration of the liver may lead to conditions like non-alcoholic fatty liver disease, but it is not the direct cause of hepatic encephalopathy. Jaundice is a symptom of liver dysfunction but is not the primary cause of hepatic encephalopathy.
5. The nurse is preparing a postoperative nursing care plan for the client recovering from a hemorrhoidectomy. Which intervention should the nurse implement?
- A. Establish a rapport with the client to decrease embarrassment during site assessment
- B. Encourage the client to lie in the lithotomy position twice a day
- C. Milk the tube inserted during surgery to facilitate the passage of flatus
- D. Digitally dilate the rectal sphincter to express old blood
Correct answer: A
Rationale: Establishing rapport with the client is crucial in postoperative care to create a trusting relationship, reduce embarrassment, and enhance comfort during assessments. Encouraging the client to lie in the lithotomy position is not recommended after a hemorrhoidectomy as it can be uncomfortable and may disrupt wound healing. Milking the tube inserted during surgery is not a standard practice and could lead to complications. Digitally dilating the rectal sphincter is not indicated post-hemorrhoidectomy and can cause harm to the client.
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