ATI RN
ATI RN Custom Exams Set 3
1. A patient with chronic renal failure should avoid which of the following?
- A. Potassium
- B. Calcium
- C. Iron
- D. Zinc
Correct answer: A
Rationale: Patients with chronic renal failure should avoid potassium due to impaired kidney function. The kidneys may not effectively filter excess potassium from the blood, leading to hyperkalemia. Calcium, iron, and zinc do not need to be avoided specifically in chronic renal failure unless there are other underlying reasons or complications.
2. What is the best-known effect of smoking during the prenatal period?
- A. Colic
- B. Respiratory distress at birth
- C. Low birth weight
- D. Delayed language development
Correct answer: C
Rationale: The best-known effect of smoking during the prenatal period is low birth weight. Smoking during pregnancy is a known teratogen that can lead to negative outcomes for the developing fetus, such as growth restrictions resulting in low birth weight. This condition can have significant long-term consequences on the child's health and development. Choices A, B, and D are incorrect as they are not the primary effect associated with smoking during the prenatal period. Colic is typically associated with digestive issues, respiratory distress at birth can be caused by various factors other than smoking, and delayed language development is not directly linked to smoking during pregnancy.
3. A patient is starting on alendronate (Fosamax) for the treatment of osteoporosis. What instructions should the nurse provide to ensure the effectiveness of the medication?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes.
- B. Take the medication with milk to enhance calcium absorption.
- C. Take the medication at bedtime to ensure absorption during sleep.
- D. Take the medication with food to prevent nausea.
Correct answer: A
Rationale: The correct answer is A. Alendronate should be taken with a full glass of water, and patients should remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption. Taking the medication with milk (choice B) is not recommended as it may interfere with alendronate absorption. Taking it at bedtime (choice C) is not necessary and may increase the risk of esophageal irritation. Taking the medication with food (choice D) can reduce its absorption and effectiveness.
4. A client has a new prescription for Sulfasalazine for the treatment of Crohn's disease. Which of the following instructions should the nurse include?
- A. Expect orange-yellow discoloration of urine and skin.
- B. Take the medication with food.
- C. Do not discontinue the medication if a sore throat occurs.
- D. Avoid prolonged exposure to sunlight.
Correct answer: A
Rationale: The correct answer is A: 'Expect orange-yellow discoloration of urine and skin.' Sulfasalazine can cause this harmless side effect, which does not require discontinuation of the medication. Option B is incorrect because Sulfasalazine is usually taken with food to minimize gastrointestinal side effects. Option C is incorrect as a sore throat is not a common reason to stop the medication. Option D is not directly related to the side effects of Sulfasalazine.
5. What is a primary objective of health promotion?
- A. Empowering individuals to take control of their health
- B. Reducing health care costs
- C. Preventing the onset of disease
- D. Ensuring access to health services
Correct answer: A
Rationale: Empowering individuals to take control of their health is a fundamental objective of health promotion. It aims to encourage individuals to make informed decisions about their health, promoting self-care, healthy lifestyles, and overall well-being. This empowerment helps individuals adopt and maintain healthy behaviors, leading to better health outcomes and a higher quality of life.