ATI RN
ATI RN Custom Exams Set 5
1. In patients with heart failure, which type of diet is most recommended?
- A. High-sodium
- B. Low-sodium
- C. High-fat
- D. Low-carbohydrate
Correct answer: B
Rationale: A low-sodium diet is most recommended for patients with heart failure. This type of diet helps manage fluid retention by reducing the amount of sodium in the body, which in turn decreases the workload on the heart. High-sodium diets can lead to fluid retention and worsen heart failure symptoms. High-fat and low-carbohydrate diets are not specifically recommended for heart failure patients as the focus is primarily on controlling sodium intake.
2. The nurse provides discharge instructions to a patient with hepatitis B. Which of the following statements, if made by the patient, would indicate the need for further instruction?
- A. I can never donate blood.
- B. I can never have unprotected sex.
- C. I cannot share needles.
- D. I should avoid drugs and alcohol.
Correct answer: D
Rationale: The correct answer is D. This patient statement indicates a need for further teaching. The patient should be instructed that, in order to avoid complications, alcohol should be avoided for six months to one year. Illicit drugs and toxic chemicals should also be avoided. Acetaminophen may be taken only when necessary and not beyond the recommended dosage. Choices A, B, and C are correct statements regarding precautions to prevent the spread of hepatitis B and do not indicate a need for further instruction.
3. Which of the following stores electrolytes and acts as an electrolyte pool?
- A. Brain - Kidneys
- B. Bone - Nails
- C. Bone - Liver
- D. Liver - Pancreas
Correct answer: B
Rationale: Bones store electrolytes and act as a reservoir, maintaining a balance of essential minerals like calcium and phosphate. The correct pair in this context is 'Bone - Nails.' Choices A, C, and D are incorrect because the brain, kidneys, liver, and pancreas perform other functions in the body and are not primarily responsible for storing electrolytes.
4. A client with diabetes is experiencing symptoms of hypoglycemia. What should the nurse administer first?
- A. 10 units of regular insulin subcutaneously
- B. 50 mL of 50% dextrose solution intravenously
- C. 1 mg of glucagon intramuscularly
- D. 15-20 grams of fast-acting carbohydrate orally
Correct answer: D
Rationale: The correct first intervention for a client experiencing hypoglycemia is administering 15-20 grams of fast-acting carbohydrate orally. If the client is conscious and able to swallow, providing quick-acting carbohydrates helps raise blood glucose levels rapidly and effectively. This approach is preferred over other options like administering insulin, dextrose solution intravenously, or glucagon, which are not the initial interventions for hypoglycemia.
5. __________, a strong type of painkiller used in labor and delivery, blocks sensation.
- A. Anesthetics
- B. Analgesics
- C. Anti-inflammatories
- D. Folic acids
Correct answer: A
Rationale: Anesthetics, such as epidurals, are a strong type of painkiller used in labor and delivery that block sensation. They work by numbing the nerves in the lower part of the spine, providing pain relief during childbirth. Choice B, Analgesics, are pain relievers that reduce pain without causing loss of consciousness, but they are not as strong as anesthetics for labor pain. Choice C, Anti-inflammatories, are medications that reduce inflammation and do not directly block sensation like anesthetics. Choice D, Folic acids, are a type of B vitamin crucial for cell growth and metabolism, not used as painkillers in labor and delivery.