ATI RN
ATI RN Custom Exams Set 1
1. A patient is prescribed an oral anticoagulant. What should the nurse monitor for?
- A. Elevated blood glucose
- B. Decreased blood pressure
- C. Signs of bleeding
- D. Increased appetite
Correct answer: C
Rationale: Correct! When a patient is prescribed an oral anticoagulant, the nurse should monitor for signs of bleeding. Oral anticoagulants are medications that prevent blood clot formation but can increase the risk of bleeding. Monitoring for signs such as easy bruising, blood in urine or stool, and prolonged bleeding from minor cuts is essential. Choices A, B, and D are incorrect because oral anticoagulants do not typically affect blood glucose levels, blood pressure, or appetite.
2. A client on an acute medicine unit of a hospital with a diagnosis of small bowel obstruction is reporting intense, diffuse pain in her abdomen. Which physiologic phenomenon is most likely contributing to her complaint?
- A. Somatic pain resulting from pressure on the parietal peritoneum
- B. Referred pain from her small bowel
- C. Visceral pain resulting from distension and ischemia
- D. Neuropathic pain resulting from autonomic dysfunction
Correct answer: C
Rationale: Visceral pain is associated with distension, ischemia, and inflammation of internal organs. In the case of a small bowel obstruction, the intense, diffuse pain reported by the client is likely due to the distension and ischemia of the small bowel. Somatic pain (Choice A) would be more localized and sharp, typically arising from the parietal peritoneum. Referred pain (Choice B) is pain perceived at a site distant from the actual pathology. Neuropathic pain (Choice D) involves dysfunction or damage to the nervous system and is not typically associated with the described physiologic phenomenon of distension and ischemia in the context of a small bowel obstruction.
3. Which of the following might the nurse assess in a patient diagnosed with hypermagnesemia?
- A. Diminished deep tendon reflexes
- B. Tachycardia
- C. Cool clammy skin
- D. Increased serum magnesium
Correct answer: A
Rationale: The correct answer is A: Diminished deep tendon reflexes. In a patient with hypermagnesemia, the nurse would assess for diminished deep tendon reflexes. Hypermagnesemia can lead to neuromuscular depression, causing a decrease in deep tendon reflexes. Tachycardia (choice B) is more commonly associated with hypomagnesemia. Cool clammy skin (choice C) is not typically a direct symptom of hypermagnesemia. While hypermagnesemia does involve increased serum magnesium levels (choice D), assessing serum levels is a laboratory test and not a clinical assessment like checking deep tendon reflexes.
4. Which agency reviews whether an organization meets its own criteria for staffing?
- A. American Nurses Association (ANA)
- B. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- C. Patient Classification Systems (PCSs)
- D. Nursing Care Hours (NCHs)
Correct answer: B
Rationale: The correct answer is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This agency specifies that the right number of competent staff should be provided to meet client's needs. Choices A, C, and D are incorrect as they do not focus on the review of staffing criteria within an organization. The American Nurses Association (ANA) is an organization that supports nurses, Patient Classification Systems (PCSs) are tools used for patient classification, and Nursing Care Hours (NCHs) are related to the number of care hours provided.
5. One of Freud's major contributions to current perspectives of mental disorders is ________.
- A. the concept of the Oedipal complex.
- B. the concept of the unconscious and how it can affect behavior.
- C. the concept of the Electra complex.
- D. the understanding of the three structures of personality.
Correct answer: B
Rationale: Freud's major contribution to current perspectives of mental disorders is the concept of the unconscious and its influence on behavior. While the Oedipal complex (Choice A) and Electra complex (Choice C) are important psychoanalytic concepts introduced by Freud, they are more focused on childhood psychosexual development rather than mental disorders. The understanding of the three structures of personality (Choice D) refers to Freud's id, ego, and superego model, which is essential in psychoanalytic theory but not specifically related to mental disorders.