ATI RN
ATI RN Custom Exams Set 3
1. A 31-year-old client is seeking contraceptive information. Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?
- A. More than 30 years of age
- B. Had two multiple pregnancies
- C. Smokes 1 pack of cigarettes a day
- D. Has a history of borderline hypertension
Correct answer: C
Rationale: The correct answer is C. Smoking, especially in clients over 30, increases the risk of thromboembolic events, making oral contraceptives contraindicated. Choice A is incorrect as age alone is not a contraindication for oral contraceptives. Choice B is incorrect as having multiple pregnancies is not a contraindication for oral contraceptives. Choice D is incorrect as borderline hypertension is not a strict contraindication for oral contraceptives.
2. Cushing syndrome is characterized by which disorder?
- A. Hypocortisolism
- B. Exophthalmos
- C. Hypercortisolism
- D. Hyperpigmentation
Correct answer: C
Rationale: Cushing syndrome is characterized by hypercortisolism, which is an excessive amount of cortisol in the body. Choice A, 'Hypocortisolism,' is incorrect as Cushing syndrome is associated with elevated cortisol levels. Choice B, 'Exophthalmos,' refers to bulging eyes and is not a characteristic feature of Cushing syndrome. Hyperpigmentation, as mentioned in choice D, can be present in Cushing syndrome due to increased ACTH levels stimulating melanocytes, but it is not the defining characteristic of the syndrome.
3. A nurse is preparing to perform a routine abdominal assessment. Which action should the nurse take first?
- A. Percuss the abdomen
- B. Auscultate bowel sounds
- C. Inspect the abdomen
- D. Palpate the abdomen
Correct answer: B
Rationale: The correct answer is to auscultate bowel sounds. Auscultation should be performed before palpation during an abdominal assessment to avoid altering bowel sounds. Inspecting the abdomen is important but should follow auscultation. Percussion and palpation should be done after auscultation and inspection to ensure an accurate assessment.
4. Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that ________.
- A. These different styles can produce different rates of problem behaviors in different cultures.
- B. Parental styles make no difference in rates of different behavior problems; they seem to be primarily genetic.
- C. Parental styles make no difference in rates of different behavior problems; they seem to be independent of culture.
- D. All cultures feel the same about bringing their children for treatment, regardless of the type of behavior problem.
Correct answer: A
Rationale: Studies on the cultural differences in parental tolerance of under- or over-controlled behavior suggest that these different styles can produce different rates of problem behaviors in different cultures. This is because cultural norms and expectations influence how parental tolerance and responses to behavior are shaped. Choice B is incorrect because parental styles do play a role in behavior problems, influenced by cultural factors. Choice C is incorrect as parental styles can vary across cultures and impact behavior problems differently. Choice D is incorrect because cultural attitudes towards seeking treatment for behavior problems can vary significantly.
5. A client has been diagnosed with obsessive-compulsive personality disorder. Which of the following behaviors should the nurse expect?
- A. Perfectionism
- B. Flexibility
- C. Generosity
- D. Spontaneity
Correct answer: A
Rationale: Individuals with obsessive-compulsive personality disorder commonly exhibit perfectionism, a need for orderliness, and a preoccupation with details. This behavior often interferes with task completion and can impact interpersonal relationships. Choice A is correct because perfectionism is a key characteristic of this disorder. Choices B, C, and D are incorrect because individuals with obsessive-compulsive personality disorder typically lack flexibility, may not display generosity, and tend to avoid spontaneity.