ATI RN
ATI RN Custom Exams Set 2
1. The Army Medical Department has four major functions. Three are prevention, treatment, and evacuation. What is the fourth?
- A. Preparation
- B. Training
- C. Mobilization
- D. Selection
Correct answer: C
Rationale: The correct answer is C, 'Mobilization.' Mobilization is the fourth major function of the Army Medical Department. This involves preparing and organizing medical resources and personnel for deployment during military operations. Choices A, B, and D are incorrect because while they are important aspects in military healthcare, they do not represent the fourth major function of the Army Medical Department as specifically requested in the question.
2. A healthcare provider is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for Oxybutynin. The provider should recognize that Oxybutynin is contraindicated in the presence of which of the following conditions?
- A. Bursitis
- B. Sinusitis
- C. Depression
- D. Glaucoma
Correct answer: D
Rationale: Oxybutynin is an anticholinergic medication that can increase intraocular pressure. It is contraindicated in clients with glaucoma, as it can worsen the condition. Glaucoma is a condition characterized by increased intraocular pressure, and using Oxybutynin can further elevate this pressure, potentially leading to serious complications such as vision impairment or damage to the optic nerve. Choices A, B, and C are incorrect as bursitis, sinusitis, and depression are not contraindications for Oxybutynin use. Therefore, the correct answer is D, Glaucoma.
3. A nurse is providing discharge teaching to a client who is postpartum and had a cesarean birth. Which of the following instructions should the nurse include?
- A. You should avoid lifting anything heavier than your newborn
- B. You should not lift anything heavier than your newborn
- C. You should wait 1 week before driving
- D. You can resume sexual activity in 2 weeks
Correct answer: B
Rationale: The correct instruction for a client who is postpartum and had a cesarean birth is to not lift anything heavier than her newborn. This precaution is crucial to prevent injury to the healing incision site and allow for proper recovery. Choice A is incorrect as it implies resuming abdominal exercises in 2 weeks, which may strain the incision area. Choice C is incorrect because the client should wait longer than 1 week before driving to ensure they can perform emergency maneuvers if needed. Choice D is incorrect as resuming sexual activity in 2 weeks may put strain on the healing tissues and increase the risk of complications.
4. What is the appropriate action when a patient refuses treatment for religious reasons?
- A. Respect the patient's decision
- B. Persuade the patient to accept treatment
- C. Inform the healthcare provider
- D. Document the refusal
Correct answer: A
Rationale: The correct answer is to respect the patient's decision. When a patient refuses treatment for religious reasons, it is crucial to respect their autonomy and beliefs. Persuading the patient to accept treatment could violate their rights and autonomy, going against ethical principles. Informing the healthcare provider is important, but the immediate action should be to respect the patient's decision first. Documenting the refusal is necessary for legal and documentation purposes, but it should not override respecting the patient's autonomy and right to refuse treatment based on religious beliefs.
5. A client is receiving discharge instructions following a stroke. Which of the following client statements indicates an understanding of the teaching?
- A. I will avoid using aspirin for pain.
- B. I will consume dairy products to increase my calcium intake.
- C. I will drink 1.5 to 2 liters of fluid each day.
- D. I will need to limit my intake of fiber.
Correct answer: A
Rationale: The correct answer is A. Avoiding aspirin is crucial for this client as it can increase the risk of bleeding after a stroke. Choice B about consuming dairy products for calcium intake is not directly related to stroke management. Choice C regarding fluid intake is a good practice for overall health but not specifically related to stroke care. Choice D about limiting fiber intake is not typically a concern after a stroke unless there are specific complications that warrant it.