ATI RN
ATI RN Custom Exams Set 5
1. The client with peripheral venous disease is scheduled to go to the whirlpool for a dressing change. Which is the nurse’s priority intervention?
- A. Escort the client to the physical therapy department
- B. Medicate the client 30 minutes before going to the whirlpool
- C. Obtain the sterile dressing supplies for the client
- D. Assist the client to the bathroom prior to the treatment
Correct answer: B
Rationale: The correct answer is B. Pain management is essential before the procedure to ensure the client’s comfort and cooperation during the dressing change. Escorting the client to the physical therapy department (choice A) is not the priority at this time. While obtaining sterile dressing supplies (choice C) is important, ensuring pain management takes precedence. Assisting the client to the bathroom (choice D) is not directly related to the priority intervention of pain management before the whirlpool treatment.
2. The client diagnosed with Type 2 diabetes mellitus is being taught about diet by the nurse. Which diet selection indicates the client understands the teaching?
- A. A submarine sandwich, potato chips, and diet cola
- B. Four (4) slices of a supreme thin-crust pizza and milk
- C. Smoked turkey sandwich, celery sticks, and unsweetened tea
- D. A roast beef sandwich, fried onion rings, and a cola
Correct answer: C
Rationale: The correct answer is C because a smoked turkey sandwich with celery sticks and unsweetened tea reflects a balanced and healthy choice suitable for a client with Type 2 diabetes mellitus. Turkey is a lean protein choice, celery sticks offer fiber and low calories, and unsweetened tea is a sugar-free beverage. Choices A, B, and D are incorrect as they include high-carb, high-fat, and sugary options that are not recommended for individuals with diabetes as they can spike blood sugar levels.
3. What is the term for the infection of small sacs that protrude from the lumen of the colon?
- A. Diverticulosis
- B. Diverticulitis
- C. Cholelithiasis
- D. Cholecystitis
Correct answer: B
Rationale: The correct answer is B: Diverticulitis. Diverticulitis specifically refers to the infection or inflammation of diverticula in the colon. Choice A, Diverticulosis, is incorrect as it refers to the condition of having diverticula without inflammation or infection. Choices C and D, Cholelithiasis and Cholecystitis, are unrelated conditions affecting the gallbladder, not the colon.
4. The unlicensed nursing assistant is applying elastic compression stockings to the client. Which action by the assistant warrants immediate intervention by the nurse?
- A. The assistant is putting the stockings on while the client is in the chair
- B. The assistant inserted two (2) fingers under the proximal end of the stocking
- C. The assistant elevated the feet while lying down to put on the stockings
- D. The assistant made sure the toes were warm after putting the stockings on
Correct answer: A
Rationale: The correct answer is A. Compression stockings should be applied while the client is lying down to prevent pooling of blood in the legs, which can occur when the client is sitting or standing. Choice B is incorrect as inserting two fingers under the proximal end of the stocking helps ensure proper fit. Choice C is incorrect as elevating the feet while lying down is a correct technique for applying compression stockings. Choice D is incorrect as ensuring the toes are warm after putting the stockings on is a good practice for client comfort.
5. Neomycin may decrease absorption of which nutrient?
- A. Iron, copper, and zinc
- B. Protein and amino acids
- C. Fat-soluble vitamins
- D. Water-soluble vitamins
Correct answer: C
Rationale: The correct answer is C: Fat-soluble vitamins. Neomycin is known to interfere with the absorption of fat-soluble vitamins. This is because neomycin can disrupt the normal gut flora responsible for the absorption of these vitamins. Choices A, B, and D are incorrect because neomycin primarily affects the absorption of fat-soluble vitamins, not minerals, proteins, amino acids, or water-soluble vitamins.
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